La Vida Buena Healthcare

In the surveyor’s words

From the most serious findings on record at La Vida Buena Healthcare, in the surveyor’s own words.

• Immediate jeopardy, patternF600Apr 18, 2023

  Based on observation, record review, and interview the facility failed to ensure that 1 (R #1) of 3 (R #1, 26 and 42) residents reviewed for wounds was free from neglect when: 1. A wound on R #1's toe was identified in [DATE] but no wound care orders were implemented nor was the wound being monitored until [DATE]. 2. The ill fitting shoes which likely cause the toe wound was still available for R #1 to wear. 3. Ordered antibiotics were not administered when infection was identified. This deficient practice likely resulted in R #1's amputation of his toe. The findings are: A. Record review of R #1's face sheet revealed R #1 was admitted into the facility on [DATE] with the following diagnoses: 1. […]

• Actual harm, patternF686Jun 21, 2024

  Based on record review and interview, the facility failed to ensure residents received care consistent with professional standards to promote the healing of pressure ulcers (a localized wound caused by prolonged pressure to an area above a prominent bone) for 1 (R #21) of 1 (R #21) resident reviewed when staff: 1. Delayed in implementing new interventions/treatment (antibiotic) when the wound started to deteriorate. 2. Failed to accurately document presence of wound on skin checks/showers sheets and wound staging on reports. 3. Failed to notify provider of changes in the wound. 4. Delayed in getting R #21 an appointment at the Wound Clinic for treatment (seen 21 days after order). […]

• Actual harm, isolatedF689Oct 31, 2024

  Based on record review and interview, the facility failed to ensure residents received treatment and care in accordance with professional standards of practice for 1 (R #1) of 3 (R #1, R #2, and R #3) residents reviewed for safe transfer when staff did not have two staff present while providing care of a resident. This deficient practice likely resulted in the resident experiencing an injury, pain, discomfort and less than optimal care. A. Record review of R #1's face sheet, dated 11/31/24, revealed R #1 was admitted to facility on 12/04/21 with the following diagnoses: - Unspecified lack of coordination. - Need for assistance with personal care (requires assistance when dressing, transferring positions, meal setup, showers). […]

• Actual harm, isolatedF684Mar 4, 2022

  Based on record review and interview, the facility failed to ensure that 1 (R #52) of 1 (R #52) received treatment and care in accordance with professional standards of practice. This deficient practice is likely to result in resident experiencing delayed treatment or a change in condition. The findings are: Resident #52 A. On 03/01/22 at 9:04 am during an interview with R #52, he stated, I have been having right shoulder pain on and off for a couple of weeks, but it has been getting worse in the last week. I have been unable to move it very much cause, it hurts so bad. […]

• Actual harm, isolatedF697Mar 4, 2022

  Based on record review, observation, and interview, the facility failed to provide the necessary care to effectively manage pain for 1 (R # 33) of 2 (R # 33, 52) residents reviewed for pain. This deficient practice likely resulted in R #33 experiencing significant (long) periods of pain without sufficient relief. The findings are: Findings for R #33: A. Record review of R #33's face sheet revealed R #33 was admitted into the facility on [DATE]. B. Record review of R #33's Physician History and Physical dated 06/04/21 revealed, Chief Complaint- Patient being admitted to facility following a R [Right] sided [CONDITION(S)] [[CONDITION(S)]- Stroke]. Patient with residual left sided weakness. […]