Deficiency Records for Maple Ridge Rehabilitation and Nursing
Updated as of March 01, 2024
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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-13 | 2023-10-20 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-09-13 | 2023-10-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-09-12 | 2023-10-17 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-09-12 | 2023-10-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-09-12 | 2023-10-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-09-12 | 2023-10-03 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-11-15 | 2022-01-14 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-11-15 | 2022-01-14 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2021-11-15 | 2022-01-14 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-11-15 | 2022-01-14 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-11-15 | 2022-01-14 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2021-11-15 | 2022-01-14 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2021-11-15 | 2022-01-14 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2021-11-15 | 2022-01-14 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-11-15 | 2022-01-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-11-15 | 2022-01-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-15 | 2022-01-14 | N |
| 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 | 2021-11-15 | 2022-01-14 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2021-11-15 | 2022-01-14 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-11-15 | 2022-01-14 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-11-15 | 2022-01-14 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-11-15 | 2022-01-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-11-10 | 2022-01-04 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-11-10 | 2021-11-30 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-11-10 | 2021-11-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-06-28 | 2021-08-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-06-28 | 2021-08-20 | Y |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2021-06-28 | 2021-08-20 | Y |
| 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 |
| 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 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-08-05 | 2019-09-20 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-08-05 | 2019-09-20 | N |
| Respond appropriately to all alleged violations. | 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 |
| 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 |
