Cycle 1
Health 2025-04-11 · Fire 2025-04-11
11 health deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Clio, MI
Maple Woods Manor
2-star overall rating with 2-star inspections with $58,583 in total fines with 11 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
13137 North Clio Road, Clio, MI
(810) 686-2600
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
151
Certified beds
Average residents
112
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
The Peplinski Group
Operator or chain grouping
Approved since
1992-03-27
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
10 facilities
Chain averages 3 overall / 2 health / 3 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
Hours and turnover
RN hours / resident day
0.48
Registered nurse staffing · state 0.77 · national 0.68
LPN hours / resident day
0.72
Licensed practical nurse staffing · state 0.88 · national 0.87
Aide hours / resident day
2.55
Nurse aide staffing · state 2.38 · national 2.35
Total nurse hours
3.75
All reported nurse hours · state 4.03 · national 3.89
Licensed hours
1.20
RN + LPN hours · state 1.65 · national 1.54
Weekend hours
3.47
Weekend nurse staffing · state 3.52 · national 3.43
Weekend RN hours
0.31
Weekend registered nurse coverage · state 0.49 · national 0.47
Physical therapist
0.02
Reported PT staffing · state 0.07 · national 0.07
Adjusted RN hours
0.50
CMS adjusted RN staffing hours
Adjusted total hours
3.94
CMS adjusted total nurse staffing hours
Case-mix index
1.30
Higher values indicate more complex resident acuity
RN turnover
41%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
37%
Annual nurse turnover · state 44% · national 46%
SNF VBP
Value-based purchasing
Program rank
5,024
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
37.71
Composite VBP score used to determine payment impact.
Payment multiplier
0.9909
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 19.43% · Performance 21.42% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
5.98
Baseline 5.33% · Performance 6.05% · Measure score 5.98 · Achievement 5.98 · Improvement 0
Total nurse turnover
5.43
Baseline 44.87% · Performance 41.48% · Measure score 5.43 · Achievement 5.43 · Improvement 1.19
Adjusted total nurse staffing
3.67
Baseline 4.37 hours · Performance 4.12 hours · Measure score 3.67 · Achievement 3.67 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.93% |
10.72%
1.2 pts worse
|
No Different than the National Rate · Eligible stays 160 · Observed rate 13.75% · Lower 95% interval 8.46% |
| Discharge to community | 52.53% |
50.57%
2 pts better
|
No Different than the National Rate · Eligible stays 127 · Observed rate 47.24% · Lower 95% interval 44.51% |
| Medicare spending per beneficiary | 0.83 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 97.35% |
95.27%
2.1 pts better
|
Numerator 110 · Denominator 113 |
| Falls with major injury | 0.88% |
0.77%
0.1 pts worse
|
Numerator 1 · Denominator 113 |
| Discharge self-care score | 59.26% |
53.69%
5.6 pts better
|
Numerator 48 · Denominator 81 |
| Discharge mobility score | 44.44% |
50.94%
6.5 pts worse
|
Numerator 36 · Denominator 81 |
| Pressure ulcers or injuries, new or worsened | 1.77% |
2.29%
0.5 pts better
|
Numerator 2 · Denominator 113 · Adjusted rate 1.78% |
| Healthcare-associated infections requiring hospitalization | 6.05% |
7.12%
1.1 pts better
|
No Different than the National Rate · Eligible stays 102 · Observed rate 3.92% · Lower 95% interval 3.33% |
| Staff COVID-19 vaccination coverage | 1.62% |
8.2%
6.6 pts worse
|
Numerator 3 · Denominator 185 |
| Staff flu vaccination coverage | 26.87% |
42%
15.1 pts worse
|
Numerator 61 · Denominator 227 |
| Discharge function score | 48.15% |
56.45%
8.3 pts worse
|
Numerator 39 · Denominator 81 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 58 · Denominator 58 |
| Transfer of health information to patient | 94.29% |
96.28%
2 pts worse
|
Numerator 33 · Denominator 35 |
| Resident COVID-19 vaccinations up to date | 31.37% |
25.2%
6.2 pts better
|
Numerator 16 · Denominator 51 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.6 |
1.7
0.9 pts worse
|
1.9
0.7 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.6 · Observed 2.6 · Expected 1.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.7 |
1.5
0.8 pts better
|
1.8
1.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.7 · Observed 0.7 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
95.0%
5 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 | 100.0% |
95.0%
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 | 4.3% |
3.1%
1.2 pts worse
|
3.3%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.6% · Q2 6.0% · Q3 3.5% · Q4 3.4% · 4Q avg 4.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 2.7% |
4.1%
1.4 pts better
|
11.4%
8.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 6.0% · Q3 1.7% · Q4 0.0% · 4Q avg 2.7% |
| Percentage of long-stay residents who lose too much weight | 11.6% |
5.5%
6.1 pts worse
|
5.4%
6.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.6% · Q2 13.9% · Q3 12.5% · Q4 10.3% · 4Q avg 11.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 19.4% |
19.6%
0.2 pts better
|
19.6%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 23.0% · Q2 18.9% · Q3 23.6% · Q4 11.8% · 4Q avg 19.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 18.7% |
16.5%
2.2 pts worse
|
16.7%
2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 19.7% · Q2 21.3% · Q3 20.3% · Q4 12.7% · 4Q avg 18.7% · 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 | 25.7% |
13.9%
11.8 pts worse
|
16.3%
9.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.1% · Q2 31.5% · Q3 21.1% · Q4 25.1% · 4Q avg 25.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 16.4% |
11.7%
4.7 pts worse
|
14.9%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 13.9% · Q2 18.8% · Q3 13.4% · Q4 19.7% · 4Q avg 16.4% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 3.0% |
0.9%
2.1 pts worse
|
1.0%
2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.6% · Q2 2.6% · Q3 1.8% · Q4 2.9% · 4Q avg 3.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.3% |
1.7%
0.6 pts worse
|
1.7%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 0.0% · Q3 2.4% · Q4 3.4% · 4Q avg 2.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 27.8% |
20.4%
7.4 pts worse
|
19.8%
8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.1% · Q2 28.2% · Q3 32.6% · Q4 35.0% · 4Q avg 27.8% |
| Percentage of long-stay residents with pressure ulcers | 7.1% |
5.6%
1.5 pts worse
|
5.1%
2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.0% · Q2 8.5% · Q3 8.2% · Q4 6.9% · 4Q avg 7.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 91.8% |
82.8%
9 pts better
|
81.7%
10.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 88.5% · Q2 93.8% · Q3 91.7% · Q4 92.9% · 4Q avg 91.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.0% |
11.5%
4.5 pts better
|
12.0%
5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.0% · Observed 7.1% · Expected 11.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.5% |
1.3%
1.2 pts worse
|
1.6%
0.9 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 3.1% · Q3 1.1% · Q4 3.2% · 4Q avg 2.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 94.4% |
79.5%
14.9 pts better
|
79.7%
14.7 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 94.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 25.2% |
24.2%
1 pts worse
|
23.9%
1.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 25.2% · Observed 25.7% · Expected 24.2% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-02-15 · Fire 2024-02-15
9 health deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
4 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Cycle 3
Health 2022-11-03 · Fire 2022-11-03
10 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-04-11
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-05-20
F · Potential for more than minimal harm
2025-04-11
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-05-20
E · Potential for more than minimal harm
2025-04-11
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 2025-05-20
E · Potential for more than minimal harm
2025-04-11
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-05-20
F · Potential for more than minimal harm
2024-02-15
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-03-18
E · Potential for more than minimal harm
2024-02-15
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 2024-03-18
E · Potential for more than minimal harm
2024-02-15
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2024-03-18
E · Potential for more than minimal harm
2024-02-15
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 2024-03-18
E · Potential for more than minimal harm
2022-11-03
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2022-12-07
E · Potential for more than minimal harm
2022-11-03
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 2022-12-07
E · Potential for more than minimal harm
2022-11-03
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-12-07
E · Potential for more than minimal harm
2022-11-03
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-12-07
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-08-13
F584 · Resident Rights Deficiencies
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2025-09-22
G · Actual harm
2025-06-24
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-07-21
F · Potential for more than minimal harm
2025-04-11
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-05-20
E · Potential for more than minimal harm
2025-04-11
F578 · Resident Rights Deficiencies
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2025-05-20
E · Potential for more than minimal harm
2025-04-11
F700 · Quality of Life and Care Deficiencies
Health
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected 2025-05-20
D · Potential for more than minimal harm
2025-04-11
F553 · Resident Rights Deficiencies
Health
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected 2025-05-20
D · Potential for more than minimal harm
2025-04-11
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 2025-05-20
D · Potential for more than minimal harm
2025-04-11
F676 · Quality of Life and Care Deficiencies
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2025-05-20
D · Potential for more than minimal harm
2025-04-11
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-05-20
D · Potential for more than minimal harm
2025-04-11
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-05-20
D · Potential for more than minimal harm
2025-04-11
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 2025-05-20
G · Actual harm
2025-01-21
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-02-18
G · Actual harm
2024-02-15
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-03-18
E · Potential for more than minimal harm
2024-02-15
F947 · Nursing and Physician Services Deficiencies
Health
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected 2024-03-18
D · Potential for more than minimal harm
2024-02-15
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-03-18
D · Potential for more than minimal harm
2024-02-15
F688 · Quality of Life and Care Deficiencies
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 2024-03-18
D · Potential for more than minimal harm
2024-02-15
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 2024-03-18
D · Potential for more than minimal harm
2024-02-15
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-03-18
D · Potential for more than minimal harm
2024-02-15
F758 · Pharmacy Service Deficiencies
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 2024-03-18
D · Potential for more than minimal harm
2024-02-15
F791 · Quality of Life and Care Deficiencies
Health
Provide or obtain dental services for each resident.
Corrected 2024-03-18
G · Actual harm
2022-11-03
F690 · Quality of Life and Care Deficiencies
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 2022-12-07
F · Potential for more than minimal harm
2022-11-03
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 2022-12-07
E · Potential for more than minimal harm
2022-11-03
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 2022-12-07
E · Potential for more than minimal harm
2022-11-03
F761 · Pharmacy Service Deficiencies
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 2022-12-07
D · Potential for more than minimal harm
2022-11-03
F565 · Resident Rights Deficiencies
Health
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2022-12-07
D · Potential for more than minimal harm
2022-11-03
F637 · Resident Assessment and Care Planning Deficiencies
Health
Assess the resident when there is a significant change in condition
Corrected 2022-12-07
D · Potential for more than minimal harm
2022-11-03
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-12-07
D · Potential for more than minimal harm
2022-11-03
F688 · Quality of Life and Care Deficiencies
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 2022-12-07
D · Potential for more than minimal harm
2022-11-03
F694 · Quality of Life and Care Deficiencies
Health
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2022-12-07
D · Potential for more than minimal harm
2022-11-03
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2022-12-07
Penalties and ownership
What sits behind the stars
$42,990
2025-01-21
Fine
Fine · fine $42,990
Fine
$15,593
2024-02-15
Fine
Fine · fine $15,593
Fine
Ownership
Peplinksi Holdings, Inc.
5% Or Greater Direct Ownership Interest · Organization
David Lebenbom Irrv Tr
5% Or Greater Direct Ownership Interest · Organization
Lebenbom, Stuart
5% Or Greater Direct Ownership Interest · Individual
Ackerman, Amy
5% Or Greater Indirect Ownership Interest · Individual
Ackerman, Ricky
5% Or Greater Indirect Ownership Interest · Individual
Baumgarten, Michael
5% Or Greater Indirect Ownership Interest · Individual
Baumgarten, Therese
5% Or Greater Indirect Ownership Interest · Individual
Peplinski, Sheli
5% Or Greater Indirect Ownership Interest · Individual
Peplinski, Todd
5% Or Greater Indirect Ownership Interest · Individual
Schade, Jeffery
5% Or Greater Indirect Ownership Interest · Individual
Schade, Tamara
5% Or Greater Indirect Ownership Interest · Individual
Thompson, Brian
5% Or Greater Indirect Ownership Interest · Individual
Thompson, Shelly
5% Or Greater Indirect Ownership Interest · Individual
Ackerman, Ricky
Operational/Managerial Control · Individual
Ackerman, Ricky
Corporate Director · Individual
Ackerman, Ricky
Corporate Officer · Individual
Baumgarten, Michael
Corporate Director · Individual
Evans, Lacey
Operational/Managerial Control · Individual
Peplinski, Todd
Corporate Director · Individual
Peplinski, Todd
Corporate Officer · Individual
Plante & Moran Pllc
Operational/Managerial Control · Organization
Schade, Jeffery
Operational/Managerial Control · Individual
Schade, Jeffery
Corporate Director · Individual
Schade, Jeffery
Corporate Officer · Individual
The Peplinski Group Inc
Operational/Managerial Control · Organization
Thompson, Brian
Operational/Managerial Control · Individual
Thompson, Brian
Corporate Director · Individual
Thompson, Brian
Corporate Officer · Individual
Winkels, Kathy
Operational/Managerial Control · Individual
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