A list of the most recent deficiencies for Maple Crest Manor. 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? |
|---|---|---|---|---|
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-12-27 | 2024-01-27 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-12-27 | 2024-01-17 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-12-21 | 2024-01-08 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2023-12-21 | 2024-01-08 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-12-21 | 2024-01-08 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-12-21 | 2024-01-08 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-12-21 | 2024-01-08 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2023-12-21 | 2024-01-08 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-12-27 | 2024-01-02 | 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 | 2023-12-27 | 2023-12-28 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-12-27 | 2023-12-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-12-27 | 2023-12-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-12-27 | 2023-12-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-06-23 | 2022-07-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-06-23 | 2022-07-26 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2022-06-23 | 2022-07-23 | 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 | 2022-06-23 | 2022-07-23 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-06-23 | 2022-07-23 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2022-06-23 | 2022-07-06 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-06-23 | 2022-07-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-23 | 2022-06-28 | 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 | 2022-06-23 | 2022-06-27 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-06-23 | 2022-06-27 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2022-06-23 | 2022-06-27 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-06-23 | 2022-06-24 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-06-23 | 2022-06-24 | N |
| Develop a communication plan. | Fire Safety | 2022-06-23 | 2022-06-24 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-06-23 | 2022-06-24 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-02-25 | 2021-03-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-02-25 | 2021-03-23 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2021-02-25 | 2021-03-23 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2021-02-25 | 2021-03-23 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2021-02-25 | 2021-03-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-02-25 | 2021-03-23 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2021-02-22 | 2021-03-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-02-22 | 2021-02-26 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2021-02-22 | 2021-02-24 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2021-02-22 | 2021-02-24 | 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 | 2021-02-22 | 2021-02-24 | 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 | 2021-02-22 | 2021-02-24 | N |
