Maple Grove Nursing & Rehab Center

In the surveyor’s words

From the most serious findings on record at Maple Grove Nursing & Rehab Center, in the surveyor’s own words.

• Actual harm, isolatedF584Oct 21, 2025

  Based on observations, resident interviews, staff interviews, clinical record review, and facility document review, the facility staff failed to provide a safe, clean, homelike environment for 1 of 3 sampled residents, Resident #1. This failure resulted in Resident #1 sustaining several injuries from a rodent, which required emergent treatment and constituted harm.The findings included: For Resident #1, the facility staff failed to provide a safe, clean, homelike environment that was free of a rodent in the resident's bed. A mouse was found to be in Resident #1's bed that resulted in compromised skin to the resident's left lower leg, resulting in being transferred to a higher level of care, antibiotics, tetanus vaccine, and rabies vaccinations. […]

• No harm, potential for more than minimal, patternF761Oct 17, 2024

  Based on observation, staff interview, and facility document review, the facility staff failed to ensure the safe and secure storage of medications and biologicals for 2 of 2 facility medication carts. The findings were: During a medication pass and pour observation on 10/16/24 at 8:03 AM, this surveyor observed Licensed Practical Nurse (LPN) # 1 leave the medication cart unattended with a vial of DuoNeb (ipratromium/albuterol liquid medication that is inhaled as a mist through a nebulizer machine). LPN # 1 left the cart on the A hall while they went to the medication room to look for another medication. […]

• No harm, potential for more than minimal, patternF814Oct 17, 2024

  Based on observation and staff interview, the facility staff failed to ensure proper disposal and/or containment of the facility's garbage/waste. The findings included: On 10/15/24 at 11:47 AM this surveyor employee # 1 made an observation of the facility's garbage disposal area located outside the facility but on the campus. There was one dumpster noted. All of the doors on the dumpster were shut. However, there was a large pile of debris beside the dumpster that included 5 computer screens and key boards, at least 5 wooden pallets, multiple wet, decorative [NAME] of hay, a case of outdated chicken noodle soup, two nightstands, multiple drinking straws, medication cups, drinking cups and surgical masks. […]

• No harm, potential for more than minimal, isolatedF607Oct 17, 2024

  Based on staff interview, employee record review, and facility document review, the facility staff failed to follow their policy/procedures for screening of new employees for 1 of 25 new employees, new employee #15. The findings included: The facility staff failed to follow their policy for screening of new employees. The facility staff failed to provide evidence of screening for new employee #15. New employee #15 was identified as the Medical Director and had a hire date of [DATE]. The Administrator provided the surveyor with a copy of their policy titled, Abuse, Neglect and Exploitation. This policy read in part, .Potential employees will be screened for a history of abuse, neglect, exploitation, or misappropriation of resident property. 1. […]

• No harm, potential for more than minimal, isolatedF641Oct 17, 2024

  Based on staff interview and clinical record review, the facility staff failed to ensure accurate Minimum Data Set (MDS) assessments for 3 of 20 residents, Residents #29, #57, and #4. The findings included: 1. For Resident #29, the facility staff failed to code the residents dialysis status on an annual MDS assessment. Resident #29's diagnoses included end stage renal disease and dependence on renal dialysis. Section C (cognitive patterns) of Resident #29's annual MDS assessment with an assessment reference date (ARD) of 08/08/24 included a brief interview for mental status (BIMS) score of 4 out of a possible 15 points. Per the MDS manual a score of 4=severe impairment in cognitive skills for daily decision making. […]