Deficiency Records for Mescalero Care Center
Updated as of February 01, 2021
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? |
|---|---|---|---|---|
| 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 | 2019-10-01 | 2019-12-05 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2019-10-01 | 2019-12-05 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2019-10-01 | 2019-11-15 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2019-10-01 | 2019-11-15 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2019-10-01 | 2019-11-15 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2019-10-01 | 2019-11-15 | 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 | 2019-10-01 | 2019-11-15 | N |
| 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. | Health | 2019-10-01 | 2019-11-15 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-10-01 | 2019-11-15 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-10-01 | 2019-11-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-01 | 2019-11-15 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-10-01 | 2019-11-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-10-01 | 2019-11-15 | 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 | 2019-10-01 | 2019-11-15 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2019-10-01 | 2019-11-15 | 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 | 2019-10-01 | 2019-11-15 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-10-01 | 2019-11-15 | N |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2019-10-01 | 2019-11-15 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2019-10-01 | 2019-11-15 | 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 necessary and PRN use is limited. | Health | 2019-10-01 | 2019-11-15 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-10-01 | 2019-11-15 | 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 | 2019-10-01 | 2019-11-15 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2019-10-01 | 2019-11-15 | N |
| Provide or obtain dental services for each resident. | Health | 2019-10-01 | 2019-11-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-01 | 2019-11-15 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-10-01 | 2019-11-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-01 | 2019-11-15 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-10-01 | 2019-11-15 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-10-01 | 2019-11-15 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2019-10-01 | 2019-11-15 | N |
| 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 necessary and PRN use is limited. | 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 |
