Maple Healthcare Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Mar 22, 2024

  Based on interview, and record review, the facility failed to ensure one of three sampled residents (Resident 5), who had no capacity to understand, had history of elopement (when the resident leaves the premises or a safe area without the facility's knowledge or supervision), and was at risk for wandering and elopement, received the care and supervision needed to prevent elopement by failing to: -Develop a person-centered, comprehensive care plan to include frequency of monitoring Resident 5's location through visual checks, per the At Risk of Elopement care plan. -Review Resident 5's elopement assessment form for accuracy, per the previous IJ removal plan approved on 2/29/2024. […]

• Immediate jeopardy, isolatedF689Feb 29, 2024

  Based on interview and record review, the facility failed to provide a safe environment and supervision for one sampled (Resident 4), who was at risk for elopement (leaving the facility without notice or permission, presenting an imminent threat to resident's health and safety), at risk for wandering (a person with loss of memory, thinking, or reasoning roams around and becomes lost or confused about their location), and had diagnoses of schizophrenia (a mental illness that cause disturbed or unusual interest in life, and strong or inappropriate emotions; usually involves delusions [false beliefs], hallucinations [seeing or hearing things that don't exist]), and psychosis (a person loses contact with reality), to address Resident 1's history of elopement. […]

• Actual harm, isolatedF600Jun 23, 2025

  Based on observation, interview, and record review, the facility failed to ensure one of three sampled residents (Resident 1) who had a diagnosis of dementia (a progressive state of decline in mental abilities) was free from physical abuse (any intentional act causing injury or trauma to another person through bodily contact) and verbal abuse (abuse that involves the use of oral or written language directed to a victim, can include the act of harassing, labeling, insulting, scolding, rebuking, or excessive yelling towards an individual) by failing to: Ensure the facility's Security Guard (Sec 1) did not curse (using words in a negative or aggressive way to express anger, disrespect, or to cause distress) at Resident 1 and did not hit Resident 1 on the back of the head with an open hand on… […]

• Actual harm, isolatedF600Jul 11, 2024

  Based on interview and record review, the facility failed to protect the resident's right to be free from abuse (deliberate, aggressive, or violent behavior with the intention to cause harm) for two of three sampled residents (Resident 5 and Resident 35). The facility failed to: -Ensure Resident 5 was free from physical abuse and was not struck in the face by Resident 206 with an open hand on 6/23/2024. -Prevent Resident 206 from splashing coffee onto Resident 35 on 6/3/2024, when Resident 206 had an aggressive behavior, was angry and upset. and splashed coffee onto another resident (Resident 35). These deficient practices resulted in Resident 5 and Resident 35 being subjected to abuse and psychosocial (mental health) harm by Resident 206, while under the care of the facility. […]

• Actual harm, isolatedF684May 9, 2024

  Based on interview and record review the facility failed to follow the physician order for one of two sample residents, Resident 1. The facility failed to carry out the physician order and transcribe the itraconazole (medication used to treat histoplasmosis (infection of the lungs caused by fungus [disease caused by mold] 200 milligrams (mg., unit of measurement) two times a day orally. On 3/19/24, the facility received an order from Resident 1 ' s general acute hospital (GACH 1) infectious disease physician (ID, medical doctor that specialized in in infectious diseases) to administer Resident 1 itraconazole 200 milligrams (mg., unit of measurement) orally three times a day for three days and followed by itraconazole 200 mg. orally two times a day. […]