Maple Park Village

In the surveyor’s words

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

• Actual harm, isolatedF600Mar 5, 2026

  Based on observation, interview and record review, the facility failed to protect the residents' right to be free from physical abuse by a CNA for 2 of 3 residents reviewed for abuse. (Resident D and F) This deficient practice resulted in Resident D thinking a staff member was going to kill him and signs he was scared after the abuse. Resident F had a history of abuse as a child and had two loose teeth in her mouth. The deficient practice was corrected on 2/20/26, prior to the start of the survey, and was therefore past noncompliance.Findings include:1. […]

• Actual harm, isolatedF689Sep 20, 2023

  Based on interview and record review, the facility failed to protect a resident from injury when the resident was left unattended in a bed which was not in the lowest position, and without a fall mat on the floor. The resident fell out of bed, sustained a laceration to the left side of the forehead and an acute left femoral neck fracture (a type of hip fracture of the thigh bone, just below the ball of the ball-and-socket hip joint). (Resident B) The facility also failed to ensure staff providing care were using/following the care sheet or electronic record which provides information on safety precautions put in place, resulting in Resident C had to be lowered to the floor, for 2 of 3 residents reviewed for accidents. […]

• Actual harm, isolatedF690Oct 6, 2022

  Based on observation, interview and record review, the facility failed to ensure a resident received treatment and care in accordance with professional standards of practice and to notify the physician with a change of condition for 2 of 2 residents reviewed for catheter care. (Resident 49 and 290) Resident 49 was not provided care to address concerns which developed after a urinary catheter was placed which led to a hospitalization with intravenous antibiotic intervention for the development of [CONDITION(S)]. Findings include: 1. The record for Resident 49 was reviewed on 9/30/22 at 10:55 a.m. […]

• Actual harm, isolatedF695Oct 6, 2022

  Based on observation, interview and record review, the facility failed to thoroughly assess and document a resident's change in respiratory status, to notify the physician of signs of respiratory distress and when a [CONDITION(S)]/[CONDITION(S)] (machine used to help with breathing) was not available for a resident who was at risk for respiratory complications and required a hospitalization (Resident 293), and to ensure the humidification was used and wore correctly, infection control measures were in place by labeling and storing equipment appropriately for [CONDITION(S)] care (a tube surgically placed in the throat to assist with receiving air into the lungs) (Resident 49) and failed to obtain a physician's orders [MEDICAL RECORD OR PHYSICIAN ORDER] . Findings include: 1. […]

• Actual harm, isolatedF689Oct 13, 2021

  Based on observation, interview and record review, the facility failed to ensure a resident who required assistance with activities of daily living (ADL) by two staff members received adequate supervision and assistance to prevent accidents during a transfer from a wheelchair to the bed for 1 of 3 residents reviewed for accidents. (Resident B) This resulted in Resident B receiving a fractured femur. Finding includes: During tour of the facility, on October 12, 2021 at 11:21 a.m., Resident B was observed in the therapy room seated in a high back wheelchair. An immobilizer was on the resident's right leg and the wheelchair foot pedals were up. The resident was working with her left hand placing pegs in a board. Her right hand sat idle on the arm rest of the chair. […]