All citations for Buffalo Valley Lutheran Villag

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Buffalo Valley Lutheran Villag

Last standard health inspection on record

September 26, 2025

Showing 26 to 46 of 46 citations

  1. No harm, with potential for more than minimal harm

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0585, Resident Rights Deficiencies. Inspection of June 12, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 8, 2025).

  2. No harm, with potential for more than minimal harm

    Respond appropriately to all alleged violations.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of June 12, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 8, 2025).

  3. No harm, with potential for more than minimal harm

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0604, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of March 21, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 15, 2025).

  4. No harm, with potential for more than minimal harm

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0625, Resident Rights Deficiencies. Inspection of August 30, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 18, 2024).

  5. No harm, with potential for more than minimal harm

    Ensure each resident receives an accurate assessment.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of August 30, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 18, 2024).

  6. No harm, with potential for more than minimal harm

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of August 30, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 18, 2024).

  7. No harm, with potential for more than minimal harm

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0688, Quality of Life and Care Deficiencies. Inspection of August 30, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 18, 2024).

  8. No harm, with potential for more than minimal harm

    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0700, Quality of Life and Care Deficiencies. Inspection of August 30, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 18, 2024).

  9. No harm, with potential for more than minimal harm

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0947, Nursing and Physician Services Deficiencies. Inspection of August 30, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 18, 2024).

  10. No harm, with potential for more than minimal harm

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0625, Resident Rights Deficiencies. Inspection of September 1, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 17, 2023).

  11. No harm, with potential for more than minimal harm

    Ensure each resident receives an accurate assessment.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of September 1, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 17, 2023).

  12. No harm, with potential for more than minimal harm

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of September 1, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 17, 2023).

  13. No harm, with potential for more than minimal harm

    Provide safe and appropriate respiratory care for a resident when needed.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of September 1, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 17, 2023).

  14. No harm, with potential for more than minimal harm

    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0700, Quality of Life and Care Deficiencies. Inspection of September 1, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 17, 2023).

  15. No harm, with potential for more than minimal harm

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0726, Nursing and Physician Services Deficiencies. Inspection of September 1, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 17, 2023).

  16. No harm, with potential for more than minimal harm

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of September 1, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 17, 2023).

  17. No harm, with potential for more than minimal harm

    Provide or obtain dental services for each resident.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0791, Quality of Life and Care Deficiencies. Inspection of September 1, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 17, 2023).

  18. No harm, with potential for minimal harm

    Dispose of garbage and refuse properly.

    Widespread (many residents). CMS level C.

    Health citation F-0814, Nutrition and Dietary Deficiencies. Inspection of September 26, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 29, 2025).

  19. No harm, with potential for minimal harm

    Establish roles under a Waiver declared by secretary.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0026, Emergency Preparedness Deficiencies. Inspection of August 30, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 16, 2024).

  20. No harm, with potential for minimal harm

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Pattern (more than a few residents). CMS level B.

    Health citation F-0623, Resident Rights Deficiencies. Inspection of September 1, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 17, 2023).

  21. No harm, with potential for minimal harm

    Post nurse staffing information every day.

    Pattern (more than a few residents). CMS level B.

    Health citation F-0732, Nursing and Physician Services Deficiencies. Inspection of September 1, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 17, 2023).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.