Above average — CMS composite of the measures below.
A standard survey is most likely before around September 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 Maple Grove Health And Rehabilitation Center during CMS and state inspections, most recent first.
A resident with severe cognitive and behavioral impairments was found with unexplained facial injuries, including swelling and hematoma, after staff failed to observe or report any incident during the previous shift. The resident, who had a history of aggression, named a staff member as the perpetrator, but details were inconsistent and the cause of injury could not be determined. Medical and law enforcement investigations were inconclusive, and the facility did not ensure proper protection or timely reporting of the injury.
A resident with cognitive impairment and poor dentition did not receive timely dental services because the facility failed to complete a required medical consultation for medication adjustment, despite repeated notifications from the dental provider. Staff were unaware of the outstanding requirement, and the resident was not seen for needed dental care, even after experiencing facial trauma and being identified as needing fillings and extractions.
A resident with Alzheimer's and hearing impairment was not provided with a functional hearing amplifier, despite it being listed in the care plan. Staff were unaware of the device's availability, and it was found broken in the resident's room.
A resident with dementia experienced a significant decline in ADLs and weight loss, but the facility failed to complete a required Significant Change in Status Assessment. The MDS Nurse admitted the oversight, and the Administrator confirmed the assessment should have been done per guidelines.
A facility failed to accurately code the MDS assessment for a resident with severe hearing loss, leading to incorrect documentation of the resident's condition. The MDS nurse responsible was unaware of the resident's hearing impairment and the use of a hearing amplifier, despite having previously revised the care plan to include interventions for hearing impairment.
Failure to Protect Resident from Injury of Unknown Origin and Inadequate Incident Reporting
Penalty
Summary
A resident with a history of severe cognitive impairment, psychiatric disorders, and physical limitations sustained unexplained facial injuries, including swelling, hematoma, and contusions extending from the right eye to the corner of the right lip. The injury was first observed by a nurse aide during morning rounds, and the resident was subsequently transferred to the hospital for evaluation. The source of the injury was not witnessed, and the resident, who was severely cognitively impaired, was unable to provide a clear explanation. The resident did, however, repeatedly state the name of a specific staff member when asked about the injury, though details provided by the resident varied over time. Interviews with staff revealed that the nurse aide assigned to the resident during the previous shift had been scratched on the face by the resident during incontinence care, but this incident was not reported to the supervising nurse as required. Other staff who interacted with the resident during the evening and night shifts did not observe any signs of injury or distress prior to the morning when the injury was discovered. The resident's roommate was unable to provide information due to blindness and lack of awareness of the incident. Medical assessments confirmed the presence of traumatic facial injuries, but no fractures were found. The hospital physician noted that the injuries were consistent with assault but could not rule out self-inflicted trauma, given the resident's behavioral history. The facility's investigation included interviews with staff, review of medical records, and consultation with law enforcement. The nurse aide accused by the resident denied causing harm and reported only being scratched by the resident. The Director of Nursing and other clinical staff noted that the resident had a history of aggressive and resistive behaviors, but there was no documentation of such behaviors leading to self-injury of this severity. Law enforcement was unable to determine the cause of the injury, and the case was closed without charges. The deficiency centers on the facility's failure to protect the resident from injury of unknown origin and to ensure timely and appropriate reporting and assessment of incidents involving potential abuse or unexplained injuries.
Failure to Facilitate Dental Services Due to Missed Medical Consultation
Penalty
Summary
The facility failed to provide necessary assistance to obtain dental services for a resident who required both routine and emergency dental care. The resident, who had a history of seizures, osteoarthritis, and cognitive communication deficit, was prescribed an anticoagulant and was identified by the in-house dental provider as needing a medical consultation for medication adjustment before being added back to the routine dental visit list. Despite multiple notifications from the dental provider to the facility's social workers regarding the need for this consultation, there was no documented response or follow-up, and the required medical consultation was not completed. As a result, the resident was not seen by the dentist for an extended period, even though dental issues such as the need for fillings and extractions were noted. Interviews with facility staff, including social workers, the Assistant Director of Nursing, and the Medical Director, revealed a lack of awareness regarding the dental provider's requests and the resident's need for a medical consultation. The social workers did not recall receiving the emails from the dental provider, and the nursing leadership was unaware of the requirement until much later. The resident's care plan included interventions for dental care coordination, but these were not effectively implemented, resulting in the resident not being scheduled for necessary dental services. The resident experienced an incident involving facial trauma, which led to an emergency department visit. Hospital records and subsequent assessments documented poor dentition and recommended close dental follow-up, but no acute dental infection was found. Observations after the incident showed the resident had facial swelling, missing and discolored teeth, and some discomfort, although he denied significant pain or difficulty eating. Despite these findings and repeated notifications from the dental provider, the facility did not ensure the resident received timely dental assessment and care due to the missed medical consultation.
Failure to Provide Hearing Amplifier for Resident
Penalty
Summary
The facility failed to provide a cognitively dependent resident with access to a hearing amplifier to accommodate a hearing deficit. Resident #96, who was admitted with Alzheimer's disease and had moderately impaired cognition and hearing, was observed and interviewed, revealing that he had difficulty hearing and could not recall when he last had access to a hearing amplifier. The care plan indicated the use of a pocket talker, but staff interviews showed that they were unaware of any available hearing devices and did not use or offer any hearing devices during activities or daily interactions. A hearing amplifier was eventually found in the resident's bedside table drawer, but it was broken and could not be used effectively. The deficiency was further highlighted by the fact that multiple staff members, including the Activity Director, Nursing Assistant, Medication Aide, and Social Worker, all acknowledged the resident's hearing difficulties but did not utilize any hearing devices to assist him. The Unit Manager discovered the broken hearing amplifier and attempted to use it, but it was not functional. The Administrator confirmed that the hearing amplifier was listed as an intervention in the care plan but stated that it was up to the staff to determine its necessity. The resident expressed a desire for staff to use the hearing amplifier to help him hear better.
Failure to Complete Significant Change in Status Assessment
Penalty
Summary
The facility failed to complete a Significant Change in Status Assessment for a resident who experienced a notable decline in their ability to perform activities of daily living (ADLs) and had weight loss. The resident, who was admitted with a diagnosis of dementia, initially required supervision or partial assistance with various ADLs, including eating, dressing, and personal hygiene. However, a subsequent assessment revealed that the resident had become dependent on staff for these activities and required substantial assistance for mobility tasks such as rolling, sitting, standing, and transferring. Additionally, the resident experienced weight loss without being on a physician-prescribed weight loss regimen. Despite these significant changes, the facility did not complete a Significant Change in Status Assessment as required. The MDS Nurse acknowledged that such an assessment should have been conducted due to the changes in two or more areas of the resident's condition but admitted that it was overlooked. The Administrator confirmed that the assessment should have been completed according to MDS guidelines. This oversight indicates a failure to adhere to regulatory requirements for monitoring and documenting significant changes in a resident's condition.
Inaccurate MDS Coding for Hearing Deficit
Penalty
Summary
The facility failed to accurately code the Minimum Data Set (MDS) assessment for a resident with a hearing deficit. Resident #96, who was admitted with a diagnosis of severe hearing loss, was incorrectly coded as not having a hearing deficit in the most recent MDS assessment. This discrepancy was identified through a review of the resident's electronic medical record and a comprehensive assessment progress note, which clearly indicated severe hearing impairment. Despite this, the MDS nurse responsible for the assessment was unaware of the resident's hearing condition and the use of a hearing amplifier, leading to the incorrect coding. Further investigation revealed that the same MDS nurse had previously revised the resident's care plan to include interventions for hearing impairment, such as the use of a pocket talker. During an interview, the MDS nurse admitted to possibly coding the section incorrectly due to a lack of awareness about the resident's hearing condition at the time of the assessment. The facility administrator confirmed that the resident's hearing should have been assessed according to MDS guidelines, highlighting a lapse in the accurate assessment and documentation of the resident's condition.
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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 Greensboro
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Greenhaven Health And Rehabilitation Center | 1.4 mi | ★★★★★ | 2 | 2 |
| Kindred Hospital East Greensboro | 1.6 mi | ★★★★★ | 7 | 0 |
| Guilford Health Care Center | 2 mi | ★★★★★ | 5 | 0 |
| Whitestone A Masonic And Eastern Star Community | 3.3 mi | ★★★★★ | 0 | 0 |
| Linden Place Center For Nursing And Rehabilitation | 3.4 mi | ★★★★★ | 12 | 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.