Deficiency Records for Mesa Hills Post Acute
Updated as of May 01, 2018
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? |
---|---|---|---|---|
Have properly located and lighted "Exit" signs. | Fire Safety | 2017-10-18 | 2017-11-22 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-10-18 | 2017-11-22 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-10-18 | 2017-11-17 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-10-19 | 2017-11-17 | N |
Keep residents' personal and medical records private and confidential. | Health | 2017-10-19 | 2017-11-17 | N |
Try to resolve each resident's complaints quickly. | Health | 2017-10-19 | 2017-11-17 | N |
Provide residents with private access to a telephone. | Health | 2017-10-19 | 2017-11-17 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2017-10-19 | 2017-11-17 | N |
Give notice to the resident before a room or roommate change. | Health | 2017-10-19 | 2017-11-17 | N |
Provide housekeeping and maintenance services. | Health | 2017-10-19 | 2017-11-17 | N |
Provide adequate and comfortable lighting levels in all areas. | Health | 2017-10-19 | 2017-11-17 | N |
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-10-19 | 2017-11-17 | N |
Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-10-19 | 2017-11-17 | N |
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-10-19 | 2017-11-17 | 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 | 2017-10-19 | 2017-11-17 | N |
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-10-19 | 2017-11-17 | N |
Store, cook, and serve food in a safe and clean way. | Health | 2017-10-19 | 2017-11-17 | N |
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-10-19 | 2017-11-17 | 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 | 2017-10-19 | 2017-11-17 | N |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-10-19 | 2017-11-17 | N |
Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. | Health | 2017-10-19 | 2017-11-17 | N |
Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-10-19 | 2017-11-17 | N |
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2017-10-18 | 2017-11-15 | N |
Provide timely notification to the resident before transfer or discharge. | Health | 2017-07-27 | 2017-08-15 | Y |
Tell 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. | Health | 2017-07-27 | 2017-08-15 | 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 | 2016-11-22 | 2016-11-30 | 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 | 2016-11-22 | 2016-11-30 | Y |
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-11-22 | 2016-11-30 | Y |
Keep residents' personal and medical records private and confidential. | Health | 2016-10-20 | 2016-11-15 | Y |
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-10-20 | 2016-11-15 | Y |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-10-20 | 2016-11-15 | Y |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-10-20 | 2016-11-15 | Y |
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-10-20 | 2016-11-15 | Y |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-10-20 | 2016-11-15 | Y |
Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2016-10-20 | 2016-11-15 | Y |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-10-20 | 2016-11-15 | Y |
Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-10-20 | 2016-11-15 | 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 | 2016-07-21 | 2016-09-15 | 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 | 2016-07-21 | 2016-09-15 | Y |
Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-07-21 | 2016-09-15 | 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 | 2016-07-21 | 2016-09-15 | Y |
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2016-07-21 | 2016-09-15 | Y |
Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-07-21 | 2016-09-15 | Y |
Tell 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. | Health | 2016-08-12 | 2016-09-15 | 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 | 2016-08-12 | 2016-09-15 | 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 | 2016-08-12 | 2016-09-15 | N |
Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-08-12 | 2016-09-15 | 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 | 2016-08-12 | 2016-09-15 | 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 | 2016-08-12 | 2016-09-15 | N |
Ensure residents maintain acceptable nutritional status. | Health | 2016-08-12 | 2016-09-15 | N |
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2016-08-12 | 2016-09-15 | 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 | 2016-08-12 | 2016-09-15 | N |
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-08-12 | 2016-09-15 | 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 | 2016-08-12 | 2016-09-15 | N |
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-08-12 | 2016-09-15 | N |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-08-12 | 2016-09-15 | N |
A complete sprinkler system with alarm system connection. | Fire Safety | 2016-08-10 | 2016-08-29 | N |
Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-08-10 | 2016-08-29 | N |
Properly installed electrical wiring and equipment. | Fire Safety | 2016-08-10 | 2016-08-29 | N |
An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2016-06-21 | 2016-07-22 | Y |
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 |
Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2016-08-10 | Not Fixed | N |