Buckingham Valley Rehabilitation and Nursingcenter

In the surveyor’s words

From the most serious findings on record at Buckingham Valley Rehabilitation and Nursingcenter, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Sep 16, 2022

  Based on observation it was determined that the facility failed to store food under sanitary conditions in the kitchen. Findings include: Observation in the kitchen on September 13, 2022, at 10:43 a.m., revealed a bin that contained a dirty dish rag, two open bags of dried pasta, one open bag of breadcrumbs, and one open bag of sliced almonds. The bags were not dated. There was a container of a yellow, powdered substance that was not labeled or dated. There was a Styrofoam bowl stored in the container in direct contact with the food item. Observation of the kitchen on September 15, 2022, at 11:27 a.m., revealed a rolling cart with a brown substance on the bottom two tiers where clean trays and bowls were stored. […]

• No harm, potential for more than minimal, patternF584Jul 9, 2026

  Based observation, it was determined that the facility failed to provide a safe, clean, and comfortable environment on two of two nursing units. (West and East wings) Findings include: Observation on July 7, 2026, from 11:30 a.m., through 2:00 p.m., revealed the following environmental issues: In room [ROOM NUMBER], there were stains on the walls behind both residents' beds. In the hallway outside of room [ROOM NUMBER], there were brown streaks on the lids of the soiled linen bin and the garbage bin. In room [ROOM NUMBER] the privacy curtain was ripped and missing eight hooks for bed one. The curtain was hanging and tied to the television in order to secure Resident 84's privacy. The baseboards were visibly dirty with brown discoloration. […]

• No harm, potential for more than minimal, patternF584Sep 16, 2022

  Based on observation and resident interview, it was determined that the facility failed to ensure a safe, clean, and comfortable environment was maintained in resident rooms and in the resident lounge on one of three nursing units. (West Unit) Findings include: On September 13, 2022, at 12:00 p.m., Resident 36 was observed in bed wearing a gown. There were small, black, winged insects observed on the resident's blanket, head, glasses, and gown. In an interview on September 13, 2022, at 12:09 p.m., Resident 74 stated that small, black, winged insects were often present in room 112. In an interview on September 13, 2022, at 11:52 a.m., Resident 79 stated that small, black, winged insects were often observed in room 110 since Spring of 2022. […]

• No harm, potential for more than minimal, isolatedF689Jul 9, 2026

  Based on clinical record review, observation, and staff interview, it was determined that the facility failed to ensure that the environment remained free of accident hazards on one of two nursing units. (West Wing) Findings include: On July 7, 2026, at 12:53 p.m., and July 8, 2026, at 11:50 a.m., and 3:15 p.m., revealed a prescription medication, Nystatin topical powder, and a prepackaged liquid flush medication (saline) were observed on Resident 84's overbed table. In an interview on July 9, 2026, at 11:46 p.m., the Director of Nursing stated that the prescription medication and prepackaged flush should not have been left at the bedside of the resident and that there was one ambulatory resident that was cognitively impaired who could have accessed the potentially hazardous materials. […]

• No harm, potential for more than minimal, isolatedF880Jul 9, 2026

  Based on facility policy review, clinical record review, observation, and staff interview, it was determined that the facility failed to implement enhanced barrier precautions (EBP) and the use of personal protective equipment (PPE) to prevent the spread of infection for one of 27 sampled residents. (Resident 116)Findings include: Review of the facility policy entitled, Enhanced Barrier Precautions, last reviewed May 6, 2026, revealed that EBP were to be used with any high-risk resident with an indwelling device during high contact care activities including, catheter care, bathing, dressing, and changing linens. EBP included the use of PPE such as protective gowns and gloves during high-risk activities. […]