Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around November 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Mesquite Village Wellness & Rehabilitation during CMS and state inspections, most recent first.
The facility did not complete the care plan within 7 days of the comprehensive assessment, and the care plan was not prepared, reviewed, and revised by a team of health professionals as required.
A resident did not receive appropriate care for existing pressure ulcers, and necessary interventions to prevent new ulcers were not consistently implemented.
Nurses and nurse aides lacked the appropriate competencies to provide care that maximizes each resident's well-being, resulting in care that did not meet regulatory standards for individualized resident needs.
The facility did not ensure pharmaceutical services were provided to meet each resident's needs and failed to employ or obtain the services of a licensed pharmacist, resulting in a lack of required pharmaceutical oversight.
The facility did not adequately protect resident-identifiable information or maintain medical records according to professional standards, as observed by surveyors during their review of facility practices.
A resident's comprehensive care plan was not reviewed and revised quarterly as required, due to an oversight during a transition between social workers. The resident, with multiple health conditions, had a care plan last revised in early January 2024, but the subsequent quarterly meeting was missed. The facility's policy mandates quarterly reviews in conjunction with MDS assessments.
A resident with Alzheimer's and identified as an elopement risk managed to leave the facility despite wearing a wander guard. The resident was found a quarter of a mile away, and it was unclear how he eloped as the facility's doors were equipped with alarms. The incident occurred during a shift change, and the resident was found safe with no injuries.
The facility failed to document hospice care in a resident's care plan, despite the resident being admitted to hospice. Interviews with staff confirmed that hospice services should be documented, but this was not done, potentially leaving staff without a full picture of the resident's care.
Failure to Timely Develop and Review Care Plan
Penalty
Summary
The facility failed to develop the complete care plan within 7 days of the comprehensive assessment. The care plan was not prepared, reviewed, and revised by a team of health professionals as required. This deficiency was identified based on the review of facility records and documentation, which showed that the care planning process did not meet the specified timeline and team involvement requirements.
Failure to Provide Pressure Ulcer Care and Prevention
Penalty
Summary
The facility failed to provide appropriate pressure ulcer care and prevent the development of new ulcers. This deficiency was identified through surveyor observations and review of care practices, which revealed that the necessary interventions to manage existing pressure ulcers and prevent new ones were not consistently implemented for affected residents.
Lack of Staff Competency in Resident Care
Penalty
Summary
Nurses and nurse aides did not demonstrate the necessary competencies to provide care that maximizes each resident's well-being. The deficiency was identified due to a lack of evidence that staff possessed or applied the required skills and knowledge to meet the individualized needs of all residents. This failure resulted in care that did not fully support the highest possible level of well-being for each resident, as required by regulatory standards.
Failure to Provide Pharmaceutical Services and Licensed Pharmacist Oversight
Penalty
Summary
The facility failed to provide pharmaceutical services to meet the needs of each resident and did not employ or obtain the services of a licensed pharmacist. This deficiency was identified during the survey process, indicating that the required pharmaceutical oversight and services were not in place for residents as mandated.
Failure to Safeguard Resident Information and Maintain Medical Records
Penalty
Summary
The facility failed to safeguard resident-identifiable information and/or did not maintain medical records for each resident in accordance with accepted professional standards. This deficiency was identified through surveyor observation and review of facility practices, which revealed lapses in the protection and management of confidential resident information and incomplete or improperly maintained medical records. The report does not specify the number of residents affected or provide details about their medical history or condition at the time of the deficiency.
Missed Quarterly Care Plan Review for Resident
Penalty
Summary
The facility failed to ensure that the comprehensive care plan for a resident was reviewed and revised by the interdisciplinary team after each assessment, including both the comprehensive assessment and quarterly review assessments. This deficiency was identified for a resident who had been admitted to the facility with multiple diagnoses, including end-stage renal disease, a history of an open wound on the left foot, type 2 diabetes with a foot ulcer, and peripheral vascular disease. The resident's care plan, last revised in early January 2024, indicated resistance to care, medication, food, and therapy, with interventions to encourage participation and provide clear explanations of care activities. The last care plan conference for the resident was held in June 2024, and the subsequent quarterly care plan meeting was missed due to an oversight during a transition between social workers. The social worker acknowledged the oversight and stated that care plan meetings should coincide with the MDS assessments. The administrator confirmed that the social worker was responsible for ensuring quarterly care plan meetings and attributed the missed meeting to the transition period. The facility's policy requires the interdisciplinary team to review and update care plans quarterly, in conjunction with the required MDS assessment.
Resident Elopement Due to Inadequate Supervision
Penalty
Summary
The facility failed to provide adequate supervision to prevent accidents for a resident identified as being at risk for elopement. The resident, who was admitted for respite care, was diagnosed with Alzheimer's disease, dementia, glaucoma, and conductive hearing loss. Despite wearing a wander guard, the resident managed to elope from the facility and was found walking on a sidewalk a quarter of a mile away. This incident occurred during a shift change, and it was noted that the resident did not have the wander guard on when found. The resident's care plan identified him as an elopement risk due to his Alzheimer's diagnosis, with interventions including distraction through activities and monitoring of the wander guard every shift. However, during the incident, staff were unable to locate the resident during their rounds, and an elopement plan of action was initiated. The facility conducted a search, and the resident was eventually found safe by emergency services, with no injuries or distress noted. Interviews with staff revealed that the doors were equipped with alarms that should sound if opened without a code, but it was unclear how the resident managed to leave the facility. The facility's policy on wanderer management and elopement protocol was in place, but the incident highlighted a lapse in its implementation, as the resident was able to elope despite being identified as a high risk for wandering.
Failure to Document Hospice Care in Resident's Care Plan
Penalty
Summary
The facility failed to obtain the most recent hospice plan of care specific to each patient's needs for one of the three residents reviewed for hospice services. Specifically, the facility did not ensure that Resident #1's hospice care was care planned. Resident #1, a 73-year-old female with diagnoses including endometrial cancer and chronic obstructive pulmonary disease, was admitted to hospice on January 22, 2024. However, her comprehensive care plan dated November 21, 2023, did not reflect any hospice care plan. This discrepancy was confirmed through interviews with the Director of Nursing (DON), the MDS coordinator, and the administrator, all of whom acknowledged that hospice services should be documented in the care plan but were not in this case. The MDS coordinator stated that the risk of not updating the care plan would be that staff would not have a full picture of the resident's care. The administrator also confirmed that the interdisciplinary team (IDT) discusses residents' needs daily and that hospice care should be documented in the care plan. Despite the administrator's assertion that there was no risk to the resident due to hospice being in the building frequently and the existence of a hospice binder, the facility's policy on charting and documentation requires that all services provided to the resident be documented in the medical record to facilitate communication between the interdisciplinary team regarding the resident's condition and response to care.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Mesquite
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Edgewood Rehabilitation And Care Center | 0.9 mi | — | 2 | 0 |
| Mesquite Tree Nursing Center | 1.5 mi | — | 4 | 0 |
| Willowbend Nursing And Rehabilitation Center | 1.6 mi | — | 18 | 0 |
| Cheyenne Medical Lodge | 2.2 mi | — | 1 | 0 |
| Palomino Place | 2.9 mi | — | 11 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.