Maple Shade Meadows Senior Living.

“The facility failed to report an unwitnessed resident fall and emergency room transfer to the Department within the required 24-hour timeframe. The incident occurred at 3:00 a.m. but was not reported until 2:00 p.m., violating incident reporting requirements.”

“An approximate 1.5-inch accumulation of snow was obstructing the exit from the North Woods lobby at 9:30 a.m., failing to maintain clear outside walkways and exits as required.”

“A binder containing personal information of residents receiving hospice care was accessible to anyone in the secure dementia unit common room, hung on the medication room door, violating resident record confidentiality requirements.”

“The kitchen dried storage area contained dented cans: a 50 oz. can of Campbells Cream of Celery Soup and a 6 lb. dented can of Dark Red Kidney Beans, which may not be used.”

“Resident #2's initial support plan upon admission to the Secure Dementia Care Unit was not completed within the required 72 hours of admission.”

“Fire drill records did not document the full time (minutes) that drills were started on four dates: 10/1/25 at 2 p.m., 9/15/25 at 4 p.m., 8/15/25 at 11 a.m., and 7/31/25 at 9 p.m., only recording the hour.”

“Two wicker chairs located in the outdoor smoking section did not include tags documenting they were fire resistant, violating fire safety requirements for smoking areas.”

“Multiple medication storage and security violations were identified: Resident 3's Tramadol card had 14 pills but the controlled substance log indicated 15; Residents 4, 5, and 6 had opened pills held in place with clear tape, compromising medication integrity and security.”

“Resident #1 was administered Metoprolol 12.5mg on two dates (9/18/25 and 9/24/25) when heart rate was below 60, contrary to prescriber's order to hold the medication if HR <60.”

“Resident's blood glucose reading was not properly recorded on the medication record. A reading taken at 11:00 a.m. was noted in the glucometer but not accurately documented on the resident's medication administration record.”

“Resident's medication administration record did not indicate the number of units of insulin administered at 5:00 p.m. for a resident prescribed insulin pen on a sliding scale three times daily. Additionally, medication administration record did not indicate the resident's heart rate readings for a resident prescribed tablets daily at 8:00 a.m. that should be held based on systolic blood pressure and heart rate parameters.”

“Staff persons A and B did not receive required annual training topics for 2023, including medication self-administration, instruction on meeting resident needs as described in medical evaluations and support plans, and safe management techniques. Staff person B also missed required training on care for residents with dementia and cognitive impairment.”

“Staff persons A, B, and C did not receive required annual training topics for 2023, including fire safety by a fire safety expert, emergency preparedness procedures, and falls and accident prevention. Staff person C also missed required training in resident rights and the Older Adult Protective Services Act.”

“A bottle of hand sanitizer containing alcohol and a bottle of moisturizer were found unlocked and accessible in the memory care unit kitchenette area to residents assessed as unsafe to use or avoid poisonous materials.”

“A glucometer belonging to a resident had dried red substance appearing to be blood on it and was not sanitized after use, violating sanitary conditions requirements.”

“The telephone located in A hall did not have required emergency phone numbers posted on or near the phone, including nearest hospital, police, fire, ambulance, poison control, emergency management, and complaint hotline.”

“Two bags of frozen, peeled bananas and a bag of frozen bread found in the memory care unit kitchenette freezer were not labeled and dated with contents or storage dates.”

“A resident's initial assessment was not completed within the required 15 days of admission. The assessment was finalized late, failing to meet the regulatory deadline.”