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Deficiency Records for Maple Knoll Village

A list of the most recent deficiencies for Maple Knoll Village. 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 Knoll Village. 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?
Respond appropriately to all alleged violations. Health 2023-12-21 2024-03-11 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-12-21 2024-03-11 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2023-12-21 2024-03-11 N
Provide and implement an infection prevention and control program. Health 2023-12-21 2024-03-11 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-12-19 2024-03-11 N
Follow proper procedures when the fire alarm was out of service for more than 4 hours. Fire Safety 2023-12-19 2024-03-11 N
Install an approved automatic sprinkler system. Fire Safety 2023-12-19 2024-03-11 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-12-19 2024-03-11 N
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Fire Safety 2023-12-19 2024-03-11 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2023-12-19 2024-03-11 N
Ensure proper usage of power strips and extension cords. Fire Safety 2023-12-19 2024-03-11 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-04-24 2023-05-19 Y
Respond appropriately to all alleged violations. Health 2023-04-24 2023-05-19 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2020-01-16 2020-04-02 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2020-01-16 2020-04-02 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2020-01-14 2020-04-02 N
Install an approved automatic sprinkler system. Fire Safety 2020-01-14 2020-04-02 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2020-01-14 2020-04-02 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2020-01-16 2020-03-09 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 2020-01-16 2020-03-09 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2020-01-16 2020-03-09 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 2020-01-16 2020-03-09 N
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Health 2020-01-16 2020-03-09 N
Meet requirements for sections of health care facilities separated by fire resistive construction. Fire Safety 2020-01-14 2020-03-09 N
Have an alternate power supply for its alarm system. Fire Safety 2020-01-14 2020-03-09 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2020-01-14 2020-03-09 N
Ensure proper usage of power strips and extension cords. Fire Safety 2020-01-14 2020-03-09 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2018-11-07 2018-12-12 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 2018-12-12 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 2018-12-12 N
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. Health 2018-11-07 2018-12-12 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2018-11-07 2018-12-12 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 2018-11-07 2018-12-12 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2018-11-07 2018-12-12 N
Provide and implement an infection prevention and control program. Health 2018-11-07 2018-12-12 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2018-11-05 2018-12-12 N
Have stairways and smokeproof enclosures used as exits that meet safety requirements. Fire Safety 2018-11-05 2018-12-12 N
Install proper backup exit lighting. Fire Safety 2018-11-05 2018-12-12 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2018-11-05 2018-12-12 N
Have properly located and lighted "Exit" signs. Fire Safety 2018-11-05 2018-12-12 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 2018-11-05 2018-12-12 N
Install an approved automatic sprinkler system. Fire Safety 2018-11-05 2018-12-12 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2018-11-05 2018-12-12 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2018-11-05 2018-12-12 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2018-11-05 2018-12-12 N
Ensure proper usage of power strips and extension cords. Fire Safety 2018-11-05 2018-12-12 N

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