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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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