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 Hills Skilled Nursing & Rehabilitation during CMS and state inspections, most recent first.
A staff member prepared lasagna at home and brought it into the facility to serve as a special meal for several residents, bypassing the facility's approved food procurement and preparation processes. Multiple staff were aware of the incident, with some expressing concern about the lack of clarity in policy and the absence of temperature checks for the home-prepared food. The Dietary Manager confirmed that food from outside sources was not permitted and that the lasagna's safety could not be verified.
A resident with a history of kidney stones and related complications did not have required pre-operative urinalysis and culture testing completed as ordered before scheduled urological procedures. Issues included missed lab orders, documentation errors, and delayed communication between nursing staff and the urologist's office, resulting in the cancellation and postponement of the resident's surgeries.
The facility did not ensure that meals were served at appropriate and appetizing temperatures, as evidenced by multiple resident complaints, a test tray with food items found to be cool to taste, and confirmation from the Dietary Manager. Two residents also reported that their meals were sometimes served cold in their rooms. This issue affected nearly all residents receiving meals from the kitchen.
A resident with end stage renal disease and multiple comorbidities did not have required dialysis communication forms consistently maintained in their chart, as mandated by facility policy. Nursing staff and the DON confirmed that forms were missing for several dialysis dates and that the dialysis center did not always return the forms, resulting in incomplete documentation of dialysis care and communication.
The facility did not ensure hot water temperatures were maintained within the required range, resulting in excessively high temperatures in several resident rooms and shower areas. Maintenance logs showed gaps in monitoring, and staff interviews confirmed that water could become too hot, posing a potential burn risk, especially for residents unable to adjust the temperature themselves.
Insufficient staffing led to a resident with dementia eloping from the facility unsupervised, while other residents experienced significant delays in call light response and incontinence care. Staff reported being responsible for large numbers of residents, making it difficult to provide timely assistance, and the Ombudsman confirmed complaints of long wait times for care.
The facility failed to pay significant outstanding bills for utilities and essential repairs, resulting in unresolved maintenance issues such as a non-functioning boiler and repeated vendor interventions. Interviews with staff, vendors, and utility representatives confirmed ongoing arrears, lack of communication, and inability to maintain safe and comfortable conditions for all residents due to nonpayment.
Surveyors found widespread environmental hazards and unsanitary conditions, including trash accumulation, mold, collapsing ceilings, broken fixtures, and unsafe walkways. Staff reported concerns about loose handrails, unstable surfaces, and poorly executed repairs that resulted in injuries. Maintenance efforts were hindered by lack of resources, and the facility failed to meet its policy for a safe and homelike environment.
The DON entered false assessment notes into the medical records for multiple residents, documenting clinical findings and notifications that she did not personally perform or witness, as she was not present in the facility during the incident. Staff interviews confirmed the DON's actions, and the DON admitted to entering the assessments without having completed them.
The facility failed to employ a qualified administrator, resulting in staff being unaware of the current administrator and a lack of communication regarding the chain of command. The newly hired administrator was not licensed in Ohio, and there was administrative oversight concerning the boiler system, which had an expired Certificate of Operation due to unpaid fees. The issue was only addressed following surveyor intervention.
The facility failed to maintain a safe environment by not addressing a carbon monoxide alarm in a timely manner. Elevated CO levels were found in the basement, leading to evacuation and ventilation procedures. The Maintenance Director was informed of the alarm but did not contact the fire department until two and a half hours later. One staff member was hospitalized with CO poisoning symptoms. The facility lacked CO detectors on resident floors, and the boiler had been previously red-tagged.
The facility failed to maintain the boiler in a safe operating condition due to unpaid fees from 2018, resulting in an expired Certificate of Operation. The issue was not addressed until surveyor intervention, and the Director of Operations was unaware of the problem until a complaint investigation.
Unapproved Home-Prepared Food Served to Residents
Penalty
Summary
The facility failed to ensure that food served to residents was procured from approved sources and prepared in accordance with professional standards. Specifically, a staff member prepared lasagna at home and brought it into the facility to serve to residents as part of a special meal request. This food was not obtained from the facility's contracted food service supply company, and there was no documentation that the lasagna's temperature was checked prior to serving, as required for safe food handling. The incident affected eight residents out of the 36 residing in the facility. Multiple staff interviews confirmed that the lasagna was prepared offsite by a CNA and brought into the facility, with some staff expressing uncertainty or concern about whether this practice was permitted. The CNA admitted to making and bringing in the lasagna after initially denying it, stating that she did so at the residents' request. Other staff, including an RN and an LPN, acknowledged the event and noted that there was confusion regarding the facility's policy on outside food, with some believing it was allowed if residents could order food from restaurants. However, concerns were raised that food from restaurants is subject to health department inspections, unlike food prepared in a staff member's home. The Dietary Manager was not present when the incident occurred and only learned about it afterward. She confirmed that the facility's policy did not directly address staff bringing in home-prepared food for residents and that, typically, special meal requests were fulfilled by dietary staff using food from approved sources within the facility's kitchen. The food temperature log for the meal in question did not show that the lasagna's temperature was checked, and the Dietary Manager acknowledged that food prepared outside the facility could not be verified for safe handling or ingredient quality.
Failure to Complete Pre-Operative Lab Testing for Surgical Procedure
Penalty
Summary
A deficiency occurred when the facility failed to ensure that pre-operative laboratory testing was completed as ordered for a resident scheduled for surgical procedures to address kidney stones. The resident, who had a history of acute pyelonephritis, hydronephrosis, and kidney stones, was admitted to the facility and subsequently hospitalized for complications related to her condition. Upon return to the facility, she had scheduled urological procedures that required pre-operative urinalysis (U/A) and culture and sensitivity (C&S) testing. The facility received physician orders for U/A and C&S to be completed prior to the resident's scheduled surgeries. However, the medical record lacked evidence that the required labs were completed as ordered before the first scheduled procedure. There were documented issues with entering lab orders into the system, failure to print updated lab requisition sheets, and miscommunication among nursing staff regarding the status of lab orders and specimen collection. As a result, the lab did not accept the collected specimen due to missing documentation, and the required pre-operative testing was not performed in time for the scheduled surgery. Further complications arose when a subsequent urine specimen collected for the rescheduled procedure was found to be contaminated, and there was no evidence that the facility notified the urologist's office or obtained new orders promptly upon receiving the contaminated result. Communication with the urologist's office only occurred shortly before the rescheduled surgery, at which point the procedure was canceled due to the absence of required lab results. The sequence of missed lab collections, documentation errors, and delayed communication led to the resident's surgical procedures being postponed multiple times.
Failure to Serve Meals at Palatable and Safe Temperatures
Penalty
Summary
The facility failed to provide palatable meals at appropriate temperatures to residents, as evidenced by multiple complaints documented in resident concern logs and resident council minutes regarding food temperature. During a test tray evaluation, food items such as corn and black beans were found to be cool to taste, with temperatures recorded at 109°F and 108°F, respectively, which was confirmed by the Dietary Manager as not being at an appropriate temperature. Additionally, interviews with two residents revealed that their meals were sometimes served cold when delivered to their rooms. This deficiency affected all residents receiving meals from the kitchen, except for one resident who did not receive kitchen meals.
Failure to Maintain Dialysis Communication Documentation
Penalty
Summary
The facility failed to ensure that dialysis communication forms were consistently utilized and maintained for a resident dependent on dialysis. Review of the resident's medical record revealed multiple missing dialysis communication forms for several dates across three months. The facility's policy required that upon return from dialysis, the nurse review the communication form sent to the dialysis center, and if the form was not provided, staff should document this. However, interviews with nursing staff and the DON confirmed that some forms were missing and that the dialysis center did not always send the forms back with the resident. Staff indicated that the dialysis center would call if there were any changes, but the required documentation was not consistently present in the resident's chart. The resident involved had complex medical needs, including end stage renal disease, diabetes mellitus type 2, severe calorie malnutrition, and dependence on dialysis, among other diagnoses. The care plan for this resident included interventions to check for new orders upon return from dialysis and to coordinate care with the dialysis center. Despite these interventions, the absence of required communication forms indicated a lapse in following facility policy and ensuring proper documentation and communication regarding the resident's dialysis care.
Failure to Maintain Safe Hot Water Temperatures
Penalty
Summary
The facility failed to maintain hot water temperatures within the required range of 105 to 120 degrees Fahrenheit, resulting in excessively high water temperatures in multiple resident rooms and shower areas. Observations revealed that hot water temperatures in several locations on both the first and second floors exceeded 120 degrees Fahrenheit, with some readings as high as 136.2 degrees Fahrenheit. These findings were confirmed by the Maintenance Director during the survey. The issue was further substantiated by a review of maintenance temperature logs, which showed a lack of recorded hot water checks for over a week prior to the survey. An invoice from an outside plumbing company indicated that the facility had recently experienced issues with hot water not reaching the shower rooms, which was traced to a newly installed mop sink faucet allowing water to mix improperly. The plumbing technician resolved the immediate issue by turning off the water to the mop sink, but the facility was instructed to only use the faucet when necessary. Despite this intervention, the facility did not consistently monitor or document hot water temperatures as required, and the new Maintenance Director, who had only been in the role for four days, had not yet established a routine for checking and adjusting water temperatures. Interviews with CNAs revealed that while they did not have major concerns about water temperatures, they acknowledged that the hot water could be too hot at times and that residents with cognitive impairment or decreased sensory perception might be at risk for burns. Staff reported adjusting water temperatures manually during resident care, but confirmed that if only the hot water was turned on, it would exceed the safe temperature range. The deficiency had the potential to affect multiple residents who used the affected shower rooms and sinks without staff assistance.
Failure to Provide Sufficient Nursing Staff Resulting in Resident Elopement and Delayed Care
Penalty
Summary
The facility failed to provide sufficient nursing staff to meet the needs of all residents, as evidenced by multiple incidents involving inadequate supervision and delayed care. One resident with dementia and a history of wandering was able to elope from the facility, leaving the building unsupervised and making it to the end of the parking lot before being found. Staff interviews revealed that at the time of the incident, all available staff were occupied with a medical emergency in another resident's room, leaving no one to monitor exit alarms or supervise residents at risk for elopement. The facility's staff entrance did not lock, allowing the resident to exit once in the stairwell, and the alarms were not heard by staff due to their location and the ongoing emergency. Additional findings included significant delays in responding to resident call lights and providing incontinence care. Multiple staff members reported being responsible for 22-25 residents each, with only one aide per floor, making it difficult to provide timely assistance. One resident was observed with reddened and excoriated skin due to delayed incontinence care, and staff confirmed that call lights could go unanswered for extended periods, sometimes up to three hours. The facility's own policy requires sufficient staffing to meet resident needs, but interviews and observations indicated that this standard was not being met. The Ombudsman also verified complaints regarding excessive wait times for assistance, and staff corroborated that residents requiring two-person assistance, such as those needing a hoyer lift, often experienced further delays due to insufficient staffing. The Director of Nursing acknowledged the staffing challenges and confirmed that management sometimes had to step in to assist, but the overall staffing levels were based on a calculated PPD that did not always account for resident acuity. These deficiencies affected all residents in the facility and were substantiated through interviews, observations, and record reviews.
Failure to Meet Financial Obligations and Maintain Essential Services
Penalty
Summary
The facility failed to administer its operations in a manner that enabled effective and efficient use of resources, resulting in non-compliance with financial obligations necessary for the delivery of care to all 33 residents. Record review and interviews revealed the facility had accumulated significant unpaid bills, including over $10,000 owed for the water bill and $13,612.36 owed to a plumbing, heating, and cooling repair company for various essential repairs such as water leaks, heating issues, and sewage backups. The facility was consistently behind on payments, with vendors and the water department confirming overdue accounts and limited communication from facility staff regarding these debts. Observations and interviews indicated that critical infrastructure, such as the boiler, remained out of service due to nonpayment, directly impacting the facility's ability to maintain safe and comfortable living conditions. The fire department had to respond to incidents involving a potential gas leak and a non-functioning sprinkler system, both related to unresolved maintenance issues. Maintenance staff confirmed the ongoing boiler outage, and the DON was unable to provide information regarding billing or direct the surveyor to an appropriate contact for financial matters. The administrator's job description outlined responsibilities for maintaining the building, ensuring adequate supplies and equipment, and overseeing an accounting system to support operational needs. However, the facility's failure to meet these obligations resulted in continued non-compliance, as evidenced by the outstanding debts, unresolved maintenance issues, and lack of effective communication with vendors and utility providers.
Failure to Maintain Safe, Sanitary, and Comfortable Environment
Penalty
Summary
The facility failed to provide a safe, sanitary, and comfortable environment for all 33 residents, as evidenced by multiple observations and staff interviews. Surveyors observed trash scattered throughout the yard, parking lot, and surrounding woods, including plastic bags, cigarette butts, and Styrofoam containers. There was an empty flower pot with standing water and mold, a large hole near a sidewalk with no handrail, and a sidewalk section that was unstable due to ground expansion. Inside the facility, staff reported and surveyors observed significant issues such as a collapsing ceiling and mold in the laundry room, loose handrails, cracked concrete, broken drains, and dirty, mildew-covered showers. Maintenance staff confirmed these findings and stated that repairs were hindered by lack of payment for necessary tools and supplies. Additional concerns included an overflowing sharps container, missing tiles and transition strips, non-functioning call lights, and unstable staff areas. Staff interviews revealed that some repairs, such as the installation of wooden trim at the nurses' station, were poorly executed, resulting in sharp edges and splinters, with at least one staff member sustaining a cut. The facility's policy requires a safe, clean, and homelike environment, but these conditions were not met. The deficiency was cited as part of an ongoing non-compliance issue from a previous survey.
Falsification of Resident Medical Records by DON
Penalty
Summary
The facility failed to ensure the accuracy and integrity of resident medical record documentation for three residents when the Director of Nursing (DON) entered assessment notes into the medical records stating that residents showed no symptoms such as dizziness, nausea, headache, shortness of breath, confusion, or chest pains, and that vital signs were within normal limits. These notes also indicated that family and the medical director were notified. However, interviews revealed that the DON was not present in the facility during the incident in question and did not personally complete the assessments; instead, a nurse manager who was physically present performed the assessments on paper. The DON later confirmed that she entered the assessments into the records despite not having conducted them herself, and staff interviews corroborated that the DON had entered false assessments regarding the incident.
Failure to Employ Qualified Administrator and Maintain Boiler System
Penalty
Summary
The facility failed to employ a qualified administrator, which led to a lack of effective and efficient administration. Interviews with staff, including a CNA, LPN, and RN, revealed that they were unaware of who the current facility administrator was, indicating a lack of communication and introduction of the new administrator to the staff. The interim administrator and the newly hired administrator were not familiar to the staff, and there was no education provided on the chain of command or contact information for the administrator. Furthermore, the newly hired administrator was not a Licensed Nursing Home Administrator (LNHA) in the State of Ohio, which is a requirement for the position. Additionally, the facility demonstrated administrative oversight regarding the maintenance of the boiler system. The boiler's Certificate of Operation had expired due to either a failed inspection or unpaid fees, and there was no evidence of attempts to rectify this until after surveyor intervention. The Director of Operations confirmed that the issue was due to unpaid fees from 2018 and was unaware of the problem until the surveyors' investigation. The administrator's job description included responsibilities for maintaining the facility in good repair and ensuring timely payment of bills, which were not fulfilled in this instance.
Failure to Address Carbon Monoxide Alarm in a Timely Manner
Penalty
Summary
The facility failed to maintain a safe, functional, and comfortable environment for its residents, staff, and the public by not addressing an alarming carbon monoxide detector in a timely manner. On the morning of February 8, 2025, the fire department was dispatched to the facility due to a possible gas or carbon monoxide leak. Upon investigation, they found elevated carbon monoxide levels in the basement, specifically in the boiler room, with readings at 87 parts per million. The fire department initiated evacuation and ventilation procedures, and the gas was shut off, which led to a rapid decrease in carbon monoxide levels. The facility's HVAC company isolated the boiler, and the residents and staff were allowed to return once normal readings were restored. Interviews revealed that the Maintenance Director was called to the facility at 8:00 A.M. by a floor nurse due to the carbon monoxide detector alarming. However, the fire department was not contacted until approximately two and a half hours later, after multiple attempts to address the alarm by changing the detector's batteries. During this time, one housekeeping aide was transported to the hospital with symptoms of carbon monoxide poisoning, while another aide reported a headache but declined hospital treatment. The Maintenance Director admitted to not keeping documentation of carbon monoxide detector tests, and it was confirmed that there were no carbon monoxide detectors on the first or second floors where residents resided. The facility's boiler had been red-tagged previously due to non-payment of fees, and the inspection did not indicate any need for repairs at that time. The facility's policies on emergency preparedness and resident environmental quality were reviewed, highlighting the expectation for a safe and functional environment. The deficiency was investigated under Complaint Number OH00162507, indicating non-compliance with maintaining a safe environment for residents and staff.
Boiler Maintenance Deficiency Due to Unpaid Fees
Penalty
Summary
The facility failed to maintain essential mechanical equipment, specifically the boiler, in a functional and safe operating condition. An observation of the boiler room revealed that the boiler had a red tag indicating it needed servicing, and the Certificate of Operation had expired. The expiration was due to either a failed inspection within the last 12 months or non-payment of fees. The facility did not provide evidence of attempts to address the expired certificate until after surveyor intervention. Interviews and records revealed that the boiler failed inspection due to unpaid fees dating back to 2018. The Director of Operations confirmed that the boiler was not certified for use and was unaware of the issue until the surveyors investigated a complaint related to the boiler. The facility's policy requires maintaining all essential equipment in safe operating condition, which was not adhered to, leading to this deficiency.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 50 citations issued within 25 miles in the last 12 months — including the 2 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Mcarthur
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Edgewood Manor Of Wellston | 10.7 mi | ★★★★★ | 7 | 0 |
| Jenkins Care Community | 13 mi | ★★★★★ | 1 | 0 |
| Four Winds Nursing Facility | 15 mi | ★★★★★ | 2 | 0 |
| Embassy Of Logan | 18.5 mi | ★★★★★ | 12 | 0 |
| Kimes Nursing And Rehab Llc | 19.2 mi | ★★★★★ | 11 | 1 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Maple Hills Skilled Nursing & Rehabilitation.
100% money-back within 48 hours.
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.