Deficiency Records for Buffalo Valley Lutheran Villag
Updated as of August 01, 2023
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? |
|---|---|---|---|---|
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-12-21 | 2023-01-30 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-21 | 2023-01-30 | Y |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2022-09-30 | 2022-11-29 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-09-30 | 2022-11-29 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-09-30 | 2022-11-29 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-09-30 | 2022-11-29 | 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 | 2022-09-30 | 2022-11-29 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-09-30 | 2022-11-29 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-09-30 | 2022-11-29 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-09-30 | 2022-11-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-09-30 | 2022-11-29 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-09-30 | 2022-11-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-30 | 2022-11-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-30 | 2022-11-29 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-09-30 | 2022-11-29 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-09-30 | 2022-11-29 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-09-30 | 2022-11-29 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-09-30 | 2022-11-29 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-09-30 | 2022-11-29 | 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 | 2022-09-30 | 2022-11-29 | Y |
| Use approved construction type or materials. | Fire Safety | 2022-09-20 | 2022-11-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-09-20 | 2022-11-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-09-20 | 2022-11-01 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-10-08 | 2021-11-30 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2021-10-08 | 2021-11-30 | N |
| Provide activities to meet all resident's needs. | Health | 2021-10-08 | 2021-11-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-10-08 | 2021-11-30 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-10-08 | 2021-11-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-10-08 | 2021-11-30 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-10-08 | 2021-11-30 | Y |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2021-04-07 | 2021-05-18 | Y |
| 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 |
| 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 |
