A list of the most recent deficiencies for Maywood Acres Healthcare. 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? |
|---|---|---|---|---|
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-08-03 | 2023-08-14 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-08 | 2023-03-17 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-01-27 | 2023-02-06 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-01-27 | 2023-02-06 | Y |
| 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 | 2022-08-23 | 2022-08-30 | 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 | 2021-07-30 | 2021-09-24 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2021-07-30 | 2021-09-24 | 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 | 2021-07-30 | 2021-09-24 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-07-30 | 2021-09-24 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-07-30 | 2021-09-24 | 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 | 2021-07-30 | 2021-09-24 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2021-07-30 | 2021-09-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-30 | 2021-09-24 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-07-30 | 2021-09-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-07-30 | 2021-09-24 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-07-30 | 2021-09-24 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2021-07-30 | 2021-09-24 | 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 | 2021-08-04 | 2021-08-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-08-04 | 2021-08-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-08-04 | 2021-08-12 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-06-05 | 2021-06-11 | Y |
| Provide emergency officials' contact information. | Fire Safety | 2020-07-27 | 2020-08-24 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-07-27 | 2020-08-24 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2020-07-27 | 2020-08-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-07-27 | 2020-08-24 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-02-20 | 2020-04-24 | 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 | 2020-02-20 | 2020-04-24 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2020-02-20 | 2020-02-28 | N |
| Provide activities to meet all resident's needs. | Health | 2020-02-20 | 2020-02-26 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2020-02-20 | 2020-02-22 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-02-20 | 2020-02-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-20 | 2020-02-22 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-04-17 | 2019-05-07 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-04-17 | 2019-05-07 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-04-17 | 2019-05-07 | 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 | 2019-04-17 | 2019-05-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-04-17 | 2019-05-07 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-04-17 | 2019-05-07 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-04-17 | 2019-05-07 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2019-04-17 | 2019-05-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-04-17 | 2019-05-07 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-04-17 | 2019-05-07 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2019-02-21 | 2019-03-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-02-21 | 2019-03-19 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-02-21 | 2019-03-19 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2019-02-21 | 2019-03-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-02-21 | 2019-03-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-02-21 | 2019-03-19 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-02-21 | 2019-03-19 | N |
