A list of the most recent deficiencies for Maple Ridge Health Services. 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? |
|---|---|---|---|---|
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-21 | 2024-01-10 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-08-28 | 2023-09-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-08-28 | 2023-09-28 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-06-28 | 2023-07-19 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-06-28 | 2023-07-19 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-06-28 | 2023-07-19 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-06-28 | 2023-07-19 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-06-28 | 2023-07-19 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2022-10-03 | 2022-11-01 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2022-10-03 | 2022-11-01 | 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 | 2022-10-03 | 2022-11-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-03 | 2022-11-01 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-10-03 | 2022-11-01 | N |
| Provide appropriate foot care. | Health | 2022-10-03 | 2022-11-01 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2022-10-03 | 2022-11-01 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2022-10-03 | 2022-11-01 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-10-03 | 2022-11-01 | 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 | 2022-10-03 | 2022-11-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-03 | 2022-11-01 | Y |
| 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 | 2022-10-03 | 2022-11-01 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-10-03 | 2022-11-01 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-10-03 | 2022-11-01 | 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 | 2022-09-15 | 2022-11-01 | N |
| Install resident room doors of proper design and width. | Fire Safety | 2022-09-15 | 2022-11-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-09-15 | 2022-11-01 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-09-15 | 2022-11-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-09-15 | 2022-11-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-15 | 2022-11-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-09-15 | 2022-11-01 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-09-15 | 2022-11-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-09-15 | 2022-11-01 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2021-12-21 | 2022-01-19 | 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 | 2021-06-18 | 2021-07-20 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-06-18 | 2021-07-20 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-06-18 | 2021-07-20 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2021-06-18 | 2021-07-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-18 | 2021-07-20 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-06-18 | 2021-07-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-06-18 | 2021-07-20 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-06-18 | 2021-07-20 | Y |
| 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 | 2021-06-18 | 2021-07-20 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-06-09 | 2021-07-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-09 | 2021-07-17 | N |
| Install properly constructed windows in hallway walls or doors. | Fire Safety | 2021-06-09 | 2021-07-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-06-09 | 2021-07-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-06-09 | 2021-07-17 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2021-06-09 | 2021-07-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-06-09 | 2021-07-17 | 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 | 2021-06-09 | 2021-07-15 | N |
| Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting. | Health | 2021-04-21 | 2021-05-07 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-21 | 2021-05-07 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-04-21 | 2021-05-07 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-04-04 | 2019-05-04 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2019-04-04 | 2019-05-04 | N |
| Provide activities to meet all resident's needs. | Health | 2019-04-04 | 2019-05-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-04-04 | 2019-05-04 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-04-04 | 2019-05-04 | 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 | 2019-04-04 | 2019-05-04 | 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 | 2019-04-04 | 2019-05-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-04-02 | 2019-05-04 | N |
