Buchanan County Health Center

In the surveyor’s words

From the most serious findings on record at Buchanan County Health Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Nov 26, 2024

  Based on observation, record review, staff interviews, and policy review the facility failed to ensure 1 of 5 mobility independent residents that were reviewed with severe cognitive impairment were kept in a safe location on the facilities premises at all times (Resident #1). On 10/30/2024 at 1:38 PM Resident #1 exited the facility by using an unlocked door and entered the attached Independent Living facility without an alarm sounding resulting in staff unaware of her exiting the building, however was in a safe place on the facilities premises. […]

• No harm, potential for more than minimal, widespreadF812Mar 20, 2025

  Based on observation, record review, policy review, and staff interviews the facility failed to ensure the commercial dishwasher reached hot water sanitizing levels. The facility reported a census of 34 residents. Findings include: During a follow up walk through of the kitchen on 3/18/25 at 12:45 PM, the [NAME] model CL44E hot water sanitizing commercial dishwasher had been operating. The dishwasher had a digital display at the top center displaying temperatures for wash and final rinse cycles. […]

• No harm, potential for more than minimal, widespreadF801Jun 6, 2024

  Based on document review, employee file review, and staff interview the facility failed to employ a certified nutrition professional and/or director who met the required qualifications in the time frame allowed. The facility reported a census of 37 residents. Findings include: During an interview on 6/03/24 at 9:15 AM the Nutrition Manager reported she is not a Certified Dietary Manager (CDM). She is enrolled in the class but due to staffing issues she had to ask for an extension on the class so she has not completed the class at this time. […]

• No harm, potential for more than minimal, widespreadF812Jun 6, 2024

  Based on observation, policy review, document review, and staff interview, the facility failed to maintain a sanitary kitchen, date food when opened, promote safe food storage, prevent touching of food with dirty gloves, and ensure the proper use of hair restraints when in the kitchen. The facility reported a census of 37 residents. Finding include: During an initial kitchen tour on 6/03/24 at 8:37 AM the following observations were made: a. The microwave had yellow stuck down splatters all along the back wall of the microwave. b. The standing mixer had a yellow crusty substance 1.5 inches long stuck down to the back of the mixer which was not in use. c. […]

• No harm, potential for more than minimal, patternF880Mar 19, 2026

  Based on observation, clinical record review, manufacturer's use guide, policy review and staff interview the facility failed to use one blood glucose meter per resident (a device used to monitor blood sugar levels) and properly disinfect shared blood glucose meters according to the Center for Disease Control and Prevention (CDC) and Food and Drug Administration (FDA) guidelines for 5 of 5 residents reviewed (Resident #8, #9, #11, #14 and #34). The facility identified a census of 35 residents.Findings include:1.Observation on 3/17/26 during the morning medication pass from 7:30 AM to 9:00 AM revealed Staff A, Registered Nurse (RN) performed a blood sugar for Resident #34. […]