A list of the most recent deficiencies for Maple Knoll Village. 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? |
|---|---|---|---|---|
| Respond appropriately to all alleged violations. | Health | 2023-12-21 | 2024-01-25 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-12-21 | 2024-01-25 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-12-21 | 2024-01-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-21 | 2024-01-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-12-19 | 2024-01-25 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-12-19 | 2024-01-25 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-12-19 | 2024-01-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-19 | 2024-01-25 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-12-19 | 2024-01-25 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-12-19 | 2024-01-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-12-19 | 2024-01-25 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-04-24 | 2023-05-19 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-04-24 | 2023-05-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-01-16 | 2020-04-02 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-01-16 | 2020-04-02 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-01-14 | 2020-04-02 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2020-01-14 | 2020-04-02 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-01-14 | 2020-04-02 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-01-16 | 2020-03-09 | 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 | 2020-01-16 | 2020-03-09 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-01-16 | 2020-03-09 | 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 | 2020-01-16 | 2020-03-09 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2020-01-16 | 2020-03-09 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2020-01-14 | 2020-03-09 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2020-01-14 | 2020-03-09 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-01-14 | 2020-03-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-01-14 | 2020-03-09 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-11-07 | 2018-12-12 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-11-07 | 2018-12-12 | 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 | 2018-11-07 | 2018-12-12 | N |
| 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 | 2018-11-07 | 2018-12-12 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-11-07 | 2018-12-12 | 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 | 2018-11-07 | 2018-12-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-11-07 | 2018-12-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-11-07 | 2018-12-12 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-11-05 | 2018-12-12 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2018-11-05 | 2018-12-12 | N |
| Install proper backup exit lighting. | Fire Safety | 2018-11-05 | 2018-12-12 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-11-05 | 2018-12-12 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-11-05 | 2018-12-12 | 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 | 2018-11-05 | 2018-12-12 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-11-05 | 2018-12-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-11-05 | 2018-12-12 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-11-05 | 2018-12-12 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-11-05 | 2018-12-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-11-05 | 2018-12-12 | N |
