Maywood Terrace Living Center

In the surveyor’s words

From the most serious findings on record at Maywood Terrace Living Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Aug 12, 2026

  Based on interview and record review, the facility failed to provide protective oversight for one sampled resident (Resident #5). The facility staff failed to provide suicidal precautions per facility policy and supervision for a resident who expressed on [DATE], to Certified Medication Technician (CMT) A that he/she wanted to die. CMT A said he/she was given no instructions on what to do under these circumstances and no suicidal precautions were put in place. On [DATE] about 8:00 A.M., the resident pulled out his/her dialysis catheter (a flexible plastic tube placed into a large vein (usually in the neck, chest, or groin) to remove and clean blood through a dialysis machine when a person's kidneys fail) after the CMT last rounded about 7:20 A.M. […]

• Actual harm, isolatedF684Apr 11, 2024

  Based on observation, interview and record review, the facility failed to completely assess and document one resident's (Resident #1) skin upon admission to the facility and notify the resident's physician of a scab (crust that forms over a sore or wound) on the resident's left heel at the time of the resident's facility admission, failed to ensure treatments were completed for the resident's left heel and edema (swelling) in the resident's legs, failed to ensure weekly licensed nurse skin assessments and completion of and licensed nurse review of Certified Nurse (CNA) shower sheets, failed to notify the resident's physician of the resident's left heel skin breakdown to his/her legs, and failed to ensure the resident's emergency room physician's instruction for the resident's anticoagulant… […]

• No harm, potential for more than minimal, widespreadF761Mar 16, 2026

  Based on observation, interview and record review, the facility failed to ensure safe storage and labeling of narcotic medication to include the date and resident's name when opened for one sampled resident (Resident #18) and one supplemental resident (Resident #37) out of 13 sampled residents and 12 supplemental residents that were stored in one of one medication carts; failed to ensure there were no expired medications in the medication room refrigerator, failed to ensure that expired medical dressing supplies were disposed of, failed to ensure an opened insulin pen was dated, labeled, and properly stored, failed to ensure that resident's personal food and drink items, supplements, and medications were not stored in the same refrigerator and failed to ensure proper defrosting was done in… […]

• No harm, potential for more than minimal, widespreadF812Mar 16, 2026

  Based on observation and interview, the facility failed to maintain nozzles of the dishwasher spray wand free of debris; failed to maintain the vent over the clean side of the dishwasher free of a heavy buildup of dust; failed to discard one damaged mitten; failed to ensure there was an air gap between the drain from the ice machine and the floor drain; failed to ensure the container of utensils didn't have debris at the bottom of the utensil container; failed to ensure the lemon juice was refrigerated; failed to ensure the light fixtures in the kitchen were free from a dust buildup; failed to have the correct kind of sanitizer test strips available; failed to maintain two cutting boards free from numerous grooves and indentations; failed to ensure both light bulbs for the range hood… […]

• No harm, potential for more than minimal, widespreadF880Mar 16, 2026

  Based on observation, interview and record review, the facility failed to ensure infection control practices to prevent cross contamination were implemented during resident indwelling urinary catheter (a flexible, thin tube inserted into the bladder to drain urine when a person cannot urinate naturally) and incontinence care for two sampled resident (Resident #5, and #6) and during wound care for one sampled resident (Resident #6); failed to ensure appropriate hand hygiene was performed during incontinence care for one resident (Resident #35); failed to ensure staff provided care in a manner to prevent infection or the possibility of infection when staff did not use the proper Enhanced Barrier Precaution (EBP) signage for one resident with an indwelling medical device (Resident #10) and… […]