Maefair Center for Health & Rehabilitation

In the surveyor’s words

From the most serious findings on record at Maefair Center for Health & Rehabilitation, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Mar 19, 2025

  Based on clinical record reviews, facility documentation, facility policies and interviews for one (1) of three (3) sampled residents (Resident #1) who had a history of wandering throughout the facility and self-propelled in a wheelchair, the facility failed to ensure the resident was accounted for after an alarmed door was triggered. The findings include: Resident #1's diagnoses included dementia, anxiety, and depression. The quarterly Minimum Data Set assessment dated [DATE] identified Resident #1 had a Brief Interview for Mental Status (BIMS) score of three (3) indicating short and long-term memory recall deficits, was dependent on staff for transfers and utilized a wheelchair for mobilization. […]

• Immediate jeopardy, isolatedF689Oct 7, 2024

  Based on observation, clinical record reviews, facility documentation, facility policies, and interviews for one (1) of three (3) sampled residents (Resident #1) reviewed for elopement, the facility failed to provide adequate supervision to prevent the resident from exiting through a door that was ajar during a recreation activity. Resident #1 was observed outside in the parking lot by another resident. The failures resulted in a finding of Immediate Jeopardy. The finding includes: Resident #1's diagnoses included Alzheimer's disease, dementia, major depressive disorder, and anxiety disorder. The Elopement Evaluation performed on 7/6/24 identified a score of three (3) indicating Resident #1 was at risk for wandering and elopement. […]

• Actual harm, isolatedF686Nov 17, 2021

  Based on review of the clinical record, facility documentation, facility policy, and interviews for 1 of 3 residents (Resident #1) reviewed for pressure ulcer, the facility failed to ensure the deterioration of a pressure ulcer was noted timely and/or a new treatment was implemented timely. The findings include: Resident #1's was admitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . The admission MDS assessment dated [DATE] identified Resident #1 had severe impairment in cognition, required extensive assistance with bed mobility, dressing, eating and hygiene, required total assistance with transfers and toileting, was at risk for developing pressure ulcers and had no pressure ulcers. […]

• No harm, potential for more than minimal, patternF684Jul 27, 2023

  Based on review of the clinical record and interviews for 1 of 5 sampled residents (Resident #9) reviewed for unnecessary medications, and 1 sampled resident (Resident #220) reviewed for podiatry services, the facility failed to obtain laboratory results in a timely manner and failed to ensure the resident was seen and provided necessary podiatry care in a timely manner. The findings include: 1. Resident #9 diagnoses included schizoaffective disorder, anxiety, and fracture of the right femur. The quarterly Minimum Data Set assessment dated [DATE] identified Resident #9 was severely cognitively impaired, and required extensive assist for bed mobility, dressing, toileting, personal hygiene. The Resident Care Plan dated 6/14/2023 identified Resident #9 had a psychiatric disorder. […]

• No harm, potential for more than minimal, patternF684Jul 1, 2021

  Based on observations, review of the clinical record, and staff interviews for 1 of 5 sampled residents (Resident #62) reviewed for unnecessary medication, the facility failed to ensure blood glucose monitoring was renewed upon Resident #62's re-admission, and for 2 sampled residents (Resident #76 and Resident #102) reviewed for skin conditions, the facility failed to ensure a Registered Nurse assess a skin condition and failed to ensure that a Wound Physician's recommendation was responded to by Resident #102's physician/APRN. The findings included: 1. Resident #62's diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]