A list of the most recent deficiencies for Maple Springs of Palmer. 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? |
|---|---|---|---|---|
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-02-27 | 2024-03-29 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-01-08 | 2024-03-07 | 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 | 2024-01-08 | 2024-03-07 | 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 | 2024-02-27 | 2024-02-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-02-27 | 2024-02-28 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2024-01-08 | 2024-02-15 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-01-08 | 2024-02-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-08 | 2024-01-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-20 | 2023-08-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-20 | 2023-07-20 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-01-17 | 2023-03-03 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-01-17 | 2023-03-03 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-01-17 | 2023-03-03 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-01-17 | 2023-03-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-17 | 2023-03-03 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-01-17 | 2023-03-03 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-01-17 | 2023-03-03 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-01-17 | 2023-03-03 | 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 | 2023-01-17 | 2023-03-03 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-01-17 | 2023-03-03 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-17 | 2023-02-28 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2023-01-17 | 2023-02-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-01-17 | 2023-02-22 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2023-01-17 | 2023-02-17 | N |
| Post nurse staffing information every day. | Health | 2023-01-17 | 2023-02-17 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-01-20 | 2023-02-17 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2023-01-20 | 2023-02-17 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-01-20 | 2023-02-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-01-20 | 2023-02-17 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-01-20 | 2023-02-17 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-01-20 | 2023-02-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-01-20 | 2023-02-17 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-01-20 | 2023-02-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-01-20 | 2023-02-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-01-20 | 2023-02-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-15 | 2023-02-15 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-01-17 | 2023-02-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-07-20 | 2022-09-08 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2021-11-02 | 2021-12-29 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-11-02 | 2021-12-17 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2021-11-02 | 2021-12-17 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2021-11-02 | 2021-12-10 | N |
| Provide emergency officials' contact information. | Fire Safety | 2021-11-02 | 2021-12-10 | N |
| Establish emergency prep training and testing. | Fire Safety | 2021-11-02 | 2021-12-10 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-11-02 | 2021-12-10 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-11-02 | 2021-12-10 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2021-11-02 | 2021-12-10 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2021-11-02 | 2021-12-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-11-02 | 2021-12-10 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-11-02 | 2021-12-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-11-02 | 2021-12-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-11-02 | 2021-12-10 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2021-10-25 | 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 | 2021-10-25 | 2021-12-09 | 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 | 2021-10-25 | 2021-12-09 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-10-25 | 2021-12-09 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2021-10-25 | 2021-12-09 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-10-25 | 2021-12-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-25 | 2021-12-09 | N |
| Implement a program that monitors antibiotic use. | Health | 2021-10-25 | 2021-12-09 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2021-10-25 | 2021-12-07 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2021-10-25 | 2021-12-07 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2021-10-25 | 2021-12-07 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2021-10-25 | 2021-12-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-25 | 2021-12-07 | 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 | 2021-10-25 | 2021-11-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-10-25 | 2021-11-26 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-10-25 | 2021-11-19 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2021-10-25 | 2021-11-15 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2021-10-25 | 2021-08-17 | N |
