CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Complete Care at Maple Grove LLC
View the most recent health deficiencies and inspection results for Complete Care at Maple Grove LLC. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Complete Care at Maple Grove LLC. Stay informed about quality of care issues.
| 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 | 2025-07-29 | 2025-08-12 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2025-05-05 | 2025-06-24 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-05-05 | 2025-06-24 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2025-05-05 | 2025-06-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-05-05 | 2025-06-24 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2025-05-05 | 2025-06-24 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-05-05 | 2025-06-24 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-05-05 | 2025-06-24 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2025-05-05 | 2025-06-24 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-05-05 | 2025-06-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-05-05 | 2025-06-24 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2025-05-05 | 2025-06-24 | N |
| Construct fire resistant interior walls. | Fire Safety | 2025-05-05 | 2025-06-24 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-05-05 | 2025-06-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-05-05 | 2025-06-24 | 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 | 2025-05-05 | 2025-06-09 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-05-05 | 2025-06-09 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2025-05-05 | 2025-06-09 | 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 | 2025-05-05 | 2025-06-09 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2025-05-05 | 2025-06-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-05-05 | 2025-06-09 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2025-05-05 | 2025-06-09 | N |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2025-05-05 | 2025-06-09 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-05-05 | 2025-06-09 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-05-05 | 2025-06-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-05-05 | 2025-06-09 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2025-05-05 | 2025-06-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-05-05 | 2025-06-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-03-28 | 2025-04-26 | Y |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2025-03-28 | 2025-04-26 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-03-28 | 2025-04-26 | Y |
| 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 | 2024-11-11 | 2024-11-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-10-21 | 2024-11-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-11-11 | 2024-11-23 | Y |
| 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 | 2024-10-21 | 2024-11-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-09-12 | 2024-10-10 | Y |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2024-09-12 | 2024-10-10 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-06-27 | 2024-07-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-27 | 2024-07-19 | Y |
| Provide appropriate foot care. | Health | 2024-06-27 | 2024-07-19 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-06-27 | 2024-07-19 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-06-27 | 2024-07-19 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-06-27 | 2024-07-19 | 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 | 2024-06-27 | 2024-07-19 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-06-27 | 2024-07-19 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-05-02 | 2024-06-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-05-02 | 2024-05-29 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-05-02 | 2024-05-24 | N |
| Construct fire resistant interior walls. | Fire Safety | 2024-05-02 | 2024-05-24 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-05-02 | 2024-05-24 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-05-02 | 2024-05-24 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-05-02 | 2024-05-24 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-05-02 | 2024-05-24 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2024-05-02 | 2024-05-24 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2024-05-02 | 2024-05-24 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-05-02 | 2024-05-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-02 | 2024-05-24 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-05-02 | 2024-05-24 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2024-05-02 | 2024-05-24 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-05-02 | 2024-05-24 | Y |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-05-02 | 2024-05-24 | Y |
| Provide activities to meet all resident's needs. | Health | 2024-05-02 | 2024-05-24 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-02 | 2024-05-24 | Y |
| Post nurse staffing information every day. | Health | 2024-05-02 | 2024-05-24 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-05-02 | 2024-05-24 | Y |
| 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 | 2024-05-02 | 2024-05-24 | Y |
| Implement a program that monitors antibiotic use. | Health | 2024-05-02 | 2024-05-24 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-05-02 | 2024-05-24 | 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 | 2024-04-10 | 2024-05-08 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-04-10 | 2024-05-08 | 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 | 2024-04-10 | 2024-05-08 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-04-10 | 2024-05-08 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-04-10 | 2024-05-08 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-04-10 | 2024-05-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-08 | 2024-02-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-04 | 2024-02-16 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-01-08 | 2024-01-17 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-12-04 | 2023-12-22 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-12-04 | 2023-12-22 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-10-09 | 2023-11-02 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-10-09 | 2023-10-23 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-09 | 2023-10-23 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-02-27 | 2023-07-06 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2023-02-27 | 2023-04-27 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-02-27 | 2023-04-27 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-02-27 | 2023-04-27 | 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 | 2023-02-27 | 2023-03-27 | N |
| Dispose of garbage and refuse properly. | Health | 2023-02-27 | 2023-03-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-27 | 2023-03-27 | N |
| Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised. | Health | 2023-02-27 | 2023-03-27 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-02-27 | 2023-03-27 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-02-27 | 2023-03-27 | 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 | 2023-02-27 | 2023-03-27 | 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 | 2023-02-27 | 2023-03-27 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-02-27 | 2023-03-27 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-02-27 | 2023-03-27 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-02-27 | 2023-03-27 | N |
| Construct fire resistant interior walls. | Fire Safety | 2023-02-27 | 2023-03-27 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2023-02-27 | 2023-03-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-02-27 | 2023-03-27 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-02-27 | 2023-03-27 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-02-27 | 2023-03-27 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-02-27 | 2023-03-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-02-27 | 2023-03-27 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-02-27 | 2023-03-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-27 | 2023-03-27 | N |