Above average — CMS composite of the measures below.
The next survey window likely opens around November 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at The Maples At Har-ber Meadows during CMS and state inspections, most recent first.
A resident with diabetes and a chronic left foot ulcer received wound care from an RN who wore the same gloves after cleaning the wound and before applying clean dressing supplies. The RN did not perform hand hygiene or change gloves between the soiled and clean portions of care, and later stated she should have changed gloves but did not because she was disoriented. The DON confirmed gloves should be changed after cleaning a wound and before touching clean dressing materials, consistent with CDC guidance and the facility’s hand hygiene policy.
An LPN administered two opioid tablets belonging to another resident instead of the ordered synthetic opioid to a cognitively intact resident with multiple medication allergies/intolerances. The error was discovered during a narcotic count after the medication pass, and the resident and family reported concern about lethargy and possible allergy-related symptoms. The DON confirmed the wrong narcotic card was pulled and the incorrect medication was given.
A resident with multiple diagnoses, including a left femur fracture and moderate cognitive impairment, refused physical, occupational, and speech therapy on several occasions. The facility failed to notify the resident's family or legal representative of these refusals, as required by their policy. Interviews with staff revealed a lack of communication and documentation regarding the refusals, with the responsibility for notification not clearly assigned or executed. This represents a failure to adhere to the facility's policy, potentially impacting the resident's care.
A facility failed to provide adequate nail and hair care for two residents with severe cognitive impairment. One resident's nails were neglected, with toenails curling around the toes, while another resident's hair was greasy and uncombed. Despite care plans and policies requiring regular grooming, staff did not consistently perform these tasks, leading to deficiencies in care.
A discrepancy in the narcotic medication count for a resident with polyneuropathy was found during a survey. The narcotic book showed 34 capsules of Pregabalin, while the medication card showed 33. Interviews with LPNs revealed the process for administering narcotics, but the discrepancy suggests a failure in this process. The DON confirmed training is provided, with plans for additional training.
A CNA failed to perform hand hygiene after touching their clothing and face before serving a meal tray to a resident, contrary to the facility's policies. This lapse in protocol had the potential to affect 11 residents on the secure unit, as confirmed by the Director of Nursing.
A resident with severe cognitive impairment had their meal contaminated by another resident during dining. Despite the contamination, the CNA did not replace the meal. Interviews with the CNA and DON confirmed that the contaminated plate should have been removed and a new meal provided, emphasizing the need to protect residents from transmissible contaminants.
The facility did not ensure an RN was on duty for the required 8 consecutive hours on several occasions. Review of punch-in and punch-out times showed RNs worked less than the mandated hours, with no overlap to cover the full shift. Interviews with the Administrator and DON confirmed the shortfall, noting that RNs are aware of the requirement but failed to notify when unable to complete shifts.
The facility failed to post daily nurse staffing information, omitting essential details such as the facility name, current date, actual hours worked, and resident census. Observations revealed outdated postings and missing information on several occasions. The DON and an LPN acknowledged the lapses, with the LPN indicating that the DON was responsible for adding certain details.
A resident with severe cognitive impairment did not receive their preferred meal items, as outlined in their care plan, due to a failure in the facility's meal service process. The resident, who required finger foods, was served inappropriate items and resorted to using hands to eat. Interviews revealed that the kitchen did not send the correct items, and staff did not follow up to correct the issue.
Failure to Change Gloves and Perform Hand Hygiene During Wound Care
Penalty
Summary
The facility failed to ensure staff followed appropriate infection control practices during wound care for a resident with type 2 diabetes mellitus with diabetic neuropathy and a non-pressure chronic ulcer of the left foot limited to skin breakdown. The resident’s orders directed staff to cleanse the diabetic ulcer to the left Achilles area with wound cleanser, pat dry, spray with skin prep, apply honey-based wound dressing, cover with foam and ABD pad, wrap with gauze, and secure with tape on scheduled days. The resident’s care plan identified a risk for pressure ulcer development related to impaired mobility and a history of wounds and ulcers, and directed staff to follow facility policies and protocols for prevention and treatment of skin breakdown. During observation, the treatment nurse donned gloves before cleaning the wound and removed a soiled bandage from the resident’s left heel. After cleansing the wound, patting it dry, and spraying skin prep, the nurse did not change gloves or perform hand hygiene before applying the clean dressing materials, including Medi-honey, foam, ABD pad, kerlix, and tape. The nurse later stated she should have changed gloves after the wound was cleaned and said she did not do so because she was disoriented. The DON stated gloves should be changed after cleaning a wound and before touching a clean dressing, and also if anything was touched before picking up clean supplies. CDC guidance and the facility’s hand hygiene policy both indicated hand hygiene should be performed before moving from a soiled body site to a clean body site on the same resident.
Incorrect opioid administered to resident
Penalty
Summary
The facility failed to ensure a resident was not administered an incorrect, unordered medication, resulting in a significant medication error for one resident reviewed for medication errors. Resident #84 had diagnoses including right hip pain, rheumatoid arthritis, and heart failure, and was cognitively intact with a BIMS score of 15. The resident also had PRN pain medication ordered for a synthetic opioid, and the record noted allergies or intolerances to several medications, including an opioid that could cause nausea and lethargy. On the evening of the incident, an LPN administered two opioid tablets belonging to another resident instead of the ordered synthetic opioid tablets to Resident #84. The error was discovered later during a narcotic count when the medication cart was being handed off. The DON confirmed the nurse had pulled the wrong narcotic medication card in front of the resident and gave another resident’s opioid medication to Resident #84. The on-call physician, administration, and the family were notified, and the resident was assessed after the error was identified. Resident and family interviews described that Resident #84 believed the wrong pain medication may have contained an opioid to which the resident was allergic and reported lethargy and nausea concerns. The family member stated they requested ED evaluation because of the medication error and said the administrator could not explain how it occurred. The LPN stated the wrong medication was given after being interrupted during medication pass and acknowledged realizing the mistake after the narcotic count was off.
Failure to Notify Family of Resident's Refusal of Treatment
Penalty
Summary
The facility failed to notify the responsible party or legal representative of a resident's refusal of treatment, which is a violation of their policy. The policy requires that the resident, their primary care provider, and their representative be promptly informed of any changes in the resident's medical or mental condition, including refusal of treatment or medications for two or more consecutive times. In this case, the resident, who was admitted with multiple diagnoses including a left femur fracture and moderate cognitive impairment, refused physical, occupational, and speech therapy on several occasions, yet there was no documentation of family notification. Interviews with facility staff revealed a lack of communication and documentation regarding the resident's refusals. The Certified Occupational Therapy Aid (COTA) stated that while they encourage residents to participate in therapy, they do not notify the family of refusals on a daily basis, leaving that responsibility to the nurse or social worker. The Licensed Practical Nurse (LPN) and Social Services staff confirmed they were not informed of the refusals, and thus did not notify the family. The Director of Nursing (DON) acknowledged that it is the floor nurse's responsibility to notify the family of any changes in condition. The resident's care plan indicated a potential for pressure ulcer development, and interventions included informing the family of any new skin breakdowns. However, there was no family notification documented for the resident's refusal of therapy or the new order for skin integrity care. This lack of communication and documentation represents a failure to adhere to the facility's policy, potentially impacting the resident's care and treatment outcomes.
Deficiencies in Nail and Hair Care for Residents
Penalty
Summary
The facility failed to provide adequate nail care and personal hygiene assistance to two residents who were dependent on staff for these activities of daily living (ADLs). Resident #27, who had severe cognitive impairment due to dementia, required substantial assistance with personal hygiene. Despite the care plan indicating the need for regular nail care, observations revealed that the resident's nails were neglected, with toenails described as thick, yellow, and curling around the toes. The facility's policy required nail care on shower days, but staff failed to perform this task, and there was a lack of communication between CNAs and nursing staff regarding the resident's nail condition. Resident #96, also with severe cognitive impairment, required assistance with personal hygiene, including hair care. Observations showed that the resident's hair was greasy, uncombed, and matted, indicating a lack of regular grooming. The resident's care plan specified a preference for morning showers, but staff did not consistently adhere to this schedule. Despite the resident's self-consciousness about body odor and requests for showers, staff failed to provide the necessary assistance, resulting in poor grooming and hygiene. Interviews with staff, including CNAs and the DON, highlighted inconsistencies in the implementation of the facility's policies regarding ADLs. Staff were unclear about their responsibilities for nail care and did not consistently offer showers or grooming assistance as needed. The facility's failure to ensure proper nail and hair care for these residents demonstrated a lack of adherence to established care plans and policies, leading to deficiencies in the quality of care provided.
Narcotic Medication Discrepancy for Resident with Polyneuropathy
Penalty
Summary
The facility failed to ensure the accurate recording of narcotic medication for a resident diagnosed with polyneuropathy, who had a physician's order for Pregabalin, an anti-convulsant medication. During a survey, a discrepancy was found in the narcotic medication count for this resident. The narcotic book indicated 34 capsules, while the medication card showed only 33 capsules. This discrepancy was discovered when the surveyor checked the medication cart on Hall 500. Interviews with two LPNs revealed the process for administering narcotics, which includes checking the resident's medication rights, administering the medication, and recording it in the narcotic book. However, the discrepancy suggests a failure in this process. The Director of Nursing confirmed that nurses receive training on narcotic medication administration, but indicated plans to provide additional training in the future. The facility's policy on medication labeling and storage was also reviewed, which mandates that controlled substances be stored in locked compartments accessible only to authorized personnel.
Failure in Hand Hygiene Before Meal Service
Penalty
Summary
The facility failed to adhere to professional standards for food service safety, specifically in the area of hand hygiene. During an observation, a Certified Nursing Assistant (CNA) was seen adjusting their scrub jacket and touching their face before serving a meal tray to a resident without performing hand hygiene. This action was contrary to the facility's policies, which require hand hygiene after touching clothing or the face and before serving food to residents. The CNA acknowledged the lapse in hand hygiene during an interview, recognizing the importance of preventing the transmission of communicable diseases. The facility's policies, including 'Employee Cleanliness and Hand Washing Technique' and 'Handwashing/Hand Hygiene,' emphasize the necessity of hand hygiene to prevent infection spread. These policies were not followed during the observed incident, which had the potential to affect 11 residents on the secure unit. The Director of Nursing confirmed that hand hygiene should be performed before serving meals and reiterated the need to protect the elderly population from transmissible diseases.
Infection Control Breach During Dining Observation
Penalty
Summary
The facility failed to ensure proper infection control practices during a dining observation involving a resident with severe cognitive impairment. The resident, who required assistance with meals and had a regular diet with finger food texture, was observed eating scrambled eggs with their hands. During this time, another resident seated across the table placed their hand on the first resident's plate, removing food items and touching the scrambled eggs with their fingers before consuming them. Despite this contamination, the Certified Nursing Assistant (CNA) did not remove the contaminated plate or provide a new meal to the resident. Interviews conducted with the CNA and the Director of Nursing (DON) confirmed that the plate should have been removed immediately after the contamination occurred, and a new meal should have been provided to the resident. The DON emphasized the importance of protecting the elderly population from transmissible contaminants, highlighting the need for immediate action when food is touched by another resident. This incident had the potential to affect 11 residents residing on the secure unit.
Failure to Maintain RN Coverage for Required Hours
Penalty
Summary
The facility failed to ensure that a Registered Nurse (RN) was on duty for at least 8 consecutive hours each day, as required. On multiple occasions, the RN's recorded work hours fell short of the mandated 8-hour shift. For instance, on specific dates, the RNs worked a total of 7.10, 7.88, 7.63, 6.79, and 7.90 hours, respectively. These discrepancies were noted through a review of punch-in and punch-out times, which showed that the RN shifts did not overlap to cover the required hours. Interviews with the facility's Administrator and Director of Nursing (DON) revealed that the facility generally maintained RN coverage but failed to meet the 8-hour requirement on the noted dates. The Administrator acknowledged the shortfall in hours and mentioned that RNs typically notify someone if unable to complete their shift. The DON confirmed that RNs are informed of the 8-hour requirement during hiring and orientation, but there was no notification of the lack of coverage on the specified dates. The floor staff continued to provide resident care in the absence of an RN, as per their training.
Failure to Post Daily Nurse Staffing Information
Penalty
Summary
The facility failed to post the nurse staffing information on a daily basis, which is required to include the facility name, the current date, the number and actual hours worked by staff, and the resident census. On multiple occasions, the Direct Care Daily Staffing documents were either outdated or missing essential information such as the facility name, current census, or actual hours worked. Specifically, on 07/15/2024, the posted staffing information was dated 07/12/2024 and lacked the necessary details. Additionally, there were no postings for 07/13/2024 or 07/14/2024. Further observations on 07/18/2024 revealed that the documents for 07/16/2024 and 07/17/2024 also omitted the facility name, actual hours worked, and census. During an interview, the Director of Nursing (DON) acknowledged that the staffing and assignment sheets are supposed to be posted daily by the on-call nurse, with the weekend on-call responsible for postings from Friday to Monday. It was noted that an LPN was responsible for posting the staffing and assignments for the current day, which should have included the facility name, date, census, and staffing numbers. However, the LPN stated that while the number of staff and hours were filled in, the DON was responsible for adding the facility name and census, and the LPN did not handle weekend postings.
Failure to Provide Resident Meal Preferences
Penalty
Summary
The facility failed to honor a resident's meal preferences and provide appropriate food items, leading to a deficiency in promoting resident self-determination. Resident #83, who had severe cognitive impairment and required assistance with meals, was not provided with the preferred food items as per their standing orders. The resident's care plan indicated a need for finger foods due to difficulty using utensils, yet during an observation, the resident was served scrambled eggs and a sausage link instead of the ordered cold cereal, hard-boiled egg, and sausage patty. The resident resorted to using hands to eat, indicating a lack of accommodation for their needs. Interviews with CNAs revealed that the kitchen did not send the correct food items, and although it was standard practice to contact the kitchen to rectify such issues, this was not done on the occasion. The Director of Nursing acknowledged that aides should ensure meal preferences are met and that there is no specific policy guiding this process. The deficiency highlights a failure in the facility's system to ensure residents receive meals according to their preferences and needs, as outlined in their care plans.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Springdale
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Springdale Health And Rehabilitation Center | 2.4 mi | ★★★★★ | 13 | 0 |
| Westwood Health And Rehab, Inc | 3.1 mi | ★★★★★ | 1 | 0 |
| Shiloh Nursing And Rehab, Llc | 4.3 mi | ★★★★★ | 0 | 0 |
| Windcrest Health And Rehab Inc | 4.4 mi | ★★★★★ | 0 | 0 |
| Edgewood Health And Rehab | 5.2 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.