Alta Mesa Health and Rehabilitation

In the surveyor’s words

From the most serious findings on record at Alta Mesa Health and Rehabilitation, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF732Nov 20, 2024

  Based on facility documents, staff interviews and facility policy, the facility failed to ensure the Daily Staff Postings for nursing staff was accurate and completed for the number of staff hours scheduled and hours worked. This deficient practice could result in an inflation or deflation of facility metrics which can impact actual staffing needs. Findings Include: A review of the 2024 Alta Mesa Health and Rehabilitation Facility Assessment addressed the staffing plan, charts, and assignments for the facility. According to the assessment, the facility utilized information collected in the resident profile to identify the care and services needed for the residents. […]

• No harm, potential for more than minimal, patternF689Sep 15, 2023

  Based on observations, staff interviews, and facility policy and procedures, the facility failed to ensure chemicals were safely stored. The deficient practice could result in residents being physically injured. Findings include: During the initial tour of the kitchen conducted on September 11, 2023 at 9:00 a.m. with the dietary supervisor (#11), chemicals were observed being stored on an open shelf in the kitchen to the right of the dishwasher. Staff #11 stated that they were not using the chemicals and he didn't know why they were on the shelf or who put them there, but he is responsible for ensuring that chemicals are secured. […]

• No harm, potential for more than minimal, patternF645Aug 4, 2022

  Based on clinical record reviews, staff interviews, and policy review, the facility failed to ensure the Preadmission Screening and Resident Review (PASARR) was completed for one resident (#10) and failed to ensure two residents (#4 and #21) who remained in the facility longer than 30 days, level 1 screening was updated. The sample size was 3 residents. The deficient practice could result in specialized services needed not being identified and provided for residents. Findings include: -Resident #10 was admitted on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of the clinical record did not reveal a level I PASARR. -Resident #4 was readmitted on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, patternF695Apr 15, 2021

  Based on observation, clinical record review, staff interviews, and review of policy and procedure, the facility failed to ensure one resident (#350) had an order for [MEDICAL RECORD OR PHYSICIAN ORDER] . The deficient practice could result in residents receiving oxygen without a physician order. Findings include: Resident #350 was admitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . The Initial Admission Record dated April 1, 2021 at 2:10 p.m. revealed the resident's oxygen saturation level was 93% on oxygen via nasal cannula. The admission Minimum Data Set (MDS) assessment dated [DATE] revealed the resident scored a 14 on the Brief Interview for Mental Status, indicating the resident had intact cognition. […]

• No harm, potential for more than minimal, patternF880Apr 15, 2021

  Based on observations, resident and staff interviews, facility documents and policy, and the Centers for Disease Control (CDC) guidance, the facility failed to ensure infection control standards were followed regarding personal protective equipment (PPE), isolation signage, and hand hygiene. The census was 42. The deficient practice could result in the spread of infection. Findings include: Regarding PPE -During an observation conducted on April 12, 2021 at 9:25 a.m., a Registered Nurse was observed to enter a resident's room on isolation precautions without donning a gown. The RN was wearing a surgical mask and regular glasses. The RN did not don gloves. An interview was conducted with the RN (staff #9) on April 14, 2021 at 9:25 a.m. […]