Deficiency Records for Maple Ridge Rehabilitation and Nursing
Updated as of June 01, 2021
This is not the most recent data for Maple Ridge Rehabilitation and Nursing. For the most recent information, click here.
A list of the most recent deficiencies for Maple Ridge Rehabilitation and Nursing. 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? |
---|---|---|---|---|
Provide and implement an infection prevention and control program. | Health | 2021-01-28 | 2021-03-08 | Y |
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2021-01-28 | 2021-03-08 | Y |
Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-07-30 | 2019-09-20 | N |
Have an enclosure around a vertical opening shaft. | Fire Safety | 2019-07-30 | 2019-09-20 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-30 | 2019-09-20 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-07-30 | 2019-09-20 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-08-05 | 2019-09-20 | N |
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2019-08-05 | 2019-09-20 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-08-05 | 2019-09-20 | N |
Ensure each resident receives an accurate assessment. | Health | 2019-08-05 | 2019-09-20 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-05 | 2019-09-20 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-08-05 | 2019-09-20 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-05 | 2019-09-20 | 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 | 2019-08-05 | 2019-09-20 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-08-05 | 2019-09-20 | 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 | 2019-08-05 | 2019-09-20 | N |
Keep complete, dated laboratory records in the resident's record. | Health | 2019-08-05 | 2019-09-20 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-05 | 2019-09-20 | N |
Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2019-08-05 | 2019-09-20 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-08-05 | 2019-09-20 | N |
Provide and implement an infection prevention and control program. | Health | 2019-08-05 | 2019-09-20 | N |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-08-05 | 2019-09-20 | Y |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-08-05 | 2019-09-20 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-08-05 | 2019-09-20 | Y |
Respond appropriately to all alleged violations. | Health | 2019-08-05 | 2019-09-20 | Y |
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2018-05-24 | 2018-07-27 | N |
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-05-24 | 2018-07-27 | 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 | 2018-05-24 | 2018-07-27 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-05-24 | 2018-07-27 | N |
Respond appropriately to all alleged violations. | Health | 2018-05-24 | 2018-07-27 | N |
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2018-05-24 | 2018-07-27 | N |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-05-24 | 2018-07-27 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-05-24 | 2018-07-27 | 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 | 2018-05-24 | 2018-07-27 | N |
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2018-05-24 | 2018-07-27 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-05-24 | 2018-07-27 | N |
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2018-05-24 | 2018-07-27 | N |
Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2018-05-24 | 2018-07-27 | 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 | 2018-05-24 | 2018-07-27 | 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 | 2018-05-24 | 2018-07-27 | N |
Ensure that residents are free from significant medication errors. | Health | 2018-05-24 | 2018-07-27 | 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 | 2018-05-24 | 2018-07-27 | 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 | 2018-05-24 | 2018-07-27 | N |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-05-24 | 2018-07-27 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-05-24 | 2018-07-27 | N |
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2018-05-24 | 2018-07-27 | N |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-05-24 | 2018-07-25 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-05-24 | 2018-06-16 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-05-24 | 2018-06-16 | N |
Meet other general requirements that are deficient. | Fire Safety | 2018-05-24 | 2018-06-16 | N |
Have an alternate power supply for its alarm system. | Fire Safety | 2017-02-16 | 2017-04-16 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-02-16 | 2017-04-16 | N |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-02-15 | 2017-04-15 | N |
Store, cook, and serve food in a safe and clean way. | Health | 2017-02-15 | 2017-04-15 | N |
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-02-15 | 2017-04-15 | N |
Provide and implement an infection prevention and control program. | Health | 2020-04-14 | Not Fixed | N |