Maple Leaf Health Care Center

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF880Jan 27, 2023

  Based on observation, interview, and record review, it was determined that the facility failed to ensure that hand hygiene and recommendations for Transmission Based Precautions (TBP) were followed per Center for Disease Control and Prevention (CDC) guidelines for 3 of 5 residents observed for TBP (Resident identifiers are #16, #457 and #459). Findings include: Standard: Review on 1/25/23 of the CDC's website titled, Isolation Precautions, review date of 7/22/19, retrieved from: https://www.cdc.gov/infectioncontrol/guidelines/isolation/index.html, revealed .Summary of Recommendations .Hand Hygiene .Perform hand hygiene in the following clinical situations: .After contact with a patient's intact skin (e.g., when taking a pulse or blood pressure or lifting a patient) .After contact with… […]

• No harm, potential for more than minimal, patternF761Jan 28, 2021

  Based on interview, observation and facility policy review, it was determined that the facility failed to follow acceptable professional principles of labeling and/or storing drugs and biologicals for 3 out of 4 medication carts and 1 out of 1 medication storage room observed. (Resident identifiers #30, #42, #49, #50, #56 and #69.) Findings include: Observation on [DATE] at approximately 8:35 a.m. of 3rd floor south east medication cart with Staff A (Registered Nurse) revealed an opened bottle of OTC (over the counter) Acidophilus ([MEDICATION NAME]) in the medication cart. Review on [DATE] of OTC bottle revealed a storage instruction to refrigerate after opening. Interview on [DATE] at approximately 8:35 a.m. […]

• No harm, potential for more than minimal, isolatedF761Mar 4, 2026

  Based on observation, interview, and record review, it was determined that the facility failed to ensure that expired medications were removed from use for 1 of 4 medication carts observed. (Resident identifier is #38). Findings include:Observation on 3/2/26 of the 3rd floor medication cart #7 with Staff A (Licensed Practical Nurse) revealed Resident #38's opened Lispro insulin pen an Insulin Lispro pen with an open date of 1/30/26 and an expiration date of 2/27/26. Interview on 3/2/26 at approximately 8:15 a.m. with Staff A confirmed the above. Review on 3/2/26 of manufacturer's instructions for Humalog (insulin lispro), dated 01/2026, revealed: when stored at room temperature, Humalog U-100 . […]

• No harm, potential for more than minimal, isolatedF677Jan 24, 2025

  Based on observation and interview, it was determined that the facility failed to ensure that residents who were unable to carry out activities of daily living (ADL) received the necessary services to maintain good personal hygiene for 2 of 2 residents reviewed for ADL in a final sample of 22 residents (Resident Identifiers are #54 and #73). Findings include: Resident #54 Interview on 1/22/25 at 9:10 a.m. with Resident #54 revealed that he/she did not get showers on a regular basis and he/she would like to have showers weekly as scheduled. Observation on 1/22/25 at approximately 9:10 a.m. of Resident #54 revealed him/her lying in bed. His/her hair was uncombed and appeared greasy. Observation on 1/23/25 at approximately 9:45 a.m. of Resident #54 revealed him/her lying in bed. […]

• No harm, potential for more than minimal, isolatedF761Jan 24, 2025

  Based on observation, interview and record review, it was determined that the facility failed to ensure that medications and biologicals were stored in locked compartments in 1 of 2 medication rooms observed. (Second Floor Medication Room.) Findings include: Observation on 1/22/25 at 10:32 a.m. of the Second Floor Medication Room revealed the door was unlocked and there was no staff in the medication room. Further observation of the Second Floor Medication Room revealed that there were resident's and house stock medications stored in open shelves. There was no staff outside the room or visible in the area. Additionally, there were several residents sitting right outside the medication room. Interview on 1/22/25 at approximately 10:33 a.m. […]