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Deficiency Records for Maplewood Center
View the most recent health deficiencies and inspection results for Maplewood Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Maplewood Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Post nurse staffing information every day. | Health | 2025-07-09 | 2025-08-06 | Y |
| Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. | Health | 2025-05-01 | 2025-05-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-05-01 | 2025-05-30 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2025-05-01 | 2025-05-30 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-05-01 | 2025-05-30 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2025-05-01 | 2025-05-30 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-05-01 | 2025-05-30 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2025-05-01 | 2025-05-30 | 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 | 2025-05-01 | 2025-05-30 | 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 | 2025-05-01 | 2025-05-30 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2025-05-01 | 2025-05-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-05-01 | 2025-05-30 | N |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2025-05-01 | 2025-05-30 | N |
| Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | Health | 2025-05-01 | 2025-05-30 | N |
| Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | Health | 2025-05-01 | 2025-05-30 | N |
| Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | Health | 2025-05-01 | 2025-05-30 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2025-05-01 | 2025-05-30 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2025-05-01 | 2025-05-30 | N |
| Provide behavior health training consistent with the requirements and as determined by a facility assessment. | Health | 2025-05-01 | 2025-05-30 | 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 | 2025-05-01 | 2025-05-30 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2025-05-01 | 2025-05-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-05-01 | 2025-05-30 | 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 | 2025-05-01 | 2025-05-30 | Y |
| 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 | 2025-05-01 | 2025-05-30 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-05-01 | 2025-05-30 | Y |
| 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 | 2025-05-01 | 2025-05-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-05-01 | 2025-05-30 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-05-01 | 2025-05-30 | Y |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2025-05-01 | 2025-05-29 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2025-05-01 | 2025-05-29 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-05-01 | 2025-05-23 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2025-05-01 | 2025-05-22 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2025-05-01 | 2025-05-22 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2025-05-01 | 2025-05-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-05-01 | 2025-05-20 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-05-01 | 2025-04-30 | N |
| Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction. | Fire Safety | 2025-05-01 | 2025-04-30 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2025-05-01 | 2025-04-29 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2025-05-01 | 2025-04-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-05-01 | 2025-04-24 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-05-01 | 2025-04-24 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2025-05-01 | 2025-04-24 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2025-02-13 | 2025-03-05 | Y |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2025-02-13 | 2025-03-05 | Y |
| Protect a residents' right to refuse some types of non-requested transfers within the nursing home. | Health | 2025-02-13 | 2025-03-05 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-02-13 | 2025-03-05 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2025-02-13 | 2025-03-05 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-02-13 | 2025-03-05 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-02-13 | 2025-03-05 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-02-13 | 2025-03-05 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-11-12 | 2024-12-10 | Y |
| 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 | 2024-11-12 | 2024-12-10 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-11-12 | 2024-12-10 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-11-12 | 2024-12-10 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-11-12 | 2024-12-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-11-12 | 2024-12-10 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-11-12 | 2024-12-10 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-11-12 | 2024-12-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-11-12 | 2024-12-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-05-29 | 2024-06-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-29 | 2024-06-29 | Y |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-05-29 | 2024-06-29 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-04-04 | 2024-05-04 | 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 | 2024-04-04 | 2024-05-04 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-04-04 | 2024-05-04 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-04-04 | 2024-05-04 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-04-04 | 2024-05-04 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-04-04 | 2024-05-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-04 | 2024-05-04 | 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 | 2024-04-04 | 2024-05-04 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-04-04 | 2024-05-02 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-04-04 | 2024-04-23 | 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 | 2024-04-04 | 2024-04-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-04-04 | 2024-04-22 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2024-04-04 | 2024-04-22 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-04-04 | 2024-04-22 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-04-04 | 2024-04-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-04-04 | 2024-04-22 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-04-04 | 2024-04-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-04 | 2024-04-22 | 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 | 2024-04-04 | 2024-04-22 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-01-13 | 2024-02-09 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-01-13 | 2024-02-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-13 | 2024-02-09 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-01-13 | 2024-02-09 | Y |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2023-10-12 | 2023-11-10 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-10-12 | 2023-11-10 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-10-12 | 2023-11-10 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-12 | 2023-11-10 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-10-12 | 2023-11-10 | Y |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-10-12 | 2023-11-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-12 | 2023-11-10 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-28 | 2023-03-07 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-12-28 | 2023-03-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-28 | 2023-03-07 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-12-28 | 2023-03-07 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-12-28 | 2023-02-07 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-12-28 | 2023-02-07 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2022-12-28 | 2023-02-07 | 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 | 2022-12-28 | 2023-02-07 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-12-28 | 2023-02-07 | 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 | 2022-12-28 | 2023-02-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-28 | 2023-02-07 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-12-28 | 2023-02-07 | 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 | 2022-12-28 | 2023-02-07 | N |
| Install proper backup exit lighting. | Fire Safety | 2022-12-28 | 2023-01-20 | 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 | 2022-12-28 | 2023-01-20 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-12-28 | 2023-01-20 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-12-28 | 2023-01-20 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-12-28 | 2023-01-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-12-28 | 2023-01-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-12-28 | 2023-01-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-28 | 2023-01-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-12-28 | 2023-01-20 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2022-12-28 | 2023-01-20 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2022-12-28 | 2023-01-20 | N |