Below average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
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 Healthcare And Rehab during CMS and state inspections, most recent first.
The facility failed to educate and offer advance directives to two residents, as there was no documentation in their electronic health records. Interviews revealed that a resident's representative and another resident were unaware of any discussions about advance directives. The MDS coordinator admitted to not documenting the offering and education of advance directives and was unaware of the protocol for doing so.
A facility failed to develop a comprehensive care plan for a resident admitted to hospice care, neglecting to incorporate hospice services into the plan. The resident had diagnoses of parkinsonism and hypertension. The omission was confirmed by the corporate nurse during a care plan review.
The facility failed to meet professional standards for food service safety, with issues such as lack of documentation for dish machine temperatures, improper storage of food items, and absence of meal holding temperature records. The DM confirmed daily testing of dish machine parameters but admitted to not documenting them, and acknowledged the need for proper food storage and labeling practices.
The facility did not implement an enhanced barrier precaution (EBP) policy to prevent the spread of multi-drug resistant organisms (MRDOs). During a facility tour, no signage for EBP was observed, and interviews with staff, including CNAs and an LPN, indicated a lack of familiarity or awareness of EBP. The DON confirmed that EBP was not in use, despite the facility having 24 residents.
A facility failed to conduct a significant change assessment for a resident admitted to hospice care. The resident, diagnosed with parkinsonism and hypertension, was admitted to hospice, but the required assessment was not completed within 14 days. This was confirmed by a corporate nurse during an interview.
A facility failed to implement a fall prevention protocol for a high-risk resident. Despite policy requirements for indicators on room nameplates, no such indicator was observed. An LPN was unaware of the requirement, and the DON admitted the protocol had not been started, intending to use apple stickers as indicators.
A facility failed to ensure a GDR was addressed by the physician and that a resident did not receive psychotropic medications on a PRN basis for more than 14 days. The resident, diagnosed with anxiety and depression, was prescribed alprazolam without an end date. A GDR requested an evaluation of the medication's necessity, but it was not signed by the physician, and no rationale was documented for its continued use. The DON confirmed that PRN psychotropics should be limited to 14 days unless justified by the physician.
Failure to Educate and Offer Advance Directives
Penalty
Summary
The facility failed to ensure that residents were educated and offered the opportunity to create advance directives, as evidenced by the lack of documentation for two residents out of a sample of 17. Resident #21 and Resident #23, both admitted to the facility, had no advance directive documented in their electronic health records. Interviews revealed that Resident #23's representative did not recall discussing advance directives with facility staff, and Resident #21 was unaware of any conversation about advance directives. The MDS coordinator admitted to not documenting the offering and education of advance directives to residents and was unaware of the protocol for offering and educating residents about advance directives.
Failure to Incorporate Hospice Services in Care Plan
Penalty
Summary
The facility failed to develop a comprehensive care plan for a resident who was admitted to hospice care. The resident had diagnoses including parkinsonism and hypertension. A verbal order form documented the resident's admission to hospice, but the care plan did not incorporate hospice services. This deficiency was identified during a review of the resident's care plan, and the corporate nurse confirmed that hospice services should have been included.
Deficiencies in Food Storage and Preparation Standards
Penalty
Summary
The facility failed to adhere to professional standards for food service safety, as evidenced by several observations during a kitchen tour. The paper towel dispenser at the handwashing sink was found to be empty, and the Low Temperature Dish Machine Temperature Form lacked documented temperatures or chemical concentrations since October 21, 2024. Additionally, there were open containers of milk and sliced cheese without documentation of the dates they were opened, and a case of canned pineapple tidbits and red kidney beans was observed sitting directly on the floor. Further observations revealed a case of cucumbers placed on top of the handwashing sink and a cardboard box containing trash sitting on the lid of the trash can. The Dietary Manager (DM) confirmed that the chemical concentration and temperature of the dish machine were tested daily but not documented, and acknowledged that all opened items should have the date they were opened documented, and food items should not be stored on the floor. The DM also stated that nothing should be placed on top of the trash can lid or the handwashing sink. Additionally, the DM was unable to provide documentation related to the holding temperatures of meals served in the facility.
Failure to Implement Enhanced Barrier Precautions
Penalty
Summary
The facility failed to implement an enhanced barrier precaution (EBP) policy to prevent the spread of multi-drug resistant organisms (MRDOs) among its residents. During a tour of the facility, it was observed that there was no signage indicating that EBP measures were in place to protect at-risk residents. Interviews with staff members, including two CNAs and an LPN, revealed that they were either not familiar with or aware of the use of EBP in the facility. The Director of Nursing (DON) confirmed that the facility was not currently using EBP, despite having a census of 24 residents.
Failure to Complete Significant Change Assessment for Hospice Admission
Penalty
Summary
The facility failed to complete a significant change assessment for a resident who was admitted to hospice care. The resident, who had diagnoses including parkinsonism and hypertension, was admitted to hospice on September 11, 2024, as documented in a verbal order form. However, a review of the resident's medical record revealed that a significant change assessment was not completed within the required 14-day period following the hospice admission. This oversight was confirmed during an interview with the corporate nurse on December 31, 2024, who acknowledged that the assessment should have been conducted within the specified timeframe.
Failure to Implement Fall Prevention Protocol
Penalty
Summary
The facility failed to implement a comprehensive care plan intervention regarding falls for a resident identified as high risk for falls. The facility's Fall Prevention Program policy requires that high-risk residents be placed on the program, with indicators such as a star or color-coded sticker on the resident's room nameplate. Despite a fall risk assessment scoring the resident as high risk, no such indicator was observed on the resident's door or walker. An LPN confirmed the absence of the indicator and admitted to being unaware of the requirement, despite receiving annual training on the fall protocol. The Director of Nursing acknowledged that the facility had not yet started the fall protocol and was in the process of implementing it, intending to use an apple sticker as an indicator.
Failure to Address Gradual Dose Reduction and PRN Psychotropic Medication Use
Penalty
Summary
The facility failed to ensure a gradual dose reduction (GDR) was addressed by the physician and that residents did not receive psychotropic medications on an as-needed basis for more than 14 days. This deficiency was identified for one of five sampled residents reviewed for unnecessary medications. The resident in question had diagnoses of generalized anxiety disorder and major depressive disorder and was prescribed alprazolam, an antianxiety medication, to be taken as needed every 8 hours without an end date. A GDR dated April 2, 2024, requested an evaluation of the resident's current diagnosis, behaviors, and usage patterns to assess the continued need for the medication. However, the GDR was not signed by the physician, and no rationale was provided in the resident's medical record for the continued use of the medication beyond 14 days. The Director of Nursing (DON) confirmed that as-needed psychotropics should only be prescribed for 14 days unless a rationale is provided by the physician, which was not done in this case.
What surveyors are citing around you — mapped
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Illustrative
What surveyors actually found near you
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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.
Illustrative
A prioritized, do-first checklist
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Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Fairland
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Miami Nursing Center, Llc | 8 mi | ★★★★★ | 14 | 2 |
| Windridge Nursing And Rehabilitation Center | 10.8 mi | ★★★★★ | 1 | 0 |
| Grove Nursing Center | 12.1 mi | ★★★★★ | 0 | 0 |
| Grand Lake Villa | 12.4 mi | ★★★★★ | 10 | 3 |
| Betty Ann Nursing Center | 12.5 mi | ★★★★★ | 1 | 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.