Inspection Reports for Rockpoint Care Center LLC

This post-certification revisit was conducted to verify that previously reported deficiencies on the CMS-2567 Statement of Deficiencies and Plan of Correction have been corrected.

The revisit confirmed that all cited deficiencies identified by their regulation numbers 483.10(i)(5), 483.60(i)(1)-(3), 483.45(b)(2)(3)(g)(h), and 483.80(a)(1)(2)(4)(e)(f) were corrected as of 07/19/2017.

A Health survey was conducted to determine if the facility is in compliance with Federal participation requirements for nursing homes participating in the Medicare and/or Medicaid program.

The survey found the most serious deficiencies to be 'E' level deficiencies, pattern, constituting no actual harm with potential for more than minimal harm that is not immediate jeopardy. The facility submitted a plan of correction which was accepted, and the facility was found to be in substantial compliance based on credible allegation of compliance and evidence of correction.

The inspection was a Health Resurvey to assess compliance with regulatory requirements following a previous survey.

The facility was found deficient in multiple areas including inadequate lighting in a resident's room, failure to maintain sanitary food service practices, improper labeling and storage of medications, and failure to follow infection control procedures during incontinent care.

The visit was a licensure resurvey of the facility to assess compliance with regulatory requirements.

The licensure resurvey resulted in a finding of no deficiency citations.

This document is a Plan of Correction submitted in response to a prior inspection report for Maple Hts ALF dated 06/19/2017.

No deficiencies were cited in the referenced inspection report dated 06/19/2017.

This document is a Plan of Correction submitted by Maple Heights in response to deficiencies cited in a prior inspection report dated June 19, 2017.

The plan addresses multiple deficiencies including inadequate lighting, improper hair restraint during food serving, expired insulin and medication management, and improper peri-care procedures. The facility outlines corrective actions, staff education, monitoring, and auditing to ensure compliance.

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

The survey found the facility was not in substantial compliance, with conditions constituting Immediate Jeopardy and Past Non-compliance to resident health or safety for specific regulatory citations. Enforcement remedies will be recommended without opportunity to correct deficiencies before imposition.

The inspection was conducted as a partially extended survey and complaint investigation related to allegations of abuse by a staff member at Maple Heights Nursing & Rehabilitation Center.

The facility failed to protect residents from potential abuse when a staff member reported an allegation of abuse by another staff member, who continued providing care for the remainder of the shift. The facility also failed to timely report the allegation and implement their abuse prevention policies, resulting in delayed administrative awareness and response.

The complaint investigation involved an allegation of abuse by licensed nursing staff J against resident #1. Direct care staff H reported the allegation via phone message but did not report it immediately to the administrator. The alleged abuser continued to provide care for approximately 7 hours and 20 minutes after the allegation was made. The facility delayed investigation and reporting, with administrative staff not becoming aware until approximately 25 hours after the initial allegation.

This document is a Plan of Correction submitted in response to a revised complaint inspection report dated 05/17/2017.

The Plan of Correction addresses past noncompliance issues identified in the complaint inspection, with no new plans of correction required for the cited deficiencies.

This Plan of Correction is related to a revised complaint inspection dated 05/17/2017.

A Life Safety Code survey was conducted by the State Fire Marshal's Office to determine compliance with Federal requirements for nursing homes participating in Medicare and/or Medicaid programs.

The survey found the most serious deficiencies at the facility to be at an 'F' level, indicating no harm but with potential for more than minimal harm that is not immediate jeopardy. Remedies including denial of payments and possible termination of provider agreement were recommended if substantial compliance is not achieved.

This is a post-certification revisit to verify that previously reported deficiencies have been corrected as documented on the CMS-2567 Statement of Deficiencies and Plan of Correction.

The report confirms that all previously cited deficiencies identified by their regulation numbers were corrected by 12/02/2015.

This document is a Plan of Correction submitted by Maple Heights Nursing and Rehab Center in response to deficiencies cited during a prior inspection, addressing compliance with state and federal regulations.

The plan outlines corrective actions including staff training on resident rights and abuse prevention, re-education on skin breakdown risk assessments, meal assistance documentation, restorative programs implementation, and blood pressure monitoring procedures. The facility commits to substantial compliance by December 2, 2015, with ongoing audits and monitoring by the Administrator, DON, and QA committees.

The Health Licensure Resurvey of the facility was conducted to assess compliance with health licensure requirements.

The resurvey resulted in a finding of no deficiency citations.

A Health survey was conducted to determine if the facility is in compliance with Federal participation requirements for nursing homes participating in the Medicare and/or Medicaid program.

The survey found the most serious deficiencies to be an "E" level deficiency, pattern, constituting no actual harm with potential for more than minimal harm that is not immediate jeopardy. The facility submitted a plan of correction which was accepted, resulting in a finding of substantial compliance effective December 2, 2015.

The inspection was conducted as a Health Resurvey to assess compliance with federal regulations for nursing homes.

The facility was found deficient in multiple areas including failure to immediately report and investigate allegations of abuse, failure to assess and provide resident bathing preferences, failure to prevent development of a pressure ulcer due to inadequate assessment and intervention, failure to provide assistance with eating, failure to provide restorative range of motion services as ordered, and failure to follow up on blood pressure readings outside physician-ordered parameters.

A Life Safety Code survey was conducted by the State Fire Marshal's Office to determine if the facility was in compliance with Federal requirements for nursing homes participating in Medicare and/or Medicaid programs.

The survey found the most serious deficiencies to be 'D' level, isolated, with no harm but potential for more than minimal harm that is not immediate jeopardy. A plan of correction was required and remedies including denial of payments and possible termination of provider agreement were recommended if substantial compliance is not achieved.

This post-certification revisit was conducted to verify that previously identified deficiencies reported on the CMS-2567 Statement of Deficiencies and Plan of Correction have been corrected.

The revisit confirmed that the deficiency identified under regulation 483.12(a)(2) with ID prefix F0201 was corrected as of 09/06/2014.

This document is a Plan of Correction submitted by Maple Heights Nursing and Rehabilitation Center in response to deficiencies cited in a prior survey related to discharge notices and compliance with state and federal regulations.

The plan addresses a deficiency regarding improper verbal rescindment of a discharge letter without written confirmation and outlines corrective actions to ensure all discharge notices are approved by the administrator and comply with regulatory requirements.

A Health survey was conducted by the Kansas Department for Aging & Disability Services to determine if the facility complies with Federal participation requirements for nursing homes participating in Medicare and/or Medicaid.

The survey found a 'D' level deficiency, isolated, constituting no actual harm but with potential for more than minimal harm that is not immediate jeopardy. The facility submitted a plan of correction which was accepted, and the facility was found to be in substantial compliance effective September 6, 2014.

This post-certification revisit was conducted to verify that previously cited deficiencies identified in the CMS-2567 Statement of Deficiencies and Plan of Correction have been corrected.

All previously cited deficiencies listed with their regulation numbers were corrected as of the revisit date, indicating compliance with the required standards.

This revisit inspection was conducted to verify that previously reported deficiencies had been corrected and to document the date such corrective actions were accomplished.

The report confirms that the previously cited deficiency identified by regulation 26-40-303 (b)(i)(ii)(iii)(iv)(c) was corrected as of the revisit date.

The inspection was a non-compliance revisit to determine if the facility corrected a prior deficiency related to the involuntary discharge of a resident.

The facility failed to ensure that one resident (#15) was not involuntarily discharged unless necessary for the resident's welfare and needs. The resident was discharged despite the facility being able to meet the resident's needs, due to the facility's decision to stop providing transportation to dialysis.

This document is a Plan of Correction submitted by Maple Heights Nursing & Rehabilitation Center in response to deficiencies cited during a prior inspection, addressing corrective actions for multiple cited deficiencies.

The plan outlines corrective actions for various deficiencies including environmental issues, care plan updates for residents, fall prevention interventions, medication and dietary procedures, housekeeping protocols, staffing levels on the special care unit, and facility repairs. The facility intends to achieve substantial compliance by August 8, 2014.

A Health survey was conducted by the Kansas Department for Aging and Disability Services to determine if the facility was in compliance with Federal participation requirements for nursing homes participating in Medicare and/or Medicaid programs.

The survey found the most serious deficiency to be a 'G' level related to noncompliance with F314, Pressure Ulcers. Enforcement remedies including denial of payment for new Medicare admissions effective October 9, 2014, were imposed due to failure to achieve substantial compliance.

The inspection was conducted as a Health Resurvey and Complaint Investigation for facility compliance with regulatory requirements.

The facility was found deficient in multiple areas including housekeeping and maintenance services, comprehensive care planning, pressure ulcer treatment, urinary incontinence management, fall prevention, staffing sufficiency, food handling and sanitation, infection control, and external environment safety.

The visit included a complaint investigation as indicated by the report referencing complaint investigation numbers #KS00072253 and #KS00074891.

The Assisted Living/Residential Healthcare resurvey of the facility was conducted to verify compliance and check for any deficiencies.

The resurvey resulted in a finding of no deficiency citations.

This report documents a revisit inspection to verify that previously reported deficiencies have been corrected at Maple Heights Nursing & Rehabilitation Center.

The revisit confirmed that the deficiency identified by regulation 28-39-160 with ID prefix S0740 was corrected as of 04/19/2013.

This is a post-certification revisit conducted to verify that previously reported deficiencies have been corrected and to document the dates such corrective actions were accomplished.

All previously cited deficiencies listed on the CMS-2567 Statement of Deficiencies and Plan of Correction were corrected as of the revisit date, April 19, 2013.

This document is a Plan of Correction submitted by Maple Heights Nursing and Rehabilitation Center in response to deficiencies cited in a prior survey, addressing corrective actions for various care and compliance issues.

The plan outlines corrective actions for multiple deficiencies including documentation of Medicaid and Medicare information, care plan updates, MDS accuracy, urinary assessments, psychotropic medication monitoring, infection control, and staff in-service training. Substantial compliance will be monitored through audits and QA processes.

Annual health resurvey of Maple Heights Nursing & Rehabilitation Center to assess compliance with federal regulations.

The facility had multiple deficiencies including failure to post required Medicare/Medicaid information, incomplete comprehensive assessments for several residents, inaccurate Minimum Data Set (MDS) documentation, failure to develop or update comprehensive care plans, inadequate infection control practices, unsanitary food handling, and failure to monitor medication effectiveness.