The Maples at Har-Ber Meadows

In the surveyor’s words

From the most serious findings on record at The Maples at Har-Ber Meadows, in the surveyor’s own words.

• Immediate jeopardy, patternF880Jun 10, 2021

  Based on observation, record review, and interview, the facility failed to ensure a non-vaccinated Covid-19 negative resident (Resident #4) did not remain in the room with a non-vaccinated Covid-19 positive resident (Resident #5). This failed practice resulted in Immediate Jeopardy, which could have caused serious harm or death to Resident #4, who had tested negative for COVID-19. The failed practice had the potential to cause more than minimal harm to 10 residents who had tested negative for COVID-19 and resided on the Dementia Care Unit (Makeshift COVID-19 unit), according to the Daily Census provided by the Director of Nursing (DON) on 06/02/2021 at 1:30 p.m. The Administrator and DON were notified of the Immediate Jeopardy on 06/02/2021 at 5:20 p.m. The findings are: 1. […]

• Actual harm, isolatedF684Apr 1, 2022

  Based on observation, record review and interview, the facility failed to ensure the physician was notified of breathing difficulties and low pulse oxygenation so other treatment options could be developed and implemented for 1 (Resident #348) of 1 sampled resident who had a significant change in condition. This failed practice resulted in actual harm for Resident #348, who exhibited respiratory distress and received no additional treatment. The findings are: Resident #348 had diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . The resident was admitted to the facility on [DATE] and no Minimum Data Set (MDS) was complete. There was no Baseline care plan completed to understand the resident's needs. a. The Physician order [MEDICAL RECORD OR PHYSICIAN ORDER] . b. […]

• No harm, potential for more than minimal, widespreadF880Apr 1, 2022

  Based on observation, record review and interview, the facility failed to ensure all staff and visitors were fully screened, upon entrance, and contact and droplet precautions were followed by staff entering isolation resident room, to prevent the spread of COVID-19 and other communicable diseases in 1 of 1 facility. These failed practices had the potential to affect all 101 residents who resided in the facility per the Resident Census and Condition of Resident form dated, 3/27/22. The findings are: 1. On 03/27/22 at 10:55 AM, (Sunday) the surveyors entered the facility, and the weekend Registered Nurse (RN) Supervisor informed the surveyors the temperature machine for screening was not working and she could not find covers for the thermometer. […]

• No harm, potential for more than minimal, patternF580Jul 18, 2024

  Based on record review and interview, the facility failed to ensure the resident's responsible part/legal representative was notified when a resident refused treatment to provide the necessary information to guide treatment and decrease the potential for related complications for 1 (Resident #110) of 1 sample mix residents. The findings are: Review of a facility policy titled, Change in a Resident's Condition or Status, dated February 2021, indicated our facility promptly notifies the resident, his or her primary care provider, and the resident representative of changes in the resident's medical/mental condition and/or status (e.g., changes in level of care, billing/payments, resident rights, etc.). […]

• No harm, potential for more than minimal, patternF677Jul 18, 2024

  Based on observation, interview, and record review, the facility failed to ensure proper nail care was provided to a resident who was dependent on nail care for one (Resident #27) resident and the facility failed to ensure a resident who required assistance with personal hygiene was regularly offered hair care to maintain good grooming and hygiene for one (Resident #96) of two sampled (Resident #27 and #96) residents reviewed for activities of daily living (ADLs). Findings include: A review of a facility policy titled, Activities of Daily Living (ADLs), Supporting, revised March 2018, indicated, Policy Statement . […]