Ventana by Buckner

In the surveyor’s words

From the most serious findings on record at Ventana by Buckner, in the surveyor’s own words.

• Actual harm, isolatedF689Jun 29, 2021

  Based on interview and record review, the facility failed to provide adequate supervision to prevent an accident for one (Residents #1) of three residents reviewed for incidents/accidents and supervision. The facility failed to supervise Resident #1, who had a history of [CONDITION(S)] accident with left [CONDITION(S)] (stroke) and needed one-person physical staff assistance, in the bathroom by herself without a call light within reach. Resident #1 fell from her wheelchair and sustained a fracture to her left ankle. […]

• No harm, potential for more than minimal, patternF585Mar 18, 2026

  Based on observations, interviews, and record review, the facility failed to make information on how to file a grievance or complaint available t the resident for 2 of 2 confidential residents reviewed for grievances. The facility failed to notify residents or their representatives either individually or through prominent postings throughout the facility on how to file a grievance or complaint in an anonymous manner.These failures could affect resident's ability to file a grievance without the fear of discrimination, reprisal, retribution, and their right to anonymously file their grievance.Findings included:Observation on 03/16/26 at 2:45 PM revealed there were no grievance forms available in any common areas nor indications of places to find grievance forms. […]

• No harm, potential for more than minimal, patternF689Mar 18, 2026

  Based on observation, interview and record review, the facility failed to ensure the resident environment remained as free of accident hazards as possible for 1 (300 Hall) out of 2 hallways reviewed for accidents and hazards. 1.The facility failed to ensure that the mechanical lift in Resident #58's bathroom on 300 Hall was locked and secured when not in use. This failure could place residents at risk of falls and/or injuries.Findings Included:Record review of Resident #58's admission face sheet dated 03/18/26 reflected she was a [AGE] year-old female admitted to the facility on [DATE] with active diagnoses that included: dementia, hypertension (high blood pressure), displ commnt fx shaft or l femr (displaced, comminuted fracture of the shaft of the left femur), osteoarthritis (chronic… […]

• No harm, potential for more than minimal, patternF687Jul 15, 2025

  Based on observations, interviews, and record review, the facility failed to ensure residents received proper treatment and care to maintain mobility and good foot health for 1 Resident (Resident #1) of 6 residents reviewed for foot care. The facility failed to provide adequate foot care for Resident #1 who had a standing order for podiatric services. Resident #1's toenails were chipped, thick, and long. This failure could put residents at risk for infection, impaired mobility, and poor foot health as well as a decline in their quality of life. Findings included: Record review of Resident #1's Quarterly MDS assessment dated [DATE] reflected Resident #1 was a [AGE] year-old male admitted to the facility on [DATE]. […]

• No harm, potential for more than minimal, patternF812Nov 3, 2023

  Based on observation, interview, and record review the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in the facility's only kitchen reviewed for food safety. 1. The facility failed to ensure two of the four handwashing sinks had a garbage receptacle next to the sink. 2.The facility failed to ensure food items in the refrigerators (4), freezers (4) and dry storage room were labeled and stored in accordance with the professional standards for food service. 3. The facility failed to discard items stored in refrigerator, freezers or dry storage that were not properly labeled or past the 'best buy', consume by or expiration dates. 4. […]