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Complaint Investigation

Mesquite Tree Nursing Center

September 16, 2025 · Mesquite, TX · 434 Paza Dr
Citations 3
CMS Rating 4/5
Beds 143
Provider ID 675033
Healthcare Facility
Mesquite Tree Nursing Center
Mesquite, TX  ·  View full profile →
Inspection Summary

MESQUITE TREE NURSING CENTER in MESQUITE, TX — inspection on September 16, 2025.

Found 3 citations. 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.

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Inspection Findings

FF0677
Quality of Life and Care Deficiencies
Potential for More Than Minimal Harm

manner.

Goal: Resident will participate to the best of their ability and maintain current level of functioning with activities of daily living (ADLs) through the next review date.

Interventions: Personal Hygiene: Limited x1.

Bathing: Dependent x1 Provide shower, shave, oral care, hair care, and nail care per schedule and when needed. In an observation and interview on 09/16/25 at 10:50 AM with Resident #2, revealed his fingernails on both hands were dirty with black discoloration underneath the nails, and the fingernails were 0.4-0.6 centimeter in length extending from the tips of his fingers. Resident #2 stated he would like his nails to be cleaned and trimmed. In an interview/observation on 09/16/25 at 11:00 AM CNA A checked both residents' fingernails and stated they needed to be cleaned and trimmed. CNA A stated CNAs and nurses were responsible for nail care.

She stated that nurses were responsible for nail care for diabetic residents.

She stated nail care for residents was done on shower days and as needed.

She added the risk to the resident for not trimming or cleaning their nails was decreased skin integrity and risk of infections. In an interview on 09/16/2 11:14 AM with LVN B revealed, CNAs were responsible for resident nail care, unless the resident had diagnoses of diabetes, then nurses were responsible for trimming the resident's nails.

She stated dirty, long fingernails could expose the residents to the risk of developing infections or skin tears.

LVN B further stated that although CNAs were responsible for nail care, it was ultimately the responsibility of the charge nurse to ensure residents' fingernails were always cleaned and trimmed.

Interview on 09/16/25 at 2:24 PM the DON stated all the staff were responsible for the residents fingernail care.

She stated CNAs should make sure residents' fingernails were cleaned and trimmed all the time, and if the resident had diabetes mellitus it was strictly the responsibility of the nurses to trim their fingernails.

She stated the risk to residents, they could be harboring germs underneath the fingernails, they could develop infection and they could injure themselves or others.

Record review of the facility policy titled, Activities of Daily Living Guidelines dated 2/11/2021 reflected, Residents will receive essential services for activities of daily living to maintain good nutrition, grooming, and personal and oral hygiene

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

09/16/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Mesquite Tree Nursing Center

434 Paza Dr Mesquite, TX 75149

SUMMARY STATEMENT OF DEFICIENCIES

order in the medical record as indicated .

Record review of policy titled, Oxygen Administration date 01/05/2020, reflected Policy: To describe methods of delivering oxygen to improve tissue oxygenation.during a respirator emergency it is appropriate for nursing to administer oxygen immediately and then notify physician for orders and further clinical guidance. 1.Verify physician order 2.

Orders should have when to call the physician parameters.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

09/16/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Mesquite Tree Nursing Center

434 Paza Dr Mesquite, TX 75149

SUMMARY STATEMENT OF DEFICIENCIES

each residents' bedside, toilet, and bathing facility to allow residents to call for assistance.

Call lights will directly relay to a staff member or centralized location to ensure appropriate response.

The policy reflected the process as follows .

All staff will be educated on the proper use of the resident call system, including how the system works and ensuring resident access to the call light .

With each interaction in the resident's room or bathroom, staff will ensure the call light is within reach of resident and secured, as needed .

Staff will report problems with a call light or the call system immediately to the supervisor and/or maintenance director and will provide immediate or alternative solutions until the problem can be remedied.

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 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 MESQUITE TREE NURSING CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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