Deficiency Records for Maple Gardens Rehabilitiation and Nursing Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Maple Gardens Rehabilitiation and Nursing 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? |
|---|---|---|---|---|
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-08 | 2023-05-12 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-03-30 | 2023-05-03 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-30 | 2023-05-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-30 | 2023-05-03 | 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 | 2023-03-08 | 2023-05-03 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-03-08 | 2023-05-03 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-03-08 | 2023-05-03 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-03-08 | 2023-05-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-08 | 2023-05-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-03-30 | 2021-03-30 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-12-12 | 2020-01-27 | N |
| Develop a communication plan. | Fire Safety | 2019-12-12 | 2020-01-27 | 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 | 2019-12-12 | 2020-01-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-12-12 | 2020-01-27 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2019-12-12 | 2020-01-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-12-12 | 2020-01-27 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-12-12 | 2020-01-27 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-12-12 | 2020-01-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-12-12 | 2020-01-27 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-12-12 | 2020-01-27 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-12-12 | 2020-01-27 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-12-12 | 2020-01-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-12-12 | 2020-01-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-12-12 | 2020-01-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-12-12 | 2020-01-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-12-12 | 2020-01-03 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-12-12 | 2020-01-03 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-10-25 | 2018-11-23 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-10-25 | 2018-11-23 | 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 | 2018-10-25 | 2018-11-23 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-10-25 | 2018-11-23 | N |
| Provide activities to meet all resident's needs. | Health | 2018-10-25 | 2018-11-23 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-10-25 | 2018-11-23 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2018-10-25 | 2018-11-23 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-10-25 | 2018-11-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-10-25 | 2018-11-23 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-10-25 | 2018-11-23 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-10-26 | 2018-11-23 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2018-10-26 | 2018-11-23 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-10-26 | 2018-11-23 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-10-26 | 2018-11-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-10-26 | 2018-11-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-10-26 | 2018-11-23 | N |
