Above average — CMS composite of the measures below.
The next survey window likely opens around February 2027
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 Leaf Health Care Center during CMS and state inspections, most recent first.
Expired insulin was found on a medication cart for a resident. An LPN confirmed the opened Humalog pen had passed its use date, and the manufacturer instructions stated the insulin can only be used for 28 days at room temperature. The facility policy also required outdated drugs to be returned to the pharmacy or destroyed.
MDS assessments were incorrectly coded for three residents. One resident was coded as receiving an anticoagulant when no such medication was ordered, another resident was coded with PTSD in Active Diagnoses without supporting documentation, and a third resident was also coded as receiving an anticoagulant despite no anticoagulant being ordered. The MDS Coordinator confirmed the miscoding.
Two residents did not receive scheduled showers, impacting their personal hygiene. One resident was scheduled for weekly showers but only received one in nine weeks, while another received four showers in the same period. Both residents expressed a desire for regular showers, and observations confirmed poor hygiene. The facility's policy required weekly bathing and documentation of refusals, which was not followed.
The facility failed to secure the Second Floor Medication Room, leaving it unlocked and unattended with medications on open shelves. Several residents were nearby, and the DON confirmed the room was unlocked. The facility's policy requires all drugs and biologicals to be stored in locked compartments.
The facility failed to adhere to infection control policies for a resident under TBP and another receiving wound care. A staff member did not wear eye protection or remove an N95 respirator when exiting a COVID-19 positive resident's room. Another staff member did not sanitize hands or use a clean field during wound care for a resident with a Stage 3 pressure injury, contrary to facility policies.
The facility failed to ensure accurate MDS assessments for two residents. A resident's smoking status was not reflected in their comprehensive assessment, despite being an active smoker. Another resident's discharge was inaccurately recorded as to a hospital, while they were actually discharged home. These discrepancies were confirmed by the MDS Coordinator.
Expired Insulin Pen Found on Medication Cart
Penalty
Summary
The facility failed to ensure that expired medications were removed from use for 1 of 4 medication carts observed. During observation of the 3rd floor medication cart, an opened Humalog insulin lispro pen for Resident #38 was found with an open date of 1/30/26 and an expiration date of 2/27/26. Staff A, an LPN, confirmed the expired medication during interview. Review of the manufacturer's instructions for Humalog insulin lispro dated 01/2026 showed that when stored at room temperature, Humalog U-100 can only be used for a total of 28 days, including both unopened and opened storage time. Review of the facility's Medication Storage policy, reviewed 10/5/2025, stated that discontinued, outdated, or deteriorated drugs or biologicals are returned to the dispensing pharmacy or destroyed.
MDS Assessments Incorrectly Coded for Medications and Diagnoses
Penalty
Summary
The facility failed to correctly code MDS assessments for 3 of 22 residents reviewed. For Resident #5, the quarterly MDS with ARD 12/17/25 coded Section N0415E, Anticoagulant, as being taken during the 7-day look-back period, but the physician order review showed the resident was not receiving an anticoagulant medication between 12/11/26 and 12/17/26. For Resident #44, the annual MDS with ARD 12/3/25 coded Section I, Active Diagnoses, to include PTSD, but the medical record contained no documentation of a PTSD diagnosis. For Resident #64, the annual MDS with ARD 12/24/25 coded Section N0415E, Anticoagulant, as being taken during the 7-day look-back period, but the medication review for 12/18/25 through 12/24/25 showed no anticoagulants were ordered. Staff B, the MDS Coordinator, confirmed the miscoding for each resident.
Failure to Provide Scheduled Showers for Residents
Penalty
Summary
The facility failed to ensure that residents who were unable to carry out activities of daily living (ADL) received the necessary services to maintain good personal hygiene. This deficiency was observed in two residents. Resident #54 reported not receiving regular showers and expressed a desire to have weekly showers as scheduled. Observations on multiple days revealed that Resident #54's hair was uncombed and greasy. A review of the shower schedule and documentation showed that Resident #54 was scheduled for showers on Mondays but only received one shower in a nine-week period, with no documentation of shower refusals. The Director of Nursing confirmed these findings. Similarly, Resident #73 was observed with unkempt, messy, and matted hair on several occasions. The resident reported not consistently receiving weekly baths or showers, despite being scheduled for showers on Fridays. Documentation indicated that Resident #73 received showers only four times over nine weeks, with no records of refusals. The resident's care plan required assistance with washing, dressing, grooming, and bathing. The Director of Nursing also confirmed these findings. The facility's policy required offering bathing at least weekly and documenting any refusals, which was not adhered to in these cases.
Failure to Secure Medication Room
Penalty
Summary
The facility failed to ensure that medications and biologicals were stored in locked compartments in the Second Floor Medication Room. During an observation, it was noted that the door to the medication room was unlocked, and there was no staff present inside the room. Medications belonging to residents and house stock were stored on open shelves, accessible to anyone entering the room. Additionally, several residents were sitting right outside the medication room, further highlighting the lack of security. An interview with the Director of Nursing confirmed that the medication room was indeed unlocked at the time of observation. A review of the facility's Medication Storage policy indicated that all drugs and biologicals should be stored in locked compartments, and rooms containing these items should be locked when not in use.
Infection Control Deficiencies in PPE Use and Wound Care
Penalty
Summary
The facility failed to implement proper infection control policies and procedures for a resident under Transmission Based Precautions (TBP) and another resident receiving wound care. For the resident under TBP, a sign was posted outside the room indicating the need for an isolation gown, N95 respirator, eye protection, and gloves. However, a Licensed Nurses Assistant entered the room without wearing eye protection and did not remove the N95 respirator upon exiting, subsequently entering a communal dining area. Interviews confirmed that not all staff adhered to the required PPE protocols, despite the resident having tested positive for COVID-19 and having physician orders for droplet precautions. In a separate incident, a Licensed Practical Nurse provided wound care to a resident with a Stage 3 pressure injury without following proper infection control procedures. The nurse placed wound care supplies directly on the resident's bedside table without cleaning the area or using a clean field. Additionally, the nurse failed to sanitize their hands between glove changes during the procedure. Interviews with the nurse and the Director of Nursing confirmed these actions were against the facility's policies for wound care and hand hygiene.
Inaccurate MDS Assessments for Two Residents
Penalty
Summary
The facility failed to ensure that the Minimum Data Set (MDS) assessments accurately reflected the residents' status for two residents. For Resident #38, a review of the medical record on January 23, 2025, revealed a smoking assessment indicating the resident was a smoker. However, the comprehensive assessment dated June 19, 2024, in section J1300, did not indicate tobacco use. An interview with the MDS Coordinator confirmed that the resident was an active smoker and the assessment should have reflected this. For Resident #107, the medical record review on January 24, 2025, showed a planned discharge home on January 6, 2025. However, the Discharge MDS indicated that the resident had discharged to a short-term general hospital. An interview with the MDS Coordinator confirmed that the resident was discharged home as planned and not to a hospital.
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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 Manchester
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Mount Carmel Rehabilitation And Nursing Center | 0.2 mi | ★★★★★ | 0 | 0 |
| Saint Teresa Rehabilitation & Nursing Center | 0.9 mi | ★★★★★ | 7 | 0 |
| Courville At Manchester | 0.9 mi | ★★★★★ | 12 | 1 |
| Hanover Hill Health Care Center | 1.1 mi | ★★★★★ | 2 | 0 |
| St Joseph Residence | 1.2 mi | ★★★★★ | 10 | 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.