Mesa Hills Post Acute

In the surveyor’s words

From the most serious findings on record at Mesa Hills Post Acute, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Apr 17, 2025

  Based on observation, interview, and record review, the facility failed to ensure adequate supervision was provided for 1 of 3 residents reviewed for accidents and supervision. (Resident #1) The facility failed to ensure Resident#1 received adequate supervision to prevent elopement. Resident #1 eloped from the facility on 04/12/2024 and was found by the police department approximately 4.3 miles away from the facility. The non-compliance was identified as past non-compliance. The Immediate Jeopardy began on 04/12/2024 and ended on 04/25/2024. The facility had corrected the noncompliance before the survey began. This failure could prevent residents from receiving appropriate supervision which could lead to residents sustaining serious injury, harm, or death. […]

• No harm, potential for more than minimal, patternF552Jun 18, 2026

  Based on interviews and record reviews the facility failed to ensure the residents right to be informed of the risks and benefits of proposed care, of treatment and treatment alternatives or treatment options and to choose the alternative or option he or she prefers, for 6 resident (Resident #4, Resident #56, Resident #73, Resident #82, Resident #104, and Resident #109) of 17 residents reviewed for consent for antipsychotic medications.1. The facility failed to ensure Resident #4's Consent for Antipsychotic or Neuroleptic Medication Treatment HHSC Form 3713 was correctly completed for Seroquel (an antipsychotic) as evidenced by there was no date or signature for the practitioner and there was no date after the resident's signature. 2. […]

• No harm, potential for more than minimal, patternF605Jun 18, 2026

  Based on interview and record review, the facility failed to ensure that the residents were free from chemical restraints not required to treat the resident's medical symptoms for 5 (Resident #9, Resident #56, Resident #73, Resident #82, and Resident #104) of 11 residents reviewed for unnecessary medications. 1.The facility failed to have an adequate indication for the use of the medication olanzapine (Zyprexa) (an antipsychotic) for Resident #9 with a diagnosis of dementia.2.The facility failed to have an adequate indication for the use of the medication risperidone (Risperdal) (an antipsychotic) for Resident #56 with a diagnosis of dementia.3.The facility failed to have an adequate indication for the use of the medication olanzapine (Zyprexa) (an antipsychotic) for Resident #73 with a… […]

• No harm, potential for more than minimal, patternF644Jun 18, 2026

  Based on observation, interview and record review, the facility failed to coordinate assessments with the Pre-admission Screening and Resident Review (PASSR) program to the maximum extent practicable to avoid duplicative testing and effort for 4 (Resident #4, Resident #9, Resident #13, and Resident #28) of 12 residents reviewed for PASSR. 1. The facility failed to refer Resident #4 and Resident #28 for PASSR Level I when the facility incorrectly completed Form 1012. 2. The facility failed to refer Resident #9 and Resident #13 for PASRR Level II assessment when the resident were newly diagnosed with a mental illness. These failures could place residents at risk of not receiving a needed assessment, individualized care, or specialized services to meet their needs. Findings included: 1. […]

• No harm, potential for more than minimal, patternF880Jun 18, 2026

  Based on observation, interviews and record review, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 1 (Resident #23) of 5 residents and 1 (100 hall medication room) of 2 medications storage rooms reviewed for infection control.1. The facility failed to ensure RN C disinfected the blood pressure cuff before use for Resident #23 on [DATE].2. The facility failed to ensure RN C wore a gown to give gastric tube medications to Resident #23 on [DATE].3. The facility failed to dispose of an expired COVID test that was in a cabinet in the medication room. 4. […]