Deficiency Records for Maple Hills Skilled Nursing and Rehabilitation
Updated as of March 01, 2024
A list of the most recent deficiencies for Maple Hills Skilled Nursing and Rehabilitation. 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? |
|---|---|---|---|---|
| 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 | 2023-11-08 | 2024-01-10 | 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 | 2023-11-08 | 2024-01-10 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-11-08 | 2024-01-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-08 | 2024-01-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-08 | 2024-01-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-08 | 2024-01-10 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-11-08 | 2024-01-10 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-11-08 | 2024-01-10 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-11-08 | 2024-01-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-08 | 2024-01-10 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-11-01 | 2024-01-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-11-01 | 2024-01-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-11-01 | 2024-01-10 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-11-01 | 2024-01-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-01 | 2024-01-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-01 | 2024-01-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-07 | 2023-07-24 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-07-07 | 2023-07-24 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-04-20 | 2023-05-05 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-20 | 2023-05-05 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-11-03 | 2022-11-22 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-11-03 | 2022-11-22 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-12-21 | 2022-03-01 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2021-12-21 | 2022-03-01 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2021-12-21 | 2022-03-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-12-21 | 2022-03-01 | 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 | 2021-12-21 | 2022-03-01 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2021-12-21 | 2022-03-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-21 | 2022-03-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-21 | 2022-03-01 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-12-21 | 2022-03-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-12-21 | 2022-03-01 | 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 | 2021-12-21 | 2022-03-01 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2021-12-21 | 2022-03-01 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2021-12-21 | 2022-03-01 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-12-21 | 2022-03-01 | N |
| 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 | 2021-12-21 | 2022-03-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-21 | 2022-03-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-02-08 | 2022-03-01 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2021-12-14 | 2022-03-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-12-14 | 2022-03-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-12-14 | 2022-03-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-12-14 | 2022-03-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-12-14 | 2022-03-01 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-12-14 | 2022-03-01 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-07-31 | 2019-08-30 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2019-07-31 | 2019-08-30 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2019-07-31 | 2019-08-30 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2019-07-31 | 2019-08-30 | 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 | 2019-07-31 | 2019-08-30 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2019-07-31 | 2019-08-30 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2019-07-31 | 2019-08-30 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-07-31 | 2019-08-30 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-07-31 | 2019-08-30 | 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 | 2019-07-31 | 2019-08-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-07-31 | 2019-08-30 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-07-31 | 2019-08-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-31 | 2019-08-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-22 | 2019-08-30 | N |
