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Deficiency Records for Maple Winds Healthcare and Rehabilitation, LLC
View the most recent health deficiencies and inspection results for Maple Winds Healthcare and Rehabilitation, LLC. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Maple Winds Healthcare and Rehabilitation, LLC. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-07-02 | 2025-08-12 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-07-02 | 2025-08-12 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-07-02 | 2025-08-12 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2025-07-02 | 2025-08-12 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-07-02 | 2025-08-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-07-02 | 2025-08-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-07-02 | 2025-08-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-07-02 | 2025-08-12 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2025-07-02 | 2025-08-12 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2025-07-02 | 2025-08-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-07-02 | 2025-08-12 | 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 | 2025-07-02 | 2025-08-12 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2025-07-02 | 2025-08-12 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2025-07-02 | 2025-08-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-07-02 | 2025-08-12 | N |
| 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 | 2025-07-02 | 2025-08-12 | 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 | 2025-07-02 | 2025-08-12 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2025-07-02 | 2025-08-12 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2025-07-02 | 2025-08-12 | N |
| Establish staff and initial training requirements. | Fire Safety | 2025-07-02 | 2025-08-12 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-07-02 | 2025-08-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-07-02 | 2025-08-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-07-02 | 2025-08-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-07-02 | 2025-08-12 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-12-26 | 2025-02-04 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-12-26 | 2025-02-04 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-12-26 | 2025-02-04 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2024-12-26 | 2025-02-04 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-06-05 | 2024-08-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-11 | 2024-07-30 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-06-05 | 2024-07-16 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-06-05 | 2024-07-16 | 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 | 2024-06-05 | 2024-07-16 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-06-05 | 2024-07-16 | 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 | 2024-06-05 | 2024-07-16 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-06-05 | 2024-07-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-06-05 | 2024-07-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-06-05 | 2024-07-16 | 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 | 2024-06-05 | 2024-07-16 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-06-05 | 2024-07-16 | 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 | 2024-06-05 | 2024-07-16 | 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 | 2024-06-05 | 2024-07-16 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-06-05 | 2024-07-16 | 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 | 2024-06-05 | 2024-07-16 | 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 | 2024-06-05 | 2024-07-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-06-05 | 2024-07-16 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-06-05 | 2024-07-16 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-06-05 | 2024-07-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-06-05 | 2024-07-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-06-05 | 2024-07-16 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2024-06-05 | 2024-07-16 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-06-05 | 2024-07-16 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2024-06-05 | 2024-07-16 | 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 | 2024-01-26 | 2024-03-04 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2024-01-26 | 2024-03-04 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-01-26 | 2024-03-04 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-06-01 | 2023-07-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-01 | 2023-07-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-01 | 2023-07-10 | 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 | 2023-06-01 | 2023-07-10 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-06-01 | 2023-07-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-01 | 2023-07-10 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-06-01 | 2023-07-10 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-06-01 | 2023-07-10 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-06-01 | 2023-07-10 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-06-01 | 2023-07-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-06-01 | 2023-06-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-01 | 2023-06-30 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-06-01 | 2023-06-30 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-06-01 | 2023-06-30 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-06-01 | 2023-06-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-06-01 | 2023-06-30 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-06-01 | 2023-06-30 | N |