Above average — CMS composite of the measures below.
The next survey window likely opens around January 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 Continuing Care At Maris Grove during CMS and state inspections, most recent first.
A resident admitted with cerebral aneurism, MDD, AFib, and DM2 had records showing trauma from a house fire, ongoing distress, anxiety, depression, prior suicidal ideations, and a positive PASRR Level II screen. However, the baseline care plan did not include the resident’s PTSD history, suicidal ideation history, or PASRR-related needs, and only noted medication management and psychiatric services.
The facility failed to follow a bowel monitoring protocol for one resident who had no documented BM for more than 9 shifts and was not assessed or reported to the MD, and failed to follow an order for another resident’s Eliquis 5 mg BID when three doses were missed despite the medication being available in the ADC. The DON confirmed the bowel issue and the missed anticoagulant doses were not promptly communicated to the MD.
Failure to Change PICC Dressing as Ordered: A resident admitted after oral surgery with osteomyelitis and sepsis had a double-lumen PICC for IV Clindamycin. The MAR showed the central line dressing was completed by nursing staff, but observation found the dressing still dated earlier than documented, and the DON confirmed the dressing was not changed as recorded.
A resident with multiple health issues, including a hip fracture, was injured due to inadequate supervision and incorrect transfer methods. The resident, requiring a two-person assist with a Hoyer lift, was manually transferred by a single staff member, resulting in a fall and a fractured clavicle. Discrepancies in care plan documentation contributed to the incident.
A resident with multiple health issues, including a hip fracture, required a two-person assist with a Hoyer lift for transfers. However, the care plan inaccurately documented a one-person assist, leading to an incident where the resident slid from a shower chair, causing an accident. The outdated care plan at the nurse's station contributed to the staff's lack of awareness of the resident's actual needs.
A facility failed to complete a discharge summary on the day of a planned discharge for a resident. The resident was admitted and later discharged to home, but the required discharge summary was not completed on the discharge day. This deficiency was identified during a clinical record review and communicated to the NHA.
A facility failed to follow a physician's order for a resident's Lorazepam dosage, administering only 0.25 ml instead of the prescribed 0.5 ml on several occasions. This was confirmed by the DON, highlighting a lapse in adhering to medication orders.
A resident with CHF and a sacral pressure ulcer did not receive the recommended wound care treatment due to a transcription error. The wound specialist's order for Calcium Alginate was omitted, leading to incomplete care.
A resident with Prostate Cancer, Parkinson's Disease, and Dysphagia experienced significant weight loss, which was not promptly rechecked or reported to a physician. The facility failed to consistently monitor the resident's meal intake and document the provision of recommended health shakes. Staff interviews revealed unclear processes and responsibilities regarding weight monitoring and dietary interventions.
Baseline Care Plan Did Not Address PTSD, Suicidal Ideation, or PASRR Needs
Penalty
Summary
The facility failed to develop and implement a baseline care plan that included the minimum healthcare information needed to properly care for Resident 45 within 48 hours of admission. Resident 45 was admitted with diagnoses including cerebral aneurism, major depressive disorder, atrial fibrillation, and type 2 diabetes mellitus. Review of the resident’s PASRR Level I showed a positive screen for a PASRR Level II evaluation, and the resident’s psychology and psychiatric records documented a history of trauma related to a house fire, ongoing distress, anxiety, depression, and prior suicidal ideations. The resident’s initial psychology consultation stated the resident almost died in a fire and sometimes thinks about it and gets a hyperalert feeling. The initial comprehensive psychiatric exam noted the resident’s life changed after the condo fire and that the resident did not think they were ready to move when they did. The holistic assessment completed later identified a positive PTSD screen, a positive PASRR Level 2 screen requiring rehabilitative services and medical or social supports, and a history of anxiety, depression, and suicidal ideations with past inpatient psychiatric hospital stays. However, the care plan dated February 10, 2026 did not address the resident’s PTSD, positive PASRR Level 2 screen, or history of suicidal ideations under the Cognitive Patterns, Mood, and Expressions section; it only included a note to medicate as ordered by the provider, monitor for possible side effects, and that the resident was in treatment with psychiatric services.
Failure to Monitor Bowel Status and Follow Medication Orders
Penalty
Summary
The facility failed to follow physicians’ orders and to appropriately monitor and address bowel movement status for two residents. The facility’s bowel monitoring policy required residents to be reviewed for an appropriate bowel regimen, for the 11-7 nurse to pull a bowel exception report for residents with no documented bowel movement in the last 3 days/9 shifts, and for those residents to be handed off for follow-up and continued monitoring until effectiveness was achieved. One resident was a new admission with diagnoses of falls and right-sided weakness, with intact cognition, ability to verbalize needs, bowel and bladder continence, and a need for a lift with two staff for transfers. That resident had no documented bowel movement for nine days, from January 8 through January 16, 2026, and the nursing notes for January 10 and 11 did not show assessment or physician notification for the lack of bowel movement for more than 9 shifts. Another resident had an order for Eliquis 5 mg twice daily for A-fib and a pacemaker, but the MAR showed three missed doses because the medication was documented as awaiting arrival from pharmacy even though the medication was available in the facility’s automated dispensing cabinet. Nursing notes did not show physician notification of the missed doses until after an audit identified the medication error.
Failure to Change PICC Dressing as Ordered
Penalty
Summary
The facility failed to administer parenteral fluids in accordance with physician orders for one resident who was admitted after oral surgery with acute hematogenous osteomyelitis and sepsis and had a double-lumen PICC in the right chest wall. The resident had an order for Clindamycin 600 mg/50 mL in 5% dextrose IV piggyback three times a day for 46 days, and a physician order dated January 31, 2026 directed that the central line dressing be changed on admission and weekly. The resident’s MAR showed the central line dressing change was signed off as complete on February 7, 2026 and February 14, 2026 on the evening shift. However, observation of the PICC site on February 20, 2026 at approximately 1:30 PM showed a dressing dated February 7, 2026, and two RNs confirmed this observation. The DON later confirmed that dressings should be labeled with the date they are changed and that the dressing was not changed on February 14, 2026 as documented in the MAR.
Inadequate Supervision Leads to Resident Injury
Penalty
Summary
The facility failed to provide adequate supervision and prevent accidents for Resident 208, resulting in actual harm. Resident 208, who was admitted with multiple diagnoses including a hip fracture and muscle weakness, required a two-person assist with a Hoyer lift for transfers. However, the care plan available to staff incorrectly indicated a one-person assist, leading to improper handling by staff. On the day of the incident, Nursing Assistant Employee E3 attempted to transfer Resident 208 manually, despite the resident's protest that a Hoyer lift was needed. During the transfer, the staff member fell onto the resident, and later, while in the shower room, the resident slid from a shower chair, resulting in a fractured clavicle. Witness statements from other staff confirmed that the resident was typically transferred using a Hoyer lift, and the failure to do so on this occasion was due to a lack of awareness and assistance. The Director of Nursing confirmed that the improper use of the shower chair and failure to use the Hoyer lift led to the resident's injury. The incident highlighted discrepancies between the electronic and paper care plans, contributing to the inadequate supervision and resulting harm to Resident 208.
Failure to Update Care Plan Leads to Resident Accident
Penalty
Summary
The facility failed to implement the comprehensive care plan approaches to prevent accidents for Resident 208. The resident, who was admitted with diagnoses including a hip fracture, iron deficiency anemia, gait abnormalities, muscle weakness, and osteoarthritis, required a two-person assist with a Hoyer lift for transfers. However, the care plan dated January 23, 2024, incorrectly documented the resident as requiring only a one-person physical assist with transfers. This discrepancy led to an incident on March 18, 2024, where a nurse assistant attempted to wash the resident in a shower chair, resulting in the resident sliding down and breaking the arm of the chair. The nurse assistant was unaware that the resident required a Hoyer lift and a two-person assist, as the paper copy of the care plan at the nurse's station was not updated. Further investigation revealed that the resident's care plan had not been updated to reflect the correct transfer status, despite a Post Acute Care/Care Plan review evaluation completed on March 13, 2024, which confirmed the need for a two-person assist with a Hoyer lift. The Director of Nursing confirmed that the paper copy of the care plan was outdated and did not prevent the accident. This failure to update and communicate the resident's care plan accurately resulted in a preventable accident, highlighting a deficiency in the facility's care planning and communication processes.
Failure to Complete Discharge Summary on Planned Discharge Day
Penalty
Summary
The facility failed to complete a discharge summary on the day of a planned discharge for a resident. The clinical record review revealed that the resident was admitted to the facility and later discharged to home. However, there was no discharge summary completed on the day of the planned discharge, as required by regulations. This deficiency was identified during a review of the resident's clinical records and was communicated to the Nursing Home Administrator.
Failure to Follow Physician's Medication Order
Penalty
Summary
The facility failed to ensure that the physician's order for medication was followed for one resident. Specifically, Resident 12 had a physician's order for Lorazepam, a medication used to treat anxiety, to be administered sublingually at a dosage of 1 mg (0.5 ml) every 2 hours as needed. However, a review of the resident's medication administration records and controlled substance declining sheet revealed that the resident was administered only 0.25 ml of Lorazepam on multiple occasions in November 2024. This discrepancy was confirmed during an interview with the Director of Nursing, indicating that the physician's order was not adhered to on the specified dates.
Failure to Follow Wound Care Recommendations
Penalty
Summary
The facility failed to follow a wound specialist's recommendation for wound treatment for a resident diagnosed with Congestive Heart Failure, who was admitted with a Stage 2 Pressure Ulcer on the sacrum. The ulcer progressed to an Unstageable Pressure Ulcer, and the wound specialist recommended treatment with Calcium Alginate with Honey and a dry dressing. However, the treatment administration record showed that the resident's wound was only treated with normal saline solution, Medihoney, and covered with Optifoam, omitting the recommended Calcium Alginate. The deficiency occurred because the nurse responsible for transcribing the wound physician's orders into the electronic medical record (EMR) missed the Calcium Alginate order. The Director of Nursing confirmed that the wound nurse was not on duty during the wound rounds, and the nurse on duty failed to include the complete treatment order. This oversight resulted in the facility not ensuring that the resident's wound care order was followed as recommended by the wound specialist.
Failure to Monitor Resident's Weight and Food Intake
Penalty
Summary
The facility failed to ensure appropriate monitoring of weight and food intake for a resident diagnosed with Prostate Cancer, Parkinson's Disease, and Dysphagia. The resident experienced a significant weight loss of 15.2 pounds over two months, which was not rechecked until six days later. The clinical records did not show that the physician was notified of this significant weight loss. Additionally, the resident's meal intake was not consistently monitored, and there was no documented evidence that the resident was offered or consumed the health shake recommended by the dietitian. Interviews with staff revealed that the nursing team was responsible for taking residents' weights, but there was no clear explanation for the delay in re-weighing the resident or evaluating the significant weight loss. The dietitian noted that the resident's appetite varied and recommended a liberalized diet and health shakes, but there was no documentation of these being provided or consumed. The Director of Nursing confirmed the lack of consistent monitoring and documentation regarding the resident's meal intake and physician notification.
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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 Glen Mills
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Brinton Manor Nursing And Rehabilitation Center | 1.4 mi | ★★★★★ | 1 | 0 |
| Encore At Wilmington | 4.4 mi | ★★★★★ | 0 | 0 |
| Willowbrooke Court-granite | 4.9 mi | ★★★★★ | 0 | 0 |
| Willowbrooke Court Skd Care Center At Lima Estates | 4.9 mi | ★★★★★ | 0 | 0 |
| Fair Acres Geriatric Center | 4.9 mi | ★★★★★ | 17 | 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.