Maple View Health & Rehabilitation Center

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF565May 13, 2024

  Based on observations, review of the facility grievance file, facility policy and interviews, the facility failed to ensure grievances were responded to in a timely manner regarding appropriate food temperatures for consumption. The findings include: Review of the Resident Council Minutes for 2/21/24 and 3/25/24 identified residents' reported concerns that meals were not served at the appropriate temperature. Inservice education on 4/2/24 indicated Nursing staff are aware to reheat food in the microwave when residents request or complain their food is cold or not warm enough. No plan was discussed for non-verbal residents. Interview with a resident on 5/8/24 at 1:30 PM identified food continues to arrive to units cold. […]

• No harm, potential for more than minimal, isolatedF644Dec 3, 2025

  Based on review of the clinical record, facility documentation, facility policy, and interviews for 1 of 5 residents (Resident #9) reviewed for Pre-admission Screening and Resident Review (PASARR), the facility failed to have a Level 1 prescreening PASARR on admission and failed to update the state agency when the level of care expired after 60 days. The findings include:Level of Care Notice of Action dated [DATE] identified Resident #9 was approved on [DATE] for 60 days of short term rehabilitation for monitoring post op pain for a hip fracture and post op urinary retention requiring a foley catheter. Based on the submission and information received, short-term care is appropriate. […]

• No harm, potential for more than minimal, isolatedF689Dec 3, 2025

  Based on review of clinical record, facility documentation, facility policy and interviews for 1 of 5 residents (Resident #62) reviewed for accidents, the facility failed to provide adequate supervision during toileting to prevent a fall for a resident who was identified with severely impaired cognition and at high risk for falls. The findings include:The hospital admission history & physical form dated 8/2/25 at 10:33 PM identified Resident #62 had a history of atrial fibrillation, dementia, and congestive heart failure. Resident #62 was hypotensive with a blood pressure of 83/55 mm/Hg (normal range 120/80 mm/Hg). After intravenous (IV) fluids were administered, the resident's blood pressure was 112/64 mm/Hg. Resident #62 was disoriented, cachectic and was not in acute distress. […]

• No harm, potential for more than minimal, isolatedF561May 13, 2024

  Based on observations, clinical record review, policy review and staff interviews for 1 of 1 resident reviewed for choices (Resident #71), the facility failed to honor a family member's choice regarding having the resident out of bed to a chair by 11:00 AM. The findings include: Resident #71's diagnoses included early-onset Alzheimer's disease and seizure disorder. The quarterly Minimum Data Set (MDS) assessment dated [DATE] identified Resident #71 with short-term and long-term memory impairments and noted dependence with eating, toileting, and transferring to and from a bed to a chair. The MDS further identified Resident #71 as incontinent of bladder and bowel. […]

• No harm, potential for more than minimal, isolatedF609May 13, 2024

  Based on review clinical records, facility documentation, facility policy, and interviews for 2 of 3 residents (Resident # 160 and Resident #259) reviewed for abuse, the facility failed to report allegations of abuse to other regulatory agencies. The findings included: 1. Resident #160's diagnoses included pancytopenia (significant reduction in the number of almost all blood cells), alcoholic cirrhosis of liver with ascites (abnormal fluid in the abdomen) and dementia. The quarterly Minimum Data Set (MDS) assessment dated [DATE] identified Resident #160 as cognitively intact, requiring one person to assist with bed mobility, transfers, and personal care. […]