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Deficiency Records for Maplewood Healthcare Center
A list of the most recent deficiencies for Maplewood Healthcare Center. 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 Maplewood Healthcare Center. 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-03-06 | 2024-04-05 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-03-06 | 2024-04-05 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-03-06 | 2024-04-05 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-03-06 | 2024-04-05 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-03-06 | 2024-04-05 | 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 | 2024-03-06 | 2024-04-05 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2024-03-06 | 2024-04-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-06 | 2024-04-05 | 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 | 2024-03-06 | 2024-04-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-03-06 | 2024-04-05 | N |
| Dispose of garbage and refuse properly. | Health | 2024-03-06 | 2024-04-05 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-03-06 | 2024-04-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-03-06 | 2024-04-05 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-03-05 | 2024-03-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-03-05 | 2024-03-22 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-03-05 | 2024-03-22 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2022-07-20 | 2022-08-26 | 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 | 2022-07-20 | 2022-08-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-07-20 | 2022-08-26 | 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 | 2022-07-20 | 2022-08-26 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-07-20 | 2022-08-26 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-07-20 | 2022-08-26 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2022-07-20 | 2022-08-26 | 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 | 2022-07-20 | 2022-08-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-20 | 2022-08-26 | 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 | 2022-07-20 | 2022-08-24 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-07-20 | 2022-08-24 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2022-03-09 | 2022-04-28 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-03-09 | 2022-04-28 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-04-20 | 2021-05-03 | 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 | 2021-04-23 | 2021-04-28 | 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 | 2021-04-23 | 2021-04-28 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-04-23 | 2021-04-28 | N |
| 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 | 2021-04-23 | 2021-04-28 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-04-23 | 2021-04-28 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-04-23 | 2021-04-28 | N |
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