Mesquite Tree Nursing Center
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.
Inspection Findings
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: