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Complaint Investigation

Christian Care Communities And Services Mesquite

Inspection Date: August 16, 2025
Total Violations 1
Facility ID 455617
Location Mesquite, TX
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Inspection Findings

F-Tag F0761

Pharmacy Service Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0761 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

staff member could get the medications, this could lead to medications being stolen or a resident taking something they should not have. In an observation on 08/16/2025 at 10:00 a.m. with MA A of the medication cart for Hall 200 revealed: for Resident #1 Bupropion 300mg (depression), calcium 800 +D (calcium D), citalopram 20mg (panic disorder), metoprolol 25mg (High blood pressure), and mirtazapine 7.5mg (for weight loss). MA A confirmed these were Resident #1's ordered medications. In an observation

on 08/16/2025 at 10:30 a.m. with LVN B of the medication cart for the Burgundy Hall on the rehab unit revealed: for Resident #2 Levothyroxine 7.5mg (thyroid), losartan Potassium 50mg (high blood pressure), levetiracetam 500mg (seizures), and meclizine 25mg (nausea). In an interview on 08/16/2025 at 2:00 p.m.,

the interim ADON stated it was her expectation that medication carts should be locked when not in use. The ADON said that the nurses and medication were responsible to keep the medication carts locked when not

in use. She stated if they were not locked, residents and unauthorized staff could get into the cart and there would be opportunities for harm and medication diversion. When the ADON was asked who was responsible to monitor the carts to ensure they were locked she said that would be the staff that was using

the carts. In an interview on 08/16/2025 at 2:30 p.m. with Administrator revealed she had already begun to perform in-services and had written up both employees for their lack of professionalism and following the facility's policy. The Administrator stated she made it clear to the staff this was not acceptable, and she expected better performance than this. Review of the Policy and Procedure Security of Medication Cart dated revised April 2007, reflected, The Medication cart shall be secured during medication passes. 1. The nurse must secure the medication cart during the medication pass to prevent unauthorized entry. 4.

Medication carts must be securely locked at all times when out of of the nurse's view.

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📋 Inspection Summary

Christian Care Communities and Services Mesquite in Mesquite, TX inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

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

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 Mesquite, TX, (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 Christian Care Communities and Services Mesquite or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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