Broadway Mesa Village.

“Based on record review and interview, the manager failed to ensure that the caregiver documented the services provided in the resident's medical record, for two of three resident records sampled. The deficient practice posed a risk as services could not be verified as provided against a service plan. Findings include: 1. A review of R2's and R3's medical records revealed a service plan indicating daily assistance for meals, skin checks, and checks for safety. However, there were several days missing documentation to show that the direct care staff provided the services. 2. A review of R2's medical record revealed the following services were not provided, per R2's task reports: Care Partner to perform status checks on the resident each night. If resident awake, assist with any needs and provide any support needed. The following dates and times were not completed: February 7th, 8th,13th, 14th, 15th, 18th, 23rd,26th and 27th, 2026 for the time identified as 10 pm to 5:45 am Report Skin changes, as noted with each care during shower, bathroom assistance, dressing, etc. Shift times were not identified on the tracking sheet: February17, 21st, 2026 - Notification February 45th, 6th, 11th, 13th, 20th, 25th, 27th and 28th, 2026 - Notification February 7th, 8th, 13th, 14th, 15th, 18th,23rd, 26th and 278th, 2026 - Notification Fall interventions in place: February 17th and 21st, 2026, for the 6 am time February 17th and 21st, 2026, for the 6 am to 1:45 pm time February 4th, 6th, 11th, 12th, 20th, 27th and 28th 2026, for the 2 pm time February 4th, 6th, 11th, 12th, 20th, 25th, 27th and 28th 2026 for the 2 pm to 9:45 pm time February 7th, 8th, 13th, 14th , 15th, 18th, 23rd, 26th and 27th, 2026 for the 10 pm - 5:45 am time. Provide Calendar to resident and provide daily event reminders to resident. The care partner should help ensure the resident was aware of each scheduled event: February 17th and 21st, 2026 for the 6 am - 1:45 pm time February 6th, 11th, 12th, 20th, 25th, 27th and 28th, 2026, for the 2:00 pm to 9:45 pm time. 3. A review of R3's medical record revealed the following services were not provided by the care staff, as indicated on the task sheets for R3: Care partner to assist with preventive skin care measures as directed and report any concerns or changes in skin integrity: February 17th for the 6:00 am to 1:45 pm time February 4th, 6th, 15th, 20th, 21st, 25th 27th and 28th, 2026 for the 2:00 pm to 9:45 pm times February 7th, 8th, 13,th, 14th, 15th , 18th, 22nd, 23rd, 26th and 27th , 2026 for the 10:00 pm to 5:45 am times. Care partner to check on the resident periodically throughout the day and night: February 17th for the 6:00 am to 1:45 pm time February 4th, 6th, 15th, 20th, 21st, 25th 27th and 28th, 2026 for the 2:00 pm to 9:45 pm times February 7th, 8th, 13,th, 14th, 15th , 18th, 22nd, 23rd, 26th and 27th , 2026 for the 10:00 pm to 5:45 am times. Care partner to report any skin changes, as noted with each care during shower, bathroom assistance, dressing, etc: February 17th for the 6:00 am to 1:45 pm time February 4th, 6th, 15th, 20th, 21st, 25th 27th and 28th, 2026 for the 2:00 pm to 9:45 pm times February 7th, 8th, 13,th, 14th, 15th , 18th, 22nd, 23rd, 26th and 27th , 2026 for the 10:00 pm to 5:45 am times. 4. In an exit interview, the findings were reviewed with E1 and no further information was provided.”

“Based on record review and interview the manager failed to ensure that a resident was treated with dignity, respect, and consideration, for two of three resident records sampled. The deficient practice posed a risk of injury and violated resident rights.  Findings include: 1. A review of R2's and R3's medical records revealed a service plan indicating daily assistance for meals, skin checks, and checks for safety. However, there were several days missing documentation to show that the direct care staff provided the services. 2. A review of R2's medical record revealed the following services were not provided, per R2's task reports: Care Partner to perform status checks on the resident each night. If resident awake, assist with any needs and provide any support needed. The following dates and times were not completed: February 7th, 8th,13th, 14th, 15th, 18th, 23rd,26th and 27th, 2026 for the time identified as 10 pm to 5:45 am Report Skin changes, as noted with each care during shower, bathroom assistance, dressing, etc. Shift times were not identified on the tracking sheet: February17, 21st, 2026 - Notification February 45th, 6th, 11th, 13th, 20th, 25th, 27th and 28th, 2026 - Notification February 7th, 8th, 13th, 14th, 15th, 18th,23rd, 26th and 278th, 2026 - Notification Fall interventions in place: February 17th and 21st, 2026, for the 6 am time February 17th and 21st, 2026, for the 6 am to 1:45 pm time February 4th, 6th, 11th, 12th, 20th, 27th and 28th 2026, for the 2 pm time February 4th, 6th, 11th, 12th, 20th, 25th, 27th and 28th 2026 for the 2 pm to 9:45 pm time February 7th, 8th, 13th, 14th , 15th, 18th, 23rd, 26th and 27th, 2026 for the 10 pm - 5:45 am time. Provide Calendar to resident and provide daily event reminders to resident. The care partner should help ensure the resident was aware of each scheduled event: February 17th and 21st, 2026 for the 6 am - 1:45 pm time February 6th, 11th, 12th, 20th, 25th, 27th and 28th, 2026, for the 2:00 pm to 9:45 pm time. 3. A review of R3's medical record revealed the following services were not provided by the care staff, as indicated on the task sheets for R3: Care partner to assist with preventive skin care measures as directed and report any concerns or changes in skin integrity: February 17th for the 6:00 am to 1:45 pm time February 4th, 6th, 15th, 20th, 21st, 25th 27th and 28th, 2026 for the 2:00 pm to 9:45 pm times February 7th, 8th, 13,th, 14th, 15th , 18th, 22nd, 23rd, 26th and 27th , 2026 for the 10:00 pm to 5:45 am times. Care partner to check on the resident periodically throughout the day and night: February 17th for the 6:00 am to 1:45 pm time February 4th, 6th, 15th, 20th, 21st, 25th 27th and 28th, 2026 for the 2:00 pm to 9:45 pm times February 7th, 8th, 13,th, 14th, 15th , 18th, 22nd, 23rd, 26th and 27th , 2026 for the 10:00 pm to 5:45 am times. Care partner to report any skin changes, as noted with each care during shower, bathroom assistance, dressing, etc: February 17th for the 6:00 am to 1:45 pm time February 4th, 6th, 15th, 20th, 21st, 25th 27th and 28th, 2026 for the 2:00 pm to 9:45 pm times February 7th, 8th, 13,th, 14th, 15th , 18th, 22nd, 23rd, 26th and 27th , 2026 for the 10:00 pm to 5:45 am times. 4. In an exit interview, the findings were reviewed with E1 and no further information was provided.”

“Based on record review and interview the manager failed to ensure that the service plan for a resident receiving personal care services included offering sufficient fluids to maintain hydration for five of five residents sampled. Findings include: 1 . A review of the service plans for R1, R2, R3, R4 and R5 revealed a section titled Nutrition and Dining services, however there was no evidence that staff assisted or encouraged hydration, mentioned in the service plan. 2 . While touring the facility, the Compliance Officer observed water stations where residents and visitors could get a drink of water. 3 . During a tour of the facility the Compliance Officer observed an activity at which residents were being served with refreshments. 4 . In an exit interview the findings were reviewed with E1 and no further information was provided.”