Inspection Reports for
Maple Lake Assisted Living & Memory Care

R 325.1954 Meals and food records: the meal census and food records for September 2025 to December 2025 were incomplete and/or missing entries, making it undetermined what kind or amount of food was served during the preceding 3-month period.

R 325.1972 Solid wastes: garbage or rubbish containers in the common area, laundry areas, and memory care unit lacked tight-fitting lids, risking cross-contamination.

R 325.1975 Laundry and linen requirements: miscellaneous boxes and a clothing hamper were stored in the clean linen closet, posing a risk for cross-contamination.

R 325.1976 Kitchen and dietary (2): no single service towels were available in the memory care kitchenette for handwashing.

R 325.1976 Kitchen and dietary (5): a large, opened bag of rice in the kitchen dry storage area was not stored to protect it from contamination.

R 325.1976 Kitchen and dietary (6): multiple food items were unlabeled in refrigerators and kitchenettes, lacking appropriate open dates, making safety for consumption undetermined.

R 325.1976 Kitchen and dietary (13): dishwasher sanitization logs from September to December 2025 had incomplete or blank entries, preventing verification of cleanliness and sanitization.

R 325.1976 Kitchen and dietary (16): housekeeping items such as a broom and dustpan were stored in the dry food storage area instead of the janitor’s closet, risking cross-contamination.

R 325.1979 General maintenance and storage (3): hazardous and toxic chemicals were stored in unlocked cabinets and drawers accessible to residents with impaired cognition, posing a risk of ingestion or injury.

R 325.1932 Resident medications: Resident C’s prescribed eye drops, iron pills, and melatonin were not administered as prescribed, evidenced by a surplus supply held by a relative and inaccurate medication administration records.

R 325.1923 Employee's health: one employee did not have tuberculosis screening completed within 10 days of hire and before occupational exposure.

R 325.1924 Reporting of incidents, quality review program: only two incident reports contained effective means to correct deficient practice and address incidents.

R 325.1968 Toilet and bathing facilities: resident toilet rooms and bathrooms were used for storage of basketball stands, laundry racks, mattress, bed frame, headboard, and Hoyer lift.

R 325.1931 Employees; general provisions: Resident A fell on 6/9/2023 while taking a shower unassisted, contrary to the service plan requiring stand by assist with continuous supervision and cueing.

R 325.1932 Resident medications: Review of Resident C's medication administration record revealed several missed medications on 6/23/2023 with no documentation to determine if medications were given, refused, or missed.