Above average — CMS composite of the measures below.
The next survey window likely opens around April 2027
Estimate from public CMS data, current as of August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Maple Knoll Village during CMS and state inspections, most recent first.
A resident who was cognitively intact but dependent on staff for toileting, hygiene, and bed mobility fell out of bed during incontinence care when a CNA rolled him away from her instead of toward her. The resident landed on the floor, sustained a closed left femur fracture and a forehead laceration requiring sutures, and later confirmed the aide had rolled him out of bed; the CNA and DON both identified rolling toward the caregiver as the best practice.
Food was not stored and prepared in a sanitary manner in the kitchen. Surveyors observed opened and exposed-to-air food items, undated dinner rolls, and improperly sealed frozen foods in the walk-in freezer, and staff confirmed these findings. Surveyors also observed food debris and several gnats flying above a floor drain while staff were cooking; the DGM confirmed the debris and gnats. Facility policy required open packages and unused portions to be covered, labeled, and dated, and the FNS department to be free of insects.
Failure to provide adequate grooming and nail care affected two residents who required staff assistance with ADLs. One resident with dementia and severe cognitive impairment had facial hair on the chin that had not been shaved, despite care plan directions for staff to assist with ADLs. Another resident with moderate cognitive impairment had long fingernails with an unidentified brown substance under them, even though the care plan directed staff to check, trim, and clean nails; the resident said she wanted her nails cut and cleaned, and the DON confirmed the care was not provided.
Improper labeling and storage of Lantus insulin affected two residents. One resident’s insulin vial remained on the med cart past the 28-day limit after removal from refrigeration, and another resident’s insulin pen was not dated when placed on the cart. An LPN verified the dating and discard requirements, and the DON confirmed Lantus has a 28-day expiration after opening or room-temperature storage.
Two residents dependent on staff for ADLs did not receive timely incontinence care after activating their call lights for assistance. Their calls went unanswered for at least 20 minutes, and a CNA returning from break turned off a call light without providing care, confirming she was unaware of the unattended calls. Both residents had significant medical conditions and required substantial assistance, and the facility's policy required staff to provide necessary hygiene services.
A resident with severe cognitive impairment and total care needs fell out of bed during incontinence care when a CNA rolled her away from herself and reached for a clean brief, leaving the resident unsupported. The resident sustained bruising to her arm, and staff interviews confirmed that proper positioning was not maintained during care.
Unsafe Bed Positioning During Incontinence Care Led to Resident Fall
Penalty
Summary
The facility failed to safely and properly position a resident during incontinence care. Resident #10 had diagnoses including COPD, type 2 diabetes mellitus, and morbid obesity, and the MDS showed the resident was cognitively intact, dependent on staff for toileting and hygiene, required substantial to maximal assistance for rolling in bed, and was dependent for transfers. The fall risk evaluation identified the resident as high risk for falls, and a health status note stated the resident frequently required two staff members for hygiene and mobility. On 04/08/26, CNA #525 was providing incontinence care when she rolled the resident away from her while the resident was in bed. The resident continued to roll and fell out of bed, landing on the floor between the wall and the bed with a bleeding laceration above the eye. The resident was sent to the hospital by 911 and was treated for a closed left distal femur fracture and a head laceration requiring sutures. The resident later stated the aide rolled him out of bed during incontinent care, and CNA #525 confirmed she rolled the resident away from her and he fell off the bed.
Improper Food Storage and Kitchen Sanitation
Penalty
Summary
Food was not stored and prepared in a sanitary manner to prevent contamination and spoilage. During observation of the main kitchen walk-in freezer, surveyors found a box of strawberry pastries opened and exposed to air, two bags of undated dinner rolls, and a box of pork chops opened and exposed to air. The Executive Chef confirmed the undated and open-to-air items in the freezer. On another observation in the main kitchen, surveyors saw food debris and several gnats flying above the floor drain in front of the industrial-sized cooking appliances while staff were cooking. The Dietary General Manager confirmed the food debris and gnats at the drain. A later observation of the walk-in freezer found a box of cheese manicotti that was not properly sealed and a box of cookie dough opened and exposed to air, which the Executive Chef again confirmed. Facility policy required unused portions and open packages to be covered, labeled, and dated, and the pest control policy stated the food and nutrition services department should be free of rodents and insects.
Failure to Provide Adequate Grooming and Nail Care
Penalty
Summary
The facility failed to ensure adequate grooming and nail care for two residents who required staff assistance with activities of daily living. Resident #44 was admitted with diagnoses including dementia, traumatic subdural hematoma, and hypertension, and the MDS showed severe cognitive impairment with maximal assistance needed for grooming and hygiene. The care plan directed staff to assist with and perform ADLs as needed, but observation showed the resident had facial hair on the chin approximately one inch in length on two separate occasions. The DON confirmed staff should have shaved the resident's facial hair. Resident #70 was admitted with diagnoses including atrial fibrillation, malignant neoplasm of skin, and protein-calorie malnutrition, and the MDS showed moderate cognitive impairment with maximal staff assistance needed for personal hygiene. The care plan directed staff to check nail length and trim and clean nails on bath day and as necessary, but observation showed the resident's fingernails were long and had an unidentified brown substance under them. The resident stated she would like her fingernails cut and cleaned, and the DON confirmed staff should have cut and cleaned the resident's fingernails. The facility policy stated residents unable to carry out ADLs independently would receive services necessary to maintain grooming and personal and oral hygiene.
Improper labeling and storage of Lantus insulin
Penalty
Summary
The facility failed to ensure insulin vials were properly labeled and stored for two residents receiving Lantus insulin in the Three-North medication cart. Resident #2 had diagnoses including diabetes mellitus type two and chronic kidney disease, and the medical record showed an order for Lantus insulin 10 units at bedtime. The MAR showed the resident received Lantus daily from 04/23/26 through 05/04/26, but observation of the medication cart on 05/05/26 found the resident’s Lantus vial dated 03/26/26. The LPN verified the vial should have been discarded on 04/23/26, 28 days after it was removed from the refrigerator and placed on the cart. Resident #25 had diagnoses including diabetes mellitus type two and congestive heart failure, with an order for Lantus insulin 20 units at bedtime. The MAR showed the resident received Lantus from 04/28/26 through 05/04/26, but observation of the Three-North medication cart found the resident’s Lantus insulin injector-pen was not dated when placed on the cart. The LPN verified the pen should have been dated when removed from the refrigerator and placed on the medication cart. The DON confirmed Lantus had a 28-day expiration date after opening and/or storage at room temperature, and the facility policy stated that drug containers with missing, incomplete, improper, or incorrect labels are to be returned to the pharmacy before storing.
Failure to Provide Timely Incontinence Care
Penalty
Summary
Staff failed to provide timely incontinence care to two residents who were dependent on staff for activities of daily living (ADLs). Both residents had activated their call lights to request assistance with being changed due to incontinence, but their calls went unanswered for at least 20 minutes. One resident reported needing to be changed, while the other stated she was soiled and had diarrhea. During this period, staff were not present to respond to the call lights, and when a CNA returned from a lunch break, she turned off one resident's call light without providing care, confirming she was unaware that no one had been available to answer the calls. Medical record reviews indicated that both residents had significant medical conditions, including cerebral infarction, diabetes, depression, and dementia, and were assessed as requiring substantial to total assistance for ADLs. Facility policy required that residents unable to perform ADLs independently receive necessary services to maintain hygiene and personal care. The failure to respond to call lights and provide timely incontinence care was observed and confirmed through resident and staff interviews, as well as review of facility policy.
Resident Fall During Incontinence Care Due to Improper Positioning
Penalty
Summary
Facility staff failed to safely and properly position a resident in bed during incontinence care, resulting in a fall. The resident involved had severe cognitive impairment, dementia, depression, cerebrovascular disease, and was dependent on staff for all activities of daily living. During incontinence care, a CNA rolled the resident onto her right side, away from herself, and while reaching for a clean brief at the end of the bed, the resident rolled out of bed and onto the floor. The bed was raised at the time, and the resident was left unsupported on the side away from the caregiver. Medical record review and staff interviews confirmed that the resident was not positioned or supervised in accordance with safe care practices during the incident. The resident sustained bruises to her left arm and forearm as a result of the fall, though x-rays showed no fractures. Staff interviews further confirmed that residents should not be rolled away from the caregiver during care, as this increases the risk of falling out of bed.
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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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How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Glendale Place Care Center | 1.7 mi | ★★★★★ | 3 | 0 |
| Advanced Health Care Of Cincinnati | 1.9 mi | ★★★★★ | 1 | 0 |
| Ayden Healthcare Of Fairfield | 2.4 mi | ★★★★★ | 15 | 0 |
| Carecore At The Meadows | 2.5 mi | ★★★★★ | 0 | 0 |
| Alois Alzheimer's Care Center | 2.6 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 August 2026) and official state health department websites.