Inspection Results » Mesa Glen Care Center

  1. Health Inspection on March 5, 2019 [1]

    1. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2019-04-04)
      • 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. (Corrected 2019-04-04)
      • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2019-04-04)
      • Plan the resident's discharge to meet the resident's goals and needs. (Corrected 2019-04-04)
      • Provide safe, appropriate pain management for a resident who requires such services. (Corrected 2019-04-04)
      • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. (Corrected 2019-04-04)
      • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2019-04-04)
      • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (Corrected 2019-04-04)
      • Provide enough food/fluids to maintain a resident's health. (Corrected 2019-04-04)
      • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2019-04-04)
      • 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 ne (Corrected 2019-04-04)
      • Provide and implement an infection prevention and control program. (Corrected 2019-04-04)
      • Ensure medication error rates are not 5 percent or greater. (Corrected 2019-04-04)
      • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2019-04-04)
      • Provide safe and appropriate respiratory care for a resident when needed. (Corrected 2019-04-04)
    2. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Provide safe, appropriate dialysis care/services for a resident who requires such services. (Corrected 2019-04-04)
      • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2019-04-04)
      • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (Corrected 2019-04-04)
      • Reasonably accommodate the needs and preferences of each resident. (Corrected 2019-04-04)
      • Ensure each resident receives an accurate assessment. (Corrected 2019-04-04)
      • Encode each residentÂ’s assessment data and transmit these data to the State within 7 days of assessment. (Corrected 2019-04-04)
      • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2019-04-04)
      • Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install (Corrected 2019-04-04)
      • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (Corrected 2019-04-04)
      • Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. (Corrected 2019-04-04)
      • Ensure services provided by the nursing facility meet professional standards of quality. (Corrected 2019-04-04)

To be part of the Medicare and Medicaid programs, nursing homes have to meet certain requirements set by Congress. The Centers for Medicare and Medicaid Services (CMS) has entered into an agreement with state governments to do health inspections and fire safety inspections of these nursing homes and investigate complaints about nursing home care. [2]

About The Inspection Process


References

  1. http://www.medicare.gov/NursingHomeCompare/About/Health-Inspections.html
  2. http://www.medicare.gov/NursingHomeCompare/About/Inspection-Results.html