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Deficiency Records for Maplewood Center
View the most recent health deficiencies and inspection results for Maplewood Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Maplewood Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Establish emergency prep training and testing. | Fire Safety | 2025-06-05 | 2025-07-25 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-06-05 | 2025-07-18 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2025-06-05 | 2025-07-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-06-05 | 2025-07-15 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2025-06-05 | 2025-07-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-06-05 | 2025-07-15 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-06-05 | 2025-07-15 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2025-06-05 | 2025-07-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-06-05 | 2025-07-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-06-05 | 2025-07-15 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2025-06-05 | 2025-07-15 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2025-06-05 | 2025-07-15 | 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 | 2025-06-05 | 2025-07-15 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2025-06-05 | 2025-07-15 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2025-06-05 | 2025-07-15 | N |
| Post nurse staffing information every day. | Health | 2025-06-05 | 2025-07-15 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2025-06-05 | 2025-07-15 | 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 | 2025-06-05 | 2025-07-15 | 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 | 2025-06-05 | 2025-07-15 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2025-06-05 | 2025-07-15 | 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 (including nights and weekends) and emergencies. | Health | 2025-06-05 | 2025-07-15 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2025-06-05 | 2025-07-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-06-05 | 2025-07-15 | N |
| Implement a program that monitors antibiotic use. | Health | 2025-06-05 | 2025-07-15 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2025-06-05 | 2025-07-15 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2025-06-05 | 2025-07-15 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2025-06-05 | 2025-07-15 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-06-05 | 2025-07-15 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2025-06-05 | 2025-07-15 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-06-05 | 2025-07-15 | N |
| Develop a communication plan. | Fire Safety | 2025-06-05 | 2025-07-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-06-05 | 2025-06-27 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-06-05 | 2025-06-27 | 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 | 2025-06-05 | 2025-06-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-06-05 | 2025-06-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-06-05 | 2025-06-27 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2025-06-05 | 2025-06-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-06-05 | 2025-06-27 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-06-05 | 2025-06-27 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2025-06-05 | 2025-06-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-06-05 | 2025-06-27 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-05-08 | 2025-06-21 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-05-08 | 2025-06-21 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-05-08 | 2025-06-21 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2025-02-26 | 2025-03-31 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-06-13 | 2024-07-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-06-13 | 2024-07-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-06-13 | 2024-07-23 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-06-13 | 2024-07-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-06-13 | 2024-07-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-06-13 | 2024-07-23 | N |
| Install proper backup exit lighting. | Fire Safety | 2024-06-13 | 2024-07-23 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2024-06-13 | 2024-07-23 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-06-13 | 2024-07-23 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-06-13 | 2024-07-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-06-13 | 2024-07-17 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-06-13 | 2024-07-17 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-06-13 | 2024-07-17 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-06-13 | 2024-06-17 | 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 | 2024-06-13 | 2024-06-17 | 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 | 2024-06-13 | 2024-06-17 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-06-13 | 2024-06-17 | 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 | 2024-06-13 | 2024-06-17 | N |
| Provide or obtain dental services for each resident. | Health | 2024-06-13 | 2024-06-17 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-06-13 | 2024-06-17 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2024-06-13 | 2024-06-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-06-13 | 2024-06-17 | N |
| Respond appropriately to all alleged violations. | Health | 2024-06-13 | 2024-06-17 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-06-13 | 2024-06-17 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2024-06-13 | 2024-06-17 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2024-06-13 | 2024-06-17 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-06-13 | 2024-06-17 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-06-13 | 2024-06-17 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-06-13 | 2024-06-17 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-06-13 | 2024-06-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-06-13 | 2024-06-17 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2024-06-13 | 2024-06-17 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-06-13 | 2024-06-17 | 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 | 2024-06-13 | 2024-06-17 | N |
| Provide or obtain dental services for each resident. | Health | 2023-04-25 | 2023-05-22 | N |
| Post nurse staffing information every day. | Health | 2023-04-25 | 2023-05-22 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-04-25 | 2023-05-22 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-04-25 | 2023-05-22 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-04-25 | 2023-05-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-04-25 | 2023-05-22 | N |
| Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2023-04-25 | 2023-05-22 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-04-25 | 2023-05-22 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2023-04-25 | 2023-05-22 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-04-25 | 2023-05-22 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-04-25 | 2023-05-22 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-04-25 | 2023-05-22 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-04-25 | 2023-05-22 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-04-25 | 2023-05-19 | N |