Maplewood Homes

A relicensure survey was completed on 8/8/23. Deficiencies were cited. Based on interview and record review, the residence failed to ensure at least one staff member was onsite at all times who had current certification in cardiopulmonary resuscitation (CPR) and obstructed airway techniques from a nationally recognized organization, affecting 10 current residents.Findings Include:1. References and Residence Policya. According to Mayo Clinic, "Cardiopulmonary resuscitation (CPR) is a lifesaving technique that' s useful in many emergencies, such as a heart attack or near drowning, in which someone' s breathing or heartbeat has stopped. The A.. Based on interview and record review, the residence failed to ensure each resident had an accurate medication administration record (MAR), affecting two of three sample residents (#1, #2). Findings include: 1. Residence PolicyThe undated Medication Administration policy did not address medication administration documentation. 2. Resident #1 was admitted to the residence on 8/29/22.A written practitioner' s order, dated 5/24/23, directed the resident to administer the following medications: Methocarbomal 500 mg one tablet twice daily (BID)Omeprazole del.. Based on interview and record review, the residence failed to ensure the administrator and the qualified medication administration personnel (QMAP) supervisor audited on a quarterly basis, the accuracy and completeness of the medication administration records and document the results of the audits, affecting 10 current residents.Findings include: On 8/8/23 at 8:00 a.m., the administrator was requested to provide the last three medication cart audits; however, she was unable to provide the documentation. On 8/23/23 at 2:10 p.m., the administrator stated she was .. Based on observation and interview, the residence failed to ensure the qualified medication administration person (QMAP) did not perform pre-pouring of medication, affecting 10 current residents. Findings include: 1. Residence Policy The residence' s undated Medication Policy, read in part, "Unless otherwise allowed by statute the residence shall not permit a QMAP to perform any of the following tasks: Pre-pouring of medications ..."2. ObservationOn 8/8/23 at 7:15 a.m., Staff #1 had a tray with 10 medication cups with resident medications inside the cups. With eac.. Based on observation, record review and interviews, the residence failed to request, prior to staff hire, a name-based criminal history record check for each prospective staff member, for two of three sample staff (#1, #2), affecting 10 current residents.Findings include:1. ReferenceChapter VII regulations governing assisted living residences, part 2.45, defines "Staff" as employees and contracted individuals intended to substitute for or supplement employees who provide personal services. "Staff" does not include individuals providing external services, as defined herein.2. Obser.. Based on record review and interview, the residence failed to include a date of hire and background check results for two of three sample staff (#1, #2).Findings include: On 8/8/23 at 9:30 a.m., the personnel files for Staff #1 and Staff #2 were requested from the administrator. Review of the personnel files for Staff #1 and Staff #2 revealed no written documentation including the date of hire or background check results. On 8/8/23 at 2:10 p.m., the administrator stated she was not aware of what documents should have been maintained in the personnel files. She stated the busi..

A recertification survey was completed on 8/8/23. A deficiency was cited. Based on observation, record review and interview, the facility (residence) failed to follow written policies and procedures for the administration of medication in accordance with 6 CCR 1011-1, Chapter VII Medication Administration Regulations, affecting 10 current participants (residents).Findings include:1. Chapter VII regulations governing assisted living residences, part 14.10, requires unless otherwise allowed by statute, the assisted living residence shall not permit a qualified medication administration person to perform any of the following tasks: (H) Pre-pouring of medication.Residence Policy The residence' s undated Medication Policy, read in part, "Unless otherwise allowed by statute the residence shall not permit a QMAP to perform any of the following tasks: Pre-pouring of medications ..."ObservationOn 8/8/23 at 7:15 a.m., Staff #1 had a tray with 10 medication cups with resident medications inside the cups. With each cup, was a name card to identify the correct resident. Staff #1 had the tray with medications in one hand while also serving breakfast to the residents. Staff #1 administered medications to each resident as she served them breakfast. InterviewsOn 8/8/23 at 9:31 a.m., Staff #1 stated she poured each of the resident' s medications into the medication cups then placed each cup with the correct resident name card. She stated that was always how she administered the medications. Staff #1 stated she had come from the skilled nursing facility and that was how they had administered medications, and was not trained otherwise. She stated she was unaware that a QMAP was not allowed to pre-pour medications. On 8/8/23 at 2:10 p.m., the administrator stated she was aware that the QMAPs pre-poured resident medications. She stated it was easier for them to do it that way, as they were the only staff onsite most of the time. The administrator said, "I am aware that the QMAPs were not allowed to pre-pour medications, but sometimes you had to bend the rules." 2. Chapter VII regulations governing assisted living ..