Mesa Verde Post Acute Care Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Mar 1, 2022

  Based on observation, interview, and facility P&P review, the facility failed to ensure the sanitary requirements were met in the kitchen as evidenced by the following: * The facility failed to ensure the food was stored in sanitary condition. * The facility failed to ensure proper labeling and dating of foods in the kitchen. * The facility failed to ensure the kitchen walk-in refrigerator was maintained in sanitary condition. * The facility failed to ensure the expired foods were discarded. * The facility failed to ensure the kitchen equipment was maintained in sanitary condition. * The facility failed to ensure the kitchen staff performed hand hygiene before donning and doffing gloves. * The facility failed to ensure the damaged or worn-out kitchen equipment was in good repair. […]

• No harm, potential for more than minimal, widespreadF880Mar 1, 2022

  Based on observation, interview, facility document review, and facility P&P review, the facility failed to implement their infection control program in accordance with the facility's P&P. * The facility failed to implement their infection control surveillance program between the months of July 2021 and January 2022. The facility conducted surveillance of resident infections based on whether the residents were prescribed antimicrobials. The residents who were not prescribed antimicrobials (including residents diagnosed with COVID-19) were not included in the facility's infection control surveillance program. * The facility failed to ensure the monthly mapping of infections included information on the specific microorganism to identify possible outbreaks. […]

• No harm, potential for more than minimal, patternF803Sep 22, 2025

  Based on observation, interview, facility document, and facility P&P review, the facility failed to ensure the menus were followed for eight of eight residents (two final sampled residents, Residents 10 and 28, and six nonsampled residents Residents 15, 20, 24, 48, 54, and 59) who received a pureed diet when:1. The pureed Curry Lemon Chicken recipe was not followed;2. The pureed Peas with Onions recipe was not followed;3. The pureed Garlic [NAME] recipe was not followed; and4. The pureed starch recipe used for the pureed wheat rolls was not followed. […]

• No harm, potential for more than minimal, patternF812Sep 22, 2025

  Based on observation, interview, and facility document review, the facility failed to ensure the food safety and sanitation guidelines were followed when:1. The cool down process for time, temperature control for safety (TCS) food, food that needs to be kept at specific temperatures to prevent bacteria growth and foodborne illnesses, was not monitored correctly.2. One of one blender was not air dried. These failures posed the risk for foodborne illnesses in a highly susceptible resident population of 76 facility residents who received food prepared in the kitchen. Findings: Review of the facility matrix dated 9/15/25, showed 76 residents received food prepared in the facility kitchen. 1. According to the USDA Food Code 2022, Section 3-501.14 Cooling. […]

• No harm, potential for more than minimal, patternF725Sep 22, 2022

  Based on observation, interview, and facility document review, the facility failed to ensure adequate 24-hour staffing was maintained to meet the physical and psychosocial needs of the residents when two CNAs were assigned to care for 76 residents during the first four hours of the 2300 to 0700 hours shifts, on multiple occasions. This failure had the potential to result in the residents not being provided with care consistent with professional standards of practice and care as outlined in their person-centered plans of care. Findings: On 9/15/22 and 9/16/22, interviews were conducted with Residents 1 and A. […]