Deficiency Records for Maple Winds Healthcare and Rehabilitation, LLC
Updated as of June 01, 2019
This is not the most recent data for Maple Winds Healthcare and Rehabilitation, LLC. For the most recent information, click here.
A list of the most recent deficiencies for Maple Winds Healthcare and Rehabilitation, LLC. 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 dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-10-03 | 2018-11-19 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-10-03 | 2018-11-19 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-10-03 | 2018-11-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-10-03 | 2018-11-19 | 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 | 2018-10-03 | 2018-11-19 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-10-03 | 2018-11-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-10-03 | 2018-11-19 | 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 | Health | 2018-10-03 | 2018-11-19 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-10-03 | 2018-11-19 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-10-03 | 2018-11-19 | N |
| Ensure that residents are free from significant medication errors. | Health | 2018-10-03 | 2018-11-19 | 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 | 2018-10-03 | 2018-11-19 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2018-10-03 | 2018-11-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-10-03 | 2018-11-19 | N |
| Keep all essential equipment working safely. | Health | 2018-10-03 | 2018-11-19 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-10-04 | 2018-10-23 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2018-10-04 | 2018-10-23 | N |
| Implement emergency and standby power systems. | Fire Safety | 2018-10-04 | 2018-10-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-10-04 | 2018-10-23 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-10-04 | 2018-10-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-10-04 | 2018-10-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-10-04 | 2018-10-23 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-10-19 | 2018-01-05 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-10-19 | 2018-01-05 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-10-19 | 2018-01-05 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-10-19 | 2017-11-28 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2017-10-19 | 2017-11-27 | N |
| Allow residents to self-administer drugs if determined safe. | Health | 2017-10-19 | 2017-11-27 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-10-19 | 2017-11-27 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-10-19 | 2017-11-27 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-10-19 | 2017-11-27 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-10-19 | 2017-11-27 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-10-19 | 2017-11-27 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-10-19 | 2017-11-27 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2017-10-19 | 2017-11-27 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2017-10-19 | 2017-11-27 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2017-10-19 | 2017-11-27 | N |
| Make sure that all required doctor visits are made personally. | Health | 2017-10-19 | 2017-11-27 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-10-19 | 2017-11-27 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-10-19 | 2017-11-27 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-10-19 | 2017-11-27 | N |
| Meet other general requirements. | Fire Safety | 2016-11-15 | 2017-01-04 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2016-11-15 | 2017-01-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2016-11-15 | 2017-01-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2016-11-15 | 2017-01-04 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2016-11-15 | 2017-01-04 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-11-10 | 2016-12-05 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-11-10 | 2016-12-05 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-11-10 | 2016-12-05 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-11-10 | 2016-12-05 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-11-10 | 2016-12-05 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-11-10 | 2016-12-05 | N |
