Maple Heights
Two Sunrise Avenue, Mapleton, IA 51034 · Monona County · (712) 881-1680
58 certified beds, about 48 residents a day · For profit - Corporation · Medicare and Medicaid since 1996
CMS high performing icon Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
2 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 165267 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on December 18, 2025, inspectors cited 4 health deficiencies (the Iowa average is 6.5, the national average 9.2).
None of its 11 health citations since May 2024 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.36 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 0.70 of those hours.
28.4% of nursing staff left within the year CMS measured (Iowa average 44.0%).
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
405/24
302/25
412/25
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 11 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
8D
3E
0F
Potential for minimal harm
0A
0B
0C
December 18, 2025Standard inspection · 4 citations
- E Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure that staff safely stored controlled substances under double lock for 4 of 46 residents reviewed. The facility reported a census of 46 residents.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, clinical record review, staff interviews, and policy review the facility failed to use universal infection control measures (hand hygiene), and Enhanced Barrier Precautions (EBP) during catheter/wound care for 2 of 5 residents (Resident #5, and #20) reviewed. The facility further failed to monitor for the growth of legionella. The facility reported a census of 46 residents.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, resident and staff interviews, and record review the facility failed to provide increased monitoring and assessment with medication changes for 1 of 1 resident reviewed. Resident #7 had many changes to her psychotropic medications in July, and the staff failed to increase monitoring and failed to conduct an AIMS assessment (Abnormal Involuntary Movement Scale, used to monitor side effects from psychotropic medications.) The facility reported a census of 46 residents.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on clinical record review, resident interview, staff interview, and policy review the facility failed to assess residents for safety while smoking for 2 of 2 residents reviewed (Resident #13, and #14). The facility reported a census of 46 residents.
February 13, 2025Standard inspection, Complaint inspection · 3 citations
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on electronic record review (EHR), staff interview, and policy review the facility failed to develop a comprehensive care plan that included problems, goals, or approaches for the implementation of Enhanced Barrier Precautions for 1 of 3 residents reviewed (Resident #26). The facility reported a census of 49 residents.
- D Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on observation, staff interviews, and policy review the facility failed to properly secure and store medications to minimize loss or access for 1 of 1 medication carts. The facility reported a census of 49 residents.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, staff interviews and clinical record review the facility failed to implement Enhanced Barrier Precautions (EBP) to prevent the spread of pathogens for 3 of 3 residents reviewed. (Residents #103, #47 and #26.) Residents #103 and #47 required enteral nutrition and medication administration (directly into the gastrointestinal tract through feeding tube.) Resident #26 had a urinary catheter. Staff failed to wear all of the required Personal Protective Equipment (PPE) when administering cares to these three residents. The Facility reported a census of 49 residents.
May 9, 2024Standard inspection · 4 citations
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interviews and policy review the facility failed to ensure that all food items were replaced before the recommended past due date. On 5/6/24 it was discovered that a bin of flour had an open date of October of 2023. The facility reported a census of 37 residents.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on Electronic Record Review (EHR), document review, and staff interviews the facility failed to provide a Comprehensive Care Plan including goals and interventions for pain, with the use of opioids for 1of 5 residents reviewed (Resident #7). The facility reported a census of 37 residents.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on clinicial record review, and staff interviews the facility failed to update the Care Plan when a resident had a change in condition for 1 of 15 residents. Resident #35 experienced some increased weakness, loss of appetite and was diagnosed with the COVID-19 virus. The Care Plan lacked interventions or increased monitoring related to the residents needs. The facility reported a census of 37 residents
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation and staff interview the facility failed to provide appropriate infection prevention practices when securing a catheter drainage bag to a trash can for 1 of 1 residents reviewed (Resident #33). The facility reported a census of 37 residents.
Fire safety inspections
17 fire safety citations on file: 13 on December 18, 2025, 3 on February 13, 2025, 1 on May 9, 2024.
Every fire safety citation17 citations
- F Install a two-hour-resistant firewall separation.
- F Use approved construction type or materials.
- F Keep aisles, corridors, and exits free of obstruction in case of emergency.
- F Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- F Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- F Install emergency lighting that can last at least 1 1/2 hours.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Install corridor and hallway doors that block smoke.
- F Have restrictions on the use of highly flammable decorations.
- F Have generator or other power source capable of supplying service within 10 seconds.
- F Ensure proper usage of power strips and extension cords.
- F Ensure that testing and maintenance of electrical equipment is performed.
- F Use approved construction type or materials.
- F Have generator or other power source capable of supplying service within 10 seconds.
- F Ensure proper usage of power strips and extension cords.
- E Install smoke barrier doors that can resist smoke for at least 20 minutes.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Iowa | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.36 | 3.82 | 3.86 |
| Registered nurses | 0.70 | 0.74 | 0.69 |
| All nursing staff on weekends | 4.03 | 3.37 | 3.42 |
| Nurse aides | 3.14 | ||
| Licensed practical nurses | 0.53 | ||
| Nursing staff turnover (share who left in a year) | 28.4% | 44.0% | 45.8% |
| Registered nurse turnover | 28.6% | 42.1% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.23 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.50 on weekdays and 4.03 on weekends, 10% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.26 in April to June 2025 to 4.36 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.36 | 0.70 | 4.50 | 4.03 | 0.0% | 0 of 90 | 48 |
| Oct to Dec 2025 | 4.34 | 0.65 | 4.48 | 3.98 | 0.0% | 0 of 92 | 45 |
| Jul to Sep 2025 | 4.35 | 0.47 | 4.54 | 3.84 | 0.0% | 0 of 92 | 47 |
| Apr to Jun 2025 | 4.26 | 0.44 | 4.42 | 3.86 | 0.0% | 0 of 91 | 47 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Iowa, Jan to Mar 2026 | 3.80 | 0.71 | 3.98 | 3.36 | 4.7% | 0.3% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Iowa | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 21.4 | 17.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.5 | 1.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.9 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 5.1 | 3.8 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 5.7 | 2.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 17.8 | 16.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.7 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 29.5 | 19.4 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.9 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.7 | 2.1 | 1.8 |
Owners and operators
Legal business name: MAPLETON PROGRESS INC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Mapleton Progress Inc | Direct ownership interest | Organization | 08/01/1968 | |
| Swanson, Thomas | Corporate director | Individual | 03/08/1989 | |
| Hesse, Curtis | Corporate officer | Individual | 01/01/1989 | |
| Koenigs, Carol | Corporate officer | Individual | 01/01/2020 | |
| Maier, Edward | Corporate officer | Individual | 01/01/2025 | |
| Nichols, Richard | Corporate officer | Individual | 01/01/2013 | |
| Wenger, Earl | Corporate officer | Individual | 01/01/1985 | |
| Allen, Erin | Operational/managerial control | Individual | 03/11/2021 | |
| Scott, Toni | Operational/managerial control | Individual | 11/03/1997 | |
| Williams & Company PC | Adp of the SNF | Organization | 01/01/1995 | |
| Allen, Erin | Adp of the SNF | Individual | 03/01/2021 | |
| Hesse, Curtis | Adp of the SNF | Individual | 01/31/2025 | |
| Scott, Toni | Adp of the SNF | Individual | 11/03/1997 | |
| Swanson, Thomas | Adp of the SNF | Individual | 03/08/1989 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 3 problems in this area, most recently on December 18, 2025: "Provide and implement an infection prevention and control program."
- When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on February 13, 2025: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on December 18, 2025: "Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on December 18, 2025: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
Other nursing homes nearby
- Willow Dale Wellness Village Battle Creek, 15.1 mi · 4 of 5 stars · 4 citations
- Accura Healthcare of Onawa Onawa, 17.5 mi · 2 of 5 stars · 34 citations
- Pleasant View Care Center Whiting, 18.2 mi · 4 of 5 stars · 12 citations
- Correctionville Specialty Care Correctionville, 22.3 mi · 1 of 5 stars · 36 citations
- Dunlap Specialty Care Dunlap, 24.3 mi · 4 of 5 stars · 41 citations
Iowa contacts for a concern about a nursing home
These are the official offices in Iowa. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Iowa Department of Inspections, Appeals, and Licensing, Health Facilities, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Iowa Office of the State Long-Term Care Ombudsman, 866-236-1430. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Iowa Health Facility Database, Entity Search, where Iowa publishes its own records on licensed homes.
Common questions
- What is Maple Heights's Medicare star rating?
- CMS rates Maple Heights 5 out of 5 stars overall, with 4 for health inspections, 5 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Maple Heights get at its last inspection?
- 4 health deficiencies at the standard inspection on December 18, 2025. The Iowa average is 6.5.
- Has Maple Heights been fined?
- CMS lists no fines in the last three years.
- Does Maple Heights accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Maple Heights?
- CMS lists 14 owners and managers. Legal business name: MAPLETON PROGRESS INC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.