Deficiency Records for Maple Grove Health and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Maple Grove Health and Rehabilitation 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? |
|---|---|---|---|---|
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-09-01 | 2023-09-23 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-09-01 | 2023-09-01 | Y |
| Use approved construction type or materials. | Fire Safety | 2023-03-01 | 2023-05-25 | 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 | 2023-03-01 | 2023-05-25 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-03-01 | 2023-05-25 | 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 | 2023-03-01 | 2023-05-25 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-03-01 | 2023-05-25 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-03-01 | 2023-05-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-01 | 2023-05-25 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-03-01 | 2023-05-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-01 | 2023-05-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-03-01 | 2023-05-25 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-03-01 | 2023-05-25 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-03-01 | 2023-05-25 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-03-01 | 2023-05-25 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-03-01 | 2023-05-25 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-03-01 | 2023-05-25 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-03-01 | 2023-05-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-01 | 2023-05-25 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-03-01 | 2023-05-25 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-01-27 | 2023-03-09 | 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 | 2023-01-27 | 2023-03-09 | N |
| Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | Health | 2023-01-27 | 2023-03-09 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-01-27 | 2023-03-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-27 | 2023-03-09 | N |
| Dispose of garbage and refuse properly. | Health | 2023-01-27 | 2023-03-09 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2023-01-27 | 2023-03-09 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-01-27 | 2023-03-09 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-01-27 | 2023-03-09 | 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 | 2023-01-27 | 2023-03-09 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-01-27 | 2023-03-09 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-01-27 | 2023-03-09 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-01-27 | 2023-03-09 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-01-27 | 2023-03-09 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-12-13 | 2023-01-27 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2022-12-13 | 2023-01-27 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-12-13 | 2023-01-27 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-06-23 | 2022-06-23 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-01-18 | 2022-02-17 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-01-18 | 2022-02-17 | 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 | 2022-01-18 | 2022-02-17 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-01-18 | 2022-02-17 | Y |
| 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 | 2022-01-18 | 2022-02-17 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-01-18 | 2022-02-17 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-01-18 | 2022-02-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-15 | 2022-01-18 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-08-18 | 2021-09-30 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-08-18 | 2021-09-30 | Y |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2021-08-18 | 2021-09-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-08-18 | 2021-09-30 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2021-08-18 | 2021-09-30 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-06-04 | 2021-08-18 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-06-04 | 2021-08-18 | Y |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2021-06-04 | 2021-08-18 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-06-04 | 2021-08-18 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2020-03-03 | 2020-04-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-03-03 | 2020-04-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-03-03 | 2020-04-15 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2020-03-03 | 2020-04-15 | N |
| Ensure equipment listed for use in oxygen-enriched atmospheres are correctly labeled. | Fire Safety | 2020-03-03 | 2020-04-15 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-02-14 | 2020-03-16 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-02-14 | 2020-03-16 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-02-14 | 2020-03-16 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2020-02-14 | 2020-03-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-02-14 | 2020-03-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-14 | 2020-03-16 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-02-14 | 2020-03-16 | N |
