Above average — CMS composite of the measures below.
The next survey window likely opens around December 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Maple Lawn Nursing And Rehabilitation during CMS and state inspections, most recent first.
Failure to maintain a full-time RN DON. The facility did not designate an RN to serve as DON on a full-time basis for 39 residents. Records showed no designated RN as DON, the administrator stated the facility had been without a DON for about two weeks, and an RN reported their last day as DON was 01/16/26.
A resident was observed with quarter bed rails used for repositioning, and the resident stated the rails were for that purpose. Although the resident had an order and care plan allowing bed canes, the MDS coded the daily bed rails as restraints. The MDS coordinator said the facility marked all repositioning bed rails as restraints, while later stating the rails were not restraints because they did not restrict movement.
Failure to obtain ordered daily weights for a resident with stage 3 CKD who was receiving dialysis and had fluid restrictions. The physician ordered daily weights and PCP notification for a weight gain over 3 lbs in 24 hours, but the record showed multiple missed weights. The ADON confirmed the resident had not been weighed per the MD order, and the administrator stated the expected weighing window was between 5:00 a.m. and midnight.
A resident with stage 3 CKD was scheduled in the care plan to leave the facility for dialysis three times weekly, but the chart had no physician order for dialysis or for the dialysis location. The ADON confirmed no order was present, while the administrator and MDS coordinator stated they would expect an order to be on the MAR.
Failure to document offer of pneumococcal vaccine: A resident reviewed for immunizations had verbal consent from the representative to receive the pneumococcal vaccine, but the immunization record had no documentation that the vaccine was offered. The IP stated they were not sure why the resident did not receive the vaccine and said pneumococcal immunizations were offered to all residents upon admission with consent.
The facility did not have a policy or procedure to assess residents' capacity to consent to sexual contact, resulting in two residents—one severely cognitively impaired and one cognitively intact—engaging in sexual contact without formal assessment of consent. Staff and administration confirmed the absence of a consent assessment process, and incidents involving physical and sexual contact between the two residents were documented and managed without a structured evaluation of capacity.
Failure to Maintain a Full-Time RN DON
Penalty
Summary
The facility failed to designate an RN to serve as the DON on a full-time basis for 39 residents. An untitled and undated document showed no designated RN as the DON. During the entrance conference on 01/21/26, the administrator stated the facility had not had a DON for about two weeks. RN #1 stated they had submitted their resignation in December 2025 and remained in the role until mid-January 2026, with their last day as DON on 01/16/26. The administrator later stated the position had been posted on a job website and that they had contacted some RNs currently employed to offer the position to them.
Inaccurate MDS Coding for Bed Rails as Restraints
Penalty
Summary
Ensure each resident receives an accurate assessment was not met when the facility coded a resident as having restraints on the MDS even though the resident was using bed rails for repositioning and was not considered restrained by the facility’s own later explanation. Resident #18 was observed with a quarter bed rail on each side of the head of the bed, and the resident stated the bed rails were used for repositioning. The resident had a physician’s order and care plan allowing use of bed canes for repositioning, and the quarterly assessment dated 11/12/25 showed intact cognition with a BIMS score of 15, diagnoses including anxiety and epilepsy, and coded daily bed rails as restraints. The MDS coordinator stated the facility marked all repositioning bed rails as restraints on MDS assessments, while the ADON later stated the resident had grab bars used for repositioning and transfer assistance, and the MDS coordinator later stated the rails were called canes and were not considered restraints because they did not restrict the resident’s movement.
Failure to Obtain Ordered Daily Weights
Penalty
Summary
The facility failed to follow a physician's order for daily weights for a resident with stage 3 chronic kidney disease who was receiving dialysis and had fluid restrictions. The resident's physician ordered daily weights and notification of the primary care physician if there was more than a three-pound weight gain in 24 hours. However, the Weight Variance Report showed multiple dates with no recorded weights over the reviewed period, and the ADON stated the resident was on daily weights due to dialysis, chronic kidney disease, and fluid restrictions. The ADON also stated the resident had not been weighed according to physician orders, and the administrator stated the expectation was to weigh the resident between 5:00 a.m. and midnight.
No Physician Order for Dialysis Services
Penalty
Summary
The facility failed to ensure a physician's order was obtained for dialysis for 1 resident who required dialysis services. The resident had a diagnosis that included stage 3 chronic kidney disease, and the care plan stated the resident would go out of the facility every Monday, Wednesday, and Friday for dialysis. However, a review of the resident's physician orders for January 2026 showed no order for dialysis or for where the dialysis was to take place. During interviews on 01/29/26, the ADON stated there was no physician's order for the resident to have dialysis, the administrator stated they would assume there would be an order for dialysis, and the MDS coordinator stated there should be an order on the MAR.
Failure to Document Offer of Pneumococcal Vaccine
Penalty
Summary
The facility failed to ensure that a pneumococcal immunization was offered to Resident #5, one of five sampled residents reviewed for immunizations. An undated pneumococcal vaccine policy stated that all residents would be offered the pneumococcal vaccine to aid in preventing infections and pneumonia. An INFLUENZA, PNEUMONIA AND COVID VACCINE INFORMATION AND CONSENT FORM dated 03/07/23 showed the resident's representative gave verbal consent for the resident to receive the pneumococcal vaccine, but the immunization record contained no documentation that Resident #5 had been offered the vaccine. During interviews on 01/30/26, the infection preventionist stated they were not sure why Resident #5 did not receive the pneumococcal vaccine and stated that pneumococcal immunizations were offered to all residents upon admission with consent.
Failure to Develop Policy for Assessing Resident Sexual Consent Capacity
Penalty
Summary
The facility failed to develop and implement a policy or procedure to assess residents' capacity to consent to sexual contact, as evidenced by the lack of any such policy for two residents who were involved in incidents of sexual contact. The administrator and DON confirmed that no assessment tool or policy existed to determine a resident's ability to consent to sexual activity, and staff typically relied on the BIMS score without a formal process. This deficiency was identified during a review of incidents involving two residents with a prior relationship who engaged in sexual contact within the facility. One resident was noted to be severely cognitively impaired, with a BIMS score of 03 and diagnoses including Alzheimer's disease, vascular dementia, and altered mental status. This resident was observed to seek out another resident, with whom they had a previous relationship, and was involved in two documented incidents: one involving kissing and another where the other resident grabbed them in the vaginal area over their clothes. Staff and care plan documentation indicated that the residents were redirected and monitored following these incidents, but no formal assessment of consent capacity was conducted. The second resident involved was cognitively intact, with a BIMS score of 15, and had diagnoses including depression and amnesia. This resident was also involved in the incidents and apologized for their behavior after being confronted by staff. Interviews with staff and administration confirmed that there was no history of similar behavior with other residents and that the facility had not previously encountered a situation requiring assessment of sexual consent between unmarried residents. The lack of a policy or assessment tool to determine consent capacity constituted the deficiency identified by surveyors.
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 7 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 Hydro
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Corn Heritage Village And Rehab Of Weatherford | 6.6 mi | ★★★★★ | 0 | 0 |
| Corn Heritage Village And Rehab | 16.9 mi | ★★★★★ | 4 | 2 |
| Binger Nursing And Rehabilitation | 21.1 mi | ★★★★★ | 0 | 0 |
| Clinton Therapy & Living Center | 22.5 mi | ★★★★★ | 0 | 0 |
| River Valley Skilled Nursing And Therapy | 23.3 mi | ★★★★★ | 3 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Maple Lawn Nursing And 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 June 2026) and official state health department websites.