Deficiency Records for Buffalo Valley Lutheran Villag
Updated as of October 01, 2021
This is not the most recent data for Buffalo Valley Lutheran Villag. For the most recent information, click here.
A list of the most recent deficiencies for Buffalo Valley Lutheran Villag. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-09-30 | 2020-11-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-09-30 | 2020-11-17 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-09-18 | 2020-11-17 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2020-09-18 | 2020-11-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-09-18 | 2020-11-17 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-09-18 | 2020-11-17 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-09-18 | 2020-11-17 | N |
| Provide or obtain dental services for each resident. | Health | 2020-09-18 | 2020-11-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-09-18 | 2020-11-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-09-18 | 2020-11-17 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-10-08 | 2019-11-26 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2019-10-08 | 2019-11-26 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-10-08 | 2019-11-26 | Y |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2019-04-19 | 2019-06-04 | 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 | 2019-04-19 | 2019-06-04 | N |
| Assess the resident when there is a significant change in condition | Health | 2019-04-19 | 2019-06-04 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-04-19 | 2019-06-04 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2019-04-19 | 2019-06-04 | 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 | 2019-04-19 | 2019-06-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-04-19 | 2019-06-04 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-04-19 | 2019-06-04 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-04-19 | 2019-06-04 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-05-09 | 2018-06-12 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-05-09 | 2018-06-12 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-05-09 | 2018-06-12 | 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 | 2018-05-09 | 2018-06-12 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-05-09 | 2018-06-12 | N |
| Respond appropriately to all alleged violations. | Health | 2018-05-04 | 2018-06-12 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-05-04 | 2018-06-12 | 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 | 2018-05-04 | 2018-06-12 | N |
| Provide activities to meet all resident's needs. | Health | 2018-05-04 | 2018-06-12 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-05-04 | 2018-06-12 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-05-04 | 2018-06-12 | 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 | 2018-05-04 | 2018-06-12 | N |
