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Complaint Investigation

Buena Vida Nursing & Rehab Odessa

April 6, 2025 · Odessa, TX · 3800 Englewood Lane
Citations 1
CMS Rating 3/5
Beds 117
Provider ID 675145
Healthcare Facility
Buena Vida Nursing & Rehab Odessa
Odessa, TX  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)  ·  10 pages
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

Buena Vida Nursing & Rehab Odessa in Odessa, TX — inspection on April 6, 2025.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

Inspection Findings

FF689
Immediate Interventions: Some got her agreement. The hospital records did not indicate injury, and she returned to the facility with antibiotic affected

During an interview on 4.6.25 at 10:30 am CNA B stated she normally works 6a to 2p.

She stated she is one of the employees that will take the residents out on smoke break.

She stated she attended an in-service on items not allowed in room, she stated this was one she kind of all did already, but it was nice to see it written.

She stated basically while she was working at any time, she was to keep a look out for any items in residents' rooms or on their persons that was not allowed.

She stated these items were like scissors, glasses, aerosols, electrical wires, etc. she stated this was being done to protect the residents and make sure everyone is safe in the building and no accidents to occur.

She stated she attended an in-service on smoking policy she stated the smoking policy did not change.

She stated that it was an overview of the smoking policy and the importance of sticking to it.

She stated it covers what residents were allowed to smoke, where they were allowed to go what items should not be left with them etc., she stated it was straight forward.

She stated she attended an in-service on smoking procedure she stated that the new procedure is to get the smoking box and check for a lighter and how many.

She stated she was to go outside with the residents, hand out 1 smoke to each resident, light the smoke for them, and monitor the residents while they were outside smoking.

She stated that she was to fill out the smoking log sheet, which indicated how many lighters smoke break started with, how many ended with, smoke break time and her signature indicated she did take them out and that the lighter was returned.

Record review of in-services completed by CNA B with signature for the smoking policy on 3.31.25, items not allowed on 3.31.25, and smoking procedure on 4.4.25.

During an observation on 4.6.25 at 10:30 am smoke break with employee CNA B she handed all resident one cigarette at this time, she individually lit the residents a cigarette.

She watched all the residents until they were done, and they all headed inside.

Once they were all inside, she signed the log she indicated the one lighter was still with her and she returned the box to the med room.

Observation of log was documented and fully completed since yesterday 4.5.25.

675145

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 675145 B.

Wing 04/06/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Buena Vida Nursing and Rehab Odessa 3800 Englewood LN Odessa, TX 79762

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 Odessa, TX, (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 Vida Nursing & Rehab Odessa or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.