Cycle 1
Health 2025-05-29 · Fire 2025-05-29
4 health deficiencies
Top issue: Resident Rights (2 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Akron, PA
Maple Farm
5-star overall rating with 4-star inspections with 4 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
604 Oak Street, Akron, PA
(717) 859-1191
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
46
Certified beds
Average residents
42
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2010-02-05
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
1.13
Registered nurse staffing · state 0.78 · national 0.68
LPN hours / resident day
1.16
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
2.24
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
4.53
All reported nurse hours · state 3.89 · national 3.89
Licensed hours
2.29
RN + LPN hours · state 1.69 · national 1.54
Weekend hours
3.87
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.73
Weekend registered nurse coverage · state 0.55 · national 0.47
Physical therapist
0.10
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
1.15
CMS adjusted RN staffing hours
Adjusted total hours
4.62
CMS adjusted total nurse staffing hours
Case-mix index
1.34
Higher values indicate more complex resident acuity
RN turnover
15%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
34%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
1,693
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
54.74
Composite VBP score used to determine payment impact.
Payment multiplier
1.0097
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
2.61
Baseline 17.76% · Performance 20.22% · Measure score 2.61 · Achievement 2.61 · Improvement 0
Healthcare-associated infections
4.32
Baseline 5.54% · Performance 6.54% · Measure score 4.32 · Achievement 4.32 · Improvement 0
Total nurse turnover
9.35
Baseline 32.20% · Performance 25.45% · Measure score 9.35 · Achievement 9.35 · Improvement 8.68
Adjusted total nurse staffing
5.61
Baseline 4.42 hours · Performance 4.68 hours · Measure score 5.61 · Achievement 5.61 · Improvement 1.35
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.98% |
10.72%
0.7 pts better
|
No Different than the National Rate · Eligible stays 161 · Observed rate 8.07% · Lower 95% interval 7.26% |
| Discharge to community | 52.58% |
50.57%
2 pts better
|
No Different than the National Rate · Eligible stays 148 · Observed rate 48.65% · Lower 95% interval 45.46% |
| Medicare spending per beneficiary | 0.72 |
1.02
0.3 pts better
|
|
| Drug regimen review with follow-up | 98.94% |
95.27%
3.7 pts better
|
Numerator 93 · Denominator 94 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 94 |
| Discharge self-care score | 50% |
53.69%
3.7 pts worse
|
Numerator 37 · Denominator 74 |
| Discharge mobility score | 35.14% |
50.94%
15.8 pts worse
|
Numerator 26 · Denominator 74 |
| Pressure ulcers or injuries, new or worsened | 1.06% |
2.29%
1.2 pts better
|
Numerator 1 · Denominator 94 · Adjusted rate 1.15% |
| Healthcare-associated infections requiring hospitalization | 6.54% |
7.12%
0.6 pts better
|
No Different than the National Rate · Eligible stays 101 · Observed rate 4.95% · Lower 95% interval 3.66% |
| Staff COVID-19 vaccination coverage | 6.73% |
8.2%
1.5 pts worse
|
Numerator 7 · Denominator 104 |
| Staff flu vaccination coverage | 88.18% |
42%
46.2 pts better
|
Numerator 97 · Denominator 110 |
| Discharge function score | 58.11% |
56.45%
1.7 pts better
|
Numerator 43 · Denominator 74 |
| Transfer of health information to provider | 96.15% |
95.95%
0.2 pts better
|
Numerator 25 · Denominator 26 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 38 · Denominator 38 |
| Resident COVID-19 vaccinations up to date | 43.59% |
25.2%
18.4 pts better
|
Numerator 17 · Denominator 39 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.3 |
1.7
0.4 pts better
|
1.9
0.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.2 · Expected 1.8 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.8 |
1.2
0.4 pts better
|
1.8
1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.8 · Observed 0.7 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 96.7% |
86.9%
9.8 pts better
|
93.4%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 96.6% · Q3 93.9% · Q4 96.8% · 4Q avg 96.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
93.5%
6.5 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 8.2% |
3.2%
5 pts worse
|
3.3%
4.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 6.9% · Q3 12.1% · Q4 9.7% · 4Q avg 8.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 8.9% |
6.5%
2.4 pts worse
|
11.4%
2.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 10.7% · Q3 13.3% · Q4 6.9% · 4Q avg 8.9% |
| Percentage of long-stay residents who lose too much weight | 1.1% |
6.5%
5.4 pts better
|
5.4%
4.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 20.0% |
19.9%
0.1 pts worse
|
19.6%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.2% · Q2 23.1% · Q3 23.1% · Q4 14.3% · 4Q avg 20.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 26.7% |
18.7%
8 pts worse
|
16.7%
10 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 36.4% · Q3 26.9% · 4Q avg 26.7% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.2%
0.2 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 36.3% |
19.6%
16.7 pts worse
|
16.3%
20 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 36.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 12.9% |
18.3%
5.4 pts better
|
14.9%
2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 8.7% · Q3 17.4% · Q4 20.0% · 4Q avg 12.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 3.8% |
0.9%
2.9 pts worse
|
1.0%
2.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 5.7% · Q3 3.3% · Q4 2.8% · 4Q avg 3.8% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.5% |
1.7%
0.8 pts worse
|
1.7%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 3.6% · Q3 3.0% · Q4 0.0% · 4Q avg 2.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 33.8% |
26.4%
7.4 pts worse
|
19.8%
14 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 48.7% · Q2 22.2% · Q3 33.7% · Q4 29.3% · 4Q avg 33.8% |
| Percentage of long-stay residents with pressure ulcers | 1.8% |
5.3%
3.5 pts better
|
5.1%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 5.2% · Q3 2.2% · Q4 0.0% · 4Q avg 1.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 83.3% |
68.9%
14.4 pts better
|
81.7%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 83.1% · Q2 81.9% · Q3 84.0% · Q4 84.5% · 4Q avg 83.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 13.1% |
9.8%
3.3 pts worse
|
12.0%
1.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 13.1% · Observed 11.3% · Expected 9.6% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.1% |
1.5%
0.6 pts worse
|
1.6%
0.5 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 2.1% · Q3 0.0% · Q4 0.0% · 4Q avg 2.1% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 88.0% |
68.7%
19.3 pts better
|
79.7%
8.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 88.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 20.4% |
23.1%
2.7 pts better
|
23.9%
3.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 20.4% · Observed 18.3% · Expected 21.4% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-04-12 · Fire 2024-04-12
0 health deficiencies
No concentrated health issue counts in this cycle.
2 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Cycle 3
Health 2023-06-02 · Fire 2023-06-02
1 health deficiencies
Top issue: Resident Rights (1 deficiency)
1 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2025-05-29
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-06-06
E · Potential for more than minimal harm
2024-04-12
K223 · Egress Deficiencies
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2024-06-21
E · Potential for more than minimal harm
2024-04-12
K253 · Egress Deficiencies
Fire Safety
Provide two separate exits in rooms of more than 1000 square feet.
Corrected 2024-06-21
D · Potential for more than minimal harm
2023-06-02
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2023-07-28
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-05-29
F552 · Resident Rights Deficiencies
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2025-07-11
D · Potential for more than minimal harm
2025-05-29
F628 · Resident Rights Deficiencies
Health
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2025-07-11
D · Potential for more than minimal harm
2025-05-29
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-07-11
D · Potential for more than minimal harm
2025-05-29
F693 · Quality of Life and Care Deficiencies
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2025-07-11
D · Potential for more than minimal harm
2023-06-02
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-07-21
Penalties and ownership
What sits behind the stars
Ownership
Garden Spot Communities
5% Or Greater Direct Ownership Interest · Organization
Aldrich, Donald
Corporate Director · Individual
Bender, Tim
Corporate Director · Individual
Edwards, Carl
Corporate Director · Individual
Friends Services For The Aging
Operational/Managerial Control · Organization
Garden Spot Communities
Operational/Managerial Control · Organization
Givens, Elizabeth
Corporate Director · Individual
Goss, Jeff
Corporate Director · Individual
Hoover, Joyce
Corporate Director · Individual
Lindsey, Stephen
Operational/Managerial Control · Individual
Lindsey, Stephen
Corporate Officer · Individual
Musser, Karen
Corporate Director · Individual
Stoltzfus, Alphaus
Corporate Director · Individual
Vega, David
Corporate Director · Individual
Weber, Nathaniel
Operational/Managerial Control · Individual
Weber, Nathaniel
Corporate Officer · Individual
Nearby options
Other facilities in reach
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Ephrata Manor
Ephrata, PA
5-star overall rating with 4-star inspections with $13,845 in total fines with 1 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#2
Fairmount Homes
Ephrata, PA
5-star overall rating with 5-star inspections with 5 fire-safety deficiencies in the latest cycle
#3
Landis Homes
Lititz, PA
5-star overall rating with 4-star inspections with 1 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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