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Deficiency Records for Maple Grove Wellness and Rehabilitation

View the most recent health deficiencies and inspection results for Maple Grove Wellness and Rehabilitation. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for Maple Grove Wellness and Rehabilitation. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Install an approved automatic sprinkler system. Fire Safety 2025-08-29 2025-09-30 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2025-08-29 2025-09-25 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 2025-08-29 2025-09-19 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2025-08-29 2025-09-19 N
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. Health 2025-08-29 2025-09-19 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2025-08-29 2025-09-19 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2025-08-29 2025-09-19 N
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Health 2025-08-29 2025-09-19 N
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Health 2025-08-29 2025-09-19 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 2025-08-29 2025-09-19 N
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Health 2025-08-29 2025-09-19 N
Ensure that residents are fully informed and understand their health status, care and treatments. Health 2025-08-29 2025-09-19 N
Observe each nurse aide's job performance and give regular training. Health 2025-08-29 2025-09-19 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 2025-08-29 2025-09-19 N
Have a plan that describes the process for conducting QAPI and QAA activities. Health 2025-08-29 2025-09-19 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2025-08-29 2025-09-19 N
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Health 2025-08-29 2025-09-19 N
Provide and implement an infection prevention and control program. Health 2025-08-29 2025-09-19 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 2025-08-29 2025-09-19 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2025-08-29 2025-09-19 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 2025-08-29 2025-09-19 N
Ensure proper usage of power strips and extension cords. Fire Safety 2025-08-29 2025-09-19 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2025-08-29 2025-09-19 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2025-08-29 2025-09-18 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2025-06-26 2025-07-29 Y
Ensure that residents are free from significant medication errors. Health 2025-06-26 2025-06-26 Y
Implement a program that monitors antibiotic use. Health 2025-03-19 2025-04-19 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-07-24 2024-09-04 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2024-05-07 2024-05-28 N
Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. Health 2024-05-07 2024-05-28 N
Provide and implement an infection prevention and control program. Health 2024-05-07 2024-05-28 N
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Health 2024-05-07 2024-05-28 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2024-05-07 2024-05-28 N
Have a plan that describes the process for conducting QAPI and QAA activities. Health 2024-05-07 2024-05-28 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2024-05-07 2024-05-28 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-05-07 2024-05-28 N
Post nurse staffing information every day. Health 2024-05-07 2024-05-28 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 2024-05-07 2024-05-28 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-05-07 2024-05-28 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 2024-05-07 2024-05-28 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 2024-05-07 2024-05-28 N
Ensure each resident receives an accurate assessment. Health 2024-05-07 2024-05-28 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 2024-05-07 2024-05-28 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2024-05-07 2024-05-28 N
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 2024-05-07 2024-05-28 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 2024-05-07 2024-05-28 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 2024-05-07 2024-05-28 N
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Health 2024-05-07 2024-05-28 N
Have exits that are accessible at all times. Fire Safety 2024-05-07 2024-05-28 N
Provide properly protected cooking facilities. Fire Safety 2024-05-07 2024-05-28 N
Have restrictions on the use of highly flammable decorations. Fire Safety 2024-05-07 2024-05-28 N
Assess the resident when there is a significant change in condition Health 2024-05-07 2024-05-28 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2022-12-02 2023-01-16 N
Provide and implement an infection prevention and control program. Health 2022-12-02 2023-01-16 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-12-02 2023-01-16 N
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Health 2022-12-02 2023-01-16 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-12-02 2023-01-16 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-12-02 2023-01-16 N
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Health 2022-12-02 2023-01-16 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 2022-12-02 2023-01-16 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2022-12-02 2023-01-16 N
Have proper medical gas storage and administration areas. Fire Safety 2022-12-02 2023-01-16 N
Ensure proper usage of power strips and extension cords. Fire Safety 2022-12-02 2023-01-16 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-12-02 2023-01-16 N
Have properly installed hallway dispensers for alcohol-based hand rub. Fire Safety 2022-12-02 2023-01-16 N

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