Inspection Reports for Maple Crest Health Center

This document is related to the renewal of the nursing home license for Maple Crest Health Center, including the submission of the Nursing Home Licensure Renewal Application and related certifications.

The document confirms the facility's licensure renewal application with no noted deficiencies or inspection findings. It includes certifications, occupancy permits, floor plans, and special care unit endorsement applications.

The document is a Nursing Home Licensure Renewal Application and related certification materials for Maple Crest Health Center, submitted to renew the facility's license.

The documents certify that Maple Crest Health Center meets statutory requirements for licensure renewal as a Skilled Nursing Facility with special care and treatment services. The renewal application includes facility information, ownership details, and endorsement for Alzheimer's Special Care Unit.

An offsite investigation was conducted to investigate a complaint at Maple Crest Health Center regarding failure to identify a change of condition, failure to provide care and services to prevent weight loss, and failure to provide adequate fluid intake to prevent dehydration.

The facility was found to be in compliance with regulatory guidelines for all allegations: timely identification of change of condition, provision of care to prevent weight loss, and adequate fluid intake to prevent dehydration.

The investigation addressed allegations that the facility failed to identify changes of condition, failed to prevent weight loss, and failed to provide adequate fluid intake. All allegations were found to be unsubstantiated as the facility was in compliance.

An unannounced visit was conducted to investigate a complaint at Maple Crest Health Center regarding the facility's interventions to prevent falls with injuries, reporting of injuries requiring treatment within 24 hours, and changes to interventions after residents were identified at risk for falls.

The facility was found to be in compliance with regulatory requirements for all allegations: appropriate interventions to prevent falls were used, injuries requiring treatment were reported within 24 hours, and interventions were changed after residents were identified at risk for falls.

The complaint alleged failure to use appropriate interventions to prevent falls with injuries, failure to immediately report injuries requiring treatment within 24 hours, and failure to change interventions after residents were identified at risk for falls. All allegations were found to be unsubstantiated as the facility was in compliance.

The document is a renewal application and certification for the Maple Crest Health Center's Skilled Nursing Facility/Nursing Facility dual certification license, including renewal of the license and related regulatory compliance information.

The documents confirm the facility's licensure renewal, occupancy permit with a maximum capacity of 175 beds, and detailed disclosure of the Alzheimer's/Special Care Unit including staffing, admission criteria, care philosophy, and physical environment.

An unannounced visit was conducted to investigate a complaint at Maple Crest Health Center from February 6, 2019 to February 13, 2019 by the Department of Health and Human Services Division of Public Health. The investigation included review of resident records, observation of care and services, and interviews with residents, family members, and staff.

The facility was found noncompliant in several areas including failure to ensure narcotics were properly accounted for, failure to follow practitioner orders regarding medication administration, failure to follow medication administration policies, and failure to provide medications according to the five rights. The facility was found compliant with pest control requirements.

The complaint included allegations that the facility failed to ensure resident property was accounted for to prevent loss, failed to follow practitioner's orders, failed to follow medication administration policies, failed to provide medications according to the five rights, and failed to ensure an effective pest control program. The investigation substantiated issues with medication administration and narcotic accounting but found the pest control program effective.

An unannounced visit was conducted to investigate a complaint and annual survey at Maple Crest Health Center on December 11-18, 2018 by the Department of Health and Human Services Division of Public Health.

The facility was found to be in compliance with most regulatory requirements except for failures related to timely submission of abuse investigations, administration of medications as ordered, notice requirements before transfer/discharge, bed hold policy notification, accuracy of assessments, treatment to prevent pressure ulcers, accident hazards, dialysis communication, medication administration timing, and multiple life safety code deficiencies including fire door maintenance, emergency preparedness, and electrical system issues.

The complaint investigation included allegations of failure to provide transportation, protect residents from abuse and misappropriation, submit investigations timely, follow plan of care, administer medications as ordered, and other care and safety concerns. The allegations related to Resident 441's hair being cut without family consent and a fracture allegation for Resident 70 were not substantiated. The facility was found in compliance with most allegations except for failure to submit investigations within 5 working days and failure to administer medications as ordered.

An unannounced visit was conducted to investigate a complaint at Maple Crest Health Center regarding allegations that the facility fails to protect residents from abuse and fails to report incidents of abuse.

The facility was found to be in compliance with regulations, as it protected residents from abuse through interventions and staff education, and reported incidents of abuse within the required regulatory time frame.

The complaint alleged failure to protect residents from abuse and failure to report incidents of abuse. The investigation found the facility compliant with both allegations.

An unannounced visit was conducted to investigate a complaint at Maple Crest Health Center regarding failure to provide care and services according to practitioner's orders and failure to answer call notification systems promptly.

The facility was found compliant with provision of care according to practitioner's orders and call system responsiveness, but non-compliant with documentation requirements related to initiation and removal of respiratory devices for individual residents. Specifically, accurate and complete records for respiratory treatments were not maintained for 3 of 4 residents reviewed.

Complaint allegations included failure to provide care and services according to practitioner's orders and failure to answer call notification systems promptly. The facility was found compliant with care and call system responsiveness but deficient in documentation of respiratory device use.

The notice was issued to inform Maple Crest Health Center of disciplinary action placing their license on probation for 90 days starting December 5, 2017, due to violations including failure to prevent pressure sores and other regulatory breaches.

The facility was found in violation of multiple regulations including failure to prevent pressure sores, medication errors, food preparation, sanitary conditions, and medication labeling. The disciplinary action requires submission of a Plan of Correction and periodic reports on residents with pressure sores.

An unannounced visit was conducted to investigate a complaint at Maple Crest Health Center from October 30, 2017 to November 2, 2017 by representatives of the Department of Health and Human Services Division of Public Health.

The facility was found to be in compliance with gastrostomy tube care, call system response, grooming, bathing choice, grievance resolution, fall prevention, notification of condition changes, medical record access, psychotropic medication evaluation, physical environment, activities, food/fluid assistance, bladder care, hydration, weight loss prevention, and staffing sufficiency. Deficiencies were found related to dignity and respect, housekeeping and odor control, treatment provision, medication administration, and medication administration rights.

Complaint investigation was conducted due to multiple allegations including failure to ensure proper care of gastrostomy tubes, dignity and respect, call system response, grooming, bathing choice, housekeeping, treatment provision, medication administration, grievance resolution, fall prevention, notification of condition changes, medical record access, psychotropic medication evaluation, physical environment, activities, food/fluid assistance, bladder care, hydration, weight loss prevention, and staffing sufficiency.

An unannounced visit was conducted to investigate a complaint regarding the facility's failure to transport residents in a safe environment.

The facility was found to transport residents in a safe environment, with no signs or symptoms of dehydration or discomfort observed during transport, and residents reported maintained comfort. The facility was found to be in compliance with all related regulations.

The complaint alleged that the facility fails to transport residents in a safe environment. The investigation found the allegation unsubstantiated as the facility was compliant.

An unannounced visit was conducted to investigate a complaint at Maple Crest Health Center on July 11, 2017, by representatives of the Department of Health and Human Services Division of Public Health.

The investigation found no violations related to the allegations. The facility provided care and services according to practitioner's orders, notified responsible parties of changes in condition, and protected residents from misappropriation.

The complaint alleged failure to provide care and services according to practitioner's orders, failure to notify responsible party of change in condition, and failure to protect residents from misappropriation. All allegations were found to have no violations.

An unannounced visit was conducted to investigate a complaint at Maple Crest Health Center from February 21 to February 23, 2017, regarding allegations of failure to provide care and treatment to prevent skin breakdown, failure to notify family of change in condition, failure to provide staff assistance to enable food/fluid intake, and failure to provide positioning per plan of care.

The facility was found to have provided appropriate care and treatment in all areas investigated, including prevention of skin breakdown, notification of family of change in condition, staff assistance for food/fluid intake, and positioning per plan of care. No violations or citations were issued related to these allegations.

The complaint alleged failures in care related to skin breakdown prevention, family notification of condition changes, assistance with food/fluid intake, and positioning per care plan. The investigation found no violations and no citations were issued.

An unannounced visit was conducted to investigate multiple complaints at Maple Crest Health Center, including allegations related to staff impairment, management of high blood sugars, provision of therapy, identification of changes in condition, medication management, and therapeutic diets.

The facility was found to be in compliance with all relevant regulatory requirements for each allegation investigated. Staff were not under the influence of marijuana, high blood sugars were addressed appropriately, therapy services were provided, changes in condition were identified and acted upon, residents were not over medicated, and therapeutic diets were properly administered.

The investigation addressed multiple allegations: staff under influence of marijuana, failure to address high blood sugars, failure to provide therapy, failure to identify change in condition, over medication of residents, and failure to provide appropriate therapeutic diets. All allegations were found to be unsubstantiated with the facility in compliance.

An unannounced visit was conducted to investigate a complaint and annual survey at Maple Crest Health Center on July 27, 2016-August 2, 2016, by representatives of the Department of Health and Human Services Division of Public Health.

The facility was found to be in compliance with regulatory guidelines for bed bug control, insulin storage, dressing changes, availability of supplies, personal hygiene, dental needs, and grooming. However, deficiencies were identified related to catheter care, medication administration, food sanitation, fire safety, and other life safety code violations.

The visit was complaint-related, investigating allegations including failure to control bed bugs, follow insulin manufacturer directions, complete dressing changes, ensure availability of supplies, assist with personal hygiene, meet dental needs, and maintain cleanliness and grooming. The facility was found compliant on these issues but had deficiencies in catheter care and medication administration.

An unannounced visit was conducted to investigate a complaint at Maple Crest Health Center regarding failure to submit written investigations within five working days and allegations of misappropriation of resident funds.

The facility failed to report an allegation of misappropriation of funds to the required state agencies, constituting a regulatory violation. Other allegations including failure to ensure residents were free from abuse, failure to put fall interventions in place, failure to answer calls promptly, and failure to provide care for drainage devices and pressure sores were found to be in compliance. The facility self-corrected the misappropriation reporting issue and implemented corrective actions.

The complaint investigation was triggered by allegations that the facility failed to submit written investigations within five working days and failed to protect residents from misappropriation of funds. The facility did not report the allegation of misappropriation to DHHS or APS in a timely manner but completed an internal investigation and took corrective action. The allegation was not substantiated due to lack of supportive documentation.

An unannounced visit was conducted to investigate multiple complaints at Maple Crest Health Center from August 3, 2015 to August 25, 2015.

The facility was found to be in compliance with all related regulatory requirements regarding allegations of abuse, failure to notify family of change in condition, failure to address significant weight loss, and failure to provide care to prevent skin breakdown. Observations, interviews, and record reviews supported these findings.

The investigation addressed allegations that the facility failed to protect residents from abuse, failed to notify family or responsible party of change in condition, failed to address significant weight loss, and failed to provide care and treatment to prevent skin breakdown. All allegations were found to be unsubstantiated.

An unannounced visit was conducted to investigate a complaint regarding failure to protect residents from abuse, failure to provide dressing changes according to standards of practice, and failure to provide care and treatment to promote healing of skin breakdown.

The facility was found to protect residents from abuse with no violation. However, the facility failed to provide dressing changes and treatment for pressure ulcers as ordered for one resident, resulting in a violation of F314 and 175 NAC 12-006.09D2a. The treatment was completed only once a day instead of twice daily as ordered.

The complaint alleged failure to protect residents from abuse, failure to provide dressing changes according to standards of practice, and failure to provide care and treatment to promote healing of skin breakdown. The abuse allegation was unsubstantiated. The dressing change and treatment failures were substantiated.

An unannounced visit was conducted to investigate a complaint regarding the facility's implementation of the plan of care, evaluation of psychotropic medication usage, and obtaining permission for treatments.

The facility was found compliant with implementing the plan of care and evaluating psychotropic medication usage. However, the facility failed to obtain permission for treatments for one resident, which was substantiated without a deficiency and resulted in the facility being out of compliance for this concern.

The complaint involved allegations that the facility failed to implement or follow the plan of care, failed to evaluate psychotropic medication usage, and failed to obtain permission for treatments. The failure to obtain permission for treatments was substantiated without a deficiency.

An unannounced visit was conducted to investigate a complaint and annual survey at Maple Crest Care Center on September 30, 2014-October 7, 2014.

The facility had multiple deficiencies including failure to maintain sanitary conditions in the kitchen, life safety code violations such as blocked and non-latching doors, obstructed exits, missing exit signs, inadequate fire drills, missing sprinkler protection, improper HVAC system use, electrical safety issues, and oxygen safety concerns. The facility submitted a plan of correction addressing each deficiency with timelines and monitoring processes.

The complaint investigation included allegations that the facility failed to provide assistance with meals, failed to identify change of condition, failed to provide prompt response after a fall, failed to ensure staff retain appropriate credentials, failed to ensure appropriate housekeeping to prevent mold, and failed to transfer residents safely. The facility was found to be in compliance with all related regulatory requirements for these allegations.

An unannounced visit was conducted to investigate a complaint at Maple Crest Care Center regarding multiple allegations including over medication of residents, failure to notify responsible parties of condition changes, insufficient staffing levels, medication availability, medication administration, plan of care implementation, grievance handling, fall intervention changes, abuse reporting, staff training adequacy, resident behavior management, and pain relief provision.

The facility was found to be in compliance with all related regulatory requirements for all allegations investigated. Observations, record reviews, and interviews with residents, staff, and family members confirmed appropriate medication administration, staffing levels, notification procedures, care plans, grievance responses, fall interventions, abuse reporting, staff training, behavior management, and pain relief.

The complaint investigation addressed multiple allegations including over medication, failure to notify responsible parties of condition changes, insufficient staffing, medication availability and administration, plan of care adherence, grievance handling, fall intervention changes, abuse reporting, staff training, resident behavior management, and pain relief timeliness. All allegations were found to be unsubstantiated with the facility in compliance.

An unannounced visit was conducted to investigate a complaint investigation at Maple Crest Care Center from February 4, 2014 to February 20, 2014, triggered by multiple allegations including failure to ensure residents were free from verbal/mental abuse, misappropriation of property, appropriate notice for involuntary discharge, reporting abuse, supervision after threats of self-harm, and other care concerns.

The facility was found compliant with allegations related to verbal/mental abuse, misappropriation of property, discharge notices, reporting abuse, physical abuse, supervision of residents with elopement risk, informed consent for room changes, grievance resolution, skin care, call light functionality, home-like environment, food handling, grooming, furnishings, and visitor policies. However, the facility failed to provide adequate supervision for residents after threats of self-harm, specifically failing to conduct required 15-minute visual checks for several residents with suicidal ideation or behavioral issues, constituting a violation of regulations.

The complaint investigation included multiple allegations such as failure to ensure residents were free from verbal/mental abuse, misappropriation of property, failure to give appropriate notice for involuntary discharge, failure to report abuse, failure to ensure residents were free from physical abuse, failure to provide adequate supervision after threats of self-harm, failure to supervise residents with history of elopement, failure to obtain informed consent for room changes, failure to address grievances, failure to prevent skin breakdown, failure to ensure call light systems were functional, failure to provide a comfortable home-like environment, failure to handle food appropriately, failure to ensure grooming, failure to ensure furnishings met resident needs, and failure to allow visitors. Most allegations were found to be in compliance except for failure to provide adequate supervision after threats of self-harm.

Annual inspection of Maple Crest Care Center to assess compliance with state and federal regulations including life safety code standards.

The facility was found deficient in multiple areas including failure to revise care plans after resident falls, inadequate pain management, improper medication labeling, life safety code violations such as doors not closing properly, blocked egress, lack of emergency lighting, expired boiler inspection, use of prohibited portable heaters, and electrical safety issues including use of extension cords and power strips.

Annual state survey and inspection of Maple Crest Care Center to assess compliance with licensure regulations and life safety code standards.

The facility was found deficient in multiple areas including failure to report investigations timely, incomplete background checks, environmental cleanliness and maintenance issues, incomplete care plans, inadequate monitoring of dialysis access sites, unsafe storage of chemicals and sharps, expired medications, poor infection control practices, incomplete clinical documentation, ineffective quality assurance program, fire safety code violations including door latching and vision panels, emergency lighting, exit signage, fire drills, smoke detector installation, sprinkler system clearance, kitchen hood cleaning, means of egress obstructions, flammable decorations, curtain flame retardancy, storage of large capacity trash receptacles, unsecured oxygen cylinders, lack of oxygen shut-off policy, missing oxygen in use signage, and unsafe electrical adaptors.

Annual inspection of Maple Crest Care Center to assess compliance with Nebraska Administrative Code and federal regulations for skilled nursing facilities.

The facility had multiple deficiencies including failure to notify physician of critical lab values, incomplete grievance documentation, inadequate care plan development and revision, failure to provide oral care and baths as per care plans, incomplete neurological assessments, failure to prevent pressure ulcers, unsafe use of assistive devices, insufficient hydration, incomplete behavior documentation after medication changes, and unsecured medication storage.

Routine inspection of Maple Crest Care Center to assess compliance with regulations governing skilled nursing facilities, including documentation, transfer/discharge procedures, abuse reporting, pain management, mental health services, and fall prevention.

The facility failed to ensure physician documentation for discharge reasons, proper written notice for transfer/discharge, timely reporting of significant injuries, adequate pain management assessment, implementation of interventions for residents with behavioral disturbances, and proper use of fall alarm devices.

The survey and revisit were conducted to determine if the facility was in compliance with Federal participation requirements for nursing homes participating in Medicare and/or Medicaid programs.

The facility was found not in substantial compliance during the September 12, 2011 survey and November 8, 2011 revisit. As a result, a denial of payment for new admissions and a civil money penalty (CMP) of $1000 per instance were imposed. A subsequent revisit on January 18, 2012 established that corrections had been made and substantial compliance was achieved, leading to removal of the denial of payment.

The inspection was conducted based on a complaint investigation regarding deficiencies in care and services at Maple Crest Care Center, including failure to respond timely to call lights, catheter care, medication errors, nursing staff sufficiency, infection control, and other resident care issues.

The facility was found not in substantial compliance with federal regulations in multiple areas including timely response to call lights, catheter care, medication administration errors, insufficient nursing staff, infection control, and laboratory services. Corrective actions and quality assurance programs were implemented with completion dates mostly by 2/25/2011.

The visit was complaint-related, investigating allegations of deficient practices including delayed call light response, catheter care issues, medication errors, insufficient nursing staff, infection control lapses, and failure to provide timely lab services. The facility was found not in substantial compliance with federal regulations.

The inspection was conducted as an annual survey to assess compliance with regulatory requirements for Maple Crest Care Center, including resident care, accommodations, and facility operations.

The facility was found deficient in multiple areas including dignity and respect of individuality, reasonable accommodations, activities, provision of medically related social services, comprehensive care plans, infection control, medication error rates, food procurement and sanitation, and pain assessment. The facility failed to meet several regulatory requirements based on observations, record reviews, and interviews.

The facility was surveyed by the Nebraska Department of Health and Human Services to determine compliance with Federal participation requirements for nursing homes participating in Medicare and/or Medicaid programs. The survey and subsequent revisits found the facility was not in substantial compliance.

The facility was found not in substantial compliance with federal requirements during the initial survey and revisits. Payment for new Medicare and Medicaid admissions was denied until compliance was achieved. A complaint healthcare survey also found failure to maintain compliance. Eventually, a revisit established that corrections were made and substantial compliance was achieved, lifting the denial of payment.

A complaint healthcare survey conducted on January 28, 2011, determined the facility failed to maintain compliance with deficiencies cited in the November 16, 2010 survey. This contributed to the denial of payment for new admissions.

The document includes a nursing home licensure renewal application, occupancy permit, and facility room capacity details for Maple Crest Health Center.

No inspection findings or deficiencies are reported. The document provides administrative and licensing information, facility capacity, and Alzheimer's Special Care Unit policies and disclosures.

This document serves as a license renewal application and certification for Maple Crest Health Center, including verification of licensure, occupancy permit, and Alzheimer's special care unit endorsement.

The documents confirm the facility's licensure status, maximum occupancy of 175 beds, and detailed information about the Alzheimer's special care unit including philosophy, admission criteria, staffing, training, and physical environment.

The document serves as a licensure renewal application for Maple Crest Health Center, verifying the facility's license status and providing details about the facility's capacity, ownership, and services.

The document includes verification of licensure renewal, facility capacity information, ownership details, and certifications related to the facility's operation and services. No inspection findings or deficiencies are reported.

The documents serve to renew the nursing home license for Maple Crest Health Center and provide disclosure information for the Alzheimer's Special Care Unit, including endorsement application and occupancy permit details.

No inspection findings or deficiencies are reported. The documents confirm licensure renewal, facility capacity, and special care unit program details.

The documents serve to verify licensing status, renew the nursing home license, disclose ownership information, and apply for Alzheimer's Special Care Unit endorsement for Maple Crest Health Center.

No inspection findings or deficiencies are reported. The documents include licensing renewal application details, ownership disclosures, occupancy permit information, and Alzheimer's unit care and staffing descriptions.

The documents serve to verify and renew the nursing home license and certifications for Maple Crest Health Center, including Alzheimer's Special Care Unit endorsement and state fire marshal occupancy permit.

No inspection findings or deficiencies are reported. The documents focus on licensing renewal, certification, ownership, and facility capacity details.

The document is a Nursing Home Licensure Renewal Application for Maple Crest Health Center, including renewal of the SNF/NF dual certification and Alzheimer's Special Care Unit endorsement.

The documents confirm licensure renewal, certification compliance, and occupancy permit status. They include facility ownership, capacity, and special care unit details without inspection findings or deficiencies.

The document serves as a Notice of Disciplinary Action and subsequent Modification of Disciplinary Action against Maple Crest Care Center for failure to implement interventions to prevent falls and maintain regulatory compliance.

The facility was found to have deficiencies related to failure to implement interventions to prevent falls, resulting in probation and extension of probation period. The probation required submission of a Plan of Correction and regular reports on accident prevention measures.