Maple Ridge Rehabilitation & Healthcare Center

In the surveyor’s words

From the most serious findings on record at Maple Ridge Rehabilitation & Healthcare Center, in the surveyor’s own words.

• Actual harm, isolatedF686May 1, 2025

  Based on a review of clinical records, facility policy, and staff interview, it was determined the facility failed to consistently implement planned interventions and provide necessary treatment and services to prevent the worsening of a pressure ulcer for one resident out of four residents sampled for pressure ulcer care (Resident CR1) resulting in the worsening of a Stage 2 pressure ulcer to an unstageable pressure injury, constituting actual harm. Findings include: According to the US Department of Health and Human Services, Agency for Healthcare Research & Quality, the pressure ulcer best practice bundle incorporates three critical components in preventing pressure ulcers: Comprehensive skin assessment, Standardized pressure ulcer risk assessment, and care planning and implementation… […]

• No harm, potential for more than minimal, widespreadF814Jul 18, 2024

  Based on observation and staff interview, it was determined that the facility failed to properly dispose of garbage and refuse Findings include: An observation July 18, 2024, at 8 AM and again at 12 P.M. revealed that the facility's two large trash dumpsters, containing bags garbage and trash, were not covered. The lids to both garbage dumpsters were observed opened during each observation. During an interview July 18, 2024 at approximately 2:30 P.M., the Nursing Home Administrator confirmed that the dumpsters lids should be closed. 28 Pa Code 201.18 (e)(2.1) Management

• No harm, potential for more than minimal, widespreadF882Oct 8, 2021

  Based on review of facility policy and infection control documentation and staff interviews, it was determined that the facility did not have one or more individuals serving as the infection Preventionist (IP) responsible for the facility's infection prevention plan. Findings included: A review of the facility's infection control policy, most recently reviewed by the facility August 27, 2021, revealed that the facility will maintain an infection control program designed to provide a sanitary environment and help prevent the development and transmission of disease and infection. The facility assures that there is an infection control program that is effective for investigation, controlling and preventing infections. […]

• No harm, potential for more than minimal, patternF641Apr 24, 2026

  Based on a review of clinical records, the Resident Assessment Instrument (RAI) User's Manual and staff interviews, it was determined the facility failed to ensure the Minimum Data Set assessments (MDS) accurately reflected the clinical status of 3 of twenty residents reviewed (Residents 59, 45, and 66).Findings include: A clinical record review revealed Resident 59 was admitted on [DATE], with diagnoses including traumatic brain injury (an injury to the brain caused by an external force that can affect thinking, movement, and behavior), bipolar disorder (a mental health condition characterized by periods of elevated and depressed mood), and intellectual disability (limitations in mental functioning affecting learning and daily living skills). […]

• No harm, potential for more than minimal, patternF692Apr 24, 2026

  Based on a review of clinical records, select facility policies, and staff interviews, it was determined the facility failed to consistently monitor residents' nutritional and hydration status to timely identify declines, implement individualized and less invasive interventions, and ensure clinical justification prior to initiating invasive interventions for three of twenty residents reviewed (Residents 59, 45, and 66). This deficiency is cited as past noncompliance.Findings include: A review of a facility policy entitled Weight Assessment and Interventions last reviewed by the facility on May 20, 2025, indicated each resident's weight will be monitored by the interdisciplinary team and intervene for undesirable weight loss. […]