Maywood Skilled Nursing & Wellness Centre

In the surveyor’s words

From the most serious findings on record at Maywood Skilled Nursing & Wellness Centre, in the surveyor’s own words.

• Immediate jeopardy, isolatedF656Aug 11, 2023

  Based on interview and record review, the facility failed to implement a care plan titled, At Risk/Potential for Aspiration (breathing in a foreign object such as sucking food into the airway) and Choking for one of three sampled residents (Resident 1). According to the care plan interventions, staff will allow enough time for Resident 1 to eat meals, staff should instruct resident to chin tuck (tilt chin down when swallowing to prevent choking), swallow after each bite, swallow to clear throat, and alternate liquid (drinking fluids) and solid. […]

• Immediate jeopardy, isolatedF678Aug 11, 2023

  Based on observation, interview, and record review, the facility failed to ensure one of three sampled residents (Resident 1) received immediate basic life support ([BLS] care healthcare professionals provide to anyone who's heart stops beating suddenly), including cardiopulmonary resuscitation ([CPR] an emergency procedure to restart a person's heart and breathing after one or both suddenly stop), when the resident became unresponsive. On [DATE], Resident 1 came out of her room in her wheelchair choking and to seek help. Licensed Vocational Nurse (LVN 1) performed the Heimlich maneuver (a method for forcing an object out the airway of a choking person) and Resident 1 became unresponsive. […]

• Actual harm, isolatedF689Jul 1, 2026

  Based on interview and record review, the facility failed to ensure safe transfer of one of three sampled residents (Resident 1) when Certified Nursing Assistant (CNA) 1 did not use a Hoyer lift (mechanical device used to safely lift and transfer non-weight bearing residents) to transfer Resident 1 from the shower chair to the bed. This deficient practice resulted in the unsafe transfer of Resident 1 and a displaced left femur fracture (a complete break in left thigh bone resulting in bone shift out of normal alignment). […]

• Actual harm, isolatedF690Dec 19, 2024

  Based on observation, interview, and record review, the facility failed to: 1. Provide services to prevent the development of septic shock for one out of six sampled residents (Resident 259), who had long-term usage of an indwelling urinary catheter (a hollow tube inserted into the bladder to drain or collect urine) by failing to ensure the following: 1a. Ensure Resident 259's the urinary drainage was monitored for the presence of sediment (a buildup of particles within the catheter tubing, often caused by factors like dehydration, urinary tract infection [UTI- an infection in the bladder/urinary tract], improper catheter care, or the presence of certain bacteria that promote crystal formation), abnormal color, and foul odor, per the facility's P&P and Resident 259's care plan, for a total… […]

• Actual harm, isolatedF689May 11, 2023

  Based on interview and record review, the facility failed to provide supervision (oversight, encouragement, or cueing) from staff for one of four sampled residents (Residents 4). Resident 4 was given a hot cup of noodle soup and left unsupervised. This deficient practice resulted in Resident 4 spilling hot noodle soup on herself and sustained third (3rd), ([full thickness], a burn that cause damage to the top layer, middle layer, and layer of fat underneath the skin) ) to fourth (4th) degree ([full thickness] burns, that affect all layers of the skin and also structures below the skin, such as the bone, and muscles) to the left inner arm and left breast. […]