Maplewood Health Care Center
MAPLEWOOD HEALTH CARE CENTER in JACKSON, TN — inspection on March 3, 2025.
Found 1 citation. 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
F-F600 was received on 2/28/2025, and the Removal Plan was validated onsite by the surveyor on 3/3/2025 through policy review, medical record review, observation, review of education records, and staff interviews.
The 300 hall Charge Nurse verified the 100 hall medication count and keys at 7:28 AM on 2/23/2025 from the 7:00 PM - 7:00 AM 100 hall charge nurse after being informed that assigned nurse would be arriving soon.
This 300 Hall Charge Nurse then returned to 300 hall to continue medication administration on hall 300.
From approximately 8:15 AM to 10:15 AM on 2/23/2025, the treatment nurse was noted providing treatments on the 100 hall for various residents, to include Resident #2.
Following completion of care for other unforeseen acute resident conditions and 300 hall medication administration, the 300 hall Charge Nurse alerted the Director of Nursing that the scheduled nurse that was believed to be arriving late for the 100 hall, had not arrived.
The Registered Nurse charge nurse from hall 200 attempted to notify the staffing coordinator/scheduler at approximately 12:12 PM on 2/23/2025.
The 300 Hall Charge Nurse began medication administration for the 100 hall until the Nurse Manager on call arrived at 1:49 PM on 2/23/2025.
On 2/23/2025 at approximately 12:40 PM, the Nursing Home Administrator was made aware that the scheduled 100 hall 7:00 AM -7:00 PM shift charge nurse had not arrived to scheduled shift.
The Director of Nursing notified the Regional Director of Clinical Services at approximately 1:40 PM.
At approximately 2:00 PM and 3:40 PM on 2/23/2025, a governing body meeting was held with attendance including the Director of Nursing, Administrator, Regional Director of Clinical Services (RDCS), Chief Operating Officer, and [NAME] President (VP) of Clinical Services to discuss findings, root cause, plan of correction, education, and development and implementation of a Performance and Improvement Plan.
The Root Cause was determined to be the Charge Nurse failure to report to duty, gap in employee communication, and unforeseen patient acuity that coincided with the 300 Hall nurse's medication pass leading to the delay.
445412
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 445412 B.
Wing 03/03/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Maplewood Health Care Center 100 Cherrywood Place Jackson, TN 38305