Advanced Healthcare of Mesa

In the surveyor’s words

From the most serious findings on record at Advanced Healthcare of Mesa, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF623Nov 9, 2023

  Based on facility documentation, the facility failed to ensure two residents (#86, #26) were notified in writing regarding the reason for transfer and a copy was sent to the ombudsman. Findings include: Resident #86 was admitted to the facility on [DATE] with diagnoses that included periprosthetic fracture around internal prosthetic left knee joint, acute and chronic respiratory failure with hypoxia, and chronic pain syndrome. The minimum data set (MDS) dated [DATE] included a brief interview for mental status score of 13 indicating the resident was cognitively intact. A progress note dated November 14, 2021 at 4:17 PM revealed that the resident had a rapid Covid test and tested positive earlier today. The resident complained of shortness of breath, with wet cough. […]

• No harm, potential for more than minimal, isolatedF607Sep 5, 2025

  Based on observation, resident and staff interviews, and record review, the facility failed to ensure that written abuse policy and procedures were followed and adhered to regulations regarding the alleged abuse of one resident (Resident #20). This deficient practice could result in allegations of abuse not being appropriately handled.Findings include:Resident #20 was admitted to the facility on [DATE], with diagnoses that included multiple fractures of the pelvis, one rib, sacrum, and vertebra, bacterial infections of unspecified site, chronic kidney disease, depression, and insomnia.An initial pool interview was conducted with Resident #20 on September 2, 2025, at 10:15 AM. During the interview, the resident stated that some of the staff are strange. […]

• No harm, potential for more than minimal, isolatedF609Sep 5, 2025

  Based on observation, resident and staff interviews, and record review, the facility failed to ensure that an allegation of abuse for one resident (Resident #20) was reported to the State Agency (SA) in a timely manner. This deficient practice could result in allegations of abuse not being reported and investigated.Findings include:Resident #20 was admitted to the facility on [DATE], with diagnoses that included multiple fractures of the pelvis, one rib, sacrum, and vertebra, bacterial infections of unspecified site, chronic kidney disease, depression, and insomnia.A Minimum Data Set (MDS) dated [DATE], indicated that Resident #20 had a Brief Interview for Mental Status (BIMS) score of 9, indicating moderate cognitive impairment.An initial pool interview was conducted with Resident #20 on… […]

• No harm, potential for more than minimal, isolatedF628Sep 5, 2025

  Based on record review, staff interviews, review of facility documents and policy, the facility failed to provide written notice to the resident or resident representative that specifies duration of the state bed-hold policy, if any, during which the resident is permitted to return and resume residence in the nursing facility for one resident (#48). The deficient practice could result in residents not being able to exercise their right to return to the facility of choice. Number of residents sampled: 12Number of residents cited: 1 Findings include: Resident #48 was admitted to the facility on [DATE] with a diagnosis that included sepsis, anemia and hypertension.A review of Minimum Data Set (MDS) assessment dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of 15.0,… […]

• No harm, potential for more than minimal, isolatedF641Oct 18, 2024

  Based on clinical record review, staff interview, the Resident Assessment Instrument (RAI) manual, and facility failed to properly complete a Discharge Minimum Data Set (MDS) assessment for Resident #31. The deficient practice could result in delayed identification of potential risks and care needs of the residents. Findings include: Resident #31 was admitted into the facility on [DATE] with a diagnosis of surgical wound infections, peritoneal abscess, elevated white blood cell count, chronic obstructive pulmonary disease, and epigastric pain. MDS revealed that the resident had been discharged to a short-term general hospital. […]