Deficiency Records for Mescalero Care Center
Updated as of September 01, 2019
This is not the most recent data for Mescalero Care Center. For the most recent information, click here.
A list of the most recent deficiencies for Mescalero Care Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
---|---|---|---|---|
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-01-23 | 2019-03-03 | Y |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-01-23 | 2019-03-03 | Y |
Provide and implement an infection prevention and control program. | Health | 2019-01-23 | 2019-03-03 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-07-19 | 2018-11-28 | N |
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2018-07-19 | 2018-11-28 | N |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-07-19 | 2018-11-28 | N |
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2018-07-19 | 2018-11-16 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-07-19 | 2018-11-16 | N |
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2018-07-19 | 2018-11-16 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-07-19 | 2018-11-16 | N |
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2018-07-19 | 2018-11-16 | N |
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2018-07-19 | 2018-11-16 | N |
Provide and implement an infection prevention and control program. | Health | 2018-07-19 | 2018-11-16 | N |
Implement a program that monitors antibiotic use. | Health | 2018-07-19 | 2018-11-16 | N |
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2018-07-19 | 2018-11-02 | N |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-07-19 | 2018-10-25 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-07-19 | 2018-10-25 | N |
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. | Health | 2018-07-19 | 2018-10-25 | N |
Ensure each resident receives an accurate assessment. | Health | 2018-07-19 | 2018-10-17 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2018-07-19 | 2018-10-12 | N |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-07-19 | 2018-10-02 | N |
Provide or arrange emergency care by a doctor 24 hours a day. | Health | 2018-07-19 | 2018-10-02 | N |
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. | Health | 2018-07-19 | 2018-10-02 | N |
Observe each nurse aide's job performance and give regular training. | Health | 2018-07-19 | 2018-10-02 | N |
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2018-07-19 | 2018-10-02 | N |
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 ne | Health | 2018-07-19 | 2018-10-02 | N |
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2018-07-19 | 2018-10-02 | N |
Provide routine and 24-hour emergency dental care for each resident. | Health | 2018-07-19 | 2018-10-02 | N |
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2018-07-19 | 2018-10-02 | N |
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2018-07-19 | 2018-10-02 | N |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-07-19 | 2018-10-02 | Y |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-07-19 | 2018-10-02 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-07-19 | 2018-10-02 | Y |
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2018-07-19 | 2018-10-02 | Y |
Provide properly protected cooking facilities. | Fire Safety | 2018-07-10 | 2018-10-01 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-07-10 | 2018-10-01 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-07-10 | 2018-10-01 | N |
Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2018-07-10 | 2018-10-01 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-07-10 | 2018-10-01 | N |
Establish an Emergency Preparedness Program (EP). | Fire Safety | 2018-07-10 | 2018-09-28 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-07-10 | 2018-09-28 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-07-10 | 2018-09-10 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2018-07-10 | 2018-09-10 | N |
Honor the resident's right to manage his or her financial affairs. | Health | 2018-06-26 | 2018-09-07 | Y |
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2018-06-26 | 2018-09-07 | Y |
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2018-06-26 | 2018-09-07 | Y |
Have simulated fire drills held at unexpected times. | Fire Safety | 2018-07-10 | 2018-08-13 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-07-10 | 2018-07-30 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-07-10 | 2018-07-30 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-08-22 | 2017-10-27 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-08-22 | 2017-10-20 | N |
Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. | Health | 2017-08-16 | 2017-10-20 | N |
Provide housekeeping and maintenance services. | Health | 2017-08-16 | 2017-10-20 | N |
Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-08-16 | 2017-10-20 | N |
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-08-16 | 2017-10-20 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-08-16 | 2017-10-20 | N |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-08-16 | 2017-10-20 | N |
Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2017-08-16 | 2017-10-20 | N |
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-08-16 | 2017-10-20 | N |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-08-16 | 2017-10-20 | N |
Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-08-16 | 2017-10-20 | N |
Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2017-08-22 | 2017-10-13 | N |
Install proper backup exit lighting. | Fire Safety | 2017-08-22 | 2017-09-15 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-08-22 | 2017-09-05 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-08-22 | 2017-09-05 | N |
Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-05-03 | 2016-06-01 | N |
Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2016-05-03 | 2016-05-31 | N |
Weekly inspections and monthly testing of generators. | Fire Safety | 2016-05-03 | 2016-05-31 | N |
Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-05-03 | 2016-05-26 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-05-06 | 2016-05-26 | N |
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-05-06 | 2016-05-26 | N |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-05-06 | 2016-05-26 | N |
Choose a doctor to serve as the medical director to create resident care policies and coordinate medical care in the facility. | Health | 2016-05-06 | 2016-05-26 | N |
Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-05-06 | 2016-05-26 | N |
Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2016-05-03 | 2016-05-16 | N |
An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2016-05-03 | 2016-05-16 | N |