Maple Lane Nursing Home
Maple Lane Nursing Home in Barton, VT — inspection on April 29, 2026.
Found 3 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
to pull up the flooring.
hazard.
-room [ROOM NUMBER] two large tears on the carpet flooring in the middle of the room and staining by the corners of the bathroom door, he confirmed the room smelled of urine.
Per interview with a Housekeeper on 4/28/26 at 12:31 PM, the Housekeeper stated that a resident in room [ROOM NUMBER] had urinated on the carpeted floor and stated that sometimes when he enters the building urine can be smelled.
Per observation at approximately 4/29/26 at 1:10 PM, the carpet in room [ROOM NUMBER] had a wet spot by the door to the bathroom.
Per interview on 4/29/26 at 1:15 PM, a Housekeeper stated that a resident had an episode of urinary incontinence on the floor and pointed to the wet carpet on the floor outside of the bathroom in room [ROOM NUMBER].
The Housekeeper confirmed that he could smell urine from outside of room [ROOM NUMBER] and that there was urine on the carpet.
Per interview with the Maintenance Supervisor on 4/28/2026 at 1:55 PM, he stated that carpets are cleaned when maintenance is made aware of a need by word of mouth. He confirmed that carpets should be cleaned on a routine basis.
Per interview with the Director of Nursing (DON) on 4/29/2026 at 9:53 AM, she confirmed that carpets are to be shampooed when a staff member reports a spill or when the carpet is soiled.
She reports that rooms are deep-cleaned on a regular basis, but cannot confirm what that schedule looks like.
Per interview with the Housekeeping Supervisor on 4/29/2026 at 10:10 AM, she stated there is no deep cleaning or carpet shampooing schedule. If a resident's carpet is soiled, staff contact maintenance.
Housekeeping does not track carpet cleanings.
Per review of the Cleaning/Repairing Carpeting and Cloth Furnishings policy, reviewed December 2009, Carpets shall be deep cleaned periodically (approximately once per month), or more often as needed.
475042 04/29/2026
Maple Lane Nursing Home 60 Maple Lane Barton, VT 05822
treatment.
environment free of physical restraints for 1 (Resident #36) of 3 residents in the sample.
Findings
made on 4/27/2026 at approximately 10:19 AM, Resident #36 was in their room yelling and was unable to open the mesh gate that was on their room door, preventing them from leaving their room.
Per interview with Resident #25 on 4/28/2026 at 12:16 PM, they stated that sometime their roommate Resident #36 has a hard time opening the mesh gate and calls for help.Per interview with Licensed Practical Nurse (LPN) #1 on 4/28/2026 at 3:30 PM, she stated that residents who wander don't have the mesh gates on their doors.Per interview with the Director of Nursing (DON) on 4/28/2026 at 3:35 PM, some residents request the mesh gates to keep out other residents that wander into their room.
The DON stated that both residents in a room should be able to access and open the mesh gate and should have been assessed for being able to use it.
She stated that there should be documentation of the assessment in the system.
The DON confirmed that the mesh gates should be care planned for each resident that has one.Per interview with DON on 4/29/2026 at 8:45 AM, the DON stated that Resident #36 was moved from one room that had no mesh gate to another that had a mesh gate.
She was unable to produce an assessment for the use of the mesh gate and stated that they might have not been evaluated for the use of the mesh gate at that time.
Per interview with the DON on 4/29/2026 9:54 AM, Resident #36 has tried to elope in the past and confirmed that they are care planned for elopement and wandering but not care planned for a mesh gate.
Per interview with the DON on 4/29/2026 at 10:28 AM, the DON confirmed that if an ambulatory resident could not open a gate that it could be considered a restraint.
Per interview with the DON on 4/29/26 at approximately 1:45 PM, she confirmed they did not do an assessment on Resident #36 with the mesh gates.Per record review of Resident Rights Policy dated 11/27/2017, .Respect and Dignity.
You have the right to be treated with respect and dignity, including: 1.
The right to be free from any physical or chemical restraints imposed for purposes of discipline or convenience, and not required to treat the resident's medical symptoms.
The right to be free from abuse, neglect, misappropriation of resident property,.
Based on observations, interviews, and facility policy, the facility failed to ensure expired
medication carts.
The facility also failed to ensure medication carts remained locked when unattended during three observations.
Findings include:1.) Per observation and interview on 4/26/26 at 4:50 PM, the following medications in a medication cart were confirmed to be expired by the Nursing Supervisor on the second floor: - Ibuprofen 200 milligram tablets that expired on 6/25 - Cranberry pills 450 mg that expired on 5/24 - Lorazepam 1 milligram tablets that expired on 9/16/25 - Liquid acetaminophen 160 milligram per 5 milliliters that expired on 11/25 2.) Per observations made on 4/26/2026 at 5:45 PM, the medication storage room on the first floor was found to have one bottle of liquid pain relief 160/5 ml cherry flavor (Tylenol) that had expired in November of 2025 (11/25).
The Licensed Practical Nurse (LPN) who was present at the time of the observations confirmed that the liquid pain relief had expired in November of 2025.
Per review of the facility policy titled Medication Labeling and Storage revised on 2/2023, it indicates that medications should be returned to the pharmacy or destroyed when expired. 3.) During observation on 4/23/26 at 4:23 PM, a [NAME] Wing medication cart was unlocked and unattended by staff.
Upon returning to the cart, LPN #1 stated she was giving medications and left the cart to assist a resident.
She confirmed that the medication cart should be locked when it is unattended.
During observation of medication administration on 4/23/26 at 4:32 PM, LPN #2 walked away from the East Wing medication cart leaving it unlocked and out of sight while she went into a room to administer medicine.
Two residents were observed to be near the cart during the time it was unlocked and unattended.
When interviewed, LPN #2 confirmed that the medication cart should be locked when it is left unattended.
During observation of medication administration on 4/23/26 at 5:30 PM, LPN #2 walked away from the East Wing medication cart leaving it unlocked and out of sight while she went into a room to administer medicine.
One resident was observed to be near the cart during the time it was unlocked and unattended.
When interviewed, LPN #2 confirmed that the medication cart should be locked when it is left unattended.
Per review of the facility's Medication Labeling and Storage policy, reviewed February 2023, it states that carts used to transport [medications and biologicals] are not left unattended if open or otherwise potentially available to others.
475042 04/29/2026
Maple Lane Nursing Home 60 Maple Lane Barton, VT 05822
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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.