A list of the most recent deficiencies for Maple Lane Nursing Home. 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? |
|---|---|---|---|---|
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-06-19 | 2023-07-04 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-06-19 | 2023-07-04 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-05-01 | 2023-06-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-01 | 2023-06-15 | Y |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2023-05-01 | 2023-06-15 | Y |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2023-05-01 | 2023-06-15 | Y |
| Provide behavior health training consistent with the requirements and as determined by a facility assessment. | Health | 2023-05-01 | 2023-06-15 | Y |
| 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 | 2023-02-01 | 2023-04-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-01 | 2023-04-03 | 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 | 2023-02-01 | 2023-04-03 | 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 | 2023-02-01 | 2023-04-03 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-02-01 | 2023-04-03 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-02-01 | 2023-04-03 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-12-13 | 2022-12-19 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2022-12-13 | 2022-12-19 | 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 | 2022-01-18 | 2022-02-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-01-18 | 2022-02-05 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2022-01-18 | 2022-02-05 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2022-01-18 | 2022-02-05 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-12-08 | 2022-01-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-12-08 | 2022-01-07 | 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 | 2021-12-08 | 2022-01-07 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-12-08 | 2022-01-07 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-12-08 | 2022-01-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-08 | 2021-12-08 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-01-31 | Not Fixed | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-01-31 | Not Fixed | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-31 | Not Fixed | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-01-31 | Not Fixed | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2024-01-31 | Not Fixed | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-01-31 | Not Fixed | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2024-01-31 | Not Fixed | N |
| Provide and implement an infection prevention and control program. | Health | 2024-01-31 | Not Fixed | N |
