Inspection Reports for
Mission Palms Post Acute
6461 E Baywood Ave, Mesa, AZ 85206, United States, AZ, 85206
Back to Facility Profile22 Reports
Inspection Report — Jan 12, 2026
Complaint Investigation
Date: Jan 12, 2026
Visit Reason
On-site complaint investigation of complaints 00153616, 00155600, 2713092 and 2695557 at a Nursing Care Institution, conducted 12 January 2026.
Complaint Details
The complaint survey was conducted on January 12, 2026 for complaints 00153616 and 00155600. The complaint survey was conducted on January 12, 2026 for complaints 2713092 and 2695557. There were no deficiencies cited.
Findings
No deficiencies were cited during this complaint investigation.
Report Facts
Complaints investigated: 4
Inspection Report — Dec 29, 2025
Date: Dec 29, 2025
Visit Reason
On-site inspection of type Other at a Nursing Care Institution conducted 29 December 2025.
Findings
The inspection found three deficiencies related to emergency preparedness drills, door maintenance, and fire drills. No evidence was provided for the fire drills deficiency.
Deficiencies (3)
§416.54(d)(2), §418.113(d)(2), §441.184(d)(2), §460.84(d)(2), §482.15(d)(2), §483.73(d)(2), §483.475(d)(2), §484.102(d)(2), §485.68(d)(2), §485.542(d)(2), §485.625(d)(2), §485.727(d)(2), §485.920(d)(2), §491.12(d)(2), §494.62(d)(2) — The facility failed to participate in required emergency preparedness drills, which may lead to untrained staff and potential harm to residents during emergencies.
Corridor - Doors — The facility failed to maintain several doors, which could allow heat and/or smoke to transfer and cause harm to patients and staff.
19.7.1.4 through 19.7.1.7 — No evidence was provided regarding fire drills that include transmission of fire alarm signals and simulation of emergency conditions.
Report Facts
Deficiencies cited: 3
Inspection Report — Aug 25, 2025
Date: Aug 25, 2025
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to pressure ulcer care and wound management at Mission Palms Post Acute nursing home.
Findings
The facility failed to ensure appropriate monitoring and care of negative pressure wound therapy (wound vac) for one resident, resulting in potential worsening of wounds due to inadequate monitoring and incomplete wound care documentation.
Deficiencies (1)
F 0686: The facility failed to provide appropriate pressure ulcer care and prevent new ulcers from developing. Monitoring of the wound vac was not consistently completed, and wound care treatments were not fully administered as ordered.
Report Facts
Wound measurements: 2
Wound measurements: 2.7
Wound measurements: 1.5
Wound measurements: 2.5
Brief Interview for Mental Status (BIMS) score: 14
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse Staff 128 | Licensed Practical Nurse | Named in wound vac monitoring and removal due to leak |
| Director of Nursing Staff 193 | Director of Nursing | Named in expectation for wound vac monitoring and oversight |
Inspection Report — Aug 20, 2025
Date: Aug 20, 2025
Visit Reason
The inspection was conducted to evaluate the qualifications and competencies of nursing staff and hospitality aides to ensure appropriate care is provided to residents.
Findings
The facility failed to ensure that hospitality aides possessed the qualifications or certifications to provide direct care to residents. Hospitality aides were performing tasks such as taking vitals, which they were not trained or authorized to do, posing a risk of inadequate care and potential medical errors.
Deficiencies (1)
F 0726: The facility failed to 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. Hospitality aides lacked the qualifications and training to provide direct care but were observed performing tasks such as taking vitals.
Report Facts
Personnel files reviewed: 5
Interviews conducted: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff #21 | Hospitality Aide | Mentioned as taking vitals without proper training and trying to enroll in CNA school |
| Staff #45 | Certified Nursing Assistant (CNA) | Interviewed about the role of hospitality aides |
| Staff #76 | Certified Nursing Assistant (CNA) | Interviewed about hospitality aides performing vitals |
| Staff #88 | Licensed Practical Nurse (LPN) | Interviewed about hospitality aides' roles and training |
| Staff #10 | Licensed Practical Nurse (LPN) | Interviewed about hospitality aides' roles |
| Staff #66 | Director of Nursing (DON) | Provided multiple interviews clarifying roles and training of hospitality aides |
Inspection Report — May 16, 2025
Date: May 16, 2025
Visit Reason
The inspection was conducted to evaluate compliance with professional standards of quality in the nursing facility, specifically regarding the ordering and administration of oxygen therapy.
Findings
The facility failed to ensure that oxygen therapy was properly ordered by a physician for one resident requiring oxygen treatment. Oxygen therapy was administered without a physician's order from admission until September 12, 2022, posing potential risk to the resident.
Deficiencies (1)
F 0658: The facility failed to ensure treatment requiring oxygen was ordered by the physician for 1 out of 3 sampled residents. Oxygen therapy was administered without a physician's order from admission until September 12, 2022.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse (LPN/staff #31) | Interviewed regarding oxygen administration procedures and response to oxygen saturation drops. | |
| Assistant Director of Nursing (ADON/staff #69) | Interviewed regarding oxygen monitoring practices and review of resident's chart. |
Inspection Report — Dec 23, 2024
Complaint Investigation
Date: Dec 23, 2024
Visit Reason
On-site complaint investigation of complaints AZ00220269 and AZ00220371 at a Nursing Care Institution, conducted 23 December 2024.
Complaint Details
The complaint survey was conducted on December 23, 2024 of the following complaint #'s AZ00220269, AZ00220371. There were no deficiencies cited.
Findings
No deficiencies were cited during this complaint investigation.
Report Facts
Complaints investigated: 2
Inspection Report — Dec 6, 2024
Complaint Investigation
Date: Dec 6, 2024
Visit Reason
On-site complaint investigation of complaints AZ00219200, AZ00219536, AZ00208363, AZ00208719, AZ00208671, AZ00219196, AZ00219521, AZ00208362, AZ00208719, and AZ00208670 at a Nursing Care Institution, conducted 6 December 2024.
Complaint Details
The complaints AZ00219200, AZ00219536, AZ00208363, AZ00208719, and AZ00208671 were investigated on December 6, 2024. The complaints AZ00219196, AZ00219521, AZ00208362, AZ00208719, and AZ00208670 were also investigated on December 6, 2024. There were no deficiencies cited.
Findings
This inspection resulted in no deficiencies or citations.
Inspection Report — Nov 29, 2024
Complaint Investigation
Date: Nov 29, 2024
Visit Reason
On-site complaint investigation of intake AZ00219299 and AZ00219297 at a Nursing Care Institution, conducted 29 November 2024.
Complaint Details
A complaint survey was conducted on November 29, 2024 for the investigation of intake #AZ00219299 and intake # AZ00219297. There were no deficiencies cited.
Findings
This inspection resulted in no deficiencies cited.
Inspection Report — Jul 10, 2024
Complaint Investigation
Date: Jul 10, 2024
Visit Reason
On-site complaint investigation of intakes AZ00212177 and AZ00212176 at a Nursing Care Institution, conducted 9-10 July 2024.
Complaint Details
An onsite complaint survey was conducted on July 9, 2024 through July 10, 2024 for the investigation of intake #AZ00212177. An onsite complaint survey was conducted on July 9, 2024 through July 10, 2024 for the investigation of intake #AZ00212176. There were no deficiencies cited.
Findings
This inspection resulted in no deficiencies or citations.
Inspection Report — Jun 17, 2024
Complaint Investigation
Date: Jun 17, 2024
Visit Reason
On-site complaint investigation of intake numbers AZ00211395, AZ00205942, AZ00209381, and AZ00209531 at a Nursing Care Institution, conducted 17 June 2024.
Complaint Details
An onsite complaint survey was conducted on June 17, 2024 for the investigation of intake#'s AZ00211395, AZ00205942, AZ00209381, AZ00209531. No deficiencies were cited.
Findings
No deficiencies were cited during this complaint investigation.
Report Facts
Complaints investigated: 4
Inspection Report — Mar 12, 2024
Complaint Investigation
Date: Mar 12, 2024
Visit Reason
On-site complaint investigation of intake numbers AZ00207474 and AZ00207472 at a Nursing Care Institution, conducted 12 March 2024.
Complaint Details
An onsite complaint survey was conducted on March 12, 2024 for the investigation of intake # AZ00207474 and intake # AZ00207472. There were no deficiencies cited.
Findings
This inspection found no deficiencies.
Inspection Report — Feb 26, 2024
Complaint Investigation
Date: Feb 26, 2024
Visit Reason
On-site complaint investigation of intake numbers AZ00206292, AZ00206441, and AZ00206290 at a Nursing Care Institution, conducted 26 February 2024.
Complaint Details
The complaint survey was conducted on Feburary 26, 2024 for the investigation of intake numbers AZ00206292, AZ00206441, and AZ00206290. There were no deficiencies cited.
Findings
This inspection resulted in no deficiencies or citations.
Report Facts
Complaints investigated: 3
Inspection Report — Jan 18, 2024
Complaint Investigation
Date: Jan 18, 2024
Visit Reason
On-site complaint investigation of complaints AZ00205292 and AZ00205290 at a Nursing Care Institution, conducted 18 January 2024.
Complaint Details
The investigation of complaints AZ00205292 and AZ00205290 was conducted on 1/18/24. The following deficiencies were cited.
Findings
The inspection found two deficiencies related to failure to report an allegation of abuse involving Resident #2 to the State Agency as required. The facility did not report the alleged sexual assault before investigation despite policy requirements.
Deficiencies (2)
R9-10-403.F.2.a — The facility failed to ensure that an allegation of abuse for Resident #2 was reported to the State Agency despite evidence of concerning statements and behaviors documented by staff and follow-up investigations.
§483.12(c) — The facility failed to report an allegation of abuse for Resident #2 to the State Agency within the required timeframe, delaying notification despite policy and regulatory mandates.
Report Facts
Deficiencies cited: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff #23 | Licensed Practical Nurse | Documented resident's allegation and reported to ADON |
| Staff #67 | Assistant Director of Nursing | Interviewed regarding reporting and investigation of alleged abuse |
| Staff #89 | Social Services Supervisor | Participated in follow-up investigation of alleged abuse |
Inspection Report — Dec 8, 2023
Complaint Investigation
Date: Dec 8, 2023
Visit Reason
On-site complaint investigation of intake numbers AZ00203679, AZ00174193, AZ00172707, AZ00203765, AZ00203678, AZ00174192, AZ00172707, and AZ00203765 at a Nursing Care Institution, conducted 8 December 2023.
Complaint Details
The complaint survey was conducted on December 8, 2023 for the investigation of intake numbers AZ00203679, AZ00174193, AZ00172707, AZ00203765, AZ00203678, AZ00174192, AZ00172707, and AZ00203765. No deficiencies were cited.
Findings
No deficiencies were cited during this complaint investigation.
Inspection Report — Nov 20, 2023
Complaint Investigation
Date: Nov 20, 2023
Visit Reason
On-site complaint investigation of intake #AZ00203274 and #AZ00203273 at a Nursing Care Institution, conducted 20 November 2023.
Complaint Details
The complaint survey was conducted on November 20, 2023 for the investigation of intake #AZ00203274 and intake #AZ00203273. There were no deficiencies noted.
Findings
No deficiencies were found during this complaint investigation.
Inspection Report — Nov 17, 2023
Date: Nov 17, 2023
Visit Reason
On-site inspection of a Nursing Care Institution at Mission Palms Post Acute conducted 17 November 2023 classified as Other.
Findings
Two deficiencies were found related to fire safety and electrical equipment use. The facility failed to maintain rated self-closing doors to hazardous areas and allowed the use of an extension cord in a patient room, both acknowledged by management.
Deficiencies (2)
Hazardous Areas - Enclosure Hazardous areas were not properly protected as the rated door between the kitchen and dining room failed to close and the janitor's closet door had a large gap, compromising fire safety.
Electrical Equipment - Power Cords and Extension Cords The facility allowed use of an extension cord under the bed in patient room 228, creating a potential hazard for patient injury or death if overloaded.
Report Facts
Deficiencies cited: 2
Inspection Report — Nov 17, 2023
Annual Inspection
Date: Nov 17, 2023
Visit Reason
On-site complaint and annual compliance investigation conducted November 13-17, 2023 at a Nursing Care Institution, including complaints AZ00200867, A00197570, AZ00196963, AZ00196840, AZ00195531, AZ00195254, AZ00192831, AZ00187428, and AZ00187415.
Complaint Details
The State compliance survey was conducted November 14-17, 2023 in conjunction with investigation of complaints AZ00200867, A00197570, AZ00196963, AZ00196840, AZ00195531, AZ00195254, AZ00192831, AZ00187428, and AZ00187415. The Federal Recertification survey was conducted concurrently with investigation of complaints AZ00200866, AZ00197570, A00196963, AZ00196839, AZ00195531, AZ00195248, AZ00192831, AZ00187427, and AZ00187412. Census was 142.
Findings
The inspection found twelve deficiencies including failures to protect resident privacy, prevent accidents, provide appropriate catheter care, administer medications within parameters, obtain needed dental services, and ensure proper infection control practices. Plans of correction were provided for all deficiencies.
Deficiencies (12)
R9-10-403 — The facility failed to ensure a resident's privacy during medication administration by disclosing medication information to an unauthorized sister-in-law despite documented communication preferences.
The facility failed to respect a resident's privacy during medication administration, resulting in disclosure of protected health information to an unauthorized individual contrary to the resident's communication preferences.
§483.25(d) — The facility failed to ensure a resident's environment was free from hazards, resulting in a fall that caused a fractured shoulder when the resident reached for an item with the bed in a high position.
§483.25(e) — The facility did not ensure appropriate care and services to prevent urinary tract infections for a resident with an indwelling catheter, including missed urology appointments and inconsistent catheter changes.
§483.45(d) — The facility failed to ensure a resident's pain medication was administered within prescribed parameters, resulting in administration for pain levels below the ordered threshold.
§483.55 — The facility failed to obtain dental services to meet the needs of a resident with visible tooth decay and pain, despite the resident's requests and dental coverage.
§483.80 — The facility failed to ensure a staff member sanitized her hands prior to handling a resident's food container, risking contamination.
R9-10-412 — The facility failed to ensure a resident's pain medication was administered within parameters, risking overmedication.
R9-10-413 — The facility failed to obtain dental services to meet the needs of a resident with tooth decay and pain, despite dental coverage and requests.
R9-10-414 — The facility failed to provide appropriate nursing care to a resident with an indwelling catheter to prevent urinary tract infections, including missed catheter changes and appointments.
R9-10-422 — The facility failed to ensure a staff member washed or sanitized hands after resident contact and before handling food, risking contamination.
R9-10-425 — The facility failed to maintain premises free from conditions that may cause physical injury, resulting in a resident fall and fractured shoulder due to bed position and reaching for items.
Report Facts
Deficiencies cited: 12
Complaints investigated: 9
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff #36 | LPN | Nurse who disclosed medication information to unauthorized sister-in-law |
| Staff #70 | Director of Nursing | Interviewed regarding privacy breach and catheter care |
| Staff #63 | Medical Records Supervisor and HIPAA Compliance Officer | Interviewed regarding HIPAA breach and resident privacy |
| Staff #90 | Administrator | Interviewed regarding resident privacy expectations |
| Staff #113 | Hospitality Aide | Observed failing to sanitize hands before handling resident's food |
| Staff #110 | Licensed Practical Nurse / MDS Coordinator | Interviewed regarding pain medication administration |
| Staff #121 | Certified Nursing Assistant | Interviewed regarding resident dental care and tooth decay observations |
| Staff #406 | Licensed Practical Nurse / MDS Coordinator | Observed assessing resident's teeth and interviewed about dental care |
| Staff #171 | Unit Secretary | Interviewed regarding urology appointment scheduling |
| Staff #46 | Licensed Practical Nurse | Interviewed regarding catheter care and cleaning orders |
| Staff #180 | Licensed Practical Nurse | Consulted about securing resident's arthritis cream |
| Staff #47 | Assistant Director of Nursing | Monitors catheter care and catheter change compliance |
| Staff #25 | Social Services Supervisor | Interviewed regarding dental care knowledge |
| Staff #144 | Social Services Supervisor | Interviewed regarding dental coverage and appointment scheduling |
Inspection Report — Nov 17, 2023
Routine
Date: Nov 17, 2023
Visit Reason
The inspection was conducted as a routine survey to assess compliance with regulatory requirements related to resident care, privacy, safety, infection control, medication administration, dental services, and catheter care at Mission Palms Post Acute.
Findings
The facility was found deficient in multiple areas including failure to protect resident privacy during medication administration, inadequate environmental safety leading to a resident fall and fracture, improper catheter care resulting in urinary tract infections, administration of pain medication outside prescribed parameters, failure to provide dental services, and lapses in infection prevention practices such as hand hygiene during food handling.
Deficiencies (6)
F 0583: The facility failed to ensure a resident's privacy during medication administration by disclosing medication information to an unauthorized family member.
F 0689: The facility failed to ensure a resident's environment was free from hazards, resulting in a fall and fractured shoulder.
F 0690: The facility did not provide appropriate care for a resident with an indwelling catheter, contributing to urinary tract infections.
F 0757: The facility failed to ensure a resident's pain medication was administered within prescribed parameters, risking overmedication.
F 0791: The facility failed to obtain dental services to meet the needs of a resident with tooth decay and pain.
F 0880: The facility failed to ensure one staff sanitized hands prior to handling a resident's food container, risking contamination.
Report Facts
Residents affected: 1
Residents affected: 1
Residents affected: 1
Residents affected: 1
Residents affected: 1
Residents affected: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse (LPN, #36) | Named in privacy breach for relaying medication information to unauthorized person | |
| Director of Nursing (DON, staff #70) | Interviewed regarding privacy breach, fall incident, pain medication administration, and infection control | |
| Medical Records Supervisor and HIPAA Compliance Officer (staff #63) | Interviewed regarding HIPAA breach investigation | |
| Administrator (staff #90) | Interviewed regarding communication policies for resident information | |
| Licensed Practical Nurse/MDS Coordinator (LPN, staff #110) | Interviewed regarding pain medication administration outside parameters | |
| Certified Nursing Assistant (CNA, staff #121) | Interviewed regarding dental care assistance and observations | |
| Hospitality Aide (staff #113) | Observed and interviewed regarding hand hygiene breach during food handling |
Inspection Report — Sep 26, 2023
Complaint Investigation
Date: Sep 26, 2023
Visit Reason
On-site complaint investigation of complaints AZ00201024 and AZ00201023 at a Nursing Care Institution, conducted 26 September 2023.
Complaint Details
The investigation of complaint AZ00201024 was conducted on 09/26/2023. The investigation of complaint AZ00201023 was conducted on 09/26/2023. No deficiencies were cited.
Findings
No deficiencies were cited during this complaint investigation.
Inspection Report — May 24, 2023
Complaint Investigation
Date: May 24, 2023
Visit Reason
The inspection was conducted due to a complaint investigation regarding the administration of an unnecessary medication to a resident.
Complaint Details
The complaint investigation found that on May 4, 2023, a licensed practical nurse administered insulin to the wrong resident due to distraction. The nurse immediately reported the error, and the resident's blood sugar levels were monitored without adverse effects. The nurse was counseled on minimizing distractions during medication administration. No further disciplinary actions were taken.
Findings
The facility failed to ensure that one resident was not administered an unnecessary medication, specifically 50 units of Glargine insulin without a physician order. The medication error was acknowledged by the responsible licensed practical nurse, who was counseled to minimize distractions during medication administration.
Deficiencies (1)
F 0757: The facility failed to ensure each resident’s drug regimen was free from unnecessary drugs. Resident #1 was administered 50 units of Glargine insulin without a physician order, resulting in minimal harm or potential for harm.
Report Facts
Units of insulin administered in error: 50
Sample size: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse | Staff #161 identified as the nurse who administered the insulin in error. | |
| Director of Nursing | Staff #171 who counseled the nurse regarding the medication error. |
Inspection Report — Sep 16, 2022
Complaint Investigation
Date: Sep 16, 2022
Visit Reason
The inspection was conducted due to a complaint alleging verbal abuse by a temporary nurse aide toward a resident.
Complaint Details
The complaint alleged that a temporary nurse aide verbally abused resident #92 using racial slurs and inappropriate language. The facility investigation was inconclusive, but interviews with residents and staff confirmed verbal abuse occurred. The temporary nurse aide was terminated.
Findings
The facility failed to prevent verbal abuse of resident #92 by a temporary nurse aide. Additionally, the facility failed to provide restorative nursing services as ordered for resident #57, resulting in inconsistent care.
Deficiencies (2)
F 0600: The facility failed to protect resident #92 from verbal abuse by a temporary nurse aide who used inappropriate and racial slurs. The facility's investigation could not substantiate the allegation, but staff and residents confirmed verbal abuse occurred.
F 0688: The facility failed to provide restorative nursing program services as ordered for resident #57, with inconsistent service delivery and lack of physician notification regarding resident refusal.
Report Facts
RNA service dates provided: 4
RNA service refusals: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff #175 | Temporary Nurse Aide | Named in verbal abuse allegation toward resident #92 |
| Staff #16 | Social Services Director | Conducted investigation of verbal abuse complaint |
| Staff #135 | Director of Nursing | Interviewed regarding verbal abuse complaint and restorative nursing services |
| Staff #73 | Restorative Nurse Assistant | Provided information on restorative nursing services for resident #57 |
Inspection Report — Apr 2, 2021
Routine
Date: Apr 2, 2021
Visit Reason
Routine inspection of Mission Palms Post Acute nursing home to assess compliance with resident rights, care planning, safety, diet, IV fluid administration, and antibiotic stewardship.
Findings
The facility was found deficient in multiple areas including failure to ensure residents' dignity by knocking before entering rooms, lack of resident participation in care planning and discharge, unsafe hot water temperatures, failure to provide therapeutic diets as ordered, improper midline catheter care, and failure to implement an antibiotic stewardship program.
Deficiencies (6)
F 0550: The facility failed to ensure residents were treated with respect and dignity by failing to knock and request permission prior to entering residents' rooms.
F 0553: The facility failed to ensure resident #15 was provided opportunities to participate in his care and discharge planning process, with no evidence of care conferences or invitations.
F 0689: The facility failed to maintain safe water temperatures in multiple resident bathrooms, with temperatures exceeding 120 degrees Fahrenheit, risking burns.
F 0692: The facility failed to provide resident #67 a therapeutic diet as ordered, serving prohibited liquids such as coffee contrary to the free water protocol.
F 0694: The facility failed to provide midline catheter care per physician orders for resident #47, with outdated dressing and inconsistent documentation.
F 0881: The facility failed to implement an antibiotic stewardship program by not discontinuing an antibiotic eye ointment for resident #41, resulting in concurrent administration with a lubricant ointment.
Report Facts
Water temperature: 126
Water temperature: 123
Water temperature: 122
Water temperature: 129
Water temperature: 131
Water temperature: 127
Water temperature: 130
Water temperature: 130
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff #46 | Certified Nursing Assistant (CNA) | Interviewed regarding knocking policy and responsibility |
| Staff #58 | Licensed Practical Nurse (LPN) | Interviewed regarding knocking policy and privacy |
| Staff #115 | Director of Nursing (DON) | Interviewed regarding knocking policy, care planning, and antibiotic stewardship |
| Staff #80 | Certified Nursing Assistant (CNA) | Interviewed regarding knocking policy and resident rights |
| Staff #34 | Director of Social Services | Interviewed regarding resident #15 care planning and discharge |
| Staff #163 | Licensed Practical Nurse (LPN) | Interviewed regarding care plan conference scheduling |
| Staff #154 | Facility Maintenance Supervisor | Interviewed regarding water temperature testing and repairs |
| Staff #10 | Facility Administrator | Interviewed regarding water temperature testing and repairs |
| Staff #59 | Certified Nursing Assistant (CNA) | Observed serving resident #67 diet and interviewed |
| Staff #48 | Licensed Practical Nurse (LPN) | Interviewed regarding diet order and coffee served to resident #67 |
| Staff #102 | Speech Therapist | Interviewed regarding free water protocol and diet education |
| Staff #3 | Registered Nurse (RN) | Interviewed regarding resident #41 antibiotic use |
9 CMS Surveys
CMS Survey — May 24, 2023
May 24, 2023
CMS Survey — Nov 17, 2023
Nov 17, 2023
CMS Survey — Jan 18, 2024
Jan 18, 2024
CMS Survey — May 16, 2025
May 16, 2025
CMS Survey — Aug 20, 2025
Aug 20, 2025
CMS Survey — Aug 25, 2025
Aug 25, 2025
CMS Survey — Apr 2, 2021
Apr 2, 2021
CMS Survey — Sep 16, 2022
Sep 16, 2022
CMS Survey — Nov 17, 2023
Nov 17, 2023
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