Alliance Health at Maples

In the surveyor’s words

From the most serious findings on record at Alliance Health at Maples, in the surveyor’s own words.

• Actual harm, isolatedF689Jul 17, 2024

  Based on record review and interview, the facility failed to ensure staff provided adequate supervision to one Resident (#77), out of a total sample of 26 residents, who was identified as a high fall risk and received anticoagulant medication (medication that prevents blood from clotting). Specifically, the facility failed to ensure staff provided adequate supervision and/or implemented adequate interventions in an effort to prevent five falls in one month, one of which resulted in the Resident being transferred to the hospital emergency department for evaluation, and he/she was diagnosed with a subarachnoid hemorrhage (bleeding in the space between the brain and the tissue covering the brain). […]

• No harm, potential for more than minimal, widespreadF838Sep 8, 2025

  Based on document review and interview, the facility failed to solicit and consider input received from direct care staff, residents, resident representatives, and family members when conducting the facility assessment. Findings include:Review of the Centers for Medicare and Medicaid Services (CMS) guidance, titled Revised Guidance for Long-Term Care Facility Assessment Requirements, dated 6/18/24, indicated but was not limited to the following:-In conducting the facility assessment, the facility must ensure active involvement of the following participants in the process:a. Nursing home leadership and management, including but not limited to, a member of the governing body, the medical director, an administrator, and the director of nursing; andb. […]

• No harm, potential for more than minimal, patternF761Sep 8, 2025

  Based on observation, interview, and document review, the facility failed to ensure all drugs and biologicals used in the facility were stored in a safe and secure manner as required for two Residents (#9 and #121), from a sample of 27 residents. Specifically, the facility failed to ensure:1. For Resident #9, that prescribed topical wound treatment supplies were not left unsecured and unattended at the Resident's bedside; and2. For Resident #121, that antifungal powder was not left unsecured and unattended at a resident's bedside.Findings include:Review of the facility's policy titled Storage of Medications, last revised 2024, indicated but was not limited to:-Medications and biologicals are stored safely, securely, and properly.-The medication supply is accessible only to licensed nursing… […]

• No harm, potential for more than minimal, patternF880Sep 8, 2025

  Based on observation, interview, and record review, the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and potential transmission of communicable diseases and infections. Specifically, the facility failed to ensure:1. For Resident #9, who has a stage 4 pressure ulcer (Full thickness tissue loss with exposed bone, tendon, or muscle), that staff implemented Enhanced Barrier Precautions (EBP-an infection control intervention designed to reduce transmission of multidrug-resistant organisms that employs targeted gown and glove use during high contact resident care activities); and2. Surveillance documents in use by the facility, were complete and accurate each month. […]

• No harm, potential for more than minimal, patternF880Mar 21, 2023

  Based on observations, interviews, and policy review, the facility failed to establish and maintain an infection prevention and control program to help prevent the development and potential transmission of communicable diseases and infections in the facility. Specifically, the facility failed to: 1. Ensure that healthcare personnel performed hand hygiene following the self-collection of a nasal swab sample to rule out COVID-19; 2. Ensure that healthcare personnel donned (put on) the appropriate personal protective equipment (PPE) prior to entering a precaution room as indicated by posted signs outside of the resident's room; and 3. […]