Skip to main content
Complaint Investigation

Mission Palms Post Acute

August 25, 2025 · Mesa, AZ · 6461 East Baywood Avenue
Citations 1
CMS Rating 4/5
Beds 160
Provider ID 035071
Healthcare Facility
Mission Palms Post Acute
Mesa, AZ  ·  View full profile →
Inspection Summary

MISSION PALMS POST ACUTE in MESA, AZ — inspection on August 25, 2025.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

Advertisement

Inspection Findings

FF0686
Quality of Life and Care Deficiencies
Potential for More Than Minimal Harm

the wound vac on his left foot in mid-August and had it on for about five days when he started to feel pain in his left foot. He informed staff and they took it off and wrapped it.

Resident # 4 revealed that he felt the wound vac had made the wounds worse. An interview with Licensed Practical Nurse (LPN/Staff # 128) on August 25, 2025 at 3:00 p.m. revealed that Resident # 4 had a wound vac on but it was removed last week due to a leak in the seal.

Staff #128 revealed that they help monitor the wound vac each shift to ensure there are no leaks in the seal.

After the vac is monitored then they mark the MAR and follow any other orders given by the physician. If there is a leak in the seal, they need to stop wound vac and notify physician immediately and follow any instructions they give.An interview with Director of Nursing (DON/Staff # 193) on August 25, 2025 at 4:02 p.m. revealed that it is his expectation that the floor nurses monitor the wound vac every 12 hours for any seals and notify the physician if there are any problems with the wound vac such as a break in the seal. DON Staff # 193 revealed that the overnight nurse did not sign off on monitoring the wound vac the night of August 17, 2025 and that it is his expectation that the wound vac be monitored every shift. A Policy and Procedure titled Wound Management dated as reviewed on September 2024, revealed that a resident having a pressure ulcer receives necessary treatment and services to promote healing, prevent infection, and prevent new, avoidable sores from developing.

Once a wound has been identified, assessed, and documented, nursing shall administer treatment to each affected area as per the Physician's order.

The policy also revealed that all wound or skin treatments should be documented in the resident's clinical record at the time they are administered.

Facility ID:

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in MESA, AZ, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from MISSION PALMS POST ACUTE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


More Reports

Advertisement