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 Maple Springs Senior Living during CMS and state inspections, most recent first.
Food items were found undated in the refrigerator and freezer, including opened whipped topping, meatballs, dijon honey mustard, and frozen rolls. The DM was observed without a hairnet, and sanitizer buckets tested at 150 PPM when the DM stated they should be 200 PPM. The dishwasher and DM gave differing accounts of when the sanitizer solution was changed, and the dishwasher said he had not changed it that morning because dishes had piled up.
A resident with fractures, dysphagia, and a history of choking was admitted with SLP recommendations and physician orders specifying that medications be crushed in puree due to choking risk. Facility diet and medication orders reflected the need for crushed meds, and nurses documented administration on the MAR. However, after the family reported the resident was receiving whole pills, an internal review found that multiple medications that could not be crushed, including capsules and certain tablets, had been administered in that form instead of being provided in an appropriate crushable or alternative formulation, contrary to the physician’s crush order.
A resident with multiple medical conditions was transported in a facility van when the wheelchair was only secured with rear straps and the front straps were not attached, causing the chair to tip backward and the resident to strike her head on the vehicle. The driver repositioned and fully secured the wheelchair and continued to the appointment without calling EMS. The resident later reported the incident at an urgent care visit and was diagnosed with a closed head injury. Facility interviews confirmed that the van used required manual attachment of front straps and that these had been forgotten, and the incident was not documented in the resident’s medical record, although neuro checks were completed afterward.
Improper Storage of a Controlled Medication: A Schedule II narcotic prescribed for a resident was found in a medication cart blister pack with 1 tablet taped into an opened blister cell. RN and DON stated that a medication not administered should be wasted, and that taping a tablet back into the blister pack was not secure and could lead to cross contamination and medication errors.
The facility failed to maintain infection control practices for two residents. One resident with a Foley catheter had the catheter bag observed on the floor instead of kept below the bladder and off the floor in a privacy bag, despite staff stating it should not be placed on the floor. A second resident receiving wound care had dressing removal followed by continued wound care without the LPN doffing dirty gloves, performing hand hygiene, and donning clean gloves before cleaning the wounds.
A resident with diabetes and dementia, who had a physician's order for a minced and moist diet due to swallowing difficulties, was given inappropriate snacks by nursing staff who were unaware of the updated diet order. The nurse relied on outdated report sheets that did not include diet texture information, leading to the resident choking and passing away after consuming the food.
Food Storage and Sanitation Deficiencies in Kitchen
Penalty
Summary
Food items were not stored, prepared, distributed, and served in accordance with professional standards for food service safety. During an initial kitchen tour, the Dietary Manager was observed behind the preparation table without a hairnet. In the refrigerator, an opened bag of whipped topping and a pan of meatballs were undated, and in the freezer an opened bag of frozen rolls was also undated. At the preparation table, the sanitation bucket tested at 150 parts per million (PPM), while the Dietary Manager stated the level should be 200 PPM and that the bucket needed to be emptied and restarted. On a follow-up kitchen tour, the sanitation bucket at the front end of the kitchen again tested at 150 PPM, and the Dietary Manager stated it should be 200 PPM. The Dietary Manager stated the dishwasher was responsible for changing the sanitation buckets and said he had changed the bucket that morning, while the dishwasher later stated he had not changed the sanitation buckets because dishes had started to pile up and he needed to wash them. On a later follow-up tour, an opened dijon honey mustard and an opened bag of frozen rolls were again found undated in the refrigerator and freezer. The Dietary Manager stated that all items in the refrigerator and freezer should have dates on them, that staff should wear a hairnet while in the kitchen, and that the sanitation buckets should be at the correct sanitation levels.
Failure to Administer Medications in Accordance With Crush Orders for Resident With Dysphagia
Penalty
Summary
A resident with fractures of the right and left pubis, sacrum fracture, dysphagia, and age-related osteoporosis was admitted with a history of choking episodes, including a documented choking event on toast during a recent hospital stay. A hospital SLP evaluation identified severe dysphagia with pills/medications, including difficulty initiating the oral stage, coughing after swallow, and watery eyes, and outlined swallow strategies such as upright positioning, small bites and sips, slow rate, head turn for solids, adding moisture, and chasing with liquid. Subsequent facility diet and communication orders specified a regular diet with thin liquids and an order that medications were to be crushed in puree, and a physician order directed that medications be crushed every shift due to choking risk, with nurses documenting administration on the MAR twice daily. Despite these orders, the facility’s own investigation, initiated after the resident’s family reported the resident was receiving whole pills instead of crushed medications, revealed that several prescribed medications were not able to be crushed and had nonetheless been administered in that form until the end of the month. These medications included Align capsules, cholecalciferol tablets, celecoxib capsules, vitamin E tablets, tamsulosin capsules, and PreserVision AREDS 2 capsules. The Administrator later stated that the facility had a process for SLP evaluation of medication swallowing after admission and that the physician was responsible for specifying whether medications should be crushed, but the record review and interviews showed that, for this resident, medications that could not be crushed were still given contrary to the physician’s order for crushed medications related to choking risk.
Resident Injury Due to Incomplete Wheelchair Securement During Transport
Penalty
Summary
The deficiency involves the facility’s failure to ensure adequate supervision and safe transport, resulting in a resident not being fully secured in a facility van and sustaining a closed head injury. One resident, admitted with diagnoses including UTI, acute respiratory failure with hypoxia, CKD, HTN, diastolic heart failure, and anxiety, was being transported to an appointment when her wheelchair was not properly secured in the transport van. The back straps of the wheelchair were attached, but the front straps were not secured, allowing the wheelchair to tip backward during transport. During the incident, the transport driver reported that the resident’s wheelchair tipped backward to about a 45-degree angle, and the resident struck her head on the back door or ramp of the van. The driver asked the resident if she was okay, and when she responded yes, he repositioned the wheelchair upright and then secured all four straps before continuing to the scheduled appointment. The driver did not contact emergency medical services at the time of the incident and proceeded with the transport after securing the wheelchair. Subsequently, the resident was evaluated at an urgent care clinic for a head injury that occurred earlier that day. The urgent care documentation indicated that the resident reported her wheelchair had not been secured, rolled back, and caused her to strike her head on the back door of the vehicle. She denied loss of consciousness, pain, headache, neck pain, or back pain at the time of evaluation, but was diagnosed with a closed head injury. Review of the resident’s medical record showed no documentation of the incident itself, although neurological checks were completed afterward. Interviews with the Transportation Director, the transport driver, and the Administrator confirmed that the resident had been transported in a van without built-in front retention straps and that the front straps had been forgotten, leading to the tipping event and resulting injury.
Improper Storage of a Controlled Medication
Penalty
Summary
The facility did not ensure that drugs and biologicals were stored and labeled in accordance with accepted professional principles, including proper storage of controlled drugs. During observation of the medication carts, a blister pack containing Percocet 10-325 mg tablets was found with 1 tablet taped into an opened blister cell for Resident 21. The Percocet was a Schedule II narcotic prescribed for this resident, and the tablet had been left taped in place rather than being handled through the facility’s controlled-substance process. At the time of the observation, RN 2 stated that medication tablets should not be taped back into blister cells because this could allow the wrong medication to be replaced in the cell. RN 2 also stated that if a narcotic tablet was removed from the blister cell and not administered, it needed to be wasted with another nurse as witness. Later, the DON stated that if a medication was not administered, it should have been wasted in the drug disposal system on the medication carts, and that controlled substances required wasting with another nurse witnessing and documentation in the narcotic log. The DON further stated that medications would not be securely stored if taped into blister cells and could unintentionally fall out, and that this practice increased the risk of cross contamination and medication errors.
Infection Control Lapses During Catheter Care and Wound Care
Penalty
Summary
The facility did not maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable disease and infections. For one resident with diagnoses including hemiplegia and hemiparesis following cerebral infarction, retention of urine, and obstructive and reflexive uropathy, the physician’s order required the Foley bag to be kept below the bladder and off the floor in a privacy bag. During observations, the resident’s urinary catheter bag was seen on the floor of the room and not in a privacy bag while the resident sat in a recliner. The resident stated staff placed the urinary catheter bag on the floor anytime he was out of his wheelchair. Multiple staff members, including CNAs, an RN, the PTA, and the DON, stated the catheter bag should not be on the floor and should be kept in a basin or hanging off the floor. For a second resident receiving wound care for a left heel pressure sore and left foot surgical wounds, an LPN was observed performing hand hygiene and donning gown, gloves, and mask before starting care, then removing the old dressing. The LPN did not remove the dirty gloves, perform hand hygiene, and don new clean gloves before continuing wound care. The LPN then used a sterile gauze pad soaked in normal saline to clean the left foot dorsum surgical incision, left lateral foot surgical incision, and left heel pressure ulcer. The LPN stated she should have doffed the dirty gloves and performed hand hygiene after removing the old dressing and before cleaning the wound bed. The DON stated staff should reduce the risk of infection with wound care by performing hand hygiene, having equipment prepped prior to initiation, and following wound care orders.
Failure to Provide Diet Consistent with Physician Orders Results in Resident Harm
Penalty
Summary
A resident with diagnoses including type 2 diabetes and vascular dementia, and a Brief Interview for Mental Status (BIMS) score indicating moderately impaired cognition, had a physician's order for a minced and moist texture diet with thin consistency due to recent swallowing complications such as coughing and vomiting up food. Despite this order, the resident was provided with a cheese stick and pretzels as a snack after a low blood sugar reading. Both food items were not appropriate for the prescribed diet texture. The nurse, who was training a new nurse at the time, was unaware of the resident's updated diet order. The nurse report sheet only documented how residents took their pills and did not include information about diet texture. The updated diet order was present only in the primary care provider's orders and was not reflected in the nurse report sheet or the treatment/medication administration records. The nurse did not receive any information during shift report about changes to the resident's diet or new swallowing difficulties. After the resident consumed some of the provided snack, staff found the resident choking and unresponsive. Despite attempts to clear the airway and perform the Heimlich maneuver, the resident passed away. The facility's investigation determined that the incident occurred because the nurse did not have access to the resident's texture restrictions at the point of care, as this information was not readily available or communicated to nursing staff.
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 53 citations issued within 25 miles in the last 12 months — including the 1 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 North Logan
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Rocky Mountain Care - Logan | 0.9 mi | ★★★★★ | 14 | 0 |
| Logan Regional Hospital Transitional Care Unit | 1 mi | ★★★★★ | 2 | 0 |
| Sunshine Terrace Skilled Nursing | 2.6 mi | ★★★★★ | 16 | 1 |
| Monument Healthcare Brigham City | 19.6 mi | ★★★★★ | 1 | 0 |
| Monument Healthcare Pioneer Trail | 21.8 mi | ★★★★★ | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Maple Springs Senior Living.
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.