Buena Vida Nursing & Rehab Odessa

In the surveyor’s words

From the most serious findings on record at Buena Vida Nursing & Rehab Odessa, in the surveyor’s own words.

• Immediate jeopardy, patternF689Apr 6, 2025

  Based on observation, interview and record review the facility failed to provide supervision to prevent accidents for 5 (Resident #1, Resident #2, Resident #3, Resident#4, and Resident #5) of 11 Residents reviewed for residents having lighters. The facility failed to ensure Resident #1, Resident #2, Resident #3, Resident#4, and Resident #5 were not in possession of an unauthorized lighter. 1 of the 5 residents (Resident #1) used a lighter to burn the gauze bandage, which was secured to her right foot, resulting in second degree burns to her right foot. An Immediate Jeopardy (IJ) situation was identified on 4.4.25. The IJ template was provided to the facility on 4.4.25 at 3:10pm. […]

• No harm, potential for more than minimal, patternF755Nov 20, 2025

  Based on interview and record review, the facility failed to provide pharmaceutical services (including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals) to meet the needs of each resident for 1 of 3 residents (Resident #1) reviewed for medication errors.The facility failed to administer Resident #1's glimepiride (an oral medication used to manage blood sugar levels in adults with type 2 diabetes). The medication was not available according to the signed MARThis deficient practice could place residents at risk of inadequate therapeutic outcomes, increased adverse side effects, and a decline in health.Findings include:Record review of Resident #1's face sheet dated 09/30/25 revealed an [AGE] year-old male admitted to the… […]

• No harm, potential for more than minimal, patternF761Aug 8, 2025

  Based on observation, interview, and record review the facility failed to ensure drugs and biologicals used in the facility were labeled in accordance with currently accepted professional principles, included the appropriate accessory and cautionary instructions, and the expiration date when applicable for 3 of 3 medication carts (#1, #2 and #3) reviewed for medication storage. The nurse medication carts used for halls 100, 200, 300 and 400 had an insulin vial that had been opened but had no open date. There were insulin pens that had expired since being opened as indicated by the manufacturer's instructions. […]

• No harm, potential for more than minimal, patternF755Jun 27, 2024

  Based on interviews and record review, the facility failed to provide pharmaceutical services to ensure accurate administration and documentation of medications for 3 of 12 residents (Residents #24, #69, and #43) reviewed for pharmacy services and medication administration. The facility failed to administer blood pressure medications as prescribed for Residents #24 and #69. The facility failed to ensure Resident #43 had parameters outlining when to hold her short-acting insulin. This failure placed residents at risk of inadequate therapeutic outcomes, increased negative side effects, and a decline in health. […]

• No harm, potential for more than minimal, patternF604May 31, 2023

  Based on observation, interview and record review the facility failed to ensure that residents had the right to be free from any physical restraints not required to treat the resident's medical symptoms for two (Residents #11 & #55) of three residents reviewed for physical restraints. 1. Residents #11 & #55 had bolsters (scoop mattresses) on their beds without physician's orders that the bolsters were to treat a medical condition and no assessments used to determine they were the least restrictive measure. There was no restraint-focused assessment completed for Residents #11 & #55 regarding whether the bolsters constituted restraints for them. 2. There was no consent documentation from Resident #11 or Resident #55 or their resident representatives for bolsters to be placed on their beds. […]