Eaton, OH

Maple Gardens Rehabilitiation And Nursing Center

2-star overall rating with 3-star inspections with $101,411 in total fines with 2 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

515 South Maple Street, Eaton, OH

(937) 456-5537

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

85

Certified beds

Average residents

64

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Garden Healthcare Group

Operator or chain grouping

Approved since

1981-06-12

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

6 facilities

Chain averages 2 overall / 2 health / 1 staffing / 5 quality stars

Changed ownership

No

Within the last 12 months

Family council

No

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.43

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

0.80

Licensed practical nurse staffing · state 0.96 · national 0.87

Aide hours / resident day

2.11

Nurse aide staffing · state 2.14 · national 2.35

Total nurse hours

3.34

All reported nurse hours · state 3.72 · national 3.89

Licensed hours

1.23

RN + LPN hours · state 1.59 · national 1.54

Weekend hours

2.94

Weekend nurse staffing · state 3.29 · national 3.43

Weekend RN hours

0.20

Weekend registered nurse coverage · state 0.41 · national 0.47

Physical therapist

0.01

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.33

CMS adjusted RN staffing hours

Adjusted total hours

2.51

CMS adjusted total nurse staffing hours

Case-mix index

1.82

Higher values indicate more complex resident acuity

RN turnover

50%

Annual RN turnover · state 47% · national 45%

Total nurse turnover

36%

Annual nurse turnover · state 50% · national 46%

SNF VBP

Value-based purchasing

Program rank

5,851

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

34.81

Composite VBP score used to determine payment impact.

Payment multiplier

0.9886

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

6.37

Baseline 6.02% · Performance 5.93% · Measure score 6.37 · Achievement 6.37 · Improvement 0.34

Total nurse turnover

3.14

Performance 50.85% · Measure score 3.14 · Achievement 3.14 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

0.93

Baseline 2.91 hours · Performance 3.32 hours · Measure score 0.93 · Achievement 0.86 · Improvement 0.93

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 9.69%
10.72%
1 pts better
No Different than the National Rate · Eligible stays 45 · Observed rate 8.89% · Lower 95% interval 6.26%
Discharge to community 49.84%
50.57%
0.7 pts worse
No Different than the National Rate · Eligible stays 26 · Observed rate 42.31% · Lower 95% interval 33.92%
Medicare spending per beneficiary 1.16
1.02
0.1 pts worse
Drug regimen review with follow-up 100%
95.27%
4.7 pts better
Numerator 34 · Denominator 34
Falls with major injury 2.94%
0.77%
2.2 pts worse
Numerator 1 · Denominator 34
Discharge self-care score 30%
53.69%
23.7 pts worse
Numerator 6 · Denominator 20
Discharge mobility score 50%
50.94%
0.9 pts worse
Numerator 10 · Denominator 20
Pressure ulcers or injuries, new or worsened 2.94%
2.29%
0.6 pts worse
Numerator 1 · Denominator 34 · Adjusted rate 2.08%
Healthcare-associated infections requiring hospitalization 5.93%
7.12%
1.2 pts better
No Different than the National Rate · Eligible stays 26 · Observed rate 0% · Lower 95% interval 3.29%
Staff COVID-19 vaccination coverage 0%
8.2%
8.2 pts worse
Numerator 0 · Denominator 78
Staff flu vaccination coverage 0.94%
42%
41.1 pts worse
Numerator 1 · Denominator 106
Discharge function score 60%
56.45%
3.5 pts better
Numerator 12 · Denominator 20
Transfer of health information to provider 100%
95.95%
4 pts better
Numerator 22 · Denominator 22
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date Not Available
25.2%
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.9
1.8
1.1 pts worse
1.9
1 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.9 · Observed 2.5 · Expected 1.6 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 2.3
1.8
0.5 pts worse
1.8
0.5 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.3 · Observed 2.0 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
92.4%
7.6 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.2%
94.5%
3.7 pts better
95.5%
2.7 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.2%
Percentage of long-stay residents experiencing one or more falls with major injury 4.4%
3.3%
1.1 pts worse
3.3%
1.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 6.0% · Q2 4.0% · Q3 3.9% · Q4 3.6% · 4Q avg 4.4% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 32.1%
26.1%
6 pts worse
11.4%
20.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 26.1% · Q2 33.3% · Q3 46.5% · Q4 24.5% · 4Q avg 32.1%
Percentage of long-stay residents who lose too much weight 9.4%
6.2%
3.2 pts worse
5.4%
4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 5.1% · Q3 11.4% · Q4 14.6% · 4Q avg 9.4%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 22.2%
25.4%
3.2 pts better
19.6%
2.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 30.8% · Q2 23.1% · Q3 17.8% · Q4 18.8% · 4Q avg 22.2%
Percentage of long-stay residents who received an antipsychotic medication 3.1%
11.5%
8.4 pts better
16.7%
13.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 3.4% · Q3 3.0% · Q4 2.9% · 4Q avg 3.1% · Used in QM five-star
Percentage of long-stay residents who were physically restrained 0.0%
0.1%
0.1 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 5.2%
7.7%
2.5 pts better
16.3%
11.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q3 10.1% · Q4 4.2% · 4Q avg 5.2% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 4.3%
6.2%
1.9 pts better
14.9%
10.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 2.7% · Q3 2.4% · Q4 8.7% · 4Q avg 4.3% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0%
0.2%
0.2 pts better
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% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 1.0%
0.5%
0.5 pts worse
1.7%
0.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 25.2%
21.7%
3.5 pts worse
19.8%
5.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 31.4% · Q2 32.2% · Q3 17.7% · Q4 20.0% · 4Q avg 25.2%
Percentage of long-stay residents with pressure ulcers 3.3%
3.7%
0.4 pts better
5.1%
1.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 1.7% · Q3 3.5% · Q4 4.7% · 4Q avg 3.3% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 90.8%
78.1%
12.7 pts better
81.7%
9.1 pts better
Short Stay · 2024Q4-2025Q3 · Q1 74.3% · Q2 94.0% · Q3 100.0% · Q4 90.2% · 4Q avg 90.8%
Percentage of short-stay residents who had an outpatient emergency department visit 23.5%
12.5%
11 pts worse
12.0%
11.5 pts worse
Short Stay · 20240701-20250630 · Adjusted 23.5% · Observed 24.1% · Expected 11.5% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 4.1%
1.2%
2.9 pts worse
1.6%
2.5 pts worse
Short Stay · 2024Q4-2025Q3 · Q2 0.0% · Q3 4.3% · 4Q avg 4.1% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 84.9%
75.6%
9.3 pts better
79.7%
5.2 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 84.9%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 35.6%
25.1%
10.5 pts worse
23.9%
11.7 pts worse
Short Stay · 20240701-20250630 · Adjusted 35.6% · Observed 37.9% · Expected 25.4% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2023-03-30 · Fire 2023-03-30

2 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

6 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2019-12-12 · Fire 2019-12-12

11 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)

13 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 3 Health 2018-10-25 · Fire 2018-10-25

11 health deficiencies

Top issue: Resident Rights (3 deficiencies)

6 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2023-03-30

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2023-05-03

F · Potential for more than minimal harm 2023-03-30

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-05-03

F · Potential for more than minimal harm 2023-03-30

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2023-05-03

F · Potential for more than minimal harm 2023-03-30

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-05-12

F · Potential for more than minimal harm 2023-03-30

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2023-05-03

F · Potential for more than minimal harm 2023-03-30

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-05-03

F · Potential for more than minimal harm 2019-12-12

E29 · Emergency Preparedness Deficiencies

Fire Safety

Develop a communication plan.

Corrected 2020-01-27

F · Potential for more than minimal harm 2019-12-12

E6 · Emergency Preparedness Deficiencies

Fire Safety

Conduct risk assessment and an All-Hazards approach.

Corrected 2020-01-27

F · Potential for more than minimal harm 2019-12-12

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2020-01-27

F · Potential for more than minimal harm 2019-12-12

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2020-01-27

F · Potential for more than minimal harm 2019-12-12

K346 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

Corrected 2020-01-27

F · Potential for more than minimal harm 2019-12-12

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2020-01-27

F · Potential for more than minimal harm 2019-12-12

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2020-01-27

F · Potential for more than minimal harm 2019-12-12

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2020-01-27

F · Potential for more than minimal harm 2019-12-12

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2020-01-27

F · Potential for more than minimal harm 2019-12-12

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2020-01-27

F · Potential for more than minimal harm 2019-12-12

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2020-01-27

F · Potential for more than minimal harm 2019-12-12

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2020-01-27

E · Potential for more than minimal harm 2019-12-12

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2020-01-27

F · Potential for more than minimal harm 2018-10-25

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2018-11-23

F · Potential for more than minimal harm 2018-10-25

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2018-11-23

F · Potential for more than minimal harm 2018-10-25

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2018-11-23

F · Potential for more than minimal harm 2018-10-25

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2018-11-23

F · Potential for more than minimal harm 2018-10-25

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2018-11-23

E · Potential for more than minimal harm 2018-10-25

K325 · Smoke Deficiencies

Fire Safety

Have properly installed hallway dispensers for alcohol-based hand rub.

Corrected 2018-11-23

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-01-16

F838 · Administration Deficiencies

Health

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Corrected 2025-01-29

D · Potential for more than minimal harm 2024-11-13

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2024-11-29

D · Potential for more than minimal harm 2024-11-13

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-11-29

D · Potential for more than minimal harm 2024-11-13

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-11-29

D · Potential for more than minimal harm 2024-11-13

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2024-11-29

D · Potential for more than minimal harm 2024-11-05

F569 · Resident Rights Deficiencies

Health

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

Corrected 2024-11-29

D · Potential for more than minimal harm 2024-11-05

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-11-29

J · Immediate jeopardy 2023-03-30

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2023-05-03

E · Potential for more than minimal harm 2023-03-30

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-05-03

D · Potential for more than minimal harm 2023-03-30

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 2023-05-03

E · Potential for more than minimal harm 2019-12-12

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2020-01-03

D · Potential for more than minimal harm 2019-12-12

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 2020-01-03

D · Potential for more than minimal harm 2019-12-12

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2020-01-03

D · Potential for more than minimal harm 2019-12-12

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2020-01-03

F · Potential for more than minimal harm 2018-10-25

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2018-11-23

F · Potential for more than minimal harm 2018-10-25

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2018-11-23

E · Potential for more than minimal harm 2018-10-25

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2018-11-23

D · Potential for more than minimal harm 2018-10-25

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2018-11-23

D · Potential for more than minimal harm 2018-10-25

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2018-11-23

D · Potential for more than minimal harm 2018-10-25

F625 · Resident Rights Deficiencies

Health

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Corrected 2018-11-23

D · Potential for more than minimal harm 2018-10-25

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2018-11-23

D · Potential for more than minimal harm 2018-10-25

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2018-11-23

D · Potential for more than minimal harm 2018-10-25

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2018-11-23

D · Potential for more than minimal harm 2018-10-25

F770 · Administration Deficiencies

Health

Provide timely, quality laboratory services/tests to meet the needs of residents.

Corrected 2018-11-23

Penalties and ownership

What sits behind the stars

$101,411 2023-03-30

Fine

Fine · fine $101,411

Fine

$0 2023-03-30

Payment Denial

Payment Denial · denial start 2023-04-26 · 16 days

16 day denial

Ownership

Chickiestrong Eaton Gardens LLC

5% Or Greater Direct Ownership Interest · Organization

80% 1 facilities 2016-12-30
Farkovits, Joshua

5% Or Greater Direct Ownership Interest · Individual

5% 13 facilities 2016-12-30
Gamzeh, David

5% Or Greater Direct Ownership Interest · Individual

5% 12 facilities 2016-12-30
Glatzer, Akiva

5% Or Greater Direct Ownership Interest · Individual

5% 14 facilities 2016-12-30
Braunstein Bears 2016 Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 13 facilities 2016-12-30
Chickiestrong Real Estate LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 6 facilities 2016-12-30
Feuer, Samuel

5% Or Greater Indirect Ownership Interest · Individual

0% 20 facilities 2016-12-30
Frasher, Todd

W-2 Managing Employee · Individual

0% 2 facilities 2016-12-30
Gamzeh, David

Corporate Officer · Individual

0% 12 facilities 2016-12-30
Garden Healthcare Group LLC

Operational/Managerial Control · Organization

0% 5 facilities 2016-12-30
Garden Ohio Operating Holdings LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 6 facilities 2016-12-30
Garden Ohio Operating Managing Member LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 6 facilities 2016-12-30
Lahasky, Ephram

Corporate Officer · Individual

0% 60 facilities 2016-12-30
Leshkowitz, Eli

5% Or Greater Indirect Ownership Interest · Individual

0% 18 facilities 2016-12-30
Leshkowitz, Eli

Corporate Officer · Individual

0% 18 facilities 2016-12-30

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