A list of the most recent deficiencies for Maple Springs of Wasilla. 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? |
|---|---|---|---|---|
| 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 | 2023-07-06 | 2023-07-27 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-03-24 | 2023-05-08 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-03-24 | 2023-05-08 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-03-24 | 2023-05-08 | 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 | 2023-03-24 | 2023-05-08 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-03-24 | 2023-05-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-24 | 2023-05-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-24 | 2023-05-08 | 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 | 2023-03-24 | 2023-05-08 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-03-24 | 2023-05-08 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-03-24 | 2023-05-08 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-03-24 | 2023-05-08 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-03-24 | 2023-05-08 | 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 | 2023-03-24 | 2023-05-08 | 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 | 2023-03-24 | 2023-05-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-24 | 2023-05-08 | N |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2023-03-24 | 2023-05-08 | N |
| Keep all essential equipment working safely. | Health | 2023-03-24 | 2023-05-08 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-03-24 | 2023-05-08 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-03-24 | 2023-05-08 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-03-24 | 2023-05-08 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-03-24 | 2023-05-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-24 | 2023-05-08 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-03-24 | 2023-05-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-03-24 | 2023-05-08 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-03-24 | 2023-05-08 | N |
| Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. | Fire Safety | 2023-03-24 | 2023-05-08 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-03-24 | 2023-05-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-24 | 2023-05-08 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-12-21 | 2023-02-23 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-12-21 | 2023-02-23 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-07-19 | 2022-09-02 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-11-12 | 2022-01-15 | N |
| Have proper openings in smoke barrier doors. | Fire Safety | 2021-11-12 | 2022-01-08 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-11-12 | 2021-12-30 | 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 | 2021-11-12 | 2021-12-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-11-12 | 2021-12-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-11-12 | 2021-12-30 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-11-12 | 2021-12-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-11-12 | 2021-12-27 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-11-12 | 2021-12-26 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-11-12 | 2021-12-21 | Y |
| 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 | 2021-11-12 | 2021-12-09 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-11-12 | 2021-12-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-11-12 | 2021-12-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-11-12 | 2021-12-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-11-12 | 2021-12-09 | N |
| Respond appropriately to all alleged violations. | Health | 2021-11-12 | 2021-12-09 | Y |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2021-11-12 | 2021-12-09 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-11-12 | 2021-12-09 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2021-11-12 | 2021-12-09 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2021-11-12 | 2021-12-09 | N |
| Provide emergency officials' contact information. | Fire Safety | 2021-11-12 | 2021-12-09 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2021-11-12 | 2021-12-09 | N |
| Meet other general requirements. | Fire Safety | 2019-07-22 | 2019-07-23 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-07-22 | 2019-07-23 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-07-22 | 2019-07-23 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2019-07-22 | 2019-07-23 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-07-22 | 2019-07-23 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2019-07-22 | 2019-07-23 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-07-22 | 2019-07-23 | N |
