Maple Grove East at Crestview Assisted Living

12.2.2 Each facility shall assign at least one (1) staff member responsible for the site management of the facility' s Infection Prevention and Control Program and training. This individual shall be responsible for the following: Based on record review and interview the residence failed to assign a staff member the responsibility for the site management of the residence' s Infection Prevention and Control Program, affecting 10 current residents.On 3/6/25 at approximately 10:00 a.m., the Infection Control Officer certification and training was requested.On 3/6/25 at approximately 10:30 a.m., the administrator stated that the residence did not currently have an infection control officer or someone trained in infection control. He stated that the previous infection control officer quit and he would take the training to replace her but had not yet taken it. A relicensure survey was completed on 3/6/25. Deficiencies were cited. Based on record review and interview the residence failed to comply with authorized practitioner orders, affecting three of three sample residents (#1-#3).Resident #2 was admitted to the residence on 7/28/17 with a diagnosis of anxiety and depression.A written practitioner' s order dated April 2024, directed the residence to administer trazodone 50 mg half a tablet once a day. A medication administration record (MAR) dated for January 2025 read that trazodone 50 mg was not administered on 1/6/25 and 1/24/25 with no reason given. On 3/6/25 at approximately 2:30 p.m., the resident care coordinator stated that she expected all medications to be administered as directed on the practitioner' s order, and that she expected if it was not administered, there would be a reason recorded in the MAR.Similar deficient practice was found for Resident #1 and #3. Based on record review and interview the residence failed to have at least one staff member onsite at all times who had current certification in cardiopulmonary resuscitation (CPR), affecting 10 current residents.On 3/6/25 at approximately 7:30 a.m., Staff #1' s CPR certification was requested. When provided the document showed an expiration date of January 2025. A staff schedule for February 2025 showed that Staff #1 was the only staff member scheduled to work at the residence on 2/11, 2/12, 2/19, 2/20, 2/24, and 2/25/25.A staff schedule for March 2025 revealed that Staff #1 was the only staff member scheduled to work at the residence on 3/5 and 3/6/25. On 3/6/25 at 11:00 a.m., Staff #1 stated that she did not have an up to date CPR certification. On 3/6/25 at approximately 2:30 p.m., the resident care coordinator stated that she was aware that Staff #1' s CPR certification had expired.

A revisit survey was completed on 07/17/23 for all previous deficiencies cited on 11/14/22. The facility is in compliance with all deficiencies were cited. Citation coded "0000" or "9999" are initial and final comments of an inspection for informational purposes, this field may also have been left blank intentionally