Maple Lawn Senior Care
MAPLE LAWN SENIOR CARE in FULDA, MN — inspection on February 26, 2026.
Found 8 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Review of R7's progress 11/12/25 through 2/22/26, had no mention of a care conference occurring since admission to the facility.
Interview on 2/24/26 at 1:42 p.m., with the activity director identified that care conferences followed the MDS schedule.
There was to be a progress note made and the multidisciplinary care conference form filled out by each department following a care conference.
Review of R7's assessments lacked any assessment titled Interdisciplinary care conference and there were no assessments identified as a care conference form.
Interview on 2/25/26 at 10:47 a.m., with registered nurse (RN)-A identified that typically a care conference was scheduled by the social service designee (SSD) within 2 weeks of the MDS assessment completion.
The facility would document a care conference meeting on the care conference form under the assessment section in point click care (PCC) and make a progress note.
RN-A confirmed she could not find documentation that a care conference had occurred for R7 since admission.
Interview on 2/25/26 at 10:58 a.m., with SSD identified that when a resident admitted to the facility a care conference would be set up within the first 2-4 weeks of admission.
Care conference would then take place every quarter after that.
She confirmed that R7's initial care conference had been missed stating it was just an overlook but she did have one scheduled now in March, confirming that was 4 months after admission to the facility.
Interview on 2/26/26 at 8:23 a.m., with the director of nursing (DON) identified she was unsure of when resident care conferences should take place and stated, I would have to reference our policy.
Review of the undated, Care Plan Meeting policy identified each resident admitted to the facility would receive a person-centered, comprehensive care plan developed through the interdisciplinary team and the resident and/or representative.
The care plan would be developed via assessments and consultation with the residents and/or representatives.
The care planning meeting would be held, 7-10 days following the completion of the comprehensive MDS assessment and then quarterly thereafter.
Care plan meeting shall also be held when there is a significant change in the resident's status, or when requested by the resident/representative or facility.
The residents shall participate in the care planning process and if unable the representative will be involved.
The care plan meeting would be documented and include the date and time of the meeting, who attended, and a summary of the meeting.
245570 02/26/2026
Maple Lawn Senior Care 400 Seventh Street NE Fulda, MN 56131
of the survey period.
245570 02/26/2026
Maple Lawn Senior Care 400 Seventh Street NE Fulda, MN 56131
Review of January 2025, Care plans, Comprehensive Person-Centered policy identified that each resident would have a person-centered care plan that included measurable goals to meet the resident's physical, psychosocial and functional needs.
The care plan interventions would be developed through assessments, gathering information from the interdisciplinary team, the resident/representative, and the attending physician.
The care plan would include goals, treatments, specialized services, to aid in preventing or reducing decline in the resident's status and enhance optimal functioning while reflecting current standards of practice.
The care plan should be developed or revised within 7 days of the completion of the MDS assessment.
245570 02/26/2026
Maple Lawn Senior Care 400 Seventh Street NE Fulda, MN 56131
Review of R8's medical record lacked identification of refusals of his restorative exercises and lacked an updated assessment for identified restorative exercises or risk to benefit showing R8 was made aware of potential decline by not completing his restorative treatments.
Interview on 2/26/26 at 9:58 a.m., with the director of nursing (DON) identified she had re-assessed R8's restorative program back in December 2025 and changed his program to walking once a day to breakfast with staff assistance.
She reported R8 was walking at the time, but he kept refusing to walk.
She confirmed she should have updated the care plan when she first changed his restorative program back in December 2025 and when she was made aware he was refusing to walk at all.
The facility had a good formal restorative program back around November or December of 2025 with a couple of staff.
When she and the administrator had spoken to the restorative staff about some charting concerns, both staff placed their resignation, and the program was no longer fully staffed at that time.
The facility had the direct care staff complete as many of the restorative programs as possible and had a light duty staff recently returned to work that was working on restorative programs, but the facility was unable to staff a formal program.
She confirmed the residents were getting their restorative therapy, but not as much restorative therapy as they should as the facility still needed to fill the restorative positions.
She revealed there was room for improvement in the restorative program and with the new therapy department starting on 3/2/26, all residents would be re-assessed at that time.
Review of January 2025, Care plans, Comprehensive Person-Centered policy identified that each resident would have a person-centered care plan that included measurable goals to meet the resident's physical, psychosocial and functional needs.
The care plan interventions would be developed through assessments, gathering information from the interdisciplinary team, the resident/representative, and the attending physician.
The care plan would include goals, treatments, specialized services, to aid in preventing or reducing decline in the resident's status and enhance optimal functioning while reflecting current standards of practice.
The care plan should be developed or revised within 7 days of the completion of the MDS assessment.
245570 02/26/2026
Maple Lawn Senior Care 400 Seventh Street NE Fulda, MN 56131
Review of the undated, Pressure Ulcer/Skin Breakdown-Clinical Protocol policy identified newly admitted residents will have a skin examination done by the nurse to identify any existing pressure ulcers or other skin concerns.
245570 02/26/2026
Maple Lawn Senior Care 400 Seventh Street NE Fulda, MN 56131
Review of the facility provided, undated, Restorative Nursing Policy, identified restorative nursing care consists of nursing interventions that may or may not be accompanied by formalized rehabilitative services and promotes the resident's ability to adapt and learn to live as independently and safely as possible.
Restorative goals and objectives are individualized, resident-centered, and are outlined in the resident's care plan.
Restorative goals may include but are not limited to adjusting or adapting to changing abilities, developing, maintaining, or strengthening his/her physiological and psychological resources.
Maintaining dignity, independence, and self-esteem; and participating in the development and implementation of his/her care plan.
Review of undated, RN Coverage policy identified the facility would ensure the services of a registered nurse were provided onsite for 8 consecutive hours per day, 7 days a week.
Review of the Sufficient and Competent Nurse Staffing Review pathway, located in the Surveyor Resources Folder at https://www.cms.gov/medicare/provider-enrollment-and-certification/guidanceforlawsandregulations/nursing-homes, identified Note: The rule of 4 or more days is used for the purposes of the PBJ Staffing Data Report.
The expectation of CMS is that the survey team would consider issuing a citation when a minimum of one day is identified to not meet the nurse staffing requirement for both a Registered Nurse and Licensed nursing staff.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
245570 02/26/2026
Maple Lawn Senior Care 400 Seventh Street NE Fulda, MN 56131
Review of the facility provided 10/20/21, Dietary Director Job Description signed by the dietary director on 3/28/23, identified qualification for the position included taking or willing to take the Dietary Managers Course and THAT STAFF must pass the sanitation test or be willing to take a course approved by the state.
245570 02/26/2026
Maple Lawn Senior Care 400 Seventh Street NE Fulda, MN 56131
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.