Maple Ridge Rehabilitation and Nursing

In the surveyor’s words

From the most serious findings on record at Maple Ridge Rehabilitation and Nursing, in the surveyor’s own words.

• Actual harm, isolatedF600Jun 4, 2026

  Based on interview and record review, the facility failed to protect each resident's right to be free from neglect for 1 of 19 residents. Specifically, facility staff failed to provide the necessary care and supervision required to maintain a safe environment for a resident with known impulsivity and severe cognitive impairment. This failure occurred when a Registered Nurse (RN) left a medication cart unlocked and unattended, in direct violation of facility policy and the resident's specific care plan interventions dated 9/17/25. This breach in safety protocols allowed the resident to access the unsecured cart and ingest multiple medications not prescribed to him. […]

• Actual harm, isolatedF761Jun 4, 2026

  Based on interview, record review, and facility policy review, the facility failed to store all medications in a locked compartment and limit access only to authorized staff. Specifically, for 1 of 19 sampled residents, a resident was able to access the medication cart that was unlocked and unattended in a public hallway, allowing the resident to obtain multiple medications blister packs, and possibly ingest of unauthorized medication. This resulted in a finding of harm. Resident Identifier: 32.Resident 32 was admitted to the facility on [DATE] and readmitted on [DATE] with diagnoses which included human immunodeficiency virus, paranoid schizophrenia, and schizoaffective disorder.Review of resident 32's medical record was completed on 6/1/26 through 6/4/26.On 3/13/25 at 12:10 PM, an Event… […]

• Actual harm, isolatedF697Sep 13, 2023

  Based on observation, interview, and record the review, it was determined, the facility did not ensure that pain management was provided to residents who required such services, consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' goals and preferences. Specifically, for 1 out of 18 sampled residents, a resident that was observed and verbally expressed their pain was not provided pain medication. In addition, there was a delay in the facility Medical Doctor (MD) responding to the nurses message regarding resident 33's pain. Resident identifier: 33. Findings included: On 9/10/23 at 11:43 AM, an observation of resident 33 was conducted. […]

• Actual harm, isolatedF600Nov 15, 2021

  Based on observation, interview and record review it was determined, for 4 of 28 sample resident, that the facility did not ensure each resident had the right to be free from abuse. Specifically, there were two residents involved in four altercations that resulted in one resident sustaining a dislocated finger. In addition, another resident was found with his pants down with another resident touching him. The facility determined the residents with cognitive impairment and mental illness diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . The facility did not evaluate if other residents were at risk for being sexually abused by the perpetrator. Both of the above incidents were cited at a harm level. Resident identifiers: 1, 11, 15, 20, 27 and 133. Findings include: A. […]

• Actual harm, isolatedF689Nov 15, 2021

  Based on observation, interview and record review it was determined, for 2 out of 28 sampled residents, that the facility did not ensure that the resident's environment remained as free of accident hazards as was possible and that each resident received adequate supervision and assistance to prevent accidents. Specifically, a resident sustained multiple falls which resulted in facial lacerations. The incident will be cited at a harm level. The same resident had a successful elopement from the facility and sustained a fall. In addition, an another resident sustained a fall after a [CONDITION(S)] which resulted in a fracture. Resident identifiers 4 and 15. Findings included: 1. […]