Maplecrest Rehab & Living Center

In the surveyor’s words

From the most serious findings on record at Maplecrest Rehab & Living Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF584Jul 9, 2025

  Based on observations and interviews, the facility failed to adequately provide housekeeping and maintenance services necessary to maintain the building in a sanitary, orderly, and comfortable environment on 3 of 4 Wings (Lakewood, Embden, [NAME]) and the common area/hallway for 2 of 3 days of survey.1. On 7/7/25 at 9:14 a.m., and on 7/8/25 at 8:11 a.m., observation of room [ROOM NUMBER] to have trash/debris including tissues, a pen, papers, food and a sticky layer of a dried substance under the bed. 2. On 7/8/25 from 2:41 p.m. […]

• No harm, potential for more than minimal, patternF695Jul 9, 2025

  Based on observations, record reviews, interviews and the facility policy, the facility failed to maintain a sanitary environment to help prevent the development and transmission of disease and infection related to respiratory care for 4 of 5 residents reviewed for respiratory care (Resident #45, #151, #29 and #35). In addition, the facility failed to ensure physician orders were followed for 1 of 5 residents receiving oxygen therapy (Resident #10)Oxygen use & Storage Policy last revised on 6/25 states under respiratory care A Sanitary environment must be maintained to prevent the transmission of disease and infection. A. Nasal Cannula's will be discarded and changed every 2 weeks. […]

• No harm, potential for more than minimal, patternF761Jul 9, 2025

  Based on record review, observation and interviews, the facility failed to adequately store controlled substances in a permanently affixed compartment and double locked for 1 of 1 medication refrigerator reviewed (nurses station), and failed to ensure controlled medications were stored appropriately for 1 of 3 medication carts observed (Embden and [NAME] medication cart), in addition, the facility failed to ensure treatment carts were locked when unattended on 1 of 1 unit ([NAME] Chase [NAME] Unit) for 1 of 3 days of survey.1. […]

• No harm, potential for more than minimal, patternF812Jul 9, 2025

  Based on observations, record review and interviews, the facility failed to ensure the kitchen was maintained in a clean and sanitary manner for floors and walls for 1 of 3 days of survey (7/7/25) and failed to monitor refrigerator, freezer and the steam table/tray line temperatures for 3 of 4 months reviewed.1. On 7/7/25 from 8:33 a.m. to 9:00 a.m., a surveyor conducted a kitchen tour with the Food Service Director in which the following findings were observed and confirmed: -There was trash and food debris on the floor under the equipment and around the edges of the floor.-The first-floor food storage room had a hole in the wall exposing sheetrock, making the surface uncleanable. -In the kitchen by the fire extinguisher there was exposed sheetrock, making the surface uncleanable.2. […]

• No harm, potential for more than minimal, patternF880Jul 9, 2025

  Based on observations, record review and interview, the facility failed to maintain an Infection Control Program designed to help prevent the development and transmission of disease and infection by failing to conduct ongoing surveillance, tracking and educations to prevent the spread of Infections, failed to apply appropriate interventions including Transmission Based Precautions (TBP) and Enhanced Barrier Precautions (EBP), and failed to develop and implement elements of a Legionella Water Management Program. This has the potential to affect all 47 residents.Infection Control: Multidrug-Resistant Organism (MDRO's) policy, last revised 4/18/24 states Enhanced Barrier Precautions (EBP): gowns and gloves are worn during high-contact resident care activity. […]