Deficiency Records for Mesa Hills Post Acute
Updated as of April 01, 2020
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 generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-01-21 | 2020-02-28 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2020-01-10 | 2020-02-28 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-01-10 | 2020-02-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-01-10 | 2020-02-28 | 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 | 2020-01-10 | 2020-02-28 | 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 | 2020-01-10 | 2020-02-28 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2020-01-10 | 2020-02-28 | 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 | 2020-01-10 | 2020-02-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-10 | 2020-02-28 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-12-11 | 2019-12-15 | Y |
| Honor the resident's right to manage his or her financial affairs. | Health | 2019-10-17 | 2019-11-14 | 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 | 2019-10-17 | 2019-11-14 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-10-17 | 2019-11-14 | Y |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-12-04 | 2019-01-17 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-12-04 | 2019-01-17 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-12-07 | 2019-01-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-12-07 | 2019-01-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-12-07 | 2019-01-15 | N |
| Provide activities to meet all resident's needs. | Health | 2018-12-07 | 2019-01-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-12-07 | 2019-01-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-12-07 | 2019-01-15 | 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 | 2018-12-07 | 2019-01-15 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-12-07 | 2019-01-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-12-07 | 2019-01-15 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-12-07 | 2019-01-15 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-12-07 | 2019-01-15 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2018-10-26 | 2018-11-14 | Y |
| 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 | 2018-05-31 | 2018-06-04 | Y |
| 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 |
| 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 |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-01-21 | Not Fixed | N |
