Inspection Reports for
Maple Healthcare

200 S. Maple Street, Hazen, AR 72064, AR, 72064

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Deficiencies (last 3 years)

Deficiencies (over 3 years) 3.3 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

37% better than Arkansas average
Arkansas average: 5.2 deficiencies/year

Deficiencies per year

8 6 4 2 0
2022
2024
2025

Census

Latest occupancy rate 30 residents

Based on a March 2024 inspection.

This facility has shown a decline in demand based on occupancy rates.

Occupancy over time

24 27 30 33 36 39 Dec 2022 Mar 2024

Inspection Report

Complaint Investigation
Deficiencies: 2 Date: Jun 5, 2025

Visit Reason
The inspection was conducted due to complaints and incidents involving resident-to-resident abuse, specifically physical altercations involving Residents #5, #23, and #25.

Complaint Details
The investigation was complaint-driven, focusing on allegations of resident-to-resident abuse involving Residents #5, #23, and #25. The abuse was substantiated through interviews, incident reports, and observations. The facility failed to report the incidents timely to regulatory authorities.
Findings
The facility failed to ensure residents were free from physical and psychosocial harm, with documented incidents of Resident #25 physically assaulting Residents #5 and #23. The facility also failed to timely report these incidents to the Office of Long-Term Care as required. Multiple staff and resident interviews, incident reports, and observations confirmed the abuse and inadequate reporting.

Deficiencies (2)
Failure to protect residents from physical and psychosocial harm due to resident-to-resident abuse involving Residents #5 and #23.
Failure to timely report suspected resident-to-resident abuse to the Office of Long-Term Care for Residents #5 and #25.
Report Facts
BIMS score: 3 BIMS score: 15 BIMS score: 6 Incident date: May 10, 2025 Incident date: May 27, 2025 Bruises observed: 3

Employees mentioned
NameTitleContext
RN #4Registered NurseCompleted incident reports and witnessed abuse incidents involving Resident #25
CNA #1Certified Nursing AssistantWitnessed Resident #25 slapping Resident #5 and reported the incident
CNA #2Certified Nursing AssistantWitnessed Resident #25 hitting Resident #5 and reported the incident
CNA #5Certified Nursing AssistantWitnessed Resident #25 hitting Resident #23 with a cane and attempted to intervene
CNA #6Certified Nursing AssistantAssisted in removing Resident #25 from Resident #23's room during abuse incident
LPN #3Licensed Practical NurseReported bruising on Resident #5 and confirmed safety interventions
DONDirector of NursingNotified of incidents, verified abuse reports, and confirmed interventions
AdministratorFacility AdministratorNotified of incidents and confirmed facility response and interventions
Medical DirectorMedical DirectorNotified late of incidents and reported on-call notification issues

Inspection Report

Routine
Census: 30 Deficiencies: 5 Date: Mar 7, 2024

Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to medication administration, personal hygiene care, respiratory care, psychotropic medication use, and food safety practices at Maple Healthcare.

Findings
The facility was found deficient in multiple areas including failure to assess residents for safe self-administration of medications, inadequate personal hygiene care for residents requiring assistance, lack of oxygen administration parameters, improper use of psychotropic medications without documented rationale, and failure of dietary staff to wash hands properly during meal preparation.

Deficiencies (5)
Failure to ensure a resident was assessed and deemed safe for self-administration of medications; medication was left at bedside without supervision.
Failure to ensure fingernails were cleaned and trimmed and facial hair was shaved to promote good personal hygiene and grooming for a resident requiring assistance.
Failure to ensure parameters were put in place to ensure correct dosage of oxygen was administered and documented for a resident.
Failure to ensure psychotropic medication (Ativan) was not used on a PRN basis for more than 14 days without documented rationale by a provider.
Failure to ensure dietary staff washed their hands during meal preparation, increasing potential for food contamination.
Report Facts
Residents affected: 1 Residents affected: 1 Residents affected: 1 Residents affected: 1 Residents affected: 30 PRN doses: 7

Employees mentioned
NameTitleContext
Licensed Practical Nurse #2LPNInterviewed regarding medication self-administration and oxygen administration
Director of NursingDONInterviewed regarding medication administration policies, oxygen administration, psychotropic medication use, and dietary practices
Certified Nursing Assistant #1CNAConfirmed knowledge of resident care plan and refusal documentation for personal hygiene care
Licensed Practical Nurse #1LPNConfirmed documentation practices related to resident care refusals
Dietary Employee #1Dietary StaffObserved failing to wash hands properly during meal preparation
Dietary ManagerManagerInterviewed regarding handwashing policies and practices in the kitchen

Inspection Report

Annual Inspection
Census: 32 Deficiencies: 3 Date: Dec 22, 2022

Visit Reason
The inspection was conducted to assess compliance with regulatory requirements including residents' rights regarding advanced directives, discharge summary completion, and respiratory care practices.

Findings
The facility failed to ensure residents' orders and care plans accurately reflected advanced directives for code status, failed to complete a discharge summary for a discharged resident, and failed to properly store oxygen tubing for residents with oxygen orders. These deficiencies had the potential to affect multiple residents but were determined to cause minimal harm or potential for actual harm.

Deficiencies (3)
Failed to ensure residents' orders and care plans accurately reflected advanced directives regarding cardiopulmonary resuscitation status.
Failed to complete a written discharge summary that included a recapitulation of the resident's stay and course of treatment for a discharged resident.
Failed to store and maintain oxygen tubing appropriately, risking contamination and respiratory infection.
Report Facts
Residents affected: 32 Residents affected: 1 Residents affected: 7 Residents with oxygen orders: 7 Residents sampled for oxygen tubing observation: 4 Resident census: 32

Employees mentioned
NameTitleContext
Licensed Practical Nurse (LPN) #1Interviewed regarding resident #134's code status and oxygen tubing storage
Director of Nursing (DON)Interviewed regarding resident #134's code status, discharge summary, and oxygen tubing storage
AdministratorInterviewed regarding importance of accurate advanced directive documentation and discharge summary completion

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