Pennsylvania Department of Health
MAPLE HEIGHTS HEALTH & REHAB CENTER
Patient Care Inspection Results

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MAPLE HEIGHTS HEALTH & REHAB CENTER
Inspection Results For:

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MAPLE HEIGHTS HEALTH & REHAB CENTER - Inspection Results Scope of Citation
Number of Residents Affected
By Deficient Practice
Initial comments:
Based on a State Licensure Monitoring survey on March 29, 2024, it was determined that Maple Heights Health & Rehab Center was not in compliance with the following requirements of the 28 PA Code, Commonwealth of Pennsylvania Long Term Care Licensure Regulations.


 Plan of Correction:


201.13c (b) LICENSURE License renewal:State only Deficiency.
(b) In addition to the application form and fee under subsection (a), a facility shall submit an updated annual financial report that meets the requirements set forth in 201.12(b)(8) (relating to application for license of a new facility or change in ownership).
Observations:
Based on review of the facility submitted application for renewal of the license, it was determined that the facility failed to submit an annual financial report which shall include the following:

(i) Audited financial statements prepared in accordance with generally accepted accounting principles (GAAP). If GAAP requires consolidated financial statements, then consolidated statements shall be provided. (The GAAP indicates that the following is included in and audited financial statement: Balance Sheet, Cash Flow Statement, Income Statement, Statement of Shareholder Equity Changes and an auditor opinion)
(ii) A visual representation of the current ownership structure, which shall include parent companies, shareholders, and any related parties of the persons identified in paragraphs (1) through (6). (this would be an organizational chart rather than a list)
(iii) A supplemental schedule of annual gross revenues, prepared in accordance with GAAP. The supplemental schedule shall be broken out by payor type.

Findings:
Review of the submitted application revealed that no visual representative of ownership structure and no audited financial report were contained in the application. Correspondence with the Nursing Home Administrator indicated that the information was not available at the time the application was submitted.

The facility failed to meet the requirements as set forth in 28 Pa Code 201.13c.



 Plan of Correction - To be completed: 07/01/2024

Audited financial statements are not available for this facility because it has not been in operation for a year since its involvement with the organization beginning July 1, 2023. The licensee will arrange for the preparation of an audited financial statement for FYE December 31, 2023 to submit, and expects that its external auditors will be able to complete the same by July 1, 2024.

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