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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 | 2023-10-10 | 2023-10-24 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-08-10 | 2023-10-24 | N |
| 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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