A list of the most recent deficiencies for Maple Ridge Care Center. 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? |
|---|---|---|---|---|
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-04-12 | 2023-05-11 | 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 | 2023-04-12 | 2023-05-11 | N |
| Provide activities to meet all resident's needs. | Health | 2023-04-12 | 2023-05-11 | 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 | 2023-04-12 | 2023-05-11 | 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 | 2023-04-12 | 2023-05-11 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-04-12 | 2023-05-11 | 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 | 2023-04-12 | 2023-05-11 | 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 | 2023-04-12 | 2023-05-11 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-04-12 | 2023-05-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-04-12 | 2023-05-11 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-04-12 | 2023-05-11 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2023-04-12 | 2023-05-11 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2023-04-12 | 2023-05-11 | 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 | 2023-04-11 | 2023-05-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-11 | 2023-05-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-04-11 | 2023-05-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-04-11 | 2023-05-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-04-11 | 2023-05-11 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-04-11 | 2023-05-11 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-01-11 | 2023-01-25 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-09-28 | 2022-10-19 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-06-22 | 2022-07-20 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-02-02 | 2022-03-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-02-02 | 2022-03-10 | 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 | 2022-02-04 | 2022-03-10 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-02-04 | 2022-03-10 | 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 | 2022-02-04 | 2022-03-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-02-04 | 2022-03-10 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-02-04 | 2022-03-10 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2022-02-04 | 2022-03-10 | N |
| Have exits that are accessible at all times. | Fire Safety | 2020-03-03 | 2020-06-30 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2020-03-04 | 2020-04-30 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-03-04 | 2020-04-30 | N |
| Assess the resident when there is a significant change in condition | Health | 2020-03-04 | 2020-04-30 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-03-04 | 2020-04-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-03-04 | 2020-04-30 | 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 | 2020-03-04 | 2020-04-30 | 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 | 2020-03-04 | 2020-04-30 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2020-03-04 | 2020-04-30 | 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 | 2020-03-04 | 2020-04-30 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-03-04 | 2020-04-30 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2020-03-03 | 2020-04-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-03-03 | 2020-04-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-03-03 | 2020-04-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-03-03 | 2020-04-30 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2020-03-03 | 2020-04-30 | N |
