A list of the most recent deficiencies for Maple Manor 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? |
|---|---|---|---|---|
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-08-09 | 2023-09-22 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-08-09 | 2023-09-22 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-08-09 | 2023-09-22 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-08-09 | 2023-09-22 | 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 | 2023-08-09 | 2023-09-22 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-08-09 | 2023-09-22 | Y |
| 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 | 2023-08-09 | 2023-09-22 | Y |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-08-09 | 2023-09-22 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-08-09 | 2023-09-22 | 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 | 2022-11-15 | 2022-11-15 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-05-12 | 2022-06-30 | Y |
| 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 | 2022-05-12 | 2022-06-30 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-05-12 | 2022-06-30 | Y |
| 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 | 2022-05-12 | 2022-06-30 | 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 | 2022-05-12 | 2022-06-30 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-05-12 | 2022-06-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-12 | 2022-06-30 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-05-12 | 2022-06-30 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-05-12 | 2022-06-30 | Y |
| Implement a program that monitors antibiotic use. | Health | 2022-05-12 | 2022-06-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-05-12 | 2022-06-17 | Y |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2021-02-10 | 2021-04-14 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-02-10 | 2021-03-17 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-02-10 | 2021-03-17 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-02-10 | 2021-03-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-02-10 | 2021-03-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-02-10 | 2021-03-17 | N |
