A list of the most recent deficiencies for Maplewood Care 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? |
|---|---|---|---|---|
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-10-26 | 2023-12-07 | 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 | 2023-10-26 | 2023-12-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-26 | 2023-12-07 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-10-26 | 2023-12-07 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-10-26 | 2023-12-07 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2023-10-26 | 2023-12-07 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-10-26 | 2023-12-07 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-10-26 | 2023-12-07 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-10-03 | 2022-10-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-30 | 2022-08-10 | 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 | 2022-06-30 | 2022-08-10 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-06-30 | 2022-08-10 | 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 | 2022-06-30 | 2022-08-10 | 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 | 2022-06-30 | 2022-08-10 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-06-30 | 2022-08-10 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-06-30 | 2022-08-10 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-30 | 2022-08-10 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-06-29 | 2022-08-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-06-29 | 2022-08-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-02-28 | 2022-03-22 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-10-26 | 2021-11-10 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2021-10-12 | 2021-10-27 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-07-28 | 2021-08-31 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2021-08-03 | 2021-07-25 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-04-06 | 2021-04-23 | Y |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2020-02-13 | 2020-03-24 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-02-13 | 2020-03-17 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2020-02-13 | 2020-03-17 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-02-13 | 2020-03-17 | N |
| Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | Health | 2020-02-13 | 2020-03-17 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2020-02-13 | 2020-03-17 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2020-02-13 | 2020-03-03 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2020-02-13 | 2020-03-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-13 | 2019-07-29 | N |
