Deficiency Records for Mesquite Tree Nursing Center
Updated as of July 01, 2020
This is not the most recent data for Mesquite Tree Nursing Center. For the most recent information, click here.
A list of the most recent deficiencies for Mesquite Tree Nursing 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? |
|---|---|---|---|---|
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2020-03-05 | 2020-04-03 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2020-03-05 | 2020-04-03 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2020-03-05 | 2020-04-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-03-05 | 2020-04-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-03-05 | 2020-04-03 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-03-05 | 2020-04-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-03-05 | 2020-04-03 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-06-12 | 2019-07-05 | Y |
| Use approved construction type or materials. | Fire Safety | 2019-02-13 | 2019-03-22 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-02-13 | 2019-03-22 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-02-13 | 2019-03-22 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-02-13 | 2019-03-22 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-02-13 | 2019-03-22 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-02-13 | 2019-03-22 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2019-02-13 | 2019-03-22 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-02-15 | 2019-03-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-02-15 | 2019-03-22 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2019-02-15 | 2019-03-22 | 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 | 2019-02-15 | 2019-03-22 | 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 | 2019-02-15 | 2019-03-22 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2019-02-15 | 2019-03-22 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-01-30 | 2019-02-08 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-10-26 | 2018-11-14 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-10-26 | 2018-11-14 | Y |
| Respond appropriately to all alleged violations. | Health | 2018-10-26 | 2018-11-14 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-10-26 | 2018-11-14 | Y |
| Provide and implement an infection prevention and control program. | Health | 2018-10-26 | 2018-11-14 | Y |
| 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 | 2018-04-11 | 2018-05-11 | Y |
| Provide and implement an infection prevention and control program. | Health | 2018-04-11 | 2018-05-11 | Y |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2018-01-31 | 2018-03-16 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2018-01-31 | 2018-03-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-01-31 | 2018-03-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-01-31 | 2018-03-16 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-01-31 | 2018-03-16 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-01-31 | 2018-03-16 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-01-31 | 2018-03-16 | N |
| 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 | 2018-02-02 | 2018-03-16 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2018-02-02 | 2018-03-16 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-02-02 | 2018-03-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-02-02 | 2018-03-16 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-02-02 | 2018-03-16 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2018-02-02 | 2018-03-16 | Y |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-06-02 | 2017-07-07 | Y |
