Maple Healthcare and Rehab

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Jul 14, 2021

  Based on observation, interview, and record review, it was determined the facility failed to: ~ Ensure the dish machine reached the proper temperature/chemical sanitation level for one of one dish machines observed; ~ Ensure opened food products were labeled/dated and properly stored for two of two refrigerators and one of three freezers observed; and ~ Ensure food temperatures were obtained before serving to ensure proper holding temperature for one (noon meal) of one meals observed. The facility identified eight residents who received nourishment from the kitchen. Findings: 1. On 07/06/21 at 10:39 a.m., dietary aide #1 was asked if she would test the sanitation on the dish machine. […]

• No harm, potential for more than minimal, patternF578Jan 2, 2025

  Based on record review and interview, the facility failed to ensure residents were educated and offered the opportunity to create advance directive for two (#21 and #23) of 17 sampled residents reviewed for advance directives. A Detail Census Report, dated 12/30/24, documented 24 residents resided at the facility. Findings: 1. Resident #21 was admitted to the facility on [DATE]. A review of Resident #21's electronic health records found no advance directive. 2. Resident #23 was admitted to the facility on [DATE]. A review of Resident #23's electronic health records found no advance directive. On 12/30/24 at 12:00 p.m., Resident #23's representative stated they did not recall talking to the facility staff about advance directives. […]

• No harm, potential for more than minimal, patternF656Jan 2, 2025

  Based on record review and interview, the facility failed to ensure a comprehensive care plan was developed for one (#26) of 17 sampled residents whose care plans were reviewed. The DON reported the census was 24. Findings: Resident #26 had diagnoses which included parkinsonism and hypertension. A verbal order form, dated 09/11/24, documented resident #26 was admitted hospice on 09/11/24. Resident #26's care plan was reviewed and the care plan did not incorporate hospice services into the plan of care. On 12/31/24 at 10:11 a.m., the corporate nurse stated hospice services should have been included on the care plan.

• No harm, potential for more than minimal, patternF812Jan 2, 2025

  Based on observation, record review, and interview, the facility failed to store and prepare food in accordance with professional standards for food service safety. The DON reported 24 residents receive meals from the kitchen. Findings: An undated facility policy titled food Safety Requirements, read in parts, Dry food storage- keep foods/beverages in a clean dry area off the floor .Holding- staff shall monitor food temperature while holding for delivery to ensure proper hot and cold holding temperatures are maintained .All equipment used in the handling of food shall be cleaned and sanitized, and handled in a manner to prevent contamination. An initial tour of the kitchen was conducted on 12/30/24 at 8:13 a.m. The following observations were made: a. […]

• No harm, potential for more than minimal, patternF880Jan 2, 2025

  Based on observation and interview, the facility failed to implement an enhanced barrier precaution policy to prevent the spread of MRDO's in the facility. The DON reported the census in the facility was 24. Findings: On 12/30/24 at 8:45 a.m., a tour of the facility was conducted. No signage was noted indicating enhanced barrier precautions were in place to protect at risk residents. On 01/02/25 at 10:26 a.m., CNA #1 stated the facility did not use EBP. On 01/02/25 at 10:28 a.m., CNA #2 stated they were not familiar with EBP. On 01/02/25 at 10:31 a.m., LPN #1 stated to their knowledge the facility was not using EBP. On 01/02/25 at 10:35 a.m., the DON stated they are currently not using EBP. ' ' ' ''''''''''''''''''''''''''''''''''''