Maple Hills Skilled Nursing & Rehabilitation

In the surveyor’s words

From the most serious findings on record at Maple Hills Skilled Nursing & Rehabilitation, in the surveyor’s own words.

• Actual harm, isolatedF740Dec 21, 2021

  Based on observation, record review, resident and staff interview, the facility failed to ensure a resident, who was displaying signs of a depressed mood, received an antidepressant as ordered by the physician. This affected one (Resident #78) of two residents reviewed for mood and behaviors. Actual harm occurred to Resident #78 when the facility failed to administer ordered antidepressant medication and antianxiety medication resulting in the resident expressing thoughts of being depressed, sleeping for extended periods of time, and being tearful when being conversed with. Findings include: A review of Resident #78's medical record revealed she was admitted to the facility on [DATE]. Her diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, widespreadF725Apr 2, 2025

  Based on observation, record review, staff interviews, resident interviews, Ombudsman electronic communication, and policy review, the facility failed to provide sufficient staff to meet residents' needs. This affected three residents (#24, #28, and #30) of three residents reviewed for personal care needs and had the potential to affect all 33 of 33 residents in the facility. Findings include: 1. Record review revealed Resident #30 was admitted to the facility on [DATE] with diagnoses including unspecified dementia and hypertension. Review of a nursing note dated 03/13/25 at 4:32 P.M. by Director of Nursing (DON) revealed she was made aware Resident #30 was outside, when she went outside to check, the first floor nurse was with Resident #30. […]

• No harm, potential for more than minimal, widespreadF835Apr 2, 2025

  Based on record review, review of the administrator's job description, observations, review of the facility vendor and supplier bills, and interviews, the facility failed to ensure the facility was administered in a manner that enabled it to use it's resources effectively and efficiently including compliance with all financial obligations for the delivery of care to attain and maintain the highest practicable well being of each resident. This affected 33 of 33 residents residing in the facility. Findings included: 1. Review of information received from an anonymous complainant on 03/18/25 revealed the facility owed over $10,000 for their water bill, but due to it being a nursing facility the water department was either unable to or refused to issue a shut off notice. […]

• No harm, potential for more than minimal, widespreadF921Apr 2, 2025

  Based on observation, policy review, and interview, the facility failed to ensure the facility provided a safe, sanitary and comfortable environment for residents. This affected 33 of 33 residents residing in the facility. Findings included: Continuous observations on 03/20/25 from 8:39 A.M. to 8:49 A.M. revealed trash throughout the yard, parking lot and woods surrounding the facility. Trash including plastic grocery bags, cigarette butts, and Styrofoam food containers. There was an empty flower pot with three inches of standing water and a Styrofoam container in it with a black mold-like substance. There was a sidewalk next to the building leading to the back where the resident smoking area is. […]

• No harm, potential for more than minimal, widespreadF835Feb 19, 2025

  Based on observation, record review, review of the Administrator job description and personnel file and interview, the facility failed to employ a qualified administrator to ensure the facility was effectively and efficiently administered to allow all residents to attain or maintain their highest practicable physical, mental, and psychosocial well-being and to ensure staff were knowledgeable of who the administrator was. This had the potential to affect all 34 residents residing in the facility. Findings Include: On [DATE] between 10:45 A.M. and 12:41 P.M. interviews with Certified Nursing Assistant (CNA) #216, Licensed Practical Nurse (LPN) #223, and Registered Nurse (RN) #220 revealed none of the staff knew who the current facility Administrator was. […]