Christian Care Communities and Services Mesquite

In the surveyor’s words

From the most serious findings on record at Christian Care Communities and Services Mesquite, in the surveyor’s own words.

• Immediate jeopardy, patternF760Dec 18, 2024

  Based on interview and record review, the facility failed to ensure residents are free of any significant medication errors for one (Resident #1) of four residents reviewed for medication errors. The facility failed to ensure Eliquis (anticoagulant commonly known as a blood thinner medication) was administered to Resident #1 as ordered from 08/26/2024 to 09/26/2024 (30 days). The noncompliance was identified as past noncompliance (PNC). The IJ began on 08/26/2024 and ended on 10/19/2024. The facility had corrected the noncompliance before the state's investigation began. This failure could place residents at risk for not receiving medications as ordered by their physician or per manufacturer's directions. […]

• Immediate jeopardy, isolatedF689Aug 13, 2025

  Based on observations, interview and record review, the facility failed to ensure each resident received adequate supervision for 1 of 2 residents (Resident #1) reviewed for accidents. Resident #1 walked out of the facility unattended with a wander guard on and was missing for approximately 10 - 20 minutes on 05/01/2025.The noncompliance was identified as a PNC. The IJ began on 05/01/2025 and ended on 05/02/2025. The facility had corrected the noncompliance before the investigation began. This failure could place residents at risk for serious injury or death. Findings Include: Record review of Resident #1's face sheet dated 08/12/2025 revealed he was a [AGE] year-old male admitted to the facility on [DATE]. Resident discharged to another from facility on 05/03/2025. […]

• Immediate jeopardy, isolatedF689Jun 18, 2025

  Based on observation, interview, and record review, the facility failed to ensure the residents received adequate supervision and assistive devices to prevent accidents for one resident (Resident #1) of eight residents reviewed for assistive devices and supervision. - The facility failed to ensure Resident #1 received adequate supervision and care in accordance with professional standards when the resident complained of pain and MA B did not notify the nurse promptly. MA B transferred Resident #1 out of bed using a sit to stand lift without assistance and notified the nurse of Resident #1's pain afterwards. Resident #1 received an X-ray that was positive for an acute spiral fracture of her left femur. The non-compliance was identified as past non-compliance (PNC). […]

• Immediate jeopardy, isolatedF755Dec 18, 2024

  Based on interview and record review, the facility failed to provide pharmaceutical services (the process of receiving and interpreting prescriber's orders and to provide procedures that assure the accurate acquiring, receiving, dispensing, and administration of all drugs) to meet the needs of each resident for one (Resident #1) of four residents reviewed for pharmaceutical services. The facility failed to ensure the hospital discharge order to continue Eliquis (anticoagulant commonly known as a blood thinner medication) was accurately transcribed and administered to Resident #1 as ordered from 8/26/2024 to 9/26/2024 (30 days). The noncompliance was identified as past noncompliance (PNC). The IJ began on 8/26/2024 and ended on 10/19/2024. […]

• No harm, potential for more than minimal, patternF584May 21, 2026

  Based on observation, interview and record review the facility failed to ensure residents had the right to a safe, clean, comfortable and homelike environment for 1 room and one hallway observed for environmental concerns.Resident #100's room had damage to furniture, base boards on every wall were separated from the wall, the bathroom had an area of rippled paint on the wall from ceiling to floor that appeared to be water damage.The hallway outside of Resident #100's room (Hallway 2100) had an area that had rippled paint, rust colored streaks originating from a wall mounted lighting unit, that extended from the ceiling to the floor.These affected areas affected could affect residents by placing them at risk for a decreased quality of life.Findings include: In an observation on 05/19/26 at… […]