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Deficiency Records for Maple Healthcare Center
A list of the most recent deficiencies for Maple Healthcare Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Maple Healthcare Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-09-26 | 2024-10-09 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-08-28 | 2024-09-15 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2024-07-11 | 2024-09-15 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-07-11 | 2024-09-15 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-07-11 | 2024-09-15 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2024-07-11 | 2024-09-15 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2024-07-11 | 2024-09-15 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2024-07-11 | 2024-09-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-11 | 2024-09-15 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-07-11 | 2024-08-25 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2024-07-11 | 2024-08-25 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-07-11 | 2024-08-25 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-07-11 | 2024-08-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-07-11 | 2024-08-25 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-07-11 | 2024-08-25 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-07-11 | 2024-08-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-11 | 2024-08-25 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-07-11 | 2024-08-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-11 | 2024-08-25 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-07-11 | 2024-08-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-07-11 | 2024-08-25 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-07-11 | 2024-08-25 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-07-11 | 2024-08-25 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2024-07-11 | 2024-08-25 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-07-11 | 2024-08-25 | N |
| Dispose of garbage and refuse properly. | Health | 2024-07-11 | 2024-08-25 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-07-11 | 2024-08-25 | N |
| Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | Health | 2024-07-11 | 2024-08-25 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2024-07-11 | 2024-08-25 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-07-11 | 2024-08-25 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-07-11 | 2024-08-25 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-07-11 | 2024-08-25 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-07-11 | 2024-08-25 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2024-07-12 | 2024-08-09 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-07-12 | 2024-08-09 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-07-12 | 2024-08-09 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2024-07-12 | 2024-08-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-07-12 | 2024-08-09 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-07-12 | 2024-08-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-07-12 | 2024-08-09 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-07-12 | 2024-08-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-07-12 | 2024-08-09 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-07-12 | 2024-08-09 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-07-12 | 2024-08-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-07-12 | 2024-08-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-07-12 | 2024-08-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-05-09 | 2024-06-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-09 | 2024-06-01 | Y |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2024-05-03 | 2024-05-21 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-04-25 | 2024-05-16 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-03-19 | 2024-04-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-22 | 2024-04-14 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-03-13 | 2024-04-05 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2024-03-13 | 2024-04-05 | Y |
| Assess the resident when there is a significant change in condition | Health | 2024-03-13 | 2024-04-05 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-03-13 | 2024-04-05 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-02-29 | 2024-03-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-29 | 2024-03-29 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-02-29 | 2024-03-29 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-12-16 | 2024-01-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-14 | 2023-10-05 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-08-02 | 2023-09-01 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-08-02 | 2023-09-01 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-14 | 2023-08-23 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-07-19 | 2023-08-04 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-04-27 | 2023-05-24 | Y |
| Assess the resident when there is a significant change in condition | Health | 2023-02-17 | 2023-03-17 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-02-17 | 2023-03-17 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-08-04 | 2022-08-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-09 | 2022-07-28 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-05-31 | 2022-06-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-07 | 2022-06-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-03-14 | 2022-04-04 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-02-15 | 2022-03-01 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-27 | 2022-02-09 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-11-05 | 2021-12-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-05 | 2021-12-16 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-11-05 | 2021-12-16 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-11-05 | 2021-12-16 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2021-11-05 | 2021-12-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-11-05 | 2021-12-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-11-05 | 2021-12-16 | N |
| Have restrictions on the use of flammable curtains. | Fire Safety | 2021-11-05 | 2021-12-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-11-05 | 2021-12-16 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-10-18 | 2019-11-20 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-10-18 | 2019-11-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-10-18 | 2019-11-20 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-10-18 | 2019-11-20 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-10-18 | 2019-11-20 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2019-10-18 | 2019-11-20 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2019-10-18 | 2019-11-20 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-10-18 | 2019-11-20 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2019-10-18 | 2019-11-20 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2019-10-18 | 2019-11-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-18 | 2019-11-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-18 | 2019-11-20 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-10-18 | 2019-11-20 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-10-16 | 2019-10-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-16 | 2019-10-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-10-16 | 2019-10-31 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2019-10-16 | 2019-10-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-10-16 | 2019-10-31 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-10-16 | 2019-10-31 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-10-16 | 2019-10-31 | N |
| Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | Health | 2019-10-18 | Not Fixed | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-10-18 | Not Fixed | N |
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