A list of the most recent deficiencies for Continuing Care at Maris Grove. 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? |
|---|---|---|---|---|
| Meet other general requirements. | Fire Safety | 2023-02-06 | 2023-04-28 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-02-06 | 2023-04-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-02-06 | 2023-04-28 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2023-02-06 | 2023-04-07 | 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 | 2023-02-06 | 2023-04-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-02-06 | 2023-04-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-06 | 2023-04-07 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-02-06 | 2023-04-07 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-02-06 | 2023-04-07 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-02-06 | 2023-04-07 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-02-06 | 2023-04-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-02-06 | 2023-04-07 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-02-06 | 2023-04-07 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-02-02 | 2023-03-17 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-02-02 | 2023-03-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-13 | 2022-12-12 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-10-13 | 2022-12-12 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-10-13 | 2022-12-12 | Y |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2022-03-24 | 2022-05-09 | N |
| Meet other general requirements. | Fire Safety | 2022-03-24 | 2022-05-09 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-03-24 | 2022-05-09 | 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 | 2022-03-24 | 2022-05-09 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-03-24 | 2022-05-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-03-24 | 2022-05-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-03-24 | 2022-05-09 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-03-24 | 2022-05-09 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2022-03-24 | 2022-05-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-03-24 | 2022-05-09 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-03-11 | 2022-05-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-11 | 2022-05-02 | 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 | 2022-03-11 | 2022-05-02 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-03-11 | 2022-05-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-11 | 2022-05-02 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2022-03-11 | 2022-05-02 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2022-03-11 | 2022-05-02 | 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 | 2022-03-11 | 2022-05-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-11 | 2022-05-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-11 | 2022-05-02 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2020-10-22 | 2020-12-20 | 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 | 2020-10-22 | 2020-12-20 | 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 | 2020-10-22 | 2020-12-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-10-22 | 2020-12-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-10-22 | 2020-12-20 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-10-22 | 2020-12-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-10-22 | 2020-12-20 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-10-22 | 2020-12-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-10-22 | 2020-12-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-10-22 | 2020-12-20 | 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 | 2020-09-24 | 2020-11-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-09-24 | 2020-11-08 | N |
