| Maple Valley Nursing Home | |
| 1086 W. Burdickville Road, Maple Valley, Michigan 49664 | |
| (231) 228-5895 | |
| Name | Maple Valley Nursing Home |
|---|---|
| Location | 1086 W. Burdickville Road, Maple Valley, Michigan |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 25 |
| Occupancy Rate | 76.8% |
| Medicare ID (CCN) | 235588 |
| Legal Business Name | Maple Valley Nursing Home of Maple City, Inc. |
| Ownership Type | For Profit - Corporation |
| NPI Number | 1144223587 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Maple Valley Nursing Home of Maple City, Inc. |
| Address | 1086 W Burdickville Rd, Maple City, MI 49664 |
| Phone Number | 231-228-5895 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 3.96 | 3.86 |
| Registered nurse (RN) hours per resident per day | 1.12 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.79 | 0.86 |
| Nurse aide hours per resident per day | 2.05 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.33 | 3.42 |
| RN hours per resident per day on the weekend | 0.64 | 0.48 |
| Physical therapist hours per resident per day | 0.08 | 0.07 |
| Total nursing staff turnover | 55.2% | 45.8% |
| Registered nurse turnover | 42.9% | 42.9% |
| Number of administrators who have left the nursing home | 0 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 2 |
| Total Amount of Fines in Dollars | $119,265 |
| Number of Payment Denials | 1 |
| Total Number of Penalties | 3 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| May 6, 2026 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. F0851, Administration, Standard inspection | Potential for harm, widespread | Corrected by Jun 18, 2026 |
| May 6, 2026 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Jun 18, 2026 |
| May 6, 2026 | Protect each resident from the wrongful use of the resident's belongings or money. F0602, Freedom from Abuse, Neglect, and Exploitation, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Jun 18, 2026 |
| May 6, 2026 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. F0628, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Jun 18, 2026 |
| May 6, 2026 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Jun 18, 2026 |
| May 6, 2026 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jun 18, 2026 |
| May 6, 2026 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jun 18, 2026 |
| Apr 10, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by May 19, 2025 |
| Apr 10, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, widespread | Corrected by May 19, 2025 |
| Apr 10, 2025 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by May 19, 2025 |
| Apr 10, 2025 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by May 19, 2025 |
| Apr 10, 2025 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. F0678, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by May 19, 2025 |
| Apr 10, 2025 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by May 19, 2025 |
| Apr 10, 2025 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by May 19, 2025 |
| Apr 10, 2025 | Ensure that residents are free from significant medication errors. F0760, Pharmacy Service, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by May 19, 2025 |
| Apr 10, 2025 | Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by May 19, 2025 |
| Jan 22, 2025 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Feb 10, 2025 |
| Aug 20, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Complaint inspection | Actual harm, isolated | Corrected by Aug 29, 2024 |
| Apr 25, 2024 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Immediate jeopardy, isolated | Corrected by Jun 30, 2024 |
| Apr 25, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection | Actual harm, isolated | Corrected by Jun 3, 2024 |
| Apr 25, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Jul 19, 2024 |
| Apr 25, 2024 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. F0835, Administration, Standard inspection | Potential for harm, widespread | Corrected by Jun 3, 2024 |
| Apr 25, 2024 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. F0882, Infection Control, Standard inspection | Potential for harm, widespread | Corrected by Jun 3, 2024 |
| Apr 25, 2024 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by Jul 19, 2024 |
| Apr 25, 2024 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Jul 19, 2024 |
| Apr 25, 2024 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. F0942, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Jul 19, 2024 |
| Apr 25, 2024 | Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. F0945, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Jul 19, 2024 |
| Apr 25, 2024 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. F0604, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by Jul 19, 2024 |
| Apr 25, 2024 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by Jun 3, 2024 |
| Apr 25, 2024 | Respond appropriately to all alleged violations. F0610, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by Jun 3, 2024 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 19.61 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 5.88 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.96 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 9.68 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 16.18 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.04 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 16.27 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 47.17 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Not Available | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 4.3 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 29.4 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 34.38 | 15.38 |