Maple Lane Nursing Home

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF584Apr 29, 2026

  Based on observation, interview, and record review the facility failed to provide a clean, comfortable, and homelike environment throughout the second floor of the building for 1 of 2 floors related to flooring and odor control. Findings include:Upon entrance to the facility on 4/26/2026 at 4:15 PM, a strong odor resembling urine was detected on the East Wing's second level. Upon further observation, the odor was concentrated in and around room [ROOM NUMBER]. Carpeting in the room was noted to have several large dark spots, one beside the bed closest to the door and three beside the bed closest to the window. […]

• No harm, potential for more than minimal, patternF761Apr 29, 2026

  Based on observations, interviews, and facility policy, the facility failed to ensure expired medications were removed from 1 of 1 sampled medication storage rooms and 1 of 2 sampled medication carts. The facility also failed to ensure medication carts remained locked when unattended during three observations. Findings include:1.) Per observation and interview on 4/26/26 at 4:50 PM, the following medications in a medication cart were confirmed to be expired by the Nursing Supervisor on the second floor: - Ibuprofen 200 milligram tablets that expired on 6/25 - Cranberry pills 450 mg that expired on 5/24 - Lorazepam 1 milligram tablets that expired on 9/16/25 - Liquid acetaminophen 160 milligram per 5 milliliters that expired on 11/25 2.) Per observations made on 4/26/2026 at 5:45 PM, the… […]

• No harm, potential for more than minimal, patternF725Jan 31, 2024

  Based on observation, interview, and record review, the facility failed to ensure a sufficient number of skilled licensed nurses, nurse aides, and other nursing personnel to provide care and respond to each resident's basic needs and individual needs as required by the resident's diagnoses, medical condition, plan of care, and facility assessment. Findings include: 1. During an interview on 1/31/24 at 3:16 PM Resident #22 stated that he/she doesn't receive showers enough and would like to have showers more regularly. When asked how often showers are provided Resident #22 said when they can, sometimes I go two weeks without one. […]

• No harm, potential for more than minimal, patternF726Jan 31, 2024

  Based on observation, interview, and record review, the facility failed to ensure sufficient nursing staff with appropriate competencies and skill sets to care for the resident's needs for 7 of 8 staff in the applicable sample. Findings Include: On 1/31/24 at 8:10 AM, a Licensed Practical Nurse (LPN) was observed doffing (removing) personal protective equipment (PPE) after administering medications and obtaining Vital Signs of a resident with COVID-19. The LPN stood in the open doorway of the resident's room and removed her gloves, first touching her soiled gown with her bare hands. S/he then removed the gown, placing her contaminated equipment between her knees while she put her soiled gown in a plastic bag. […]

• No harm, potential for more than minimal, patternF880Jan 31, 2024

  Based upon observation, interview, and record review, the facility failed to implement infection control measures related to transmission-based precautions regarding 1 staff member and 2 residents [Res.#43 & Res.#65] of 28 sampled residents on transmission-based precautions, and related to wound care treatment for 1 resident [Res. #219] of 1 sampled resident with identified wounds. Findings include: 1). Per observation on 1/31/2024 at 8:12 AM a Licensed Practical Nurse [LPN] was observed exiting the room of a resident on transmission-based precautions after administering medications and obtaining vital signs. […]