Maple Healthcare

In the surveyor’s words

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

• Actual harm, patternF600Jun 5, 2025

  Based on observation, interview, record review, facility document review, and facility policy review, it was determined that facility failed to ensure residents were free from physical and psychosocial harm for 2 (Resident #5 and 23) of 3 residents reviewed for abuse. The findings include: A review of an admission Record indicted the facility admitted Resident #25 with a diagnosis of dementia with agitation and delirium. A review of a quarterly Minimum Data Set (MDS) with an Assessment Reference Date of 05/22/2025 revealed Resident #25 had a Brief Interview for Mental Status (BIMS) score of 3, which indicated severe cognitive impairment. […]

• No harm, potential for more than minimal, widespreadF812Mar 7, 2024

  Based on observation, record review and interview, the facility failed to ensure dietary staff washed their hands during meal preparation to decrease the potential for contaminating food items for residents who received meals from 1 of 1 kitchen. This failed practice had the potential to affect all 30 residents (Census: 30) as documented on a list provided by the Director of Nursing (DON) on 3/7/24. The findings are: 1. On 3/6/24 at 10:15 AM, Dietary Employee (DE) #1 prepared a few pans of pizza. DE #1 removed the gloves, picked up a resealable plastic bag and with the right hand, used a black permanent marker to write something on the bag. […]

• No harm, potential for more than minimal, widespreadF812Sep 10, 2021

  Based on observation, interview and record review the facility failed to ensure food items were tightly resealed after opening, and dietary equipment was maintained in a clean sanitary condition to prevent the potential for food borne illness. The findings are: 1. On 9/7/2021 at 9:46 a.m., the following observations were made in the kitchen: a. An opened 45 ounce bag of cornflakes and a 160 ounce bag of colored swirled pasta was not resealed. Dietary Employee #1 was asked how food should be stored after opening. She said, It should be in a zipped locked bag. b. A package containing 6 French Toast and a bag containing 4 pan cakes were in the side door of a white one door freezer near the kitchen's back door. Both bags contained clear translucent spots. […]

• No harm, potential for more than minimal, widespreadF885Jun 23, 2021

  Based on record review and interview, the facility failed to ensure the residents and/or their family were notified by 5 PM the next calendar day following the occurrence of a confirmed positive COVID-19 of two staff members in 1 of 1 facility. These failed practices had the potential to affect all 27 residents who resided in the facility according to the Daily Census provided by the Administrator on 6/21/21. The findings are: 1. On 06/21/21 at 01:09 pm, a copy of the Staff COVID Positive Log was received from the Director of Nursing (DON) and documented, CNA [Certified Nursing Assistant] #4 and CNA #5 tested positive for COVID-19 on 6/4/21. 2. […]

• No harm, potential for more than minimal, patternF554Mar 7, 2024

  Based on observation record review, and interview, the facility failed to ensure a resident was assessed and deemed safe for self-administration of medications for 1 (Resident #23) of 1 sampled resident whose medication was left at the bedside. The findings are: The Care Plan with a revision date of 01/24/24 did not address self-administration of medications. The March 2024 Physician Orders did not address self-administration of medications. The March 2024 Medication Administration Record revealed Resident #23 was to receive a nebulizer (updraft) treatment, diuretic, antidepressant, antibiotics, pain, steroid, heart and immunodeficiency medications each morning. […]