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Deficiency Records for Maple Grove Wellness and Rehabilitation
A list of the most recent deficiencies for Maple Grove Wellness and Rehabilitation. 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 Grove Wellness and Rehabilitation. 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 care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-07-24 | 2024-09-04 | Y |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2024-05-07 | 2024-05-28 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2024-05-07 | 2024-05-28 | 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 | 2024-05-07 | 2024-05-28 | N |
| 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 | 2024-05-07 | 2024-05-28 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-05-07 | 2024-05-28 | 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 | 2024-05-07 | 2024-05-28 | N |
| Assess the resident when there is a significant change in condition | Health | 2024-05-07 | 2024-05-28 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-05-07 | 2024-05-28 | 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 | 2024-05-07 | 2024-05-28 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-05-07 | 2024-05-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-07 | 2024-05-28 | 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 | 2024-05-07 | 2024-05-28 | N |
| Post nurse staffing information every day. | Health | 2024-05-07 | 2024-05-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-07 | 2024-05-28 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2024-05-07 | 2024-05-28 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-05-07 | 2024-05-28 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-05-07 | 2024-05-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-05-07 | 2024-05-28 | N |
| Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. | Health | 2024-05-07 | 2024-05-28 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-05-07 | 2024-05-28 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2024-05-07 | 2024-05-28 | N |
| Have exits that are accessible at all times. | Fire Safety | 2024-05-07 | 2024-05-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-05-07 | 2024-05-28 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2024-05-07 | 2024-05-28 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-12-02 | 2023-01-16 | 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 | 2022-12-02 | 2023-01-16 | 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 | 2022-12-02 | 2023-01-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-12-02 | 2023-01-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-12-02 | 2023-01-16 | 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 | 2022-12-02 | 2023-01-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-02 | 2023-01-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-12-02 | 2023-01-16 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-12-02 | 2023-01-16 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2022-12-02 | 2023-01-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-12-02 | 2023-01-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-12-02 | 2023-01-16 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-12-02 | 2023-01-16 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2020-03-05 | 2020-04-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-03-05 | 2020-04-10 | 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 | 2020-03-05 | 2020-04-10 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2020-03-05 | 2020-04-10 | 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 | 2020-03-05 | 2020-04-10 | N |
| Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | Health | 2020-03-05 | 2020-04-10 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2020-03-05 | 2020-04-10 | N |
| Post nurse staffing information every day. | Health | 2020-03-05 | 2020-04-10 | 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 | 2020-03-05 | 2020-04-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-03-05 | 2020-04-10 | 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 | 2020-03-05 | 2020-04-10 | 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 | 2020-03-05 | 2020-04-10 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-03-05 | 2020-04-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-03-05 | 2020-04-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-03-05 | 2020-04-10 | N |
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