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Deficiency Records for Maple Grove Lodge
A list of the most recent deficiencies for Maple Grove Lodge. 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 Lodge. 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? |
---|---|---|---|---|
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-08-10 | 2023-10-24 | N |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-10-10 | 2023-10-24 | Y |
Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2023-08-10 | 2023-09-20 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-08-10 | 2023-09-20 | 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 | 2023-08-10 | 2023-09-20 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-08-10 | 2023-09-20 | N |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-08-10 | 2023-09-20 | Y |
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 | 2023-08-10 | 2023-09-20 | Y |
Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-08-16 | 2023-09-18 | N |
Develop Emergency Preparedness policies and procedures. | Fire Safety | 2023-08-16 | 2023-09-18 | N |
Establish policies and procedures including evacuation. | Fire Safety | 2023-08-16 | 2023-09-18 | N |
Conduct testing and exercise requirements. | Fire Safety | 2023-08-16 | 2023-09-18 | N |
Implement emergency and standby power systems. | Fire Safety | 2023-08-16 | 2023-09-18 | 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 | 2023-08-16 | 2023-09-18 | N |
Provide properly protected cooking facilities. | Fire Safety | 2023-08-16 | 2023-09-18 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-08-16 | 2023-09-18 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2023-08-16 | 2023-09-18 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-08-16 | 2023-09-18 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-08-16 | 2023-09-18 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-08-16 | 2023-09-18 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2023-08-16 | 2023-09-18 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-14 | 2023-01-12 | Y |
Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-01-27 | 2022-02-11 | Y |
Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-11-24 | 2022-02-11 | Y |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-11-24 | 2022-02-11 | Y |
Respond appropriately to all alleged violations. | Health | 2021-11-24 | 2022-02-11 | Y |
Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-11-18 | 2022-02-11 | Y |
Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2021-11-18 | 2022-02-11 | Y |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-11-18 | 2022-02-11 | Y |
Respond appropriately to all alleged violations. | Health | 2021-11-18 | 2022-02-11 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-11-24 | 2021-12-28 | Y |
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2021-11-24 | 2021-12-28 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-18 | 2021-12-28 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-11-18 | 2021-11-18 | Y |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-12-20 | 2020-02-03 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-12-20 | 2020-02-03 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-12-20 | 2020-02-03 | N |
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2019-12-20 | 2020-02-03 | N |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-12-20 | 2020-02-03 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-12-20 | 2020-02-03 | N |
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2019-12-20 | 2020-02-03 | N |
Provide and implement an infection prevention and control program. | Health | 2019-12-20 | 2020-02-03 | N |
Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-12-20 | 2020-02-03 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2019-12-20 | 2020-02-03 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2019-12-20 | 2020-02-03 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-11-07 | 2018-12-21 | 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 | 2018-11-07 | 2018-12-21 | N |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-11-07 | 2018-12-21 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-11-07 | 2018-12-21 | 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 | 2018-11-07 | 2018-12-21 | N |
Provide and implement an infection prevention and control program. | Health | 2018-11-07 | 2018-12-21 | N |
Implement a program that monitors antibiotic use. | Health | 2018-11-07 | 2018-12-21 | N |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-11-07 | 2018-12-21 | N |
Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-11-07 | 2018-12-21 | N |
Use approved construction type or materials. | Fire Safety | 2018-11-07 | 2018-12-21 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-11-07 | 2018-12-21 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-11-07 | 2018-12-21 | N |
Ensure staff are vaccinated for COVID-19 | Health | 2022-05-26 | Not Fixed | Y |
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