Inspection Reports for
Mesa Valley Estates

1328 BERTHA HOWE AVE, MESQUITE, NV 89027, MESQUITE, NV

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Deficiencies (last 6 years)

Deficiencies (over 6 years) 2.7 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

62% better than Nevada average
Nevada average: 7.1 deficiencies/year

Deficiencies per year

8 6 4 2 0
2019
2020
2021
2023
2024
2025

Census

Latest occupancy rate 61% occupied

Based on a January 2025 inspection.

This facility has shown a steady increase in demand based on occupancy rates.

Occupancy over time

0 30 60 90 120 Oct 2019 Nov 2021 Oct 2023 Jan 2025

Inspection Report

Annual Inspection
Census: 63 Capacity: 103 Deficiencies: 3 Date: Jan 14, 2025

Visit Reason
The inspection was an annual State Licensure survey conducted in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.

Findings
The facility received a grade of A but had regulatory deficiencies including incomplete physical exams missing diagnoses for 5 residents, expired food items and improper food handling practices in the kitchen, and lack of updated policies and documentation regarding residents' preferred pronouns, gender expression, and sexual orientation for 8 residents.

Deficiencies (3)
Failed to ensure residents' physical exams were complete and accurate for 5 of 15 residents; physical exams did not list diagnoses.
Kitchen and supportive dining services failed to comply with NAC 446 standards; expired yogurts found, improper scoops used, and grime build-up on ice machine.
Facility lacked updated policies and procedures addressing residents' preferred pronoun, gender expression, and sexual orientation for 8 of 15 residents.
Report Facts
Residents with incomplete physical exams: 5 Residents lacking documentation of preferred pronoun, gender expression, and sexual orientation: 8 Facility licensed capacity: 103 Census at time of survey: 63

Employees mentioned
NameTitleContext
Daniel AltamiranoAdministratorNamed as Administrator and supervisor involved in corrective actions
Wellness DirectorConfirmed incomplete physical exams and lack of documentation for preferred pronouns; involved in audits and corrective actions
Dining DirectorResponsible for audits related to expired food items, scoop usage, and cleanliness of kitchen equipment

Inspection Report

Annual Inspection
Census: 81 Capacity: 103 Deficiencies: 4 Date: Jan 11, 2024

Visit Reason
The inspection was conducted as an annual State Licensure and infection control survey in accordance with Nevada Administrative Code (NAC) Chapter 449 for Residential Facility for Groups.

Findings
The facility was found to have several regulatory deficiencies including failure to implement adequate infection control interventions for COVID-19, lack of current elder abuse training for one employee, missing ultimate user agreement for one resident, and medications not onsite for two residents. The facility received a grade of A.

Deficiencies (4)
Failure to implement infection control interventions for COVID-19, including lack of signage, improper mask use, and no fit testing for N95 masks among caregivers.
Failure to ensure current annual elder abuse training was completed for one employee (Administrator).
Failure to ensure one resident signed an ultimate user agreement for medication administration.
Failure to ensure medications were onsite and available for two residents (Resident #17 and Resident #18).
Report Facts
Residents present: 81 Licensed capacity: 103 Resident files reviewed: 18 Employee files reviewed: 8 Residents positive for COVID-19: 4 Residents symptomatic for COVID-19: 6 Deficiencies cited: 4

Employees mentioned
NameTitleContext
Daniel AltamiranoAdministratorNamed as the facility administrator signing the report
Employee #1AdministratorFailed to have current annual elder abuse training

Inspection Report

Renewal
Census: 80 Capacity: 103 Deficiencies: 0 Date: Oct 18, 2023

Visit Reason
The inspection was conducted as a bed increase State Licensure survey to approve the addition of 20 assisted living services, Category II beds at the facility.

Findings
No regulatory deficiencies were identified during the survey. The facility is now licensed for a total of 103 beds, including 79 Non-Alzheimer's Category II beds and 24 Alzheimer's Category II beds.

Report Facts
Licensed beds: 103 Current census: 80 Bed increase: 20 Non-Alzheimer's beds: 79 Alzheimer's beds: 24

Inspection Report

Renewal
Census: 80 Capacity: 83 Deficiencies: 0 Date: Apr 13, 2023

Visit Reason
The inspection was conducted as a bed increase State Licensure survey to approve the addition of 5 assisted living services, Category I beds, increasing the licensed capacity to 83 beds.

Findings
No regulatory deficiencies were identified during the survey. The facility is now licensed for a total of 83 beds, including 59 Category I beds and 24 Category II beds.

Report Facts
Licensed beds: 83 Current census: 80 Category I beds: 59 Category II beds: 24 Bed increase: 5

Inspection Report

Annual Inspection
Capacity: 78 Deficiencies: 6 Date: Jan 11, 2023

Visit Reason
This inspection was an annual State Licensure and infection control survey conducted at the facility in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.

Findings
The facility was found to be over its licensed capacity with 80 residents present despite a licensed capacity of 78. Several regulatory deficiencies were identified including failure to ensure annual elder abuse training for one employee, failure to obtain a signed Ultimate User Agreement for medication administration for one resident, failure to complete initial Activities of Daily Living assessment for one resident, failure to obtain Standard Physician Assessment and Placement Determination for nine residents, and multiple food service violations including improper labeling, expired food items, and inadequate equipment maintenance.

Deficiencies (6)
Failure to ensure 1 of 14 sampled employees completed annual training to recognize and prevent abuse of older persons (Employee #7).
Facility failed to ensure the number of residents did not exceed licensed capacity; census was 80 with licensed capacity of 78.
Food service violations including unlabeled and expired food items, improper storage of raw meats, pink biofilm on ice machine, and lack of documented hood cleaning.
Failure to obtain an Ultimate User Agreement for medication administration for 1 of 20 residents (Resident #5).
Failure to complete an initial Activities of Daily Living (ADL) assessment upon admission for 1 of 20 residents (Resident #1).
Failure to obtain a Standard Physician Assessment and Placement Determination for 9 of 20 residents (Residents #1, #2, #3, #4, #5, #6, #7, #8, and #9).
Report Facts
Census: 80 Total Capacity: 78 Deficiencies cited: 6 Employee files reviewed: 14 Resident files reviewed: 20

Employees mentioned
NameTitleContext
Employee #7Named in deficiency for failure to complete annual elder abuse and neglect training
Dan AltamiranoDesignated ManagerAcknowledged deficiencies and signed report

Inspection Report

Annual Inspection
Census: 60 Capacity: 78 Deficiencies: 3 Date: Nov 16, 2021

Visit Reason
This inspection was conducted as an annual State Licensure and infection control survey of the facility in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.

Findings
The facility was found to have several deficiencies including failure to provide an annual physical examination for one resident, lack of specific physician instructions for as-needed medications for two residents, and failure to complete annual tuberculin testing for one resident. The facility received a grade of A and was provided guidance on compliance with state regulations.

Deficiencies (3)
Failure to provide a physician examination annually for 1 of 15 sampled residents (Resident #12).
Failure to ensure as-needed medications had specific symptoms ordered by the physician for 2 of 15 sampled residents (Residents #13 and #15).
Failure to ensure annual tuberculin (TB) testing was completed for 1 of 15 sampled residents (Resident #12).
Report Facts
Resident files reviewed: 15 Employee files reviewed: 8 Beds licensed: 78 Assisted Living beds: 54 Alzheimer's care beds: 24

Employees mentioned
NameTitleContext
Kaitlin PeitzAdministratorSigned the inspection report
Wellness DirectorAcknowledged deficiencies related to annual physical exams and TB testing; involved in corrective actions
Medication TechnicianAcknowledged lack of specific physician instructions for as-needed medications
Executive DirectorAcknowledged deficiency related to annual TB testing

Inspection Report

Abbreviated Survey
Census: 36 Capacity: 78 Deficiencies: 0 Date: Nov 5, 2020

Visit Reason
The inspection was a focused COVID-19 infection control survey conducted to assess compliance with infection prevention measures in accordance with Nevada Administrative Code Chapter 449 for Residential Facilities for Groups.

Findings
The facility was found to have implemented appropriate COVID-19 screening, infection control policies, and preventive measures including temperature checks, PPE use, social distancing, and sanitization. No residents or staff tested positive or showed symptoms of COVID-19. No deficiencies were identified during the survey.

Report Facts
Sanitizer storage: 62 Electronic temporal thermometers: 18 Gloves: 111000 Surgical masks: 9300 N-95 masks: 100 Face shields: 350 Gowns: 240 Beds licensed: 78 Beds providing Assisted Living services: 54 Beds for Alzheimer's care: 24 Residents at time of survey: 36

Inspection Report

Original Licensing
Capacity: 78 Deficiencies: 0 Date: Oct 30, 2019

Visit Reason
This inspection was conducted as an initial State Licensure survey for licensure of a Residential Facility for Groups, including Assisted Living and Alzheimer's care beds.

Findings
No regulatory deficiencies were identified during the survey. The facility is requesting licensure for 78 total beds, with 54 for Assisted Living and 24 for Alzheimer's care.

Report Facts
Total licensed beds: 78 Census at time of survey: 0

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