Maple Springs of Palmer

In the surveyor’s words

From the most serious findings on record at Maple Springs of Palmer, in the surveyor’s own words.

• Immediate jeopardy, patternF689Mar 27, 2025

  Based on observation, interview, and record review, the facility failed to ensure the resident environment was free of accident hazards. Specifically, the facility failed to: 1) Establish safety measures for proper cigarette disposal and the use of required adaptive devices, identified during smoking safety assessments, for residents who smoke tobacco on the facility's campus for 5 residents (#'s 9, 10, 21, 32, and 47), out of 7 total residents who smoked; 2) Complete annual smoking safety screening assessments for 4 residents (#'s 9, 21, 32, and 47), out of 7 total residents who smoked; 3) Complete smoking safety screening assessments for 3 residents (#'s 12, 25, and 54), out of 3 total residents who used electronic cigarettes (known as vapes); and 4) Secure lighters within the facility… […]

• Immediate jeopardy, patternF689Feb 15, 2023

  Based on record review, interview, and observation the facility failed to identify and implement safe application, as well as, education and training for staff on appropriate utilization of a seatbelt securement system used for securing wheelchair bound residents during transport in the facility van and/or bus. This failed practice led to 1 resident (#1) obtaining a significant injury, specifically, a compound fracture of the lower leg after sliding out of his/her wheelchair. This failure placed 3 resident's (#'s 2;3;4) who were observed using the facility transportation on 2/14/23 and 9 resident's (#s' 5; 6; 7; 8; 9; 10; 11; 12; 13) scheduled to use the van and/or bus transportation during the week of 2/14/23, including wheelchair-bound residents using the facility transportation for… […]

• Actual harm, isolatedF689Jun 20, 2023

  Based on record review, interview and observation, the facility failed to ensure the resident's environment for 1 resident (#1), out of 5 sampled residents, was free of accident hazards. Specifically, a pair of scissors was found in the resident's room, who had a history of cutting his/her medical devices. This failed practice of not monitoring the resident environment caused harm as the resident used scissors to cut his/her foley catheter (a sterile tube inserted into the bladder to drain urine), causing a segment of the catheter tubing to be left in the bladder and requiring further interventions to remove the tubing. Findings: Record review on 6/20/23 revealed Resident #1 was admitted to the facility with diagnoses that included dementia and anxiety disorder. […]

• No harm, potential for more than minimal, widespreadF761Aug 14, 2026

  .Based on observation, interview, and record review, the facility failed to ensure: 1) drugs and biologicals used in the facility were properly labeled; and 2) removed medications and supplies when expired in 3 medication carts, out of 5 total carts, and 1 medication room, out of 2 storage rooms inspected. Specifically, the facility failed to: 1) label opened glucometer test-strip containers used in four units (Willow, Susitna, Denali, and [NAME]); and 2) remove expired medications and supplies from three medication carts ([NAME], Denali, and Susitna) and one medication room ([NAME] Pass). […]

• No harm, potential for more than minimal, widespreadF908Jun 5, 2025

  Based on observation, interview, record review, facility policy review, and review of the manufacturer's manual, the facility failed to conduct monthly inspections of seven of seven facility owned Hoyer (mechanical) lifts and of lifts owned by two of two (Resident (R) 2 and R6) residents with personal mechanical lifts. This failure increased the risks of accidents due to mechanical failure. Findings include: Review of the facility's policy titled, Specialized Medical Equipment, dated 04/04/24, revealed, . Maple Springs will ensure that all specialized medical equipment is identified and assessed for safety and necessity . Review of the undated MedLine Battery Operated Patient Lift manual, provided by the Maintenance Director (MD), revealed, . […]