Deficiencies (last 4 years)
Deficiencies (over 4 years)
5.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
Same as Missouri average
Missouri average: 5.5 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
89 residents
Based on a March 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Routine
Census: 89
Deficiencies: 8
Date: Mar 7, 2025
Visit Reason
Routine inspection of Maples Health and Rehabilitation facility to assess compliance with regulatory requirements including resident care, safety, and food storage.
Findings
The facility was found deficient in multiple areas including failure to provide required Medicare notices, failure to notify residents or representatives of bed-hold policies, incomplete care planning for urinary retention, inaccurate resident code status documentation, failure to timely obtain and act on lab results for infections, failure to address significant weight loss with appropriate interventions and notifications, failure to have physician orders and care plans for CPAP use, and improper food storage practices.
Deficiencies (8)
Failed to provide Skilled Nursing Facility Advance Beneficiary Notice (SNFABN) or denial letter at initiation, reduction, or termination of Medicare Part A benefits for one resident.
Failed to notify resident or representative in writing of bed-hold policy during hospital transfer for one resident.
Failed to develop and implement a comprehensive care plan addressing urinary care concerns including urine retention and urology referral for one resident.
Failed to ensure resident's code status preference was clear and accurate; staff failed to update DNR to full code in resident record for one resident.
Failed to timely obtain ordered labs for possible infection and notify physician of abnormal results for two residents.
Failed to ensure weight loss was unavoidable by not notifying physician and dietician, not care planning actual weight loss, and not implementing current care planned interventions for one resident.
Failed to obtain physician's order and complete care plan for use of CPAP for two residents.
Failed to store food properly after opening and did not consistently label food after opening, risking contamination.
Report Facts
Facility census: 89
Resident #65 weight loss: 7.7
Resident #43 weight loss: 11.6
Resident #43 weight loss: 5.1
Resident #43 weight loss: 10.4
Resident #43 weight loss: 17.4
Resident #43 weight loss: 6.5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Business Office Manager | Business Office Manager | Named in failure to complete SNFABN form for Resident #18 |
| Social Service Director | Social Service Director | Named in failure to complete SNFABN form for Resident #18 and bed hold policy interviews |
| Administrator | Administrator | Named in failure to complete SNFABN form and bed hold policy interviews |
| Director of Nursing | Director of Nursing | Named in care planning and lab result follow-up interviews |
| Licensed Practical Nurse H | Licensed Practical Nurse | Interviewed regarding bed hold policy and urinary catheterization |
| Director of Social Services - Long Term Care | Director of Social Services - Long Term Care | Interviewed regarding bed hold policy |
| Admissions Director | Admissions Director | Interviewed regarding bed hold policy |
| Licensed Practical Nurse E | Licensed Practical Nurse | Interviewed regarding urinary tract infection lab order and symptoms |
| Certified Nurse Aide F | Certified Nurse Aide | Interviewed regarding UTI symptoms and resident eating |
| Registered Dietician O | Registered Dietician | Interviewed regarding weight loss and nutrition interventions |
| Assistant Director of Nursing | Assistant Director of Nursing | Interviewed regarding weight monitoring and CPAP care planning |
| Licensed Practical Nurse I | Licensed Practical Nurse | Interviewed regarding CPAP knowledge and orders |
| Registered Nurse J | Registered Nurse | Interviewed regarding CPAP knowledge and orders |
| MDS Coordinator | MDS Coordinator | Interviewed regarding CPAP care planning and notification |
| Dietary Aide L | Dietary Aide | Interviewed regarding food storage practices |
| Dietary Manager M | Dietary Manager | Interviewed regarding food storage practices |
| Kitchen Supervisor | Kitchen Supervisor | Interviewed regarding food storage practices |
Inspection Report
Complaint Investigation
Census: 96
Deficiencies: 1
Date: Dec 18, 2024
Visit Reason
The inspection was conducted due to a complaint investigation regarding misappropriation of a resident's property, specifically a bank debit card used without permission by a facility staff member.
Complaint Details
The complaint investigation was substantiated. The resident reported unauthorized charges on his/her debit card. The accused CNA admitted to taking and using the card mistakenly, reimbursed the resident, and was suspended pending investigation.
Findings
The facility failed to protect a resident from misappropriation of property when a Certified Nurse Aide (CNA A) took a resident's debit card without permission and made fraudulent purchases totaling over $90. The CNA admitted to the unauthorized use and reimbursed the resident. The facility suspended the employee and conducted an investigation, reporting the incident to the police and Department of Health and Senior Services.
Deficiencies (1)
Failed to protect resident from wrongful use of belongings or money due to staff misappropriation of resident's debit card.
Report Facts
Unauthorized purchases: 6
Total amount: 97.68
Facility census: 96
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNA A | Certified Nurse Aide | Employee who took and used the resident's debit card without permission |
| Director of Nursing | Director of Nursing | Interviewed resident and led investigation into misappropriation |
| Registered Nurse B | Registered Nurse | Charge nurse who notified the DON of the resident's report |
| CNA C | Certified Nurse Aide | Witnessed CNA A admitting to taking the resident's debit card |
| CNA D | Certified Nurse Aide | Witnessed CNA A admitting to taking the resident's debit card and advised reporting to DON |
| Assistant Director of Nursing | Assistant Director of Nursing | Provided information on facility procedures for handling misappropriation allegations |
| Administrator | Administrator | Stated facility staff should follow misappropriation policy |
Inspection Report
Routine
Census: 91
Deficiencies: 1
Date: Oct 4, 2024
Visit Reason
The inspection was conducted to assess the facility's compliance with regulations regarding providing food that accommodates resident allergies, intolerances, and preferences, including availability of appealing meal options.
Findings
The facility failed to ensure that all residents' food preferences were honored and that meal alternatives were available to residents who routinely ate in their rooms. Five residents were unable to have their preferred drink or obtain an alternative meal if not ordered two hours prior to meal service. The facility lacked a process to ensure all residents knew the daily menu and had equal access to alternative meals and drink options.
Deficiencies (1)
Failed to have a process in place to ensure all residents' food preferences were honored and meal alternatives were available to residents eating in their rooms.
Report Facts
Census: 91
Residents affected: 5
Alternative meal order timeframe: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| License Practical Nurse (LPN) A | Interviewed about alternative meal ordering and drink availability for residents | |
| License Practical Nurse (LPN) B | Interviewed about alternative meal ordering procedures and menu posting | |
| Director of Nursing (DON) | Interviewed about menu posting locations, resident rights, and staff education | |
| Administrator | Interviewed about meal posting, alternative meal ordering policy, and drink availability |
Inspection Report
Routine
Census: 95
Deficiencies: 1
Date: Feb 5, 2024
Visit Reason
The inspection was conducted to ensure the nursing facility meets professional standards of quality, specifically focusing on medication administration practices.
Findings
The facility failed to provide timely medication administration per professional standards when one resident out of six sampled received medications late by one hour and 35 minutes. Staff interviews and record reviews confirmed medications were administered late, and staff were unaware of the late administration.
Deficiencies (1)
Failure to have a system in place for timely administration of medications resulting in one resident receiving medications late.
Report Facts
Residents affected: 1
Facility census: 95
Medication administration delay: 95
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Medication Technician (CMT) A | Prepared and administered medications late at 10:35 A.M. | |
| Certified Medication Technician (CMT) B | Interviewed about medication administration practices and timing | |
| Licensed Practical Nurse (LPN) C | Interviewed about electronic medication records and administration | |
| Administrator | Interviewed about medication administration policies and awareness of late medications | |
| Director of Nursing (DON) | Interviewed about medication administration policies and awareness of late medications |
Inspection Report
Routine
Census: 85
Deficiencies: 8
Date: Jun 23, 2023
Visit Reason
Routine inspection of Maples Health and Rehabilitation to assess compliance with regulatory requirements including staff background checks, wound care, respiratory care, pain management, bed rail use, dietary management, and infection control.
Findings
The facility failed to ensure timely background checks for employees, follow physician orders for wound care and oxygen administration, provide appropriate pain management documentation and response, obtain proper consent and orders for bed rails, employ a qualified dietary manager, and complete required two-step tuberculosis testing for staff.
Deficiencies (8)
Failed to ensure staff checked employee disqualification list, Nurse Aide Registry, and requested Criminal Background Check prior to employee start date for two employees.
Failed to follow physician orders for wound treatment and failed to contact physician to obtain new orders for wound supplies for one resident.
Failed to follow appropriate infection control measures during wound treatment and failed to follow physician's order in timeliness of treatment for one resident with pressure injury.
Failed to ensure oxygen was administered at correct liters per minute per physician orders for one resident.
Failed to document reason for reduction in pain medication, notify physician when pain medication did not relieve pain, and failed to stop dressing removal after resident verbalized severe pain for one resident.
Failed to obtain signed informed consent and physician orders for side rails, failed to add side rails to care plan, and failed to complete side rail assessments regularly for one resident.
Failed to employ a qualified dietary manager with required certification and education.
Failed to ensure required two-step tuberculosis screening test was administered timely for seven out of ten sampled staff members.
Report Facts
Facility census: 85
Number of sampled employee files with background check issues: 2
Number of sampled staff with incomplete TB testing: 7
Resident wound size: 9
Resident wound size: 10
Resident wound size: 5
Wound vac pressure: 125
Oxygen liters per minute ordered: 2
Oxygen liters per minute observed: 6
Pain medication dosage: 5
Pain medication frequency: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dietary Manager | Dietary Manager | Failed to have required certification and education for position |
| Human Resources Director | Human Resources Director | Acknowledged failures in timely TB testing and background checks |
| Director of Nursing | Director of Nursing | Acknowledged failures in TB testing, oxygen administration, wound care, and bed rail documentation |
| Administrator | Administrator | Responsible for oversight of TB testing, oxygen administration, and bed rail policies |
| Registered Nurse N | Registered Nurse | Performed wound care with inadequate pain management response |
| Licensed Practical Nurse O | Licensed Practical Nurse | Provided wound care and described pain assessment practices |
| Certified Medication Technician P | Certified Medication Technician | Administered pain medication and assessed pain |
| Infection Preventionist | Infection Preventionist | Responsible for TB testing oversight |
| Dietician | Dietician | Reported Dietary Manager lacked required certification |
| Maintenance Director | Maintenance Director | Responsible for bed rail installation |
| Rehab Director | Rehab Director | Responsible for bed rail assessment and informed consent |
| MDS Coordinator | MDS Coordinator | Responsible for bed rail documentation and risk assessments |
Inspection Report
Routine
Census: 78
Deficiencies: 3
Date: Feb 19, 2020
Visit Reason
The inspection was conducted to assess compliance with medication administration error rates, food safety standards, and infection prevention and control procedures at the nursing home.
Findings
The facility failed to maintain medication error rates below 5%, with an 8% error rate affecting two residents. The facility also failed to provide required air gaps on ice machine drains, risking contamination. Additionally, infection control practices were inadequate, including improper hand hygiene and glove use during pericare and catheter care.
Deficiencies (3)
Failed to ensure medication error rates were less than 5%, with two errors out of 25 opportunities (8% error rate) affecting two residents.
Failed to provide required air gap between ice machine drains and floor drains, risking contamination and food-borne illness.
Failed to use appropriate infection control procedures including hand hygiene and glove changes during pericare and urinary catheter care, and failed to prevent contamination of a nasal cannula.
Report Facts
Medication error rate: 8
Facility census: 78
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse B | Licensed Practical Nurse | Administered insulin with timing error; commented on glove use during pericare. |
| Certified Medication Technician A | Certified Medication Technician | Administered Symbicort inhaler without instructing resident to rinse mouth. |
| Registered Nurse C | Registered Nurse | Interviewed regarding medication administration guidelines. |
| Director of Nursing | Director of Nursing | Provided expectations on medication administration and infection control practices. |
| Dietary Manager | Dietary Manager | Interviewed about ice machine cleaning practices. |
| Maintenance Director | Maintenance Director | Interviewed about ice machine maintenance and air gap checks. |
| Certified Nurse Assistant E | Certified Nurse Assistant | Observed failing to change gloves and wash hands during pericare and catheter care; contaminated nasal cannula. |
| Certified Nurse Assistant F | Certified Nurse Assistant | Assisted with pericare and catheter care; observed glove use issues. |
| Certified Nurse Assistant G | Certified Nurse Assistant | Interviewed about glove changing practices during pericare. |
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