Buckeye Care and Rehabilitation

In the surveyor’s words

From the most serious findings on record at Buckeye Care and Rehabilitation, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Jun 10, 2024

  Based on observation, clinical record review, review of hospital progress notes, staff interview, resident interview, resident representative interview, and review of facility policy, the facility failed to maintain a safe outdoor smoking area for residents assessed to be independent with smoking, failed to ensure Resident #100 was accurately assessed for the ability to safely smoke without supervision, failed to ensure Resident #100 was appropriately assessed for the ability to extinguish herself in the event of a fire (she had hemiplegia and hemiparalysis of the left arm and leg and required assistance from two staff members for transfers), failed to ensure the resident had reasonable access to a fire blankets and/or fire extinguisher, and failed to ensure the resident had the means to… […]

• No harm, potential for more than minimal, widespreadF761May 16, 2024

  Based on observation, staff interview and facility policy review, the facility failed to ensure multi use vials of tuberculin purified protein derivative (PPD) were dated when they were opened. This had the potential to affect all 93 residents in the facility. The census was 93. Findings include: Observation on 05/14/24 at 10:49 A.M. of the medication room refrigerator located on Maple Street and Main Street revealed an opened box with a used vial of tuberculin PPD five unit/0.1 milliliter(ml) one ml/vial with no date as to when it was opened. Interview on 05/14/24 at 10:50 A.M. […]

• No harm, potential for more than minimal, widespreadF812May 16, 2024

  Based on observation, staff interview, and facility policy review, the facility failed to ensure food was not expired and was stored appropriately. Additionally, the facility failed to ensure staff practiced proper hand hygiene when handling food. This had the potential to affect all 93 residents who resided in the facility. The facility identified all 93 residents received meals from the kitchen. The census was 93. Findings include: 1. During an initial tour of the kitchen on [DATE] from 11:40 A.M. to 11:50 A.M. […]

• No harm, potential for more than minimal, patternF550May 6, 2025

  Based on observation, medical record review, policy review and interview, the facility failed to ensure residents were treated with dignity and respect. This affected three residents (#12, #30 and #31) observed for incontinence care and one resident (#45) of one resident self-propelling in the hallway. The facility census was 87. Findings include: 1. Medical record review revealed Resident #31 was admitted on [DATE] with diagnoses including multiple sclerosis, Parkinson's disease, altered mental status and urge incontinence. Review of the quarterly Minimum Data Set 3.0 (MDS) assessment dated [DATE] revealed Resident #31 was cognitively intact for daily decision-making and was frequently incontinent of urine. […]

• No harm, potential for more than minimal, patternF755May 6, 2025

  Based on observation, medical record review, controlled drug sheet review, policy review and interview, the facility failed to ensure a comprehensive program to safeguard controlled substances and ensure medications were administered as ordered. This affected four residents (#18, #21, #38 and #102) sampled during reconciliation of controlled substances and one resident (#36) of three residents reviewed for infection. The census was 87. Findings include: 1. On 05/01/25 between 6:15 A.M. and 6:45 A.M., observation of reconciliation of controlled drugs for the Maple Avenue Hall and Main Street Hall revealed the following: a. […]