Buena Vista Care Center

During the interview on 8/14/25 at 2:15 p.m. with the Director of Nursing (DON), DON stated that the controlled pain medication (Roxicodone) was available from the facility's secured emergency medication supply storage and confirmed that no pain medication was administered on 6/27/25.

During the review of facility's policy and procedure (P&P), titled Recognition and Management of Pain, dated 8/2025, P&P indicated, It is the policy of this facility to ensure that pain management is provided to residents who require such services, consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' goals and preferences.

During the review of facility's policy and procedure (P&P), titled Medication Shortages/ Unavailable Medication, dated 8/2025, P&P indicated a licensed facility nurse should obtain the ordered medication from the Emergency Medication Supply.

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

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