Federal Nursing-Home Survey Record
Mescalero Care Center
Does Mescalero Care Center have a federal violation or abuse history?
According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), Mescalero Care Center (CCN 325116), in Mescalero, NM, has federal inspection findings on its record.
In its current inspection cycle, CMS cited the facility for 33 deficiencies; the most serious carries scope/severity F on CMS's A–L scale — CMS's "potential for harm" tier, below actual harm. Citations from earlier inspection cycles appear in the dated timeline below as historical findings, not current ones. CMS has $9,174 in civil money penalties on file against the facility. This page restates the federal record as published by CMS and draws no conclusion of its own. Federal nursing-home surveys are conducted on a recurring cycle by state survey agencies acting on CMS's behalf, and the figures on this page are compiled from CMS's published provider data, as on file with CMS; the federal record may understate what actually occurred, and inspection findings are point-in-time survey results, not a determination that any specific resident was harmed.
The Federal Record
CMS has $9,174 in civil money penalties on file against this facility.
Below is this facility's federal survey record as on file with CMS.
Scope & Severity — current cycle
CMS's own A–L scope/severity grid. Plotted cells mark this facility's most recent (current-cycle) citations.
Civil money penalties on file
$9,174
You may be reading this record for the first time.
If something happened to someone you love at this facility, this federal record may be new to you today. The company that operates a nursing home, by contrast, is rarely seeing records like this for the first time — operators like these typically retain standing legal, risk, and insurance teams whose routine work includes records exactly like the one on this page. That is not a judgment of this facility; it is how the business is structured. Because strict time limits can apply, families often find it helps to have a qualified person review the record with them sooner rather than later.
Overall CMS star rating
This facility: 2 · CMS state average: 2.9
Both figures as published by CMS.
Deficiency timeline
"Current cycle" is CMS's most recent inspection cycle; it can span several survey dates and is listed by scope/severity (most severe first), not chronologically. Older cycles are shown as historical.
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Ensure services provided by the nursing facility meet professional standards of quality.
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Observe each nurse aide's job performance and give regular training.
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Provide or obtain dental services for each resident.
Provide activities to meet all resident's needs.
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Ensure each resident receives an accurate assessment.
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Ensure services provided by the nursing facility meet professional standards of quality.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Ensure that residents are fully informed and understand their health status, care and treatments.
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Assess the resident when there is a significant change in condition
Assure that each resident’s assessment is updated at least once every 3 months.
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
27 citations from earlier inspection cycles — historical (expand)
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Provide and implement an infection prevention and control program.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Provide or obtain dental services for each resident.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Make sure that a working call system is available in each resident's bathroom and bathing area.
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Observe each nurse aide's job performance and give regular training.
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Provide safe and appropriate respiratory care for a resident when needed.
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Document what happened
Have a concern about care at Mescalero Care Center?
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