A list of the most recent deficiencies for Maple Lawn Nursing Home. 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 services provided by the nursing facility meet professional standards of quality. | Health | 2023-11-02 | 2023-12-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-02 | 2023-12-17 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-11-02 | 2023-12-17 | 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 | 2023-11-02 | 2023-12-17 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-11-02 | 2023-12-17 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-11-02 | 2023-12-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-02 | 2023-12-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-02 | 2023-12-17 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2023-11-02 | 2023-12-17 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2023-11-02 | 2023-12-17 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-11-02 | 2023-12-17 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-11-02 | 2023-12-17 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-11-02 | 2023-12-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-11-02 | 2023-12-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-02 | 2023-12-17 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-11-02 | 2023-12-17 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-11-02 | 2023-12-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-11-02 | 2023-12-17 | N |
| Meet other general requirements. | Fire Safety | 2023-11-02 | 2023-12-17 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2022-09-22 | 2022-11-03 | Y |
| 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 | 2022-09-22 | 2022-11-03 | Y |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2022-08-24 | 2022-11-03 | Y |
| 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 | 2022-08-24 | 2022-11-03 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-08-24 | 2022-09-14 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-08-24 | 2022-09-14 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-08-24 | 2022-09-14 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-08-24 | 2022-09-14 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-01-25 | 2022-03-11 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-01-25 | 2022-03-11 | Y |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2022-01-25 | 2022-03-11 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-01-25 | 2022-03-11 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-01-25 | 2022-03-11 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-25 | 2022-03-11 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2020-02-26 | 2020-04-11 | 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 | 2020-02-26 | 2020-04-11 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2020-02-26 | 2020-04-11 | N |
| Assess the resident when there is a significant change in condition | Health | 2020-02-26 | 2020-04-11 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2020-02-26 | 2020-04-11 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-02-26 | 2020-04-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-26 | 2020-04-11 | 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 | 2020-02-26 | 2020-04-11 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-02-26 | 2020-04-11 | N |
| Ensure that residents are free from significant medication errors. | Health | 2020-02-26 | 2020-04-11 | 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 | 2020-02-26 | 2020-04-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-26 | 2020-04-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-26 | 2020-04-11 | N |
| Use approved construction type or materials. | Fire Safety | 2020-02-26 | 2020-04-11 | 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 | 2020-02-26 | 2020-04-11 | 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 | 2020-02-26 | 2020-04-11 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2020-02-26 | 2020-04-11 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-02-26 | 2020-04-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-02-26 | 2020-04-11 | N |
| Meet other general requirements. | Fire Safety | 2020-02-26 | 2020-04-11 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-12-04 | 2019-01-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-12-04 | 2019-01-18 | 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 | 2018-12-04 | 2019-01-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-12-04 | 2019-01-18 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-12-04 | 2019-01-18 | N |
| Use approved construction type or materials. | Fire Safety | 2018-12-04 | 2019-01-18 | N |
| Have exits that are accessible at all times. | Fire Safety | 2018-12-04 | 2019-01-18 | 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 | 2018-12-04 | 2019-01-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-12-04 | 2019-01-18 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-12-04 | 2019-01-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-12-04 | 2019-01-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-12-04 | 2019-01-18 | N |
