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Deficiency Records for Maple Valley Nursing Home
A list of the most recent deficiencies for Maple Valley Nursing Home. 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 Valley Nursing Home. 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? |
|---|---|---|---|---|
| Meet other general requirements. | Fire Safety | 2024-04-23 | 2024-09-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-20 | 2024-08-29 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-03-13 | 2024-06-30 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2024-04-23 | 2024-06-21 | 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 | 2024-04-23 | 2024-06-21 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-04-23 | 2024-06-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-04-23 | 2024-06-21 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-04-23 | 2024-06-21 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-04-25 | 2024-06-03 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-04-25 | 2024-06-03 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-04-25 | 2024-06-03 | N |
| Respond appropriately to all alleged violations. | Health | 2024-04-25 | 2024-06-03 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-04-25 | 2024-06-03 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2024-04-25 | 2024-06-03 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2024-04-25 | 2024-06-03 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-04-25 | 2024-06-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-04-25 | 2024-06-03 | 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 | 2024-04-25 | 2024-06-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-04-25 | 2024-06-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-25 | 2024-06-03 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2024-04-25 | 2024-06-03 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2024-04-25 | 2024-06-03 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2024-04-25 | 2024-06-03 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-04-25 | 2024-06-03 | 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 | 2024-04-25 | 2024-06-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-25 | 2024-06-03 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-04-25 | 2024-06-03 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-04-25 | 2024-06-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-04-25 | 2024-06-03 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2024-04-25 | 2024-06-03 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-04-25 | 2024-06-03 | N |
| Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | Health | 2024-04-25 | 2024-06-03 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2024-04-25 | 2024-06-03 | N |
| Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | Health | 2024-04-25 | 2024-06-03 | 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 | 2023-02-17 | 2023-06-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-17 | 2023-06-01 | Y |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2023-02-08 | 2023-04-07 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-02-08 | 2023-04-07 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-02-08 | 2023-04-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-02-08 | 2023-04-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-02-08 | 2023-04-07 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-02-17 | 2023-03-28 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-02-17 | 2023-03-28 | 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 | 2023-02-17 | 2023-03-28 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-02-17 | 2023-03-28 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-02-17 | 2023-03-28 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-02-17 | 2023-03-28 | 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 | 2023-03-28 | Y |
| Provide activities to meet all resident's needs. | Health | 2023-02-17 | 2023-03-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-17 | 2023-03-28 | Y |
| 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 | 2023-02-17 | 2023-03-28 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-02-17 | 2023-03-28 | Y |
| Post nurse staffing information every day. | Health | 2023-02-17 | 2023-03-28 | Y |
| 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 | 2023-02-17 | 2023-03-28 | Y |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-02-17 | 2023-03-28 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-02-17 | 2023-03-28 | Y |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2023-02-17 | 2023-03-28 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-02-17 | 2023-03-28 | Y |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2023-02-17 | 2023-03-28 | Y |
| Keep all essential equipment working safely. | Health | 2023-02-17 | 2023-03-28 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-02-17 | 2023-03-28 | Y |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2023-02-17 | 2023-03-15 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-02-17 | 2023-03-13 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-10-18 | 2021-12-16 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-10-18 | 2021-12-16 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2021-10-18 | 2021-12-16 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-10-18 | 2021-12-16 | N |
| 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 | 2021-10-18 | 2021-12-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-10-18 | 2021-12-16 | N |
| Construct fire resistant interior walls. | Fire Safety | 2021-10-18 | 2021-12-16 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2021-10-18 | 2021-12-16 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-10-18 | 2021-12-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-10-18 | 2021-12-16 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-10-18 | 2021-12-16 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-10-18 | 2021-12-16 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-10-18 | 2021-12-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-10-18 | 2021-12-16 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2021-10-18 | 2021-12-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-10-18 | 2021-12-16 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2021-10-20 | 2021-11-26 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2021-10-20 | 2021-11-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-20 | 2021-11-26 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-10-20 | 2021-11-26 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2021-10-20 | 2021-11-26 | 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 | 2021-10-20 | 2021-11-26 | 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 | 2021-10-20 | 2021-11-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-10-20 | 2021-11-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-20 | 2021-11-26 | N |
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