Maple Springs of Wasilla

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF552Jun 21, 2024

  Based on record review and interview, the facility failed to ensure the residents right to be informed, in advance, by the physician or other practitioner or professional, of the risks and benefits of proposed care and treatment recommendations were upheld. Specifically, the facility failed to ensure the Psychotropic Medication Informed Consent [and] Risk/Benefit Statement forms, used for education and consent for psychotropic medications (any drug that affects brain activities associated with mental processes and behavior), were completed accurately, timely, and by health care providers with an original signature for 9 sampled residents (#'s 6; 8; 15; 16; 18; 28; 33; 35; and 204) and 8 unsampled residents (#'s 2; 7; 19; 25; 31; 37; 41; and 105), out of 25 residents on psychotropic… […]

• No harm, potential for more than minimal, widespreadF711Jun 21, 2024

  Based on record review, interview and observation, the facility failed to ensure: 1) physicians completed the Physician Orders for Life-Sustaining Treatment (POLST - Physician orders that clarify life sustaining measures if needed, to include cardiopulmonary resuscitation [CPR], initial treatment orders, and medically assisted nutrition) physician order forms with residents; and 2) were signed and dated with an original signature for 9 sampled residents (#'s 3; 6; 8; 17; 28; 33; 35; 38; and 204), out of 14 sampled residents reviewed; and 35 unsampled residents (#'s 2; 4; 5; 7; 11; 14; 21; 22; 24; 25; 26; 30; 31; 32; 34; 36; 37; 39; 40; 41; 42; 45; 46; 48; 49; 103; 104; 105; 203; 205; 206; 253; 254; 303; and 304), out of 39 unsampled residents reviewed. […]

• No harm, potential for more than minimal, widespreadF842Jun 21, 2024

  Based on record review and interview, the facility failed to ensure medical records were accurately completed in accordance with accepted professional standards of practice. Specifically, the facility failed to ensure: 1) The Psychotropic Medication Informed Consent [and] Risk/Benefit Statement forms, used for education and consent for psychotropic medications (any drug that affects brain activities associated with mental processes and behavior), were completed accurately, timely, and by authorized health care providers with an original signature for 9 sampled residents (#'s 6; 8; 15; 16; 18; 28; 33; 35; and 204) and 8 unsampled residents (#'s 2; 7; 19; 25; 31; 37; 41; and 105), out of 25 residents on psychotropic medications in the facility. […]

• No harm, potential for more than minimal, widespreadF812Mar 24, 2023

  Based on observation, interview, and record review, the facility failed to store food under proper sanitation and food handling practices in the central kitchen. This failed practice placed all residents (based on a census of 55) at risk for foodborne illnesses and communicable disease. Findings: An observation of the central kitchen on 3/20/23 at 9:26 AM, revealed: 1) Walk in refrigerator: - Soiled whipped cream can 13 oz.; - Opened sour cream container, unlabeled with no used by date; - Opened 10-pound box of breakfast sausage with inner bag opened. […]

• No harm, potential for more than minimal, widespreadF836Mar 24, 2023

  Based on record review and interview, the facility failed to ensure State Laws were followed. Specifically, the facility failed to ensure individuals employed by the facility had a valid criminal history background check for 4 employees: 1) Certified Nursing Assistant (CNA) #4; 2) Neighborhood Helper (NH) #1; 3) Cook #2; and 4) Housekeeper #1. This failed practice violated State background check Alaska Administrative Code (AAC) and placed all residents (based on a census of 55) at risk for receiving care and services from individuals with barrier crimes and no valid variance. […]