Greensboro, NC

Maple Grove Health and Rehabilitation Center

5-star overall rating with 4-star inspections with $50,310 in total fines with 2 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

308 West Meadowview Road, Greensboro, NC

(336) 230-0534

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

210

Certified beds

Average residents

100

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Principle Long Term Care

Operator or chain grouping

Approved since

1993-10-08

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.72

Registered nurse staffing

LPN hours / resident day

0.54

Licensed practical nurse staffing

Aide hours / resident day

2.30

Nurse aide staffing

Weekend hours

3.10

Weekend nurse staffing

RN turnover

62%

Annual RN turnover

Total nurse turnover

64%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 0.9
1.8
0.9 pts better
1.9
1 pts better
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 1.2
1.8
0.6 pts better
1.8
0.6 pts better
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 77.5%
91.5%
14 pts worse
93.4%
15.9 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.8%
94.1%
3.7 pts better
95.5%
2.3 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 1.1%
3.6%
2.5 pts better
3.3%
2.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 0.6%
4.8%
4.2 pts better
11.4%
10.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 4.6%
7.2%
2.6 pts better
5.4%
0.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 24.8%
21.6%
3.2 pts worse
19.6%
5.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 24.2%
15.0%
9.2 pts worse
16.7%
7.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained 0.0%
0.0%
About the same
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened 9.3%
21.5%
12.2 pts better
16.3%
7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 5.4%
16.8%
11.4 pts better
14.9%
9.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0%
0.9%
0.9 pts better
1.0%
1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 0.8%
2.6%
1.8 pts better
1.7%
0.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 10.2%
21.2%
11 pts better
19.8%
9.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 3.9%
6.0%
2.1 pts better
5.1%
1.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 22.6%
79.9%
57.3 pts worse
81.7%
59.1 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who newly received an antipsychotic medication 1.2%
1.5%
0.3 pts better
1.6%
0.4 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 58.8%
78.1%
19.3 pts worse
79.7%
20.9 pts worse
Short Stay · 2024Q3-2025Q2

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-06-05 · Fire 2024-03-06

2 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

4 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 2 Health 2024-03-06 · Fire 2023-01-27

5 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

18 fire-safety deficiencies

Top issue: Smoke (9 deficiencies)

Cycle 3 Health 2023-01-27 · Fire 2022-01-18

16 health deficiencies

Top issue: Resident Rights (4 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2024-03-06

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2024-06-14

D · Potential for more than minimal harm 2024-03-06

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-06-14

D · Potential for more than minimal harm 2024-03-06

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-06-14

D · Potential for more than minimal harm 2024-03-06

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-06-14

F · Potential for more than minimal harm 2023-01-27

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 2023-05-25

F · Potential for more than minimal harm 2023-01-27

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2023-05-25

F · Potential for more than minimal harm 2023-01-27

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-05-25

F · Potential for more than minimal harm 2023-01-27

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2023-05-25

F · Potential for more than minimal harm 2023-01-27

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-05-25

F · Potential for more than minimal harm 2023-01-27

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 2023-05-25

F · Potential for more than minimal harm 2023-01-27

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-05-25

F · Potential for more than minimal harm 2023-01-27

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2023-05-25

E · Potential for more than minimal harm 2023-01-27

K341 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-05-25

D · Potential for more than minimal harm 2023-01-27

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2023-05-25

D · Potential for more than minimal harm 2023-01-27

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2023-05-25

D · Potential for more than minimal harm 2023-01-27

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-05-25

D · Potential for more than minimal harm 2023-01-27

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-05-25

D · Potential for more than minimal harm 2023-01-27

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-05-25

D · Potential for more than minimal harm 2023-01-27

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2023-05-25

D · Potential for more than minimal harm 2023-01-27

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2023-05-25

D · Potential for more than minimal harm 2023-01-27

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 2023-05-25

D · Potential for more than minimal harm 2023-01-27

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2023-05-25

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-11-19

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 2025-12-02

D · Potential for more than minimal harm 2025-11-19

F791 · Quality of Life and Care Deficiencies

Health

Provide or obtain dental services for each resident.

Corrected 2025-12-02

G · Actual harm 2024-03-06

F685 · Quality of Life and Care Deficiencies

Health

Assist a resident in gaining access to vision and hearing services.

Corrected 2024-04-02

D · Potential for more than minimal harm 2024-03-06

F637 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident when there is a significant change in condition

Corrected 2024-04-02

D · Potential for more than minimal harm 2024-03-06

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-04-02

D · Potential for more than minimal harm 2024-03-06

F867 · Administration Deficiencies

Health

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2024-04-02

B · Minimal harm 2024-03-06

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-04-02

D · Potential for more than minimal harm 2023-09-01

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2023-06-13

D · Potential for more than minimal harm 2023-09-01

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2023-09-23

F · Potential for more than minimal harm 2023-01-27

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 2023-03-09

F · Potential for more than minimal harm 2023-01-27

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2023-03-09

E · Potential for more than minimal harm 2023-01-27

F565 · Resident Rights Deficiencies

Health

Honor the resident's right to organize and participate in resident/family groups in the facility.

Corrected 2023-03-09

E · Potential for more than minimal harm 2023-01-27

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2023-03-09

E · Potential for more than minimal harm 2023-01-27

F847 · Administration Deficiencies

Health

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

Corrected 2023-03-09

E · Potential for more than minimal harm 2023-01-27

F867 · Administration Deficiencies

Health

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2023-03-09

E · Potential for more than minimal harm 2023-01-27

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2023-03-09

D · Potential for more than minimal harm 2023-01-27

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 2023-03-09

D · Potential for more than minimal harm 2023-01-27

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2023-03-09

D · Potential for more than minimal harm 2023-01-27

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-03-09

D · Potential for more than minimal harm 2023-01-27

F729 · Nursing and Physician Services Deficiencies

Health

Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.

Corrected 2023-03-09

D · Potential for more than minimal harm 2023-01-27

F887 · Infection Control Deficiencies

Health

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Corrected 2023-03-09

B · Minimal harm 2023-01-27

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 2023-03-09

B · Minimal harm 2023-01-27

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 2023-03-09

Penalties and ownership

What sits behind the stars

$50,310 2024-03-06

Fine

Fine · fine $50,310

Fine

Ownership

Principle It Services, Inc.

5% Or Greater Direct Ownership Interest · Organization

50% 43 facilities 2011-01-01
Principle Long Term Care, Inc.

5% Or Greater Direct Ownership Interest · Organization

50% 44 facilities 2011-01-01
Hill, Robert

5% Or Greater Indirect Ownership Interest · Individual

21% 43 facilities 2011-01-01
Hill, Stephen

5% Or Greater Indirect Ownership Interest · Individual

20% 43 facilities 2011-01-01
Hill, Raymond

5% Or Greater Indirect Ownership Interest · Individual

18% 43 facilities 2011-01-01
Armijo, Olivia

Operational/Managerial Control · Individual

0% 2 facilities 2025-04-14
Boice, Gale

Corporate Officer · Individual

0% 44 facilities 2018-03-05
Johnson, Dianne

Corporate Officer · Individual

0% 43 facilities 2011-01-01
Principle Long Term Care, Inc.

Operational/Managerial Control · Organization

0% 44 facilities 2011-01-01

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