A list of the most recent deficiencies for Maple 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? |
---|---|---|---|---|
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-12-16 | 2024-01-14 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-14 | 2023-10-05 | Y |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-08-02 | 2023-09-01 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-08-02 | 2023-09-01 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-14 | 2023-08-23 | Y |
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-07-19 | 2023-08-04 | Y |
Provide and implement an infection prevention and control program. | Health | 2023-04-27 | 2023-05-24 | Y |
Assess the resident when there is a significant change in condition | Health | 2023-02-17 | 2023-03-17 | Y |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-02-17 | 2023-03-17 | Y |
Respond appropriately to all alleged violations. | Health | 2022-08-04 | 2022-08-16 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-09 | 2022-07-28 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-05-31 | 2022-06-30 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-07 | 2022-06-28 | Y |
Provide and implement an infection prevention and control program. | Health | 2022-03-14 | 2022-04-04 | Y |
Provide and implement an infection prevention and control program. | Health | 2022-02-15 | 2022-03-01 | Y |
Provide and implement an infection prevention and control program. | Health | 2022-01-27 | 2022-02-09 | Y |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-11-05 | 2021-12-16 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-05 | 2021-12-16 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2021-11-05 | 2021-12-16 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-11-05 | 2021-12-16 | 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 | 2021-11-05 | 2021-12-16 | N |
Provide and implement an infection prevention and control program. | Health | 2021-11-05 | 2021-12-16 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-11-05 | 2021-12-16 | N |
Have restrictions on the use of flammable curtains. | Fire Safety | 2021-11-05 | 2021-12-16 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-11-05 | 2021-12-16 | N |
Provide and implement an infection prevention and control program. | Health | 2021-10-11 | 2021-10-21 | Y |
Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-08-09 | 2021-08-20 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-08-09 | 2021-08-20 | Y |
Ensure that residents are free from significant medication errors. | Health | 2021-08-09 | 2021-08-20 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-08-09 | 2021-08-20 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-14 | 2021-08-11 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-06-29 | 2021-07-29 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-05-31 | 2021-07-02 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-10-18 | 2019-11-20 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2019-10-18 | 2019-11-20 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-10-18 | 2019-11-20 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-10-18 | 2019-11-20 | 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 | 2019-10-18 | 2019-11-20 | 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 | 2019-10-18 | 2019-11-20 | 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 | 2019-10-18 | 2019-11-20 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-10-18 | 2019-11-20 | 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 | 2019-10-18 | 2019-11-20 | 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 | 2019-10-18 | 2019-11-20 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-18 | 2019-11-20 | N |
Provide and implement an infection prevention and control program. | Health | 2019-10-18 | 2019-11-20 | N |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-10-18 | 2019-11-20 | 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 | 2019-10-16 | 2019-10-31 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-16 | 2019-10-31 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2019-10-16 | 2019-10-31 | N |
Install properly constructed and protected linen or trash chutes. | Fire Safety | 2019-10-16 | 2019-10-31 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-10-16 | 2019-10-31 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-10-16 | 2019-10-31 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2019-10-16 | 2019-10-31 | N |
Conduct testing and exercise requirements. | Fire Safety | 2018-10-27 | 2018-12-19 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2018-10-27 | 2018-12-19 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-10-27 | 2018-12-19 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-10-27 | 2018-12-19 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-10-27 | 2018-12-19 | 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 | 2018-10-21 | 2018-11-20 | 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 | 2018-10-21 | 2018-11-20 | N |
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2018-10-21 | 2018-11-20 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-10-21 | 2018-11-20 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-10-21 | 2018-11-20 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-10-21 | 2018-11-20 | N |
Implement a program that monitors antibiotic use. | Health | 2018-10-21 | 2018-11-20 | N |
Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | Health | 2018-10-21 | 2018-11-20 | N |
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2018-10-21 | 2018-11-20 | N |
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2018-10-21 | 2018-11-20 | N |
Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | Health | 2019-10-18 | Not Fixed | N |
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-10-18 | Not Fixed | N |