Buena Vista Care Center
Inspection Findings
F-Tag F0610
F 0610
Respond appropriately to all alleged violations.
Level of Harm - Potential for minimal harm
Based on interview, facility document review, and facility P&P review, the facility failed to conduct a thorough abuse investigation for one of five sampled residents (Resident 1) as evidenced by: * The facility did not interview the other resident, Resident 3 who was mentioned on interview to have caused distress to Resident 1. This failure posed the risk of not identifying if other residents were affected by the reported abuse allegation.Findings: Review of the facility's P&P titled Abuse, Neglect, Exploitation or Misappropriation - Reporting and Investigating revised 9/2022 showed all allegations are thoroughly investigated. Review of the facility's SOC 341 Report of Suspected Dependent Adult/Elder Abuse form dated 8/7/25, showed Resident 1 reported having problems with the other residents in the facility, including verbal abuse and physical altercations, such as being hit twice. Resident 1 reported he would sometimes miss breakfast due to conflicts with his roommate, who was described as rude and disruptive. Resident 1 expressed frustration with these living conditions and the behavior of others around him. Review of the facility's 5-day investigation summary dated 8/8/25, showed the following investigation was completed:- the Administrator and DON interviewed Resident 1. Resident 1 mentioned having issues with Resident 3 in the past, but not anymore. Resident 1 was offered and refused a room change. - the SSD interviewed Resident
- 4. Resident 4 denied concerns with Residents 1 and 3 and denied abuse or care concerns. Review of the
facility's abuse allegation investigation showed only two residents were interviewed (Residents 1 and 4).
Resident 3 was not interviewed regarding the alleged abuse. On 8/12/25 at 1335 hours, an interview and concurrent facility document review was conducted with the SSD. The SSD stated Resident 1 reported not being compatible with Resident 3 two times in the past. The SSD verified she participated in the investigation for Resident 1's allegation of abuse and was the designated staff to conduct resident interviews. The SSD stated she only interviewed Resident 4 to ask him if there were any issues or concerns between Residents 1 and 3. The SSD stated she did not interview Resident 3 because the Administrator instructed her to only interview Resident 4. The SSD reviewed Resident 1's interview with the Administrator and DON. The SSD verified Resident 3 should have been included in the resident interviews. On 8/12/25 at 1426 hours, an interview was conducted with the Administrator regarding the investigation of Resident 1's abuse allegation. The Administrator stated both she and the DON interviewed Resident 1 and the SSD interviewed Resident 4. The Administrator stated during the interview with Resident 1, Resident 1 brought up concerns with Resident 3, and stated Resident 1 had ongoing concerns with Resident 3 in the past, and brought it up again. The Administrator stated they have talked to Resident 3 in the past for roommate compatibility issues. The Administrator stated they overlooked interviewing Resident 3 because they had talked to him in the past.
Residents Affected - Some
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date
these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99) Previous Versions Obsolete
Facility ID:
If continuation sheet
Event ID:
BUENA VISTA CARE CENTER in ANAHEIM, CA inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in ANAHEIM, CA, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from BUENA VISTA CARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.