A list of the most recent deficiencies for Maple Springs Senior Living. 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? |
|---|---|---|---|---|
| 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 | 2023-11-16 | 2023-12-31 | N |
| Keep complete, dated laboratory records in the resident's record. | Health | 2023-11-16 | 2023-12-31 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-11-15 | 2023-12-31 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-11-16 | 2023-12-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-16 | 2023-12-23 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-11-16 | 2023-12-22 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-11-16 | 2023-12-20 | 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 | 2023-11-16 | 2023-12-20 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-11-16 | 2023-12-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-16 | 2023-12-20 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-11-16 | 2023-12-20 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2023-11-16 | 2023-12-20 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-11-16 | 2023-12-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-11-15 | 2023-12-20 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-11-15 | 2023-12-20 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-11-15 | 2023-12-07 | 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 | 2023-11-15 | 2023-11-30 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-11-15 | 2023-11-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-11-15 | 2023-11-16 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2022-01-13 | 2022-02-10 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-01-13 | 2022-02-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-01-13 | 2022-02-10 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-01-13 | 2022-02-10 | 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 | 2022-01-12 | 2022-01-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-04-06 | 2021-04-23 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-09-26 | 2019-12-01 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-09-26 | 2019-12-01 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-09-26 | 2019-12-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-09-26 | 2019-12-01 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2019-09-26 | 2019-12-01 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-09-26 | 2019-12-01 | 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 | 2019-09-26 | 2019-12-01 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-09-26 | 2019-12-01 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-09-26 | 2019-12-01 | 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 | 2019-09-26 | 2019-12-01 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2019-09-26 | 2019-12-01 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2019-09-26 | 2019-12-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-09-26 | 2019-12-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-09-26 | 2019-12-01 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-09-26 | 2019-12-01 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-09-26 | 2019-12-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-09-23 | 2019-11-01 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2019-09-23 | 2019-11-01 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2019-09-23 | 2019-09-25 | 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 | 2019-09-23 | 2019-09-25 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-09-23 | 2019-09-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-09-23 | 2019-09-25 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-09-23 | 2019-09-25 | N |
