Maplecrest Nursing and Hta

In the surveyor’s words

From the most serious findings on record at Maplecrest Nursing and Hta, in the surveyor’s own words.

• Actual harm, isolatedF686Apr 14, 2025

  Based on observation, record review, interview, and facility policy review, the facility failed to develop and implement a comprehensive and individualized pressure ulcer prevention program to prevent the development of pressure ulcers, timely identify new pressure ulcers and perform wound care using appropriate infection control practices. This affected one resident (#43) of one resident reviewed for pressure ulcers. This had the potential to affect four residents (#4, #9, #17, and #43) identified by the facility with pressure ulcers. […]

• No harm, potential for more than minimal, isolatedF578Apr 14, 2025

  Based on interview, record review and review of facility policy the facility failed to ensure Resident #43's advance directives were accurate in the physician orders and care plan. This affected one resident (Resident #43) out of one resident (Resident #43) reviewed for advance directives. The facility census was 46. Findings included: Review of the medical record for Resident #43 revealed an admitted [DATE] and diagnoses including acute kidney failure, hypertension, osteoarthritis, and muscle wasting with atrophy. Review of the care plan dated 12/10/24 revealed Resident #43's advance directives indicated he was a full code. […]

• No harm, potential for more than minimal, isolatedF694Apr 14, 2025

  Based on observation, record review, interview and review of facility policy the facility failed to ensure Resident #43's peripherally inserted central catheter (PICC) line (a long flexible tube usually inserted into the vein in the upper arm and passed through a larger vein near the heart to administer medications and other treatments) dressing was changed as ordered. This affected one resident (Resident #43) out of one resident (Resident #43) reviewed for intravenous (IV) therapy. Findings included: Review of medical record for Resident #43 revealed an admitted [DATE] and diagnoses including acute kidney failure, hypertension, osteoarthritis, and muscle wasting with atrophy. Review of undated care plan revealed Resident #43 had intravenous (IV) medications. […]

• No harm, potential for more than minimal, isolatedF756Apr 14, 2025

  Based on medical record review and staff interview, the facility failed to ensure pharmacy recommendations were reviewed and responded to timely from the physician. This affected one resident (#29) of five residents reviewed for unnecessary medications. The current census was 46. Findings included: Review of Resident #29 record revealed the resident was admitted to the facility on [DATE]. Diagnoses for Resident #29 included cerebral infarction, schizoaffective disorder, major depression, hemiplegia, anxiety disorder and chronic pain syndrome. Review of Resident #29's Minimum Data Set ( MDS) 3.0 quarterly assessment dated [DATE] revealed the resident had good cognition and was receiving antipsychotic, antidepressant, diuretic, and antiplatelet medication during the assessment period. […]

• No harm, potential for more than minimal, isolatedF805Apr 14, 2025

  Based on interview, observation, and policy review the facility failed to ensure physician ordered diet modification texture was followed as required. This affected one resident (#5) of three residents reviewed for diet texture. The facility census was 46. Findings included: Review of the medical record for Resident #5 revealed an admitted [DATE]. Diagnoses included but were not limited to gastrointestinal hemorrhage, chronic kidney disease, neoplasm of parotid gland, dysphagia and cognitive communication deficit. Review of the Care Plan dated 03/10/25 revealed Resident #5 had swallowing problems related to swallowing assessment results per Modified Barium Swallow (MBS) study. Resident #5 had a potential risk of aspiration. Interventions included monitor dietary intake. […]