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Deficiency Records for Mapleton Post Acute
A list of the most recent deficiencies for Mapleton Post Acute. 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 Mapleton Post Acute. 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? |
|---|---|---|---|---|
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-03-19 | 2024-04-09 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-03-19 | 2024-04-09 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-03-19 | 2024-04-09 | Y |
| Have exits that are accessible at all times. | Fire Safety | 2023-07-25 | 2023-09-25 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-07-25 | 2023-09-25 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-07-25 | 2023-09-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-07-25 | 2023-09-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-25 | 2023-09-25 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-07-25 | 2023-09-25 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-07-25 | 2023-09-25 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-07-25 | 2023-09-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-07-25 | 2023-09-25 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-07-25 | 2023-09-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-07-25 | 2023-09-25 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-07-25 | 2023-09-25 | N |
| Respond appropriately to all alleged violations. | Health | 2023-06-29 | 2023-07-24 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-29 | 2023-07-24 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-06-29 | 2023-07-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-29 | 2023-07-24 | 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 | 2023-06-29 | 2023-07-24 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-06-29 | 2023-07-24 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-06-29 | 2023-07-24 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-06-29 | 2023-07-24 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-06-29 | 2023-07-24 | 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 | 2023-06-29 | 2023-07-24 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-06-29 | 2023-07-24 | N |
| 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 | 2023-06-29 | 2023-07-24 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2023-06-29 | 2023-07-24 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-06-29 | 2023-07-24 | 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 | 2023-04-19 | 2023-05-17 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-04-19 | 2023-05-17 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-04-19 | 2023-05-12 | Y |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2019-09-24 | 2020-04-17 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2019-09-24 | 2019-11-01 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-09-24 | 2019-10-18 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-09-24 | 2019-10-18 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-09-24 | 2019-10-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-09-24 | 2019-10-18 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-09-24 | 2019-10-18 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-09-24 | 2019-10-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-09-24 | 2019-10-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-09-24 | 2019-10-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-24 | 2019-10-10 | N |
| 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 | 2019-08-29 | 2019-10-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-29 | 2019-09-26 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-08-29 | 2019-09-20 | N |
| Respond appropriately to all alleged violations. | Health | 2019-08-29 | 2019-09-20 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-08-08 | 2018-08-22 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2018-08-08 | 2018-08-22 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-08-08 | 2018-08-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-08-08 | 2018-08-22 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-08-08 | 2018-08-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-08-08 | 2018-08-22 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-08-08 | 2018-08-22 | N |
| Have restrictions on the use of flammable curtains. | Fire Safety | 2018-08-08 | 2018-08-22 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2018-08-08 | 2018-08-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-08-08 | 2018-08-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-08-08 | 2018-08-22 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-08-08 | 2018-08-22 | N |
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