Deficiency Records for Mesa Hills Post Acute
Updated as of August 01, 2016
This is not the most recent data for Mesa Hills Post Acute. For the most recent information, click here.
A list of the most recent deficiencies for Mesa Hills Post Acute. 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? |
---|---|---|---|---|
Keep residents' personal and medical records private and confidential. | Health | 2016-04-05 | 2016-04-29 | Y |
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-04-05 | 2016-04-29 | Y |
Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2016-04-05 | 2016-04-29 | Y |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-04-05 | 2016-04-29 | Y |
Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-03-03 | 2016-03-25 | Y |
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-03-03 | 2016-03-25 | Y |
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2016-03-03 | 2016-03-25 | Y |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-03-03 | 2016-03-25 | Y |
Make sure that a working call system is available in each resident's room or bathroom and bathing area. | Health | 2016-03-03 | 2016-03-25 | Y |
Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-03-03 | 2016-03-25 | Y |
Reasonably accommodate the needs and preferences of each resident. | Health | 2015-11-04 | 2015-12-08 | Y |
Provide activities to meet the interests and needs of each resident. | Health | 2015-11-04 | 2015-12-08 | Y |
Ensure the activities program is directed by a qualified professional. | Health | 2015-11-04 | 2015-12-08 | Y |
Provide care by qualified persons according to each resident's written plan of care. | Health | 2015-11-04 | 2015-12-08 | Y |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-11-04 | 2015-12-08 | Y |
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 | 2015-09-02 | 2015-10-01 | Y |
Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2015-09-02 | 2015-10-01 | Y |
Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2015-07-29 | 2015-09-07 | N |
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-07-29 | 2015-09-07 | N |
Provide care by qualified persons according to each resident's written plan of care. | Health | 2015-07-29 | 2015-09-07 | N |
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2015-07-29 | 2015-09-07 | 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 | 2015-07-29 | 2015-09-07 | N |
Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | Health | 2015-07-29 | 2015-09-07 | 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 | 2015-07-29 | 2015-09-07 | N |
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2015-07-29 | 2015-09-07 | N |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-07-29 | 2015-09-07 | N |
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2015-07-29 | 2015-09-07 | Y |
An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2015-07-29 | 2015-08-28 | N |
An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2015-07-29 | 2015-08-28 | N |
Weekly inspections and monthly testing of generators. | Fire Safety | 2015-07-29 | 2015-08-28 | N |
A fire alarm system that can be heard throughout the facility. | Fire Safety | 2015-07-29 | 2015-08-21 | N |
Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2015-03-17 | 2015-03-18 | Y |
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2015-03-17 | 2015-03-18 | Y |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-03-17 | 2015-03-18 | Y |
An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2014-07-16 | 2014-08-29 | N |
Provide activities to meet the interests and needs of each resident. | Health | 2014-07-17 | 2014-08-14 | N |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2014-07-17 | 2014-07-28 | N |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-07-17 | 2014-07-23 | 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 | 2014-07-17 | 2014-07-23 | N |
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2014-07-17 | 2014-07-23 | N |
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2014-07-17 | 2014-07-23 | N |
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2014-07-17 | 2014-07-23 | N |
Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2014-07-17 | 2014-07-21 | N |
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2014-07-17 | 2014-07-21 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2014-07-17 | 2014-07-21 | N |
Provide care by qualified persons according to each resident's written plan of care. | Health | 2014-07-17 | 2014-07-21 | N |
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2014-07-17 | 2014-07-21 | N |
Keep each resident free from physical restraints, unless needed for medical treatment. | Health | 2014-07-17 | 2014-07-18 | N |
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2014-07-17 | 2014-07-18 | N |
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2014-07-17 | 2014-07-18 | N |
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2014-07-17 | 2014-07-18 | N |
Provide housekeeping and maintenance services. | Health | 2014-07-17 | 2014-07-18 | N |
Store, cook, and serve food in a safe and clean way. | Health | 2014-07-17 | 2014-07-18 | N |
Exits that are accessible at all times. | Fire Safety | 2014-07-16 | 2014-07-17 | N |
Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2014-06-09 | 2014-06-13 | Y |
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2014-06-09 | 2014-06-13 | Y |
Provide housekeeping and maintenance services. | Health | 2013-12-05 | 2013-12-06 | Y |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2013-12-02 | 2013-12-03 | Y |
Portable fire extinguishers. | Fire Safety | 2013-07-03 | 2013-08-27 | N |
Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2013-07-03 | 2013-08-27 | N |
Proper medical gas storage and administration areas. | Fire Safety | 2013-07-03 | 2013-08-27 | N |
Provide activities to meet the interests and needs of each resident. | Health | 2013-06-27 | 2013-07-29 | N |
Provide housekeeping and maintenance services. | Health | 2013-06-27 | 2013-07-29 | N |
Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2013-06-27 | 2013-07-29 | N |
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2013-06-27 | 2013-07-29 | N |
Post nurse staffing information/data on a daily basis. | Health | 2013-06-27 | 2013-07-29 | N |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2013-06-27 | 2013-07-29 | N |
Keep all essential equipment working safely. | Health | 2013-06-27 | 2013-07-29 | N |