Mesa Vista Inn: Privacy Violations During Care - TX
The privacy violation occurred during a routine assessment at Mesa Vista Inn Health Center on North Knoll Drive....
Latest reports, citations, and penalties from CMS data
The privacy violation occurred during a routine assessment at Mesa Vista Inn Health Center on North Knoll Drive....
The medication was supposed to be stored between 68 and 77 degrees....
The specialized equipment was designed to assist with her positioning needs....
A stain remained visible under the vanity....
The tampering went undetected for months....
The discovery came during a routine medication inspection when staff noticed something unusual about Resident 50's pain medication packaging....
Federal inspectors discovered the medication switch at Belpre Landing Nursing and Rehabilitation during a November complaint investigation....
Resident 34 at Altercare Newark South had requested the shower for Friday morning, November 14th, before her scheduled medical procedure....
Federal inspectors found the 250 School Street facility ignored multiple steps required by law when receiving Schedule II drugs like morphine and fentanyl....
Federal inspectors conducting a complaint investigation in November found the facility's policies contained critical gaps in narcotic security protocols....
The social worker told inspectors she wasn't sure why the physician's form hadn't been sent in....
Without access to these devices, residents faced the choice of attempting dangerous tasks alone or waiting indefinitely for staff to check on them....
Resident 81 was supposed to receive Avycaz, a costly IV antibiotic, but didn't get the first dose until October 25 at 2:00 p.m....
The 129-bed facility's own policy mandates at least one day's notice to residents and their representatives before any room assignment change....
The inspection, completed November 24, 2025, revealed gaps in care delivery despite what appeared to be adequate staffing levels....
Staff immediately intervened and helped the resident back to their room, according to nursing notes....
Instead, staff documented the alarming measurements daily while the patient's kidney function deteriorated without medical intervention....
The director of nursing told inspectors he wasn't aware the residents weren't receiving showers or bed baths....
Resident #105 lived with severe cognitive impairment, epilepsy, heart failure, intellectual disability, and muscle weakness....
Federal inspectors found an open Insulin Lispro pen in the medication cart designated for Resident 5 at Altercare Newark South on November 20....