Deficiency Records for Mesa Hills Post Acute
Updated as of October 01, 2022
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? |
|---|---|---|---|---|
| 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 | 2022-03-21 | 2022-04-15 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-21 | 2022-04-15 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-11-18 | 2021-12-24 | 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 | 2021-11-18 | 2021-12-24 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2021-11-18 | 2021-12-24 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-11-17 | 2021-12-24 | N |
| Ensure medical gas and vacuum systems have documented maintenance programs. | Fire Safety | 2021-11-17 | 2021-12-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-06-15 | 2021-06-30 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-02-05 | 2021-02-19 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-08-21 | 2020-09-11 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-07-30 | 2020-09-11 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2020-07-30 | 2020-09-11 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-07-30 | 2020-09-11 | Y |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2020-07-30 | 2020-09-11 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-07-30 | 2020-09-11 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-04-13 | 2020-04-17 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2020-03-11 | 2020-03-18 | Y |
| 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 | 2020-03-11 | 2020-03-18 | Y |
| 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 |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-01-21 | 2020-02-28 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2020-02-05 | 2020-02-20 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2020-02-05 | 2020-02-20 | Y |
| 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 |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-01-21 | Not Fixed | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-12-04 | Not Fixed | N |
