Maple Grove Senior Living LLC

In the surveyor’s words

From the most serious findings on record at Maple Grove Senior Living LLC, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF880Jan 15, 2026

  Based on observation, interview, and record review, it was determined the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent and control the development and transmission of communicable diseases and to implement interventions to protect facility residents. The deficient practice had the potential to affect the entire facility census of 68.Observations during initial tour on 01/13/2026 revealed no isolation signage or signage indicating Enhanced Barrier Precautions at the entrance or on the door for rooms 402-A, 407-A, or 433-A. […]

• No harm, potential for more than minimal, widespreadF812Aug 1, 2024

  Based on observation, staff interview, and facility policy review, it was determined the facility failed to ensure kitchen staff properly used beard guards to restrain hair while in a food prep area of the kitchen; clean pans were air dried prior to storage; and fans used in the dishwashing area of the kitchen were free of dust/contaminants. These failures had the potential to increase the risk of foodborne illness and had the potential to affect 70 of 72 residents (two residents received nutrition exclusively via tube feedings) in the facility who received dietary services. The findings include: 1. […]

• No harm, potential for more than minimal, patternF883Aug 1, 2024

  Based on record review, interview, and policy review, it was determined the facility failed to have documentation of pneumococcal vaccines being offered and/or given for three of five residents (Resident (R) 3, R13, and R27) reviewed for immunizations out of a total sample of 21 residents. This failure of not being able to provide documentation increased the risk of infection against pneumonia. The findings include: Review of facility policy, Pneumococcal Vaccine, dated 03/2024 revealed Policy Statement: All residents will be offered pneumococcal vaccines to aid in preventing pneumococcal infections. Staff will be offered pneumococcal vaccine upon hire and ongoing as indicated by the CDC [Centers for Disease Control and Prevention] guidelines. Policy Interpretation and Implementation: 1. […]

• No harm, potential for more than minimal, isolatedF609Jan 15, 2026

  The facility failed to ensure that all alleged violations involving abuse, neglect, exploitation or mistreatment were reported immediately, but not later than 2 hours after the allegation was made for 1 of 1 resident files investigated for abuse, Resident 16. On 01/09/2026, Resident (R)16 alleged to Certified Nurse Aide (CNA)6 and Licensed Practical Nurse (LPN)2 that she had been raped by an unidentified man. CNA6 and LPN2 failed to report the allegation to administration and the allegation was not reported to the State Survey Agency until 01/12/2026.The findings include:Review of facility policy titled Abuse Prevention Program, dated 12/2016, revealed the facility required staff training and orientation which included abuse prevention, identification, and reporting. […]

• No harm, potential for more than minimal, isolatedF880Aug 1, 2024

  Based on observation, staff interview, record review and policy review, it was determined the facility failed to observe infection control guidelines during a wound care dressing change for one of 21 sampled residents (Resident (R) 64) and during tracheostomy care for one of one facility residents (R3) with a tracheostomy. These failures had the potential to spread infections and/or cause the residents to potentially take antibiotics for infections that could have been prevented. The findings include: 1. […]