Buffalo Valley Personal Care

A resident was left in a soiled brief for approximately 16 hours, resulting in skin sores.

The resident's support plan incorrectly stated the need for total 24-hour supervision but failed to note the need for total evacuation assistance.

The resident's initial medical evaluation was not completed within the required timeframe following admission.

A staff member used an aggressive tone, slammed a cell phone, and ripped a calendar off the wall after a resident marked future dates on a calendar.

A trash can in the kitchen containing garbage was left uncovered with no staff present.

A resident's medication bottle label did not match the instructions on the Medication Administration Record (MAR).

An enabler bar in room 504 had openings and gaps that posed a possible limb or head entrapment risk.

Rabies vaccinations for two resident cats (Gemi and Kitty) had expired.

The facility failed to follow the prescriber's orders as a resident did not receive prescribed medications during the 6pm med pass.

The Medication Administration Record (MAR) incorrectly indicated medications were administered when the resident did not actually take them.

Medication was not placed in the resident's hand, mouth, or other route as ordered; a medication cup was found in the resident's room.

A resident was admitted to the facility without a completed preadmission screening form.

A resident's contract did not include the required monthly fee for room and board.

The home lacked documentation that a quality management meeting was held in 2022 to review required topics.

There was no documentation that certain staff members received required fire safety and emergency preparedness orientation on their first day.

Staff failed to immediately provide incontinence care to a resident, waiting instead for staff rounds to begin.

Unannounced fire drills were not conducted during the months of January 2022 and June 2022.

A resident was not treated with dignity and respect after a staff member was observed laughing at the resident during a combative incident.

The exit door in the dining room area lacked a well-secured handrail for the one-foot step down to the outside.

The home lacked documentation that an annual quality management plan review had been conducted within the past 12 months.