3 health deficiencies
Top issue: Infection Control (1 deficiency)
2 fire-safety deficiencies
Top issue: Services (1 deficiency)
Wasilla, AK
5-star overall rating with 4-star inspections with 3 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
3265 E Meridian Loop, Wasilla, AK
(907) 841-1217
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
67
Certified beds
Average residents
66
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Maple Springs Living
Operator or chain grouping
Approved since
2019-07-23
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
3 facilities
Chain averages 3 overall / 2 health / 4 staffing / 4 quality stars
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
RN hours / resident day
1.69
Registered nurse staffing · state 2.15 · national 0.68
LPN hours / resident day
0.85
Licensed practical nurse staffing · state 0.86 · national 0.87
Aide hours / resident day
2.59
Nurse aide staffing · state 4.17 · national 2.35
Total nurse hours
5.13
All reported nurse hours · state 7.00 · national 3.89
Licensed hours
2.54
RN + LPN hours · state 2.83 · national 1.54
Weekend hours
4.37
Weekend nurse staffing · state 6.21 · national 3.43
Weekend RN hours
1.22
Weekend registered nurse coverage · state 1.62 · national 0.47
Physical therapist
0.12
Reported PT staffing · state 0.07 · national 0.07
Adjusted RN hours
1.78
CMS adjusted RN staffing hours
Adjusted total hours
5.40
CMS adjusted total nurse staffing hours
Case-mix index
1.30
Higher values indicate more complex resident acuity
RN turnover
33%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
37%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
945
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
61.85
Composite VBP score used to determine payment impact.
Payment multiplier
1.0168
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
5.98
Baseline 16.71% · Performance 18.66% · Measure score 5.98 · Achievement 5.98 · Improvement 0
Healthcare-associated infections
4.05
Baseline 6.14% · Performance 6.62% · Measure score 4.05 · Achievement 4.05 · Improvement 0
Total nurse turnover
4.71
Performance 44.44% · Measure score 4.71 · Achievement 4.71 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
10
Baseline 5.18 hours · Performance 6.23 hours · Measure score 10 · Achievement 10 · Improvement 9
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 8.26% |
10.72%
2.5 pts better
|
No Different than the National Rate · Eligible stays 255 · Observed rate 5.88% · Lower 95% interval 5.43% |
| Discharge to community | 70.89% |
50.57%
20.3 pts better
|
Better than the National Rate · Eligible stays 275 · Observed rate 64.36% · Lower 95% interval 64.23% |
| Medicare spending per beneficiary | 1.2 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 95.51% |
95.27%
0.2 pts better
|
Numerator 170 · Denominator 178 |
| Falls with major injury | 1.12% |
0.77%
0.4 pts worse
|
Numerator 2 · Denominator 178 |
| Discharge self-care score | 54.62% |
53.69%
0.9 pts better
|
Numerator 71 · Denominator 130 |
| Discharge mobility score | 50.77% |
50.94%
0.2 pts worse
|
Numerator 66 · Denominator 130 |
| Pressure ulcers or injuries, new or worsened | 3.93% |
2.29%
1.6 pts worse
|
Numerator 7 · Denominator 178 · Adjusted rate 5.07% |
| Healthcare-associated infections requiring hospitalization | 6.62% |
7.12%
0.5 pts better
|
No Different than the National Rate · Eligible stays 167 · Observed rate 6.59% · Lower 95% interval 4.45% |
| Staff COVID-19 vaccination coverage | 1.27% |
8.2%
6.9 pts worse
|
Numerator 2 · Denominator 157 |
| Staff flu vaccination coverage | 12.5% |
42%
29.5 pts worse
|
Numerator 23 · Denominator 184 |
| Discharge function score | 53.08% |
56.45%
3.4 pts worse
|
Numerator 69 · Denominator 130 |
| Transfer of health information to provider | 82% |
95.95%
14 pts worse
|
Numerator 82 · Denominator 100 |
| Transfer of health information to patient | 83.02% |
96.28%
13.3 pts worse
|
Numerator 44 · Denominator 53 |
| Resident COVID-19 vaccinations up to date | 8.51% |
25.2%
16.7 pts worse
|
Numerator 8 · Denominator 94 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.9 |
1.2
0.3 pts better
|
1.9
1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 2.2 · Expected 4.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.9 |
1.3
0.6 pts worse
|
1.8
0.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 3.3 · Expected 3.0 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 95.0% |
93.8%
1.2 pts better
|
93.4%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 97.1% · Q2 94.3% · Q3 95.7% · Q4 93.3% · 4Q avg 95.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
96.0%
4 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 | 2.5% |
3.0%
0.5 pts better
|
3.3%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 2.9% · Q3 2.2% · Q4 0.0% · 4Q avg 2.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 15.8% |
5.3%
10.5 pts worse
|
11.4%
4.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.7% · Q2 17.2% · Q3 19.5% · Q4 17.9% · 4Q avg 15.8% |
| Percentage of long-stay residents who lose too much weight | 8.9% |
4.9%
4 pts worse
|
5.4%
3.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.9% · Q2 6.2% · Q3 9.3% · Q4 11.9% · 4Q avg 8.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 8.1% |
14.3%
6.2 pts better
|
19.6%
11.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.0% · Q2 9.4% · Q3 7.0% · Q4 6.8% · 4Q avg 8.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 9.8% |
18.4%
8.6 pts better
|
16.7%
6.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 10.0% · Q3 9.7% · Q4 9.4% · 4Q avg 9.8% · 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 need for help with daily activities has increased | 10.7% |
16.3%
5.6 pts better
|
14.9%
4.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 7.1% · Q3 10.3% · Q4 17.9% · 4Q avg 10.7% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 5.3% |
1.3%
4 pts worse
|
1.0%
4.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.6% · Q2 6.3% · Q3 4.7% · Q4 4.1% · 4Q avg 5.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 13.4% |
3.5%
9.9 pts worse
|
1.7%
11.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.1% · Q2 11.4% · Q3 13.0% · Q4 16.3% · 4Q avg 13.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 26.2% |
19.9%
6.3 pts worse
|
19.8%
6.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 33.7% · Q2 30.7% · Q3 25.3% · Q4 17.4% · 4Q avg 26.2% |
| Percentage of long-stay residents with pressure ulcers | 24.5% |
7.8%
16.7 pts worse
|
5.1%
19.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.2% · Q2 29.9% · Q3 21.6% · Q4 22.8% · 4Q avg 24.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 89.0% |
78.4%
10.6 pts better
|
81.7%
7.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 90.2% · Q2 89.7% · Q3 86.2% · Q4 88.8% · 4Q avg 89.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 12.3% |
12.2%
0.1 pts worse
|
12.0%
0.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 12.3% · Observed 12.8% · Expected 11.6% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.8% |
0.8%
2 pts worse
|
1.6%
1.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 4.6% · Q2 3.6% · Q3 0.0% · Q4 1.8% · 4Q avg 2.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 97.4% |
85.5%
11.9 pts better
|
79.7%
17.7 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 97.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 13.5% |
12.5%
1 pts worse
|
23.9%
10.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 13.5% · Observed 15.4% · Expected 27.2% · Used in QM five-star |
Survey summary
Top issue: Infection Control (1 deficiency)
2 fire-safety deficiencies
Top issue: Services (1 deficiency)
Top issue: Resident Assessment and Care Planning (5 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Pharmacy Service (4 deficiencies)
11 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Fire safety
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2025-08-16
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2025-08-16
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-08-05
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-08-05
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-08-05
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-08-05
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 2023-05-08
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2023-05-08
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-05-08
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-05-08
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-05-08
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2023-05-08
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-05-08
Fire Safety
Have exits that are accessible at all times.
Corrected 2023-05-08
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-05-08
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-05-08
Fire Safety
Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.
Corrected 2023-05-08
Inspection history
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-08-17
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-08-17
Health
Provide and implement an infection prevention and control program.
Corrected 2025-08-17
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2024-08-16
Health
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected 2024-08-16
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-08-16
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-08-16
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-08-16
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 2024-08-16
Health
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected 2024-08-16
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-08-16
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2024-08-16
Health
Assess the resident when there is a significant change in condition
Corrected 2024-08-16
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2024-08-16
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2024-08-16
Health
Keep all essential equipment working safely.
Corrected 2024-08-16
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2023-07-27
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-05-08
Health
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
Corrected 2023-05-08
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2023-05-08
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-05-08
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-05-08
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-05-08
Health
Keep all essential equipment working safely.
Corrected 2023-05-08
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2023-05-08
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2023-05-08
Health
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2023-05-08
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-05-08
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2023-05-08
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 2023-05-08
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-05-08
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2023-05-08
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2023-05-08
Health
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2023-05-08
Penalties and ownership
Payment Denial · denial start 2024-09-21 · 25 days
25 day denial
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
W-2 Managing Employee · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Organization
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