Buena Vida Nursing And Rehab Odessa

F 0656 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

Regional Nurse Consultant stated he would expect Geri chairs to be care planned because that is what residents use for mobility. Also stated the interdisciplinary team is responsible for ensuring the goals/interventions are met. Interview on 11/6/2025 at 2:41PM with LVN C she stated Resident #3 uses a Geri chair. She stated Resident #3 has had several falls from bed and wheelchair. During an interview on 11/6/2025 at 3:26 PM with MDS Coordinator stated the facility completed care plans as a team and each department did their section. The MDS Coordinator stated she would expect for the Geri chair to be care planned and she did not know how the failure occurred. The MDS coordinator stated the DON usually updates changes on the care plan to reflect residents' condition within 3 days. The MDS Coordinator stated

this failure could impact the resident's quality of life, and safety by staff not recognizing that Resident #3 utilized a Geri chair for mobility. During an interview on 11/6/2025 at 3:46PM the DON stated the MDS coordinator updates all comprehensive care plans. The DON stated it was her responsibility to update acute care plans. The DON stated she was responsible for checking care plans quarterly and when a resident had a change in condition that required additional interventions on care plan. She stated she updates the care plans as needed. She stated a risk for not having this care planned is staff might not know the resident utilizes a Geri chair. Record review of facility's policy titled Comprehensive Care Planning (not dated) revealed:The facility will develop and implement a comprehensive person-centered care plan for each resident, consistent with the residents' rights that include measurable objectives, and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that are identified in the comprehensive assessment. The comprehensive care plan will describe the following---The services that are to be furnished to attain or maintain the residents' highest practicable physical, mental, and psychosocial well-being. Each resident will have a person-centered comprehensive care plan developed and implemented to meet his other preferences and goals, and addresses the resident's medical, physical, mental and psychosocial needs. The comprehensive care plan will be developed within 7 days after the completion of the comprehensive assessment. The facility will ensure that services provided or arranged are delivered by individuals who have the skills, experience, and knowledge to do a particular task or activity. This includes proper licensure or certification if required.

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Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

11/06/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Buena Vida Nursing and Rehab Odessa

3800 Englewood LN Odessa, TX 79762

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0693 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

a while as resident did not want them messing with it. She stated she did not realize the orders were discontinued. Interview on 11/6/2025 at 11:04 AM with Resident #1's Primary Care Physician he stated if gastrostomy tube feedings were discontinued, he would expect general maintenance such as flushing tube every shift to maintain patency (the condition of not being blocked or obstructed) and management of site skin care to continue. He stated not managing or monitoring the gastrostomy tube site could lead to skin breakdown infection, and stomach pain. Interview on 11/6/25 at 3:15 PM, the DON stated the nurse was responsible for obtaining physician orders for a resident with a feeding tube. She stated nursing management was responsible for ensuring the nurses obtained physician orders. She was unaware the orders to flush and cleanse site were discontinued. She stated she monitors new orders put into system in

the morning clinical meeting. She uses a report pulled from the electronic medical record system of any new orders that have been put into computer. She was aware the feeding orders were discontinued. She stated it was important to have physician orders for site care and flushing to maintain accuracy of the resident's electronic medical record. She stated residents could experience patency issues and infection if physician orders were not in place. She stated nursing management was to audit residents' physician orders to ensure accuracy. Interview on 11/16/25 at 3:23 p.m., the Regional Nurse Consultant stated the nurses were responsible for obtaining physician orders for a resident with a feeding tube. He stated he knew if the resident did not have cleaning orders, it placed the resident at risk for infections. He stated the DON was responsible for ensuring the nursing staff obtained physician orders. Record review of a facility's Gastrostomy Tube Care policy with no date indicated .included in the management of a gastrostomy tube is

the care of the stoma site. The clean technique is utilized in the care of the insertion site. The policy did not indicate information regarding flushing, care or cleaning of the insertion site.

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If continuation sheet