A list of the most recent deficiencies for Maplewood Nursing and Rehab 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? |
|---|---|---|---|---|
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-10-12 | 2023-11-03 | 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 | 2023-02-16 | 2023-04-03 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-02-16 | 2023-04-03 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-02-16 | 2023-04-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-16 | 2023-04-03 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-02-16 | 2023-04-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-16 | 2023-04-03 | 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 | 2023-02-16 | 2023-04-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-16 | 2023-04-03 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-02-16 | 2023-04-03 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2023-02-16 | 2023-04-03 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-02-16 | 2023-04-03 | N |
| 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 | 2023-02-16 | 2023-04-03 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-02-16 | 2023-04-03 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2023-02-16 | 2023-04-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-16 | 2023-04-03 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2023-02-16 | 2023-04-03 | N |
| Keep all essential equipment working safely. | Health | 2023-02-16 | 2023-04-03 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-02-16 | 2023-04-03 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2023-02-27 | 2023-03-27 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2023-02-27 | 2023-03-27 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-02-27 | 2023-03-27 | N |
| Meet other general requirements. | Fire Safety | 2023-02-27 | 2023-03-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-02-27 | 2023-03-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-27 | 2023-03-27 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-02-27 | 2023-03-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-02-27 | 2023-03-27 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-02-27 | 2023-03-27 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-02-27 | 2023-03-27 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2023-02-27 | 2023-03-27 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-09-23 | 2022-11-15 | Y |
| 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 | 2022-09-23 | 2022-11-15 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2022-09-23 | 2022-11-01 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-09-23 | 2022-11-01 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-09-23 | 2022-11-01 | Y |
| Establish emergency prep training and testing. | Fire Safety | 2022-04-19 | 2022-06-29 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-04-19 | 2022-06-29 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-05-12 | 2022-06-16 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-04-19 | 2022-06-14 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2022-04-19 | 2022-06-14 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2022-04-19 | 2022-06-14 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2022-04-19 | 2022-06-14 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-04-19 | 2022-06-14 | 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 | 2022-04-19 | 2022-06-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-04-19 | 2022-06-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-19 | 2022-06-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-04-19 | 2022-06-14 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2022-04-19 | 2022-06-14 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-04-19 | 2022-06-14 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-04-19 | 2022-06-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-04-19 | 2022-06-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-04-19 | 2022-06-14 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2022-03-22 | 2022-05-09 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-03-22 | 2022-05-09 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2022-04-12 | 2022-05-04 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-04-12 | 2022-05-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-12 | 2022-05-04 | 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 | 2022-04-12 | 2022-05-04 | 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 | 2022-04-12 | 2022-05-04 | N |
| Keep all essential equipment working safely. | Health | 2022-04-12 | 2022-05-04 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2020-02-12 | 2020-03-27 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-02-12 | 2020-03-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-02-12 | 2020-03-27 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2020-02-12 | 2020-03-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-02-12 | 2020-03-27 | N |
| 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 | 2020-02-11 | 2020-02-27 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-02-11 | 2020-02-27 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-02-11 | 2020-02-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-11 | 2020-02-27 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2020-02-11 | 2020-02-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-11 | 2020-02-27 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2020-02-11 | 2020-02-27 | 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 | 2023-05-31 | Not Fixed | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-05-31 | Not Fixed | Y |
