Haven Homes of Maple Plain

In the surveyor’s words

From the most serious findings on record at Haven Homes of Maple Plain, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jul 29, 2021

  Based on observation, interview and document review, the facility failed to ensure stainless steel pans used for the steam table and food storage were dried prior to storage. This had the potential to affect all 46 residents who were served from the dietary department. Findings include: During a follow-up tour of the kitchen on 7/26/21, at 4:22 p.m. executive chef (EC) lifted three different stainless-steel pans that were stacked on top of each other and confirmed that the pans were wet. In addition, EC continued to separate two larger stainless-steel pans and another medium sized pan and confirmed those were wet as well. On 7/26/21, at approximately 4:22 p.m. EC states technically we [dietary staff] dry them on the rack and place them on the empty tray. […]

• No harm, potential for more than minimal, patternF883Jun 22, 2023

  Based on interview and document review, the facility failed to ensure 4 of 5 residents (R6, R17, R24, and R35) were offered or received the pneumococcal vaccine (PCV20) in accordance with the Center for Disease Control (CDC) recommendations. Findings include: The CDC's PneumoRecs VaxAdvisor identified: -based on shared clinical decision-making, decide whether to administer one dose of PCV20 at least 5 years after the last pneumococcal vaccine dose. Regardless of whether PCV20 is administered, their pneumococcal vaccinations are complete. […]

• No harm, potential for more than minimal, isolatedF657Jul 24, 2025

  Based on interview and document review, the facility failed to complete quarterly care conferences for 1 of 1 residents (R17) reviewed for care conferences. R17's annual minimum data set (MDS) dated [DATE], included R17 was cognitively intact and had diagnoses of cerebral palsy (a disorder that affects movement, muscle tone and posture) and anxiety disorder. R17's last completed care conference summary assessment was dated 11/25/24 and included R17 and family were in attendance. During interview on 7/21/25 at 6:17 p.m., R17 stated she did not remember having a care conference in March or June and that she could not remember the last time she had one. […]

• No harm, potential for more than minimal, isolatedF880Jul 24, 2025

  Based on observation, interview and document review, the facility failed to complete proper hand hygiene for 1 of 5 residents (R66) reviewed for wound care of a pressure ulcer.R66's current wound care order dated 5/22/24, included to remove old dressing and packing, cleanse wound bed by irrigating with saline wound wash, cut alginate AG (an absorbate dressing with silver) into 1/4 inch ribbon and loosely pack wound including any undermining (the edge of the wound separates from the surrounding tissue creating a pocket), and cover with a bordered dressing. The dressing was ordered to be changed daily on the evening shift. During wound care observation on 7/22/25 at 3:45 p.m., registered nurse (RN)-B washed hands with soap and water prior to starting wound care and gathered supplies. […]

• No harm, potential for more than minimal, isolatedF550Aug 4, 2023

  Based on interview and document review, the facility failed to ensure dignity was maintained for 1 of 1 resident (R1) who had fallen asleep at a table in the common dining room. R1's quarterly Minimum Data Set (MDS) dated [DATE] indicated R1 had intact cognition with minimal difficulty hearing with hearing devices. R1's Face Sheet indicated R1 had diagnoses of vascular dementia and bilateral hearing loss. R1's care plan dated 7/21/23 indicated R1 had minimal difficulty hearing, utilized a right cochlear implant and left hearing aid with an intervention to speak slow and with a loud voice for resident to hear. On 8/4/23 at 11:40 p.m., R2 stated while sitting at the same table, he witnessed a staff person put a wrapped straw near R1's ear. […]