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Deficiency Records for Mesa Springs Healthcare Center
A list of the most recent deficiencies for Mesa Springs Healthcare Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Mesa Springs Healthcare 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? |
|---|---|---|---|---|
| Respond appropriately to all alleged violations. | Health | 2024-06-25 | 2024-06-28 | 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 | 2024-06-25 | 2024-06-28 | Y |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-12-01 | 2024-02-29 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-12-01 | 2024-02-29 | N |
| Meet other general requirements. | Fire Safety | 2023-12-01 | 2023-12-03 | N |
| 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 | 2023-12-01 | 2023-12-03 | N |
| Install proper backup exit lighting. | Fire Safety | 2023-12-01 | 2023-12-03 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-12-01 | 2023-12-03 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-12-01 | 2023-12-03 | 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 | 2023-11-30 | 2023-12-01 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-30 | 2023-12-01 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-10-12 | 2023-10-13 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-10-12 | 2023-10-13 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-10-12 | 2023-10-13 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-12 | 2023-10-13 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-10-12 | 2023-10-13 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-10-12 | 2023-10-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-17 | 2022-08-18 | 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 | 2022-08-17 | 2022-08-18 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-05-26 | 2021-06-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-05-26 | 2021-06-18 | N |
| 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 | 2021-05-26 | 2021-05-27 | N |
| Have restrictions on the use of flammable curtains. | Fire Safety | 2021-05-26 | 2021-05-26 | N |
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