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Deficiency Records for Maplewood Center
A list of the most recent deficiencies for Maplewood 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 Maplewood 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? |
---|---|---|---|---|
Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-07-01 | 2024-07-23 | N |
Conduct testing and exercise requirements. | Fire Safety | 2024-07-01 | 2024-07-23 | N |
Implement emergency and standby power systems. | Fire Safety | 2024-07-01 | 2024-07-23 | N |
Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2024-07-01 | 2024-07-23 | N |
Install proper backup exit lighting. | Fire Safety | 2024-07-01 | 2024-07-23 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-07-01 | 2024-07-23 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2024-07-01 | 2024-07-23 | N |
Provide a written emergency evacuation plan. | Fire Safety | 2024-07-01 | 2024-07-23 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2024-07-01 | 2024-07-23 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-07-01 | 2024-07-23 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-06-13 | 2024-07-17 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-06-13 | 2024-07-17 | N |
Implement a program that monitors antibiotic use. | Health | 2024-06-13 | 2024-07-17 | N |
Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2024-06-13 | 2024-06-17 | N |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-06-13 | 2024-06-17 | N |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-06-13 | 2024-06-17 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-06-13 | 2024-06-17 | N |
Respond appropriately to all alleged violations. | Health | 2024-06-13 | 2024-06-17 | N |
Ensure each resident receives an accurate assessment. | Health | 2024-06-13 | 2024-06-17 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-06-13 | 2024-06-17 | N |
Assist a resident in gaining access to vision and hearing services. | Health | 2024-06-13 | 2024-06-17 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-06-13 | 2024-06-17 | N |
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2024-06-13 | 2024-06-17 | 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 | 2024-06-13 | 2024-06-17 | N |
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2024-06-13 | 2024-06-17 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-06-13 | 2024-06-17 | 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 | 2024-06-13 | 2024-06-17 | 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 | 2024-06-13 | 2024-06-17 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2024-06-13 | 2024-06-17 | 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 | 2024-06-13 | 2024-06-17 | N |
Provide or obtain dental services for each resident. | Health | 2024-06-13 | 2024-06-17 | N |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-06-13 | 2024-06-17 | N |
Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2024-06-13 | 2024-06-17 | N |
Provide and implement an infection prevention and control program. | Health | 2024-06-13 | 2024-06-17 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-08 | 2023-05-23 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-04-25 | 2023-05-22 | N |
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-04-25 | 2023-05-22 | N |
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-04-25 | 2023-05-22 | N |
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-04-25 | 2023-05-22 | N |
Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2023-04-25 | 2023-05-22 | N |
Ensure each resident receives an accurate assessment. | Health | 2023-04-25 | 2023-05-22 | N |
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2023-04-25 | 2023-05-22 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-04-25 | 2023-05-22 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-04-25 | 2023-05-22 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-04-25 | 2023-05-22 | N |
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-04-25 | 2023-05-22 | N |
Post nurse staffing information every day. | Health | 2023-04-25 | 2023-05-22 | N |
Provide or obtain dental services for each resident. | Health | 2023-04-25 | 2023-05-22 | N |
Have exits that are accessible at all times. | Fire Safety | 2023-05-08 | 2023-05-19 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-07 | 2023-02-23 | Y |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-12-21 | 2023-01-16 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-12-21 | 2023-01-16 | Y |
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-03-01 | 2022-04-01 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-01 | 2022-04-01 | N |
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-02-10 | 2022-03-25 | N |
Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2022-02-10 | 2022-03-25 | N |
Provide activities to meet all resident's needs. | Health | 2022-02-10 | 2022-03-25 | N |
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-02-10 | 2022-03-13 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-02-10 | 2022-03-13 | 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 | 2022-02-10 | 2022-03-13 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-02-10 | 2022-03-13 | N |
Assist a resident in gaining access to vision and hearing services. | Health | 2022-02-10 | 2022-03-13 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-02-10 | 2022-03-13 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-10 | 2022-03-13 | 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 | 2022-02-10 | 2022-03-13 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2022-02-10 | 2022-03-13 | 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 | 2022-02-10 | 2022-03-13 | 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 | 2022-02-10 | 2022-03-13 | N |
Provide or obtain dental services for each resident. | Health | 2022-02-10 | 2022-03-13 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-10 | 2022-03-13 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-02-10 | 2022-03-13 | N |
Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2022-02-10 | 2022-03-13 | N |
Provide and implement an infection prevention and control program. | Health | 2022-02-10 | 2022-03-13 | 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 | 2022-02-10 | 2022-03-07 | N |
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