Maple Crest Health Center

In the surveyor’s words

From the most serious findings on record at Maple Crest Health Center, in the surveyor’s own words.

• Actual harm, isolatedF686Jul 7, 2026

  Licensure Reference Number 175 NAC 12-006.09(H)(iii)(1) and 12-006.09(H)(iii)(2). Based on observation, interview and record review the facility failed to implement and monitor interventions to prevent the development of pressure ulcers and to promote wound healing for 3 (Resident 1,2 and 3) of 4 residents sampled. The facility census was 150. The findings are:A.Record review of the facility's policy titled Pressure Injury Prevention Guidelines revealed it is the policy of the facility to prevent the formation of avoidable pressure injuries and to promote healing of existing pressure injuries, it is the policy of this facility to implement evidence-based interventions for all residents who are assessed at risk or who have a pressure injury present. […]

• Actual harm, isolatedF692Apr 18, 2022

  LICENSURE REFERENCE NUMBER 175 NAC 12-006.09D8b Based on record review, observation and interview; the facility failed to implement interventions to prevent weight loss for 2 (Resident 66 and 125) of 7 sampled residents and failed to ensure water was available for 1 (Resident 141) of 2 sampled residents. The facility staff identified a census of 144. The findings are: A. Record review of the MDS (Minimum Data Set: a federally mandated assessment tool used for care planning) dated 2/21/22 for Resident 66 revealed a weight of 188 pounds and no weight loss was coded. […]

• Actual harm, isolatedF689Aug 11, 2021

  Licensure Reference Number 175 NAC ,d+[DATE].09D7 Based on observation, record review and interview; the facility failed to ensure supervision in the dining room to provide emergency services for a resident that was coughing and/or choking while eating for 1 resident (Resident 1). The facility census was 134. Findings are: Observations on [DATE] at 6:00 PM on the secured unit revealed 1 nurse and 2 NA's (nurse aide) were in the dining area with 10 residents eating in the area. Several residents exhibited wandering during meal and after the meal requiring the nurse to assist them leaving 2 NA to supervise the remaining residents. Interview on [DATE] at 6:10 PM with NA A revealed the residents can have wandering behaviors during and after the meal. […]

• No harm, potential for more than minimal, widespreadF732Sep 3, 2025

  No Licensure Reference Number Based on observation, record review and interview, the facility failed to ensure that the posted nurse staffing information contained the required information related to the total number of hours worked per discipline. This had the potential to affect all residents that resided in the facility. The facility census was 143. The findings are: Record review of a facility policy entitled Facility Posted Nurse Staffing dated 7/24 revealed the following information.Policy Explanation and Compliance Guidelines:1. The Nurse Staffing Sheet will be posted on a daily basis and will contain the following information:a. Facility nameb. The current datec. Facility's current resident censusd. […]

• No harm, potential for more than minimal, widespreadF812Sep 3, 2025

  LICENSURE REFERENCE NUMBER 175 NAC 12-006.11E Based on observation, record review and interview; the facility staff 1) failed to utilize hand-washing and gloving techniques to prevent potential food contamination during food preparation and meal service and 2) store foods in a manner to prevent potential food borne illness. This practice had the potential to affect all residents in the facility who ate meals from the kitchen. The facility also failed to monitor refrigerator temperatures daily on resident personal refrigerators. This had the potential to affect all residents that used the unit refrigerator on [NAME] and [NAME] Units. The facility census was 143.Findings are: A. […]