Maples Health and Rehabilitation, The

In the surveyor’s words

From the most serious findings on record at Maples Health and Rehabilitation, The, in the surveyor’s own words.

• Actual harm, isolatedF697Jun 23, 2023

  Based on record review, observation, and interview, the facility failed to document reason for reduction in pain medication, failed to notify the physician when pain medication did not relieve pain, and failed to stop a dressing removal after the resident verbalized severe pain and exhibited nonverbal signs of severe pain for one resident (Resident #330) out of a sample of two. The facility census was 85. Review of the facility's policy Pain - Clinical Protocol, revised March 2018, showed the following: -The physician and staff will identify the individuals who have pain or who are at risk for having pain; -The staff and physician will identify the characteristics of pain such as location, intensity, frequency, pattern and severity; -The staff will use a consistent approach and a… […]

• No harm, potential for more than minimal, widespreadF812Mar 7, 2025

  Based on observations, interviews, and record review, the facility failed to store food in accordance with professional standards of practice and protect food from possible contamination when staff did not store food properly after opening and staff did not consistently label food after opening. The facility census was 89. Review of the facility policy titled, Food Receiving and Storage, revised October 2017, showed the following: -Foods shall be received and stored in a manner that complies with safe food handling practices; -Wrappers of frozen foods must stay intact until thawing; -Other opened containers must be dated and sealed or covered during storage. […]

• No harm, potential for more than minimal, widespreadF801Jun 23, 2023

  Based on interview and record review, the facility staff failed to employ a qualified dietary manager for food and nutrition services when the dietitian was not employed full-time by the facility. The facility census was 85 . Review of the facility's job description titled Director of Food Services/Dietary Manager/Supervisor, undated, showed the following: -The primary purpose of the job position is to work with the corporate dietitian in planning, organizing, developing, and directing the overall operation of the dietary department in accordance with current federal, state, and local standards, guidelines, and regulations governing the facility, and, as may be directed by the Administrator, to assure that quality nutritional services are provided on a daily basis and that the dietary… […]

• No harm, potential for more than minimal, patternF692Mar 7, 2025

  Based on observation, interview, and record review, the facility failed to ensure resident weight loss was unavoidable when staff failed to notify the physician and dietician of weight loss, failed to care plan actual weight loss and new interventions, and failed to implement current care planned inventions to prevent future weight loss for one resident (Resident # 43). The facility census was 89. Review of the facility policy titled Weight Assessment and Intervention, dated September 2008, showed the following: -The nursing staff will measure resident weights on admission, the next day, and weekly for four weeks thereafter. […]

• No harm, potential for more than minimal, patternF806Oct 4, 2024

  Based on interviews and record review , the facility failed to have a process in placed to ensure all residents food preferences were honored and meal alternatives were available to all residents when facility failed to ensure five residents (Resident #1, #2, #3, #4, and #5), who routinely ate in their rooms, were unable to have their preferred drink and the ability to obtain an alternative meal. The facility census was 91. Review of the facility policy titled, Food and Nutrition Services, revised October 2017, showed the following: -Each resident is provided with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs, taking into consideration the preferences of each resident; -Each resident's nutritional needs, food dislikes, and… […]