Facility profile · CCN 555854
Mesa Glen Care Center
136 federal citations on record , and 3 federal enforcement actions totaling $103,080.
Record summary
Federal record · Q1 2026136
Total citations
112
Last 3 years
3
Actual harm+
3
Federal penalties
$103,080
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
136 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Jan 29, 2026 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint |
| Jan 29, 2026 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint |
| Jan 5, 2026 | F732 | Post nurse staffing information every day. | E | Complaint |
| Dec 30, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Complaint |
| Dec 30, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Dec 30, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint |
| Dec 11, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint |
| Dec 1, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Nov 21, 2025 | F552 | Ensure that residents are fully informed and understand their health status, care and treatments. | E | Complaint |
| Nov 21, 2025 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Complaint |
| Sep 10, 2025 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Sep 10, 2025 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint |
| Sep 5, 2025 | F880 | Provide and implement an infection prevention and control program. | E | Complaint |
| Sep 5, 2025 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint |
| Sep 5, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint |
| Sep 5, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Sep 5, 2025 | F583 | Keep residents' personal and medical records private and confidential. | D | Complaint |
| Sep 5, 2025 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint |
| Sep 5, 2025 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Complaint |
| Aug 13, 2025 | F740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Complaint |
| Jul 25, 2025 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Complaint |
| Jul 25, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Jul 25, 2025 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint |
| Jul 2, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Jun 23, 2025 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint |
| Jun 5, 2025 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| May 22, 2025 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint |
| Apr 15, 2025 | F726 | 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. | D | Complaint |
| Apr 15, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Apr 15, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint |
| Apr 15, 2025 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint |
| Mar 25, 2025 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint |
| Mar 7, 2025 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Mar 7, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Mar 7, 2025 | F801 | 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. | E | Standard |
| Mar 7, 2025 | F760 | Ensure that residents are free from significant medication errors. | E | Standard |
| Mar 7, 2025 | F759 | Ensure medication error rates are not 5 percent or greater. | E | Standard |
| Mar 7, 2025 | F758 | 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. | E | Standard |
| Mar 7, 2025 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard |
| Mar 7, 2025 | F732 | Post nurse staffing information every day. | B | Standard |
| Mar 7, 2025 | F726 | 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. | D | Standard |
| Mar 7, 2025 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Standard |
| Mar 7, 2025 | F699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard |
| Mar 7, 2025 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard |
| Mar 7, 2025 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | E | Standard |
| Mar 7, 2025 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Mar 7, 2025 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Standard |
| Mar 7, 2025 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard |
| Mar 7, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard |
| Mar 7, 2025 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | Standard |
| Mar 7, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard |
| Mar 7, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard |
| Mar 7, 2025 | F640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Standard |
| Mar 7, 2025 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard |
| Mar 7, 2025 | F584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Standard |
| Mar 7, 2025 | F578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | E | Standard |
| Mar 7, 2025 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard |
| Mar 7, 2025 | F552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard |
| Mar 7, 2025 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard |
| Jan 23, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Jan 7, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Jan 7, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Jan 7, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint |
| Dec 11, 2024 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Dec 3, 2024 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint |
| Dec 3, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint |
| Nov 26, 2024 | F660 | Plan the resident's discharge to meet the resident's goals and needs. | D | Complaint |
| Nov 26, 2024 | F624 | Prepare residents for a safe transfer or discharge from the nursing home. | D | Complaint |
| Nov 20, 2024 | F880 | Provide and implement an infection prevention and control program. | E | Complaint |
| Nov 20, 2024 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint |
| Nov 20, 2024 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Complaint |
| Nov 20, 2024 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Complaint |
| Nov 20, 2024 | F622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | Complaint |
| Aug 9, 2024 | F727 | 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. | D | Complaint |
| Aug 9, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Aug 2, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | H | Complaint |
| Aug 2, 2024 | F584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Complaint |
| Jul 18, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Apr 26, 2024 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint |
| Apr 26, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint |
| Apr 26, 2024 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint |
| Apr 11, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Mar 23, 2024 | F626 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | E | Complaint |
| Mar 22, 2024 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Complaint |
| Mar 22, 2024 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint |
| Mar 5, 2024 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Mar 5, 2024 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint |
| Mar 5, 2024 | F758 | 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. | E | Standard |
| Mar 5, 2024 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | Standard |
| Mar 5, 2024 | F732 | Post nurse staffing information every day. | D | Standard |
| Mar 5, 2024 | F726 | 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. | E | Standard |
| Mar 5, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Mar 5, 2024 | F693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Standard |
| Mar 5, 2024 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard |
| Mar 5, 2024 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | Standard |
| Mar 5, 2024 | F679 | Provide activities to meet all resident's needs. | D | Standard |
| Mar 5, 2024 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard |
| Mar 5, 2024 | F638 | Assure that each resident’s assessment is updated at least once every 3 months. | E | Standard |
| Mar 5, 2024 | F636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | E | Standard |
| Mar 5, 2024 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard |
Federal enforcement history
Federal regulators have imposed 3 enforcement actions against this facility, including 2 civil money penalties totaling $103,080 and 1 payment-denial actions spanning 33 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Mar 7, 2025 | Fine | $66,576 | — |
| Mar 7, 2025 | Payment Denial | — | Apr 4, 2025 · 33 days |
| Jul 18, 2024 | Fine | $36,504 | — |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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