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 July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Maplewood Healthcare Center during CMS and state inspections, most recent first.
Missing QAPI/QAA Meeting Documentation and Required Signatures: The facility failed to maintain required QAPI/QAA records and meeting logs. The DON and RDCO could not locate documentation showing the meetings or what was discussed, and only a few sign-in sheets were found. The available quarterly logs were missing required signatures from the Medical Director, Infection Preventionist, and ADMIN/Executive Director.
Missing required QAA meeting attendance documentation was identified when the DON and RDCO could not locate the QAPI/QAA books or records during survey. Only a few sign-in sheets were found, and the records lacked the required signatures from the Medical Director, Infection Preventionist, and ADMIN/Executive Director for each quarterly meeting, despite the facility stating its focus had been wounds, falls, and weights.
Missing isolation signage for COVID-19 room. Observation and staff interview showed no precaution signs near the door frames of a room where two residents were on isolation precautions for COVID-19. Records showed one resident was diagnosed with COVID-19 and placed on precautions, and a second resident in the same room was also diagnosed and placed on precautions. An LPN confirmed the lack of signage and stated there should be precaution signs on the door.
The facility failed to complete and submit required five-day investigation reports to state and other officials following multiple incidents, including a fall with a femur fracture during a CNA-assisted transfer and an allegation by a cognitively intact resident that another resident entered her room, hit her, and took items. In these cases, the DON could not produce initial reportables or five-day follow-ups, resident care planning was not updated after falls, and no grievance or reportable documentation existed for the resident-on-resident incident. In another facility-reported incident, there was no evidence that the mandated five-day follow-up to the state agency was completed, as the former NHA who handled FRIs had not done so.
Failure to report and investigate alleged abuse and injury events. A cognitively intact resident reported that another resident hit her and took things from her room, but the facility did not make the required abuse report because the resident later said she felt safe. The record also showed a resident who said he fell during a CNA transfer and fractured his femur, but the reportable and 5-day follow-up were not completed.
Failure to Timely Report Alleged Abuse and Injury Incidents: The facility failed to timely complete and submit required reportable documentation and follow-up for an injury incident involving a resident who fell during a CNA transfer and fractured a femur. The facility also did not report an alleged resident-to-resident altercation after a cognitively intact resident stated another resident hit her and took things from her room, despite staff observing the complaint and social work documenting fear and uneasiness.
The facility did not follow its abuse prohibition policy by failing to identify and report multiple allegations of abuse and neglect, including incidents of staff yelling, residents left in soiled conditions, delayed care, rough handling, and possible misappropriation of property. These allegations, reported by residents and families, were not documented or reported to the required agencies as outlined in facility policy.
The facility did not report multiple allegations of abuse, neglect, or theft to required agencies within mandated time frames. Over a year, several residents and their families reported concerns such as rough handling, delayed care, soiled clothing, and unexplained injuries to staff, but these incidents were not documented in the facility's reportable log or reported as required. The Nursing Home Administrator confirmed these events were not reported, resulting in a deficiency related to timely reporting and follow-up of suspected abuse or neglect.
The facility did not provide enough CNAs on night shifts to meet resident needs, with staffing levels often below the facility's own assessment. Several residents reported long waits for assistance, and both CNAs and LPNs stated that staffing was insufficient to complete all required care and documentation.
The facility did not accurately post daily nurse staffing information, with significant discrepancies found between posted reports and actual time and attendance records for RNs, LPNs, and Certified Nurse Aides. On several occasions, the number of staff listed as working did not match those actually present, and the facility census was also inaccurately reported. The NHA was unaware of how the data was compiled and acknowledged the inaccuracies.
The facility failed to ensure residents received medically-related social services by not including the full interdisciplinary team in care plan meetings and not assisting residents in asserting their rights regarding abuse, neglect, and person-centered care. Multiple grievances about care issues and abuse were not properly reported or documented, and care plan meetings were often attended only by social services and activities staff, contrary to facility policy.
A resident's medical records contained multiple errors in transfer dates on forms related to transfers to an acute care facility. During a review, it was confirmed by the administrator that the documented dates did not match the actual transfer events, resulting in incomplete and inaccurate recordkeeping.
The facility did not ensure that two residents and their representatives were able to participate in care plan meetings with the full interdisciplinary team (IDT) present, as required. Instead, care plan meetings were routinely attended only by social services and activities staff, with other required team members such as nursing, dietary, and therapy not present. This was confirmed through record review, a complaint, and staff interviews.
A resident's urinary catheter drainage bag was found touching the floor, contrary to the facility's infection control policy. The issue was observed until an LPN adjusted the bed to correct the situation, and the facility's policy was reviewed to confirm the requirement that catheter bags remain off the floor.
Missing QAPI/QAA Meeting Documentation and Required Signatures
Penalty
Summary
The facility failed to have and keep the required documentation for QAPI/QAA meetings and did not have the required attendees present or signed in on the QAA meeting logs. During an interview with the DON and RDCO, both stated they had been looking for the QAPI/QAA books or records since the survey team entered the facility, but they were unable to locate documentation showing the meetings or what was discussed. They provided the names of active participants from the meetings, but only a few sign-in sheets were found. The facility stated the main focus of the meetings had been wounds, falls, and weights. The RDCO was able to locate sign-in sheets for the last 12 months, but they were missing the required signatures from the Medical Director, Infection Preventionist, and ADMIN/Executive Director for each of the quarterly meetings in Q1, Q2, Q3, and Q4. No other documentation was found or provided to the survey team before exit.
Missing Required QAA Meeting Attendance Documentation
Penalty
Summary
The facility did not evidence that the required attendees were present at Quality Assessment and Assurance (QAA) meetings or that they signed in to verify their attendance. During interview, the DON and RDCO stated they had been searching for the QAPI/QAA books or records since the survey team entered the facility and were unable to locate documentation showing the meetings or what was discussed. They provided the names of active participants, but only a few sign-in sheets were found. The facility stated its main focus had been wounds, falls, and weights. Although the RDCO later located sign-in sheets for the last twelve months, the records were still missing the required signatures from the Medical Director, Infection Preventionist, and ADMIN/Executive Director for each of the required quarterly meetings in Q1, Q2, Q3, and Q4, and no other documentation was provided to the survey team before exit.
Missing Isolation Signage for COVID-19 Room
Penalty
Summary
Provide and implement an infection prevention and control program was deficient when the facility failed to establish and maintain infection prevention measures related to precaution signage on resident doors. On 01/06/26 at 1:13 PM, observation showed no signs near the door frames of room B2. During interview at that time, Nurse Aid #38 verified that both residents in room B2 were on isolation precautions. Review of the clinical record showed Resident #60 was diagnosed with Covid-19 on 01/02/26 and placed on precautions, and Resident #62 was diagnosed with Covid-19 on 01/06/26 and also placed on precautions. At 1:25 PM, LPN #46 verified there was no precautionary signage for Covid-19 on room B2 where the two residents were residing and stated there should be precaution signs on the door. A sign was placed on the door at that time.
Failure to Complete and Submit Required Five-Day Investigation Reports
Penalty
Summary
The deficiency involves the facility’s failure to report the results of abuse/neglect-related investigations to appropriate officials within five working days, as required by its own policy and state law. The facility’s Abuse, Neglect & Misappropriation policy states that accurate and timely reporting of alleged and substantiated incidents must be sent to officials, including OHFLAC, APS, the Regional Ombudsman, and other authorities, and that investigation results must be reported within five working days of the incident. For one resident, who reported falling during a CNA-assisted transfer and sustaining a femur fracture, the DON was unable to provide the initial reportable or the required five-day follow-up for two separate falls, and the resident’s care plan was not updated for either fall. The DON later stated that the social worker had been terminated for not completing the reportable or the five-day follow-up related to this resident’s fall. Another resident, who was cognitively intact per a BIMS score of 14, reported that another resident entered her room, hit her, and frequently came in and took things. The resident told the SW she felt fearful during the incident and uneasy at times with the other resident who wandered. There was no documentation of grievances, concerns, or reportables related to this incident, and the DON stated the incident was not reported because the resident later stated she felt safe in the facility. In a separate facility-reported incident involving another resident, the DON stated that the former NHA had been responsible for reporting FRIs and acknowledged there was no evidence that the required five-day follow-up report to the state agency had been completed. These findings show multiple instances where the facility did not complete or submit the mandated five-day investigation results to the appropriate officials.
Failure to Report and Investigate Alleged Abuse and Injury Events
Penalty
Summary
The facility failed to follow its written abuse, neglect, and misappropriation policy when an alleged resident-to-resident altercation occurred involving Resident #47 and Resident #62. During observation, Resident #47 was heard screaming that Resident #62 hit her, and Resident #62 was present in Resident #47’s doorway before staff redirected her away from the area. In a later interview, Resident #47 stated that Resident #62 hit her and that the resident comes into her room and takes things. Resident #47’s quarterly MDS showed a BIMS score of 14, indicating she was cognitively intact and had capacity. The record review found no documented grievance or concern related to the incident, and the DON stated the facility did not report the allegation because the social worker later interviewed Resident #47 and she said she felt safe in the facility. The facility policy required all alleged abuse, neglect, exploitation, mistreatment, injury of unknown source, and misappropriation of property to be reported immediately to the Executive Director, with self-reporting to OHFLAC, APS, the Regional Ombudsman, and other local authorities within 2 hours when abuse was alleged. The report also identified Resident #9, who stated he fell during a transfer by a CNA and fractured his femur; when asked for the reportable and 5-day follow-up, the DON said they were not completed, and later stated the social worker had been terminated for not completing them.
Failure to Timely Report Alleged Abuse and Injury Incidents
Penalty
Summary
The facility failed to timely report alleged abuse, neglect, or theft and failed to report the results of investigations to the proper authorities within the required time frames. For Resident #9, the resident stated that he fell while being transferred by a CNA and fractured his other femur. When the surveyor asked the DON for the reportable and five-day follow-up documentation related to the incident, the DON stated it had not been completed. The DON later stated that the social worker was terminated for not completing the reportable or the five-day follow-up, and that the CNA involved had a teachable moment related to the fall. For Resident #47, the resident was observed screaming that another resident had hit her, and Resident #62 was present in the doorway before staff redirected that resident away from the area. During interview, Resident #47 stated that Resident #62 hit her and that the resident comes into her room and takes things. The resident’s quarterly MDS showed a BIMS score of 14, indicating cognitive intactness and capacity. Social work documentation noted that Resident #47 stated she felt fearful during the incident and uneasy at times with the other resident, but the facility did not report the incident because the DON stated the social worker later interviewed Resident #47 and she said she felt safe in the facility.
Failure to Report and Document Allegations of Abuse and Neglect
Penalty
Summary
The facility failed to implement its abuse prohibition policy by not identifying and reporting all allegations of abuse and neglect as required. A review of the facility's policy indicated that all alleged violations involving abuse, neglect, exploitation, mistreatment, injuries of unknown source, and misappropriation of resident property were to be reported immediately to the executive director, who would then notify the appropriate agencies. However, a review of grievance forms over a 12-month period revealed multiple allegations of abuse and neglect that were not reported as required by the policy. Specific incidents included residents and their families reporting concerns such as staff yelling at residents, residents being left in soiled clothing or bedding, delayed responses to call bells, rough handling during care, and possible misappropriation of property. Other grievances involved residents being left unattended, not being changed in a timely manner, and staff being loud or unprofessional during night hours. In one case, a resident reported another resident entering her room and physically grabbing her, while another resident's family expressed concern over unexplained bruising. A review of the facility's reportable log for the same period found that none of these allegations had been documented or reported as required. During an interview, the Nursing Home Administrator confirmed that if the allegations were not on the log, they had not been reported, and agreed that the incidents should have been reported. The administrator assumed that the social worker had completed the reporting, but this was not the case.
Failure to Timely Report Allegations of Abuse and Neglect
Penalty
Summary
The facility failed to report all allegations and five-day follow-up reports of abuse and/or neglect to the required agencies within the mandated time frames. This deficiency was identified through a review of the facility's filed grievances over a 12-month period, which revealed 16 separate allegations involving 13 residents. These allegations included instances of staff yelling at residents, residents being left in soiled clothing or bedding, delayed or inadequate response to call bells, rough handling during care, and concerns about unexplained injuries and possible theft. In several cases, grievances were voiced by residents or their families to various staff members, including social services, nursing, and the Director of Nursing (DON). Despite the nature of these grievances, none of the incidents were found on the facility's reportable log for the same time frame, indicating that they were not reported to the appropriate authorities as required. The Nursing Home Administrator (NHA) confirmed during an interview that if the incidents were not on the log, they had not been reported. The NHA also acknowledged that the reviewed allegations should have been reported and assumed that the social worker had completed the necessary reporting, which was not the case. The documented grievances described a range of concerns, such as residents being left wet or soiled for extended periods, staff making inappropriate or loud comments, delayed assistance with toileting, and rough or neglectful care. In some cases, family members observed and reported the conditions directly to staff, while in others, residents themselves voiced their concerns. The lack of timely reporting and follow-up for these allegations represents a failure to comply with regulatory requirements for reporting suspected abuse, neglect, or theft.
Failure to Maintain Adequate Night Shift Nursing Staff
Penalty
Summary
The facility failed to provide adequate nursing staff on all night shifts to meet the needs of its residents, as evidenced by a review of staffing postings and interviews with residents and staff. Over a 15-day period, the number of certified nursing assistants (CNAs) on night shift frequently fell below the facility's own assessment, which stated that 4-6 nurse aides were needed per night shift. On several nights, only 2 or 3 CNAs were present for a census ranging from 73 to 77 residents, resulting in CNA-to-resident ratios as high as 1:37. Licensed nurse coverage was also inconsistent, with 2-4 LPNs per night shift. These staffing levels did not align with the facility's stated requirements based on resident acuity. Multiple residents reported experiencing long waits for call light responses during night shifts, attributing this to insufficient staffing. Staff interviews corroborated these concerns, with CNAs and LPNs stating that the number of aides was inadequate to complete all required tasks and documentation. Staff also noted increased workload and difficulty maintaining care standards due to recent staff departures. Staffing records and time/attendance reports confirmed the reported staffing levels during the period in question.
Inaccurate Posting of Nurse Staffing Information
Penalty
Summary
The facility failed to accurately post daily nurse staffing information, including the actual hours worked and the total hours worked by category for nursing staff. Record review revealed discrepancies between the posted Nurse Staffing Reports and the facility's time and attendance records for 14 out of 15 calendar days reviewed. For example, on multiple dates, the hours reported on the Nurse Staffing Report did not match the hours recorded in the time and attendance system for RNs, LPNs, and Certified Nurse Aides. Additionally, the facility did not accurately reflect the facility census on the posted reports. An observation of the posted staffing report showed that the number of Certified Nurse Aides scheduled for a specific shift was significantly higher than the number actually present and working during that shift. During a staff interview, the Nursing Home Administrator acknowledged a lack of awareness regarding how the staffing data was compiled and admitted to the inaccuracy of the posted information.
Failure to Provide Medically-Related Social Services and Ensure Resident Rights
Penalty
Summary
The facility failed to provide medically-related social services to help each resident achieve the highest possible quality of life, as evidenced by a lack of proper interdisciplinary team (IDT) participation in care plan meetings and failure to assist residents in asserting their rights related to abuse, neglect, and person-centered care planning. Record reviews showed that care plan meetings were often attended only by social services and activities staff, without the required participation of clinical, dietary, therapy, or nursing representatives. This was confirmed by both the Nursing Home Administrator and the Director of Nursing, who acknowledged that the IDT was not participating as required, and that only social services and activities staff, who shared an office, were regularly present. Additionally, the facility's grievance review revealed multiple allegations of abuse and neglect over a 12-month period, including reports of residents being left in soiled clothing, rough handling by staff, delayed call bell responses, and lack of proper hygiene care. These grievances were reported to social services, nursing, or other staff, but a review of the facility's reportable log found that none of these allegations had been documented or reported as required. The Nursing Home Administrator confirmed that if the allegations were not on the log, they had not been reported, and agreed that these incidents should have been reported. The deficiencies affected a significant number of residents, as evidenced by the number of grievances and care plan records reviewed. The facility's own policies required the presence of a full interdisciplinary team at care plan meetings and proper documentation of attendees, which was not followed. The lack of IDT participation and failure to report abuse or neglect allegations represent a breakdown in the facility's processes for ensuring resident rights and comprehensive, person-centered care planning.
Inaccurate Transfer Dates Documented in Resident Medical Records
Penalty
Summary
The facility failed to maintain accurate and complete medical records for one resident who was reviewed under the care area of falls. During a record review, it was found that the transfer forms for this resident, who had been transferred to an acute care facility, contained multiple errors in the documented transfer dates. Specifically, the forms listed incorrect dates for three separate transfers, with each form showing a date that did not correspond to the actual transfer event. The facility administrator confirmed that the dates on the transfer forms were incorrect during the surveyor's review.
Failure to Ensure Interdisciplinary Team Participation in Care Planning
Penalty
Summary
The facility failed to ensure that residents and/or their representatives were given the opportunity to participate in the development and implementation of their person-centered care plans with the full interdisciplinary team (IDT) present, as required. Record review and staff interviews revealed that for two sampled residents, care plan meetings were routinely attended only by social services and activities staff, with other required IDT members such as clinical representatives, dietary, and therapy staff not present. The facility's own policy specified that these team members should be present at care plan meetings, and that meeting notes should document all attendees. A complaint was received indicating that a resident's representative was contacted by the social worker for a care plan meeting, but only the social worker was present during the meeting, which was conducted by phone. Review of care plan meeting records for both residents showed a consistent pattern of limited staff attendance, with meetings often lacking nursing, dietary, and therapy input. Interviews with the Nursing Home Administrator and DON confirmed that the IDT was not participating as required, and that only social services and activities staff were regularly involved in these meetings.
Catheter Drainage Bag Infection Control Breach
Penalty
Summary
A deficiency was identified when a resident's urinary catheter drainage bag was observed touching the floor. The incident occurred during a random observation, and the drainage bag remained in contact with the floor until a licensed practical nurse intervened by raising the resident's bed to prevent further contact. The facility's own catheter care policy specifies that the collection bag should not be on the floor and must be properly secured to prevent reflux of urine. The failure to maintain the drainage bag off the floor was confirmed by both observation and staff interview, and was found to be inconsistent with the facility's established infection control procedures.
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Illustrative
What surveyors actually found near you
We read the 114 citations issued within 25 miles in the last 12 months — 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
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Nursing homes near Bridgeport
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Bridgeport Healthcare Center | 2.9 mi | ★★★★★ | 10 | 0 |
| United Transitional Care Center | 3 mi | ★★★★★ | 0 | 0 |
| River Oaks Healthcare Center | 6.2 mi | ★★★★★ | 3 | 0 |
| Clarksburg Healthcare Center | 8.9 mi | ★★★★★ | 17 | 0 |
| Rosewood Center | 10.1 mi | ★★★★★ | 16 | 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.