Deficiencies (last 3 years)
Deficiencies (over 3 years)
1.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
87% better than Maryland average
Maryland average: 12.8 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Annual Inspection
Deficiencies: 3
Date: Mar 10, 2025
Visit Reason
The inspection was conducted as part of the facility's annual survey to assess compliance with care planning, treatment, and medication administration standards.
Findings
The facility failed to develop and implement comprehensive person-centered care plans for residents, did not follow physician orders or properly document treatment monitoring, and had a medication error rate exceeding 5 percent during medication administration observation.
Deficiencies (3)
F 0656: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. The facility failed to develop a comprehensive care plan for Resident #5, who was at risk of falls.
F 0684: Provide appropriate treatment and care according to orders, resident's preferences and goals. The facility failed to follow the physician order and monitor skin checks for Resident #4 using palm protectors.
F 0759: Ensure medication error rates are not 5 percent or greater. Licensed staff failed to ensure a medication error rate below 5 percent, with errors in blood pressure and heart rate monitoring before medication administration.
Report Facts
Medication error rate: 6.52
Residents reviewed for care plans: 10
Residents reviewed for treatment: 14
Medication administration opportunities: 46
Medication errors observed: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff # 3 | Registered Nurse (RN) | Named in medication error findings and interviewed regarding medication administration and palm protector use |
| Staff # 5 | Registered Nurse (RN) | Named in medication error findings related to medication administration for Resident #5 |
| Director of Nursing | Director of Nursing (DON) | Interviewed regarding care plan deficiencies, palm protector use, and medication administration findings |
Inspection Report
Deficiencies: 0
Date: May 6, 2021
Visit Reason
The document is a statement of deficiencies and plan of correction related to a regulatory survey of the nursing home Maplewood Park Place.
Findings
No health deficiencies were found during the survey.
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: Aug 2, 2019
Visit Reason
The inspection was conducted due to a complaint investigation regarding the facility's failure to provide adequate supervision and timely revision of care plans for a resident with multiple falls.
Complaint Details
The complaint investigation focused on resident #5 who had a history of six falls in a twelve-month period and required contact guard assistance while walking. The facility failed to consistently provide this supervision, leading to a fall on 04-17-19 with fractures. The incident report was not fully accessible to surveyors, and staff interviews revealed inconsistent adherence to recommended interventions.
Findings
The facility failed to revise the care plan in a timely manner to reflect the assistance needed for walking and failed to provide adequate supervision and contact guard to a resident with a history of multiple falls, resulting in a fall with multiple fractures.
Deficiencies (2)
F 0657: The facility staff failed to revise the care plan to reflect the type of assistance needed for walking in a timely manner for resident #5 who had multiple falls and fractures.
F 0689: The facility failed to provide adequate supervision and implement interventions to prevent accidents for resident #5, resulting in actual harm from a fall with fractures.
Report Facts
Falls: 6
Date of fall: Apr 17, 2019
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN staff #10 | Licensed Practical Nurse | Documented nursing assessment after resident #5's fall. |
| Director of Rehabilitation | Director of Rehabilitation | Interviewed regarding resident #5's walking status and therapy recommendations. |
| Assistant Director of Nursing | Assistant Director of Nursing | Provided incident investigation sheet to surveyor. |
Viewing
Loading inspection reports...
