Maplewood Nursing Home Inc

In the surveyor’s words

From the most serious findings on record at Maplewood Nursing Home Inc, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jun 3, 2022

  Based on observations, interviews, and record reviews, conducted during the Recertification Survey completed on [DATE], it was determined that for one of one main kitchen, the facility did not store, prepare, distribute, and serve food in accordance with professional standards (U.S. Food and Drug Administration's Food Code) for food service safety. Specifically, there were cold foods prepared on-site and held for greater than seven days, expired/outdated food products not discarded, food items undated, unlabeled and/or stored uncovered, lack of hair restraints in food preparation areas, and cleaning tools were not stored in a manner to prevent contamination of food, utensils, or equipment. This is evidenced by the following: 1. […]

• No harm, potential for more than minimal, isolatedF761May 23, 2025

  Based on observations, interviews, and record review conducted during the Recertification Survey from 05/19/2025 to 05/23/2025, the facility did not ensure that all drugs and biologicals used in the facility were labeled in accordance with currently accepted professional principles, and all drugs and biologicals were stored in locked compartments with access limited to authorized personnel for two (2) (Elmgrove and [NAME] East Hall) of four (4) medication carts and one (1) (Elmgrove) of two (2) medication rooms reviewed. Specifically, medications were left unattended by staff, +expired medications were stored in medication carts and medication rooms, and an unlabeled and undated tube of Medihoney (a treatment used for wounds) was stored in a medication cart. […]

• No harm, potential for more than minimal, isolatedF811May 23, 2025

  Based on observations, interviews, and record review conducted during the Recertification Survey from 05/19/2025 to 5/23/2025, for one (1) (Resident #17) of three (3) residents reviewed, the facility did not ensure a paid feeding assistant provided dining assistance only for residents who have no complicated feeding problems. Specifically, Unit Assistant #2 provided eating assistance to Resident #17, who was diagnosed with dysphagia (difficulty swallowing). The findings includes: Review of the facility's training manual Assisting with Nutrition and Hydration in Long-Term Care (used for paid feeding assistant training), dated 2004, included federal regulations prohibited paid feeding assistants from assisting residents who have more complicated problems, such as lung aspirations (accidental… […]

• No harm, potential for more than minimal, isolatedF868May 23, 2025

  Based on interviews and record review conducted during the Recertification Survey from 05/19/2025 to 05/23/2025, the facility did not maintain a quality assessment and assurance committee that consisted of, but not limited to, the Medical Director or their designee. Specifically, the facility could not provide documented evidence the Medical Director or their designee attended the Quality Assurance and Performance Improvement (QAPI) meetings on a regular basis. The finding includes: Review of the facility's undated Quality Assurance and Performance Improvement Program Overview revealed a list of members who attend the Quality Assurance Meeting and did not include the Medial Director or their designee. […]

• No harm, potential for more than minimal, isolatedF883Mar 13, 2024

  Based on interviews and record review conducted during the Recertification Survey, the facility did not provide influenza and/or pneumococcal immunizations as required or appropriate for one of five residents reviewed. Specifically, the facility was unable to provide evidence that Resident #44, who was eligible for the vaccine, had been offered, declined and/or educated regarding Pneumococcal immunization during their admission. This is evidenced by the following: The undated facility policy, Pneumococcal Immunization included that unless contraindicated, pneumococcal immunizations are highly recommended for all residents of the facility per the facility's protocol. […]