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Deficiency Records for Buffalo Valley Lutheran Villag
View the most recent health deficiencies and inspection results for Buffalo Valley Lutheran Villag. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Buffalo Valley Lutheran Villag. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2025-09-26 | 2025-10-29 | N |
| Dispose of garbage and refuse properly. | Health | 2025-09-26 | 2025-10-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-09-26 | 2025-10-29 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2025-09-26 | 2025-10-29 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2025-09-26 | 2025-10-29 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2025-09-26 | 2025-10-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-09-26 | 2025-10-29 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2025-09-26 | 2025-10-29 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-09-26 | 2025-10-29 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2025-09-26 | 2025-10-29 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2025-09-26 | 2025-10-29 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2025-09-26 | 2025-10-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-09-26 | 2025-10-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-09-26 | 2025-10-24 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-09-26 | 2025-10-24 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2025-09-26 | 2025-10-24 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2025-06-12 | 2025-07-08 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-06-12 | 2025-07-08 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2025-03-21 | 2025-04-15 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-08-30 | 2024-10-18 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2024-08-30 | 2024-10-18 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-08-30 | 2024-10-18 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2024-08-30 | 2024-10-18 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2024-08-30 | 2024-10-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-30 | 2024-10-18 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2024-08-30 | 2024-10-18 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-08-30 | 2024-10-18 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2024-08-30 | 2024-10-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-08-30 | 2024-10-18 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2024-08-30 | 2024-09-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-08-30 | 2024-09-16 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-08-30 | 2024-09-16 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-09-01 | 2023-11-12 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-09-01 | 2023-11-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-01 | 2023-10-17 | N |
| Provide or obtain dental services for each resident. | Health | 2023-09-01 | 2023-10-17 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2023-09-01 | 2023-10-17 | N |
| Post nurse staffing information every day. | Health | 2023-09-01 | 2023-10-17 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-09-01 | 2023-10-17 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2023-09-01 | 2023-10-17 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-09-01 | 2023-10-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-01 | 2023-10-17 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-09-01 | 2023-10-17 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2023-09-01 | 2023-10-17 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-09-01 | 2023-10-17 | N |