Philadelphia, PA

Maplewood Nursing And Rehab Center

3-star overall rating with 3-star inspections with $76,483 in total fines with 5 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

125 W Schoolhouse Lane, Philadelphia, PA

(215) 844-8806

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

180

Certified beds

Average residents

165

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Bedrock Care

Operator or chain grouping

Approved since

1991-10-08

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

10 facilities

Chain averages 2 overall / 2 health / 3 staffing / 3 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

0.38

Registered nurse staffing · state 0.78 · national 0.68

LPN hours / resident day

0.90

Licensed practical nurse staffing · state 0.91 · national 0.87

Aide hours / resident day

2.02

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

3.30

All reported nurse hours · state 3.89 · national 3.89

Licensed hours

1.28

RN + LPN hours · state 1.69 · national 1.54

Weekend hours

2.90

Weekend nurse staffing · state 3.51 · national 3.43

Weekend RN hours

0.25

Weekend registered nurse coverage · state 0.55 · national 0.47

Physical therapist

0.03

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

0.42

CMS adjusted RN staffing hours

Adjusted total hours

3.69

CMS adjusted total nurse staffing hours

Case-mix index

1.22

Higher values indicate more complex resident acuity

RN turnover

62%

Annual RN turnover · state 43% · national 45%

Total nurse turnover

56%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

11,538

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

Performance score

16.41

Composite VBP score used to determine payment impact.

Payment multiplier

0.9816

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

1.81

Baseline 22.42% · Performance 21.18% · Measure score 1.81 · Achievement 0.54 · Improvement 1.81

Healthcare-associated infections

0.99

Baseline 7.21% · Performance 7.54% · Measure score 0.99 · Achievement 0.99 · Improvement 0

Total nurse turnover

2.10

Baseline 65.35% · Performance 55.10% · Measure score 2.10 · Achievement 2.10 · Improvement 2.03

Adjusted total nurse staffing

1.67

Baseline 2.80 hours · Performance 3.45 hours · Measure score 1.67 · Achievement 1.31 · Improvement 1.67

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 11.2%
10.72%
0.5 pts worse
No Different than the National Rate · Eligible stays 57 · Observed rate 15.79% · Lower 95% interval 8.18%
Discharge to community 44.38%
50.57%
6.2 pts worse
No Different than the National Rate · Eligible stays 37 · Observed rate 27.03% · Lower 95% interval 31.19%
Medicare spending per beneficiary 0.79
1.02
0.2 pts better
Drug regimen review with follow-up 100%
95.27%
4.7 pts better
Numerator 33 · Denominator 33
Falls with major injury 0%
0.77%
0.8 pts better
Numerator 0 · Denominator 33
Discharge self-care score 57.14%
53.69%
3.5 pts better
Numerator 12 · Denominator 21
Discharge mobility score 52.38%
50.94%
1.4 pts better
Numerator 11 · Denominator 21
Pressure ulcers or injuries, new or worsened 9.09%
2.29%
6.8 pts worse
Numerator 3 · Denominator 33 · Adjusted rate 7.66%
Healthcare-associated infections requiring hospitalization 7.54%
7.12%
0.4 pts worse
No Different than the National Rate · Eligible stays 29 · Observed rate 10.34% · Lower 95% interval 3.85%
Staff COVID-19 vaccination coverage 0%
8.2%
8.2 pts worse
Numerator 0 · Denominator 188
Staff flu vaccination coverage Not Available
42%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge function score 57.14%
56.45%
0.7 pts better
Numerator 12 · Denominator 21
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date Not Available
25.2%
Numerator Not Available · Denominator 18 · 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 1.5
1.7
0.2 pts better
1.9
0.4 pts better
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.7 · Expected 2.2 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 1.2
1.2
About the same
1.8
0.6 pts better
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.3 · Expected 1.9 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 76.5%
86.9%
10.4 pts worse
93.4%
16.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 85.9% · Q2 79.1% · Q3 70.3% · Q4 71.3% · 4Q avg 76.5%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 77.5%
93.5%
16 pts worse
95.5%
18 pts worse
Long Stay · 2024Q3-2025Q2 · 4Q avg 77.5%
Percentage of long-stay residents experiencing one or more falls with major injury 1.8%
3.2%
1.4 pts better
3.3%
1.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 1.4% · Q3 0.6% · Q4 2.5% · 4Q avg 1.8% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 0.3%
6.5%
6.2 pts better
11.4%
11.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.3% · 4Q avg 0.3%
Percentage of long-stay residents who lose too much weight 7.9%
6.5%
1.4 pts worse
5.4%
2.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 8.6% · Q3 10.7% · Q4 5.3% · 4Q avg 7.9%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 14.4%
19.9%
5.5 pts better
19.6%
5.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 16.1% · Q2 14.2% · Q3 13.2% · Q4 14.1% · 4Q avg 14.4%
Percentage of long-stay residents who received an antipsychotic medication 17.6%
18.7%
1.1 pts better
16.7%
0.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 16.2% · Q2 16.7% · Q3 20.3% · Q4 17.1% · 4Q avg 17.6% · 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 20.6%
19.6%
1 pts worse
16.3%
4.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 18.2% · Q2 16.4% · Q3 26.7% · Q4 19.7% · 4Q avg 20.6% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 21.4%
18.3%
3.1 pts worse
14.9%
6.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 23.8% · Q2 18.0% · Q3 24.5% · Q4 19.4% · 4Q avg 21.4% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.1%
0.9%
0.8 pts better
1.0%
0.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.5% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.1% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 0.2%
1.7%
1.5 pts better
1.7%
1.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.7% · 4Q avg 0.2% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 32.0%
26.4%
5.6 pts worse
19.8%
12.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 32.7% · Q2 30.7% · Q3 32.3% · Q4 32.4% · 4Q avg 32.0%
Percentage of long-stay residents with pressure ulcers 6.2%
5.3%
0.9 pts worse
5.1%
1.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 8.0% · Q2 5.5% · Q3 4.1% · Q4 7.0% · 4Q avg 6.2% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 23.7%
68.9%
45.2 pts worse
81.7%
58 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 7.4% · Q2 10.3% · Q3 27.6% · Q4 53.5% · 4Q avg 23.7%
Percentage of short-stay residents who had an outpatient emergency department visit 9.8%
9.8%
About the same
12.0%
2.2 pts better
Short Stay · 20240701-20250630 · Adjusted 9.8% · Observed 12.5% · Expected 14.2% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 1.7%
1.5%
0.2 pts worse
1.6%
0.1 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 0.0% · Q3 2.0% · Q4 2.4% · 4Q avg 1.7% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 36.0%
68.7%
32.7 pts worse
79.7%
43.7 pts worse
Short Stay · 2024Q3-2025Q2 · 4Q avg 36.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 16.6%
23.1%
6.5 pts better
23.9%
7.3 pts better
Short Stay · 20240701-20250630 · Adjusted 16.6% · Observed 20.8% · Expected 29.9% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-08-28 · Fire 2025-08-28

5 health deficiencies

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

4 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 2 Health 2024-11-06 · Fire 2024-11-06

26 health deficiencies

Top issue: Nutrition and Dietary (9 deficiencies)

7 fire-safety deficiencies

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

Cycle 3 Health 2024-01-12 · Fire 2024-01-12

12 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

10 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-08-28

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2025-11-02

E · Potential for more than minimal harm 2025-08-28

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-11-02

E · Potential for more than minimal harm 2025-08-28

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2025-11-02

C · Minimal harm 2025-08-28

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2025-11-02

E · Potential for more than minimal harm 2024-11-06

K200 · Egress Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2025-01-05

E · Potential for more than minimal harm 2024-11-06

K541 · Services Deficiencies

Fire Safety

Install properly constructed and protected linen or trash chutes.

Corrected 2025-01-05

E · Potential for more than minimal harm 2024-11-06

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-01-05

E · Potential for more than minimal harm 2024-11-06

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2025-01-05

E · Potential for more than minimal harm 2024-11-06

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-01-05

E · Potential for more than minimal harm 2024-11-06

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2025-01-05

C · Minimal harm 2024-11-06

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2025-01-05

F · Potential for more than minimal harm 2024-01-12

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 2024-03-01

E · Potential for more than minimal harm 2024-01-12

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2024-03-01

E · Potential for more than minimal harm 2024-01-12

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2024-03-01

E · Potential for more than minimal harm 2024-01-12

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-03-01

E · Potential for more than minimal harm 2024-01-12

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-03-01

E · Potential for more than minimal harm 2024-01-12

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-03-01

E · Potential for more than minimal harm 2024-01-12

K541 · Services Deficiencies

Fire Safety

Install properly constructed and protected linen or trash chutes.

Corrected 2024-03-01

E · Potential for more than minimal harm 2024-01-12

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-03-01

E · Potential for more than minimal harm 2024-01-12

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-03-01

E · Potential for more than minimal harm 2024-01-12

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-03-01

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-08-28

F559 · Resident Rights Deficiencies

Health

Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

Corrected 2025-10-10

D · Potential for more than minimal harm 2025-08-28

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2025-10-10

D · Potential for more than minimal harm 2025-08-28

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-10-10

D · Potential for more than minimal harm 2025-08-28

F699 · Quality of Life and Care Deficiencies

Health

Provide care or services that was trauma informed and/or culturally competent.

Corrected 2025-10-10

D · Potential for more than minimal harm 2025-08-28

F883 · Infection Control Deficiencies

Health

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

Corrected 2025-10-10

D · Potential for more than minimal harm 2024-12-30

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 2025-01-31

D · Potential for more than minimal harm 2024-12-11

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-01-05

F · Potential for more than minimal harm 2024-11-06

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 2025-01-05

E · Potential for more than minimal harm 2024-11-06

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 2025-01-05

E · Potential for more than minimal harm 2024-11-06

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-01-05

D · Potential for more than minimal harm 2024-11-06

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2025-01-05

D · Potential for more than minimal harm 2024-11-06

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2025-01-05

D · Potential for more than minimal harm 2024-11-06

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 2025-01-05

D · Potential for more than minimal harm 2024-11-06

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2025-01-05

D · Potential for more than minimal harm 2024-11-06

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2025-01-05

D · Potential for more than minimal harm 2024-11-06

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 2025-01-05

D · Potential for more than minimal harm 2024-11-06

F801 · Nutrition and Dietary Deficiencies

Health

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Corrected 2025-01-05

D · Potential for more than minimal harm 2024-11-06

F802 · Nutrition and Dietary Deficiencies

Health

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Corrected 2025-01-05

D · Potential for more than minimal harm 2024-11-06

F803 · Nutrition and Dietary Deficiencies

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 2025-01-05

D · Potential for more than minimal harm 2024-11-06

F804 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2025-01-05

D · Potential for more than minimal harm 2024-11-06

F805 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Corrected 2025-01-05

D · Potential for more than minimal harm 2024-11-06

F807 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.

Corrected 2025-01-05

D · Potential for more than minimal harm 2024-11-06

F809 · Nutrition and Dietary Deficiencies

Health

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

Corrected 2025-01-05

D · Potential for more than minimal harm 2024-11-06

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2025-01-05

D · Potential for more than minimal harm 2024-11-06

F847 · Administration Deficiencies

Health

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

Corrected 2025-01-05

D · Potential for more than minimal harm 2024-11-06

F908 · Environmental Deficiencies

Health

Keep all essential equipment working safely.

Corrected 2025-01-05

D · Potential for more than minimal harm 2024-11-06

F922 · Environmental Deficiencies

Health

Have enough backup water supply for essential areas of the nursing home.

Corrected 2025-01-05

D · Potential for more than minimal harm 2024-11-06

F925 · Environmental Deficiencies

Health

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2025-01-05

E · Potential for more than minimal harm 2024-09-12

F803 · Nutrition and Dietary Deficiencies

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 2024-10-04

G · Actual harm 2024-08-15

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 2024-08-15

D · Potential for more than minimal harm 2024-04-17

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 2024-05-17

K · Immediate jeopardy 2024-01-12

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 2024-01-12

F · Potential for more than minimal harm 2024-01-12

F835 · Administration Deficiencies

Health

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Corrected 2024-03-01

E · Potential for more than minimal harm 2024-01-12

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 2024-03-01

D · Potential for more than minimal harm 2024-01-12

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2024-03-01

D · Potential for more than minimal harm 2024-01-12

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 2024-03-01

D · Potential for more than minimal harm 2024-01-12

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 2024-03-01

D · Potential for more than minimal harm 2024-01-12

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2024-03-01

D · Potential for more than minimal harm 2024-01-12

F790 · Quality of Life and Care Deficiencies

Health

Provide routine and 24-hour emergency dental care for each resident.

Corrected 2024-03-01

D · Potential for more than minimal harm 2024-01-12

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-03-01

E · Potential for more than minimal harm 2023-10-12

F919 · Environmental Deficiencies

Health

Make sure that a working call system is available in each resident's bathroom and bathing area.

Corrected 2023-11-03

D · Potential for more than minimal harm 2023-05-31

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 2023-06-28

D · Potential for more than minimal harm 2023-05-31

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2023-06-28

Penalties and ownership

What sits behind the stars

$56,521 2024-08-15

Fine

Fine · fine $56,521

Fine

$19,962 2024-01-12

Fine

Fine · fine $19,962

Fine

Ownership

Keel, Megan

Operational/Managerial Control · Individual

0% 1 facilities 2025-06-01
Kuster, Leslie

Operational/Managerial Control · Individual

0% 2 facilities 2025-06-01
Lewis, Steven

Operational/Managerial Control · Individual

0% 9 facilities 2025-06-01

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