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:

There are  302 surveys for this facility. Please select a date to view the survey results.

Surveys don't appear on this website until at least 41 days have elapsed since the exit date of the survey.
MAPLE HEIGHTS HEALTH & REHAB CENTER - Inspection Results Scope of Citation
Number of Residents Affected
By Deficient Practice
Initial comments:Based on an abbreviated complaint survey completed on February 26, 2026, it was determined that Maple Heights Health and Rehab Center was not in compliance with the following requirements of 42 CFR Part 483, Subpart B, Requirements for Long Term Care Facilities and the 28 PA Code, Commonwealth of Pennsylvania Long Term Care Licensure Regulations.
 Plan of Correction:


§ 211.12(f.1)(3) LICENSURE Nursing services. :State only Deficiency.
(3) Effective July 1, 2024, a minimum of 1 nurse aide per 10 residents during the day, 1 nurse aide per 11 residents during the evening, and 1 nurse aide per 15 residents overnight.

Observations:

Based on review of nursing schedules and staffing information furnished by the facility, and staff interview, it was determined that the facility failed to provide one nurse aide (NA) per 10 residents on the day shift for 13 of 21 days, failed to provide one NA per 11 residents on the evening shift for 12 of 21 days, and failed to provide a minimum of one NA per 15 residents on the night shift for 14 of 21 days reviewed for February 3 through February 23, 2026.

Findings include:

Review of facility census data revealed:

On February 4, 2026 the facility census was 169 during the day shift, which required 16.90 NA's during the day shift. Review of the nursing time schedules revealed 16.84 NA's provided care on the day shift.
On February 5, 2026 the facility census was 168 during the day shift, which required 16.80 NA's during the day shift. Review of the nursing time schedules revealed 15.84 NA's provided care on the day shift.
On February 6, 2026 the facility census was 172 during the day shift, which required 17.20 NA's during the day shift. Review of the nursing time schedules revealed 14.95 NA's provided care on the day shift.
On February 7, 2026 the facility census was 172 during the day shift, which required 17.20 NA's during the day shift. Review of the nursing time schedules revealed 15.44 NA's provided care on the day shift.
On February 8, 2026 the facility census was 172 during the day shift, which required 17.20 NA's during the day shift. Review of the nursing time schedules revealed 17.37 NA's provided care on the day shift.
On February 11, 2026 the facility census was 174 during the day shift, which required 17.40 NA's during the day shift. Review of the nursing time schedules revealed 17.25 NA's provided care on the day shift.
On February 12, 2026 the facility census was 177 during the day shift, which required 17.70 NA's during the day shift. Review of the nursing time schedules revealed 17.00 NA's provided care on the day shift.
On February 14, 2026 the facility census was 172 during the day shift, which required 17.30 NA's during the day shift. Review of the nursing time schedules revealed 16.52 NA's provided care on the day shift.
On February 15, 2026 the facility census was 171 during the day shift, which required 17.10 NA's during the day shift. Review of the nursing time schedules revealed 16.88 NA's provided care on the day shift.
On February 19, 2026 the facility census was 175 during the day shift, which required 17.50 NA's during the day shift. Review of the nursing time schedules revealed 16.00 NA's provided care on the day shift.
On February 20, 2026 the facility census was 176 during the day shift, which required 17.60 NA's during the day shift. Review of the nursing time schedules revealed 14.13 NA's provided care on the day shift.
On February 22, 2026 the facility census was 178 during the day shift, which required 17.80 NA's during the day shift. Review of the nursing time schedules revealed 15.92 NA's provided care on the day shift.
On February 23, 2026 the facility census was 176 during the day shift, which required 17.60 NA's during the day shift. Review of the nursing time schedules revealed 14.79 NA's provided care on the day shift.
On February 19, 2026 the facility census was 175 during the evening shift, which required 15.91 NA's during the evening shift. Review of the nursing time schedules revealed 14.49 NA's provided care on the evening shift.
On February 4, 2026 the facility census was 169 during the evening shift, which required 15.36 NA's during the evening shift. Review of the nursing time schedules revealed 14.14 NA's provided care on the evening shift.
On February 5, 2026 the facility census was 168 during the evening shift, which required 15.27 NA's during the evening shift. Review of the nursing time schedules revealed 13.10 NA's provided care on the evening shift.
On February 6, 2026 the facility census was 172 during the evening shift, which required 15.64 NA's during the evening shift. Review of the nursing time schedules revealed 12.50 NA's provided care on the evening shift.
On February 7, 2026 the facility census was 172 during the evening shift, which required 15.64 NA's during the evening shift. Review of the nursing time schedules revealed 14.38 NA's provided care on the evening shift.
On February 8, 2026 the facility census was 172 during the evening shift, which required 15.64 NA's during the evening shift. Review of the nursing time schedules revealed 14.09 NA's provided care on the evening shift.
On February 11, 2026 the facility census was 174 during the evening shift, which required 15.82 NA's during the evening shift. Review of the nursing time schedules revealed 13.96 NA's provided care on the evening shift.
On February 13, 2026 the facility census was 173 during the evening shift, which required 15.73 NA's during the evening shift. Review of the nursing time schedules revealed 13.77 NA's provided care on the evening shift.
On February 14, 2026 the facility census was 172 during the evening shift, which required 15.64 NA's during the evening shift. Review of the nursing time schedules revealed 13.48 NA's provided care on the evening shift.
On February 15, 2026 the facility census was 171 during the evening shift, which required 15.55 NA's during the evening shift. Review of the nursing time schedules revealed 9.81 NA's provided care on the evening shift.
On February 20, 2026 the facility census was 176 during the evening shift, which required 16.00 NA's during the evening shift. Review of the nursing time schedules revealed 14.28 NA's provided care on the evening shift.
On February 21, 2026 the facility census was 177 during the evening shift, which required 16.09 NA's during the evening shift. Review of the nursing time schedules revealed 15.07 NA's provided care on the evening shift.
On February 23, 2026 the facility census was 176 during the evening shift, which required 16.00 NA's during the evening shift. Review of the nursing time schedules revealed 9.08 NA's provided care on the evening shift.
On February 3, 2026 the facility census was 168 during the evening shift, which required 11.20 NA's during the night shift. Review of the nursing time schedules revealed 9.53 NA's provided care on the night shift.
On February 4, 2026 the facility census was 169 during the evening shift, which required 11.27 NA's during the night shift. Review of the nursing time schedules revealed 10.22 NA's provided care on the night shift.
On February 6, 2026 the facility census was 172 during the evening shift, which required 11.47 NA's during the night shift. Review of the nursing time schedules revealed 8.60 NA's provided care on the night shift.
On February 7, 2026 the facility census was 172 during the evening shift, which required 11.47 NA's during the night shift. Review of the nursing time schedules revealed 11.13 NA's provided care on the night shift.
On February 8, 2026 the facility census was 172 during the evening shift, which required 11.47 NA's during the night shift. Review of the nursing time schedules revealed 9.85 NA's provided care on the night shift.
On February 9, 2026 the facility census was 171 during the evening shift, which required 11.40 NA's during the night shift. Review of the nursing time schedules revealed 9.57 NA's provided care on the night shift.
On February 10, 2026 the facility census was 172 during the evening shift, which required 11.47 NA's during the night shift. Review of the nursing time schedules revealed 10.88 NA's provided care on the night shift.
On February 13, 2026 the facility census was 173 during the evening shift, which required 11.5 NA's during the night shift. Review of the nursing time schedules revealed 10.50 NA's provided care on the night shift.
On February 14, 2026 the facility census was 172 during the evening shift, which required 11.47 NA's during the night shift. Review of the nursing time schedules revealed 11:00 NA's provided care on the night shift.
On February 18, 2026 the facility census was 172 during the evening shift, which required 11.47 NA's during the night shift. Review of the nursing time schedules revealed 11.16 NA's provided care on the night shift.
On February 19, 2026 the facility census was 175 during the evening shift, which required 11.67 NA's during the night shift. Review of the nursing time schedules revealed 11.03 NA's provided care on the night shift.
On February 20, 2026 the facility census was 20 during the evening shift, which required 11.73 NA's during the night shift. Review of the nursing time schedules revealed 9.99 NA's provided care on the night shift.
On February 21, 2026 the facility census was 177 during the evening shift, which required 11.80 NA's during the night shift. Review of the nursing time schedules revealed 10.03 NA's provided care on the night shift.
On February 23, 2026 the facility census was 176 during the evening shift, which required 11.73 NA's during the night shift. Review of the nursing time schedules revealed 10.04 NA's provided care on the night shift.
There were no additional excess higher-level staff available to compensate for these deficiencies.

Interview with the Regional Director of Clinical Services on February 25, 2026, at 8:50 a.m. confirmed that the facility did not meet the required NA-to-resident staffing ratios for the days listed above.





 Plan of Correction - To be completed: 03/23/2026

The facility cannot retroactively correct the nurse aide (NA) ratios.
2) Facility will schedule NA's to meet the required ratios. The facility will make every effort to use internal and external resources to meet staffing ratios. The facility offers bonuses for staff to pick up and will also utilize agency staff when necessary.
3) The regional vice president of operations/designee has re-educated the nursing home administrator, director of nursing, and scheduler on the staffing ratios for NAs. The staffing is reviewed each day for the subsequent day by the NHA and/or DON to ensure adequate NA staff to meet the required ratios.
4) To monitor and maintain ongoing compliance, the NHA/designee will audit deployment sheets to ensure the facility NA staffing meets the required ratios each shift. Audits will be done 5x/week for 4 weeks and 3x/week for 4 weeks. The results of the audits will be forwarded to the facility Quality Assurance and performance improvement committee for further review and recommendations.
§ 211.12(f.1)(4) LICENSURE Nursing services. :State only Deficiency.
(4) Effective July 1, 2023, a minimum of 1 LPN per 25 residents during the day, 1 LPN per 30 residents during the evening, and 1 LPN per 40 residents overnight.
Observations:

Based on review of nursing schedules, staffing information furnished by the facility, and staff interviews, it was determined that the facility failed to ensure a minimum of one licensed practical nurse (LPN) per 25 residents during the day shift for four of 21 days (24-hour periods) reviewed, failed to ensure a minimum of one LPN per 30 residents during the evening shift for three of 21 days reviewed, and failed to ensure a minimum of one LPN per 40 residents during the night shift for 15 of 21 days reviewed.

Findings include:

Review of facility census data indicated that on February 7, 2026, the facility census was 172, which required 6.88 LPN's during the day shift. Review of the nursing time schedules revealed 6.69 LPN's provided care on the day shift.
Review of facility census data indicated that on February 12, 2026, the facility census was 177, which required 7.08 LPN's during the day shift. Review of the nursing time schedules revealed 7.00 LPN's provided care on the day shift.
Review of facility census data indicated that on February 21, 2026, the facility census was 177, which required 7.08 LPN's during the day shift. Review of the nursing time schedules revealed 6.97 LPN's provided care on the day shift.
Review of facility census data indicated that on February 22, 2026, the facility census was 178, which required 7.12 LPN's during the day shift. Review of the nursing time schedules revealed 6.91 LPN's provided care on the day shift.
Review of facility census data indicated that on February 6, 2026, the facility census was 172, which required 5.73 LPN's during the evening shift. Review of the nursing time schedules revealed 5.56 LPN's provided care on the evening shift.
Review of facility census data indicated that on February 13, 2026, the facility census was 173, which required 5.77 LPN's during the evening shift. Review of the nursing time schedules revealed 5.72 LPN's provided care on the evening shift.
Review of facility census data indicated that on February 14, 2026, the facility census was 172, which required 5.73 LPN's during the evening shift. Review of the nursing time schedules revealed 5.53 LPN's provided care on the evening shift.
Review of facility census data indicated that on February 3, 2026, the facility census was 168, which required 4.20 LPN's during the night shift. Review of the nursing time schedules revealed 4.03 LPN's provided care on the night shift.
Review of facility census data indicated that on February 4, 2026, the facility census was 169, which required 4.23 LPN's during the night shift. Review of the nursing time schedules revealed 4.00 LPN's provided care on the night shift.
Review of facility census data indicated that on February 5, 2026, the facility census was 168, which required 4.20 LPN's during the night shift. Review of the nursing time schedules revealed 4.06 LPN's provided care on the night shift.
Review of facility census data indicated that on February 6, 2026, the facility census was 172, which required 4.30 LPN's during the night shift. Review of the nursing time schedules revealed 4.06 LPN's provided care on the night shift.
Review of facility census data indicated that on February 9, 2026, the facility census was 171, which required 4.28 LPN's during the night shift. Review of the nursing time schedules revealed 4.03 LPN's provided care on the night shift.
Review of facility census data indicated that on February 10, 2026, the facility census was 172, which required 4.30 LPN's during the night shift. Review of the nursing time schedules revealed 4.00 LPN's provided care on the night shift.
Review of facility census data indicated that on February 11, 2026, the facility census was 174, which required 4.35 LPN's during the night shift. Review of the nursing time schedules revealed 4.00 LPN's provided care on the night shift.
Review of facility census data indicated that on February 12, 2026, the facility census was 177, which required 4.43 LPN's during the night shift. Review of the nursing time schedules revealed 4.13 LPN's provided care on the night shift.
Review of facility census data indicated that on February 14, 2026, the facility census was 172, which required 4.30 LPN's during the night shift. Review of the nursing time schedules revealed 4.00 LPN's provided care on the night shift.
Review of facility census data indicated that on February 15, 2026, the facility census was 171, which required 4.28 LPN's during the night shift. Review of the nursing time schedules revealed 4.00 LPN's provided care on the night shift.
Review of facility census data indicated that on February 16, 2026, the facility census was 171, which required 4.28 LPN's during the night shift. Review of the nursing time schedules revealed 4.03 LPN's provided care on the night shift.
Review of facility census data indicated that on February 19, 2026, the facility census was 175, which required 4.38 LPN's during the night shift. Review of the nursing time schedules revealed 4.03 LPN's provided care on the night shift.
Review of facility census data indicated that on February 20, 2026, the facility census was 176, which required 4.40 LPN's during the night shift. Review of the nursing time schedules revealed 4.06 LPN's provided care on the night shift.
Review of facility census data indicated that on February 22, 2026, the facility census was 178, which required 4.45 LPN's during the night shift. Review of the nursing time schedules revealed 4.38 LPN's provided care on the night shift.
Review of facility census data indicated that on February 23, 2026, the facility census was 176, which required 4.40 LPN's during the night shift. Review of the nursing time schedules revealed 4.00 LPN's provided care on the night shift.
No additional excess higher-level staff were available to compensate for these deficiencies.

Interview with the Regional Director of Clinical Services on February 25, 2026, at 8:50 a.m. confirmed that the facility did not meet the required LPN-to-resident staffing ratios for the shifts listed above.





 Plan of Correction - To be completed: 03/23/2026

1) The facility cannot retroactively correct the licensed practical nurse (LPN) ratios.
2) Facility will schedule LPN's to meet the required ratios. The facility will make every effort to use internal and external resources to meet staffing ratios. The facility offers bonuses for staff to pick up and will also utilize agency staff when necessary.
3)The regional vice president of operations/designee has re-educated the nursing home administrator, director of nursing, and scheduler on the staffing ratios for LPNs. Staffing is reviewed each day for the subsequent day by the NHA and/or DON to ensure adequate LPN staff to meet the required ratios.
4) To monitor and maintain ongoing compliance, the NHA/designee will audit deployment sheets to ensure the facility LPN staffing meets the required ratios each shift. Audits will be done 5x/week for 4 weeks and
§ 211.12(i)(2) LICENSURE Nursing services.:State only Deficiency.
(2) Effective July 1, 2024, the total number of hours of general nursing care provided in each 24-hour period shall, when totaled for the entire facility, be a minimum of 3.2 hours of direct resident care for each resident.

Observations: Based on review of nursing schedules and staff interviews, it was determined that the facility failed to provide 3.20 hours of direct resident care for each resident for 18 of 21 days (24-hour periods) reviewed. Findings include: Nursing time schedules provided by the facility for the days of February 3-23, 2026, revealed that the facility provided only 3.09 hours of direct care for each resident on February 3, 2026, 3.06 hours of direct care for each resident on February 4, 2026, 3.04 hours of direct care for each resident on February 5, 2026, 2.69 hours of direct care for each resident on February 6, 2026, 2.89 hours of direct care for each resident on February 7, 2026, 2.81 hours of direct care for each resident on February 8, 2026, 2.99 hours of direct care for each resident on February 9, 2026, 3.11 hours of direct care for each resident on February 10, 2026, 3.03 hours of direct care for each resident on February 11, 2026, 3.17 hours of direct care for each resident on February 12, 2026, 2.97 hours of direct care for each resident on February 13, 2026, 2.85 hours of direct care for each resident on February 14, 2026, 2.80 hours of direct care for each resident on February 15, 2026, 3.01 hours of direct care for each resident on February 19, 2026, 2.85 hours of direct care for each resident on February 20, 2026, 3.06 hours of direct care for each resident on February 21, 2026, 3.05 hours of direct care for each resident on February 22, 2026, and 2.69 hours of direct care for each resident on February 23, 2026. Interview with the Regional Director of Clinical Services on February 25, 2026, at 8:50 a.m. confirmed that the facility did not meet the required daily hours of direct resident care for each resident on the days listed above.
 Plan of Correction - To be completed: 03/23/2026

1) The facility cannot retroactively correct nursing hours per patient day (PPD)
2) Facility will schedule to meet the required PPD. The facility will make every effort to use internal and external resources to meet staffing PPD of 3.20.
3)The regional vice president of operations/designee has re-educated the nursing home administrator, director of nursing, and scheduler on the requirement to provide 3.20 hours of direct care per resident. The staffing is reviewed each day for the subsequent day by the NHA and/or DON to ensure adequate staffing to meet the required 3.20 PPD.
4) To monitor and maintain ongoing compliance, the NHA/designee will audit deployment sheets to ensure the facility staffing meets the required PPD each day. Audits will be done 5x/week for 4 weeks and 3x/week for 4 weeks. The results of the audits will be forwarded to the facility Quality Assurance and performance improvement committee for further review and recommendations.

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