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Maple Winds Healthcare and Rehabilitation, LLC

4112 Spring Hill Road, Portage, PA 15946 · Cambria County · (814) 736-6006

50 certified beds, about 43 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2003

Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
1 of 5
Staffing
4 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 396088 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on May 18, 2026, inspectors cited 22 health deficiencies (the Pennsylvania average is 10, the national average 9.2).

None of its 62 health citations since January 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 4.15 hours per resident per day, against 3.89 across Pennsylvania and 3.86 nationally. Registered nurses accounted for 1.04 of those hours.

62.9% of nursing staff left within the year CMS measured (Pennsylvania average 44.5%).

CMS links it to Mb Healthcare, an affiliated group of 12 nursing homes.

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.

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 62 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
43D
17E
2F
Potential for minimal harm
0A
0B
0C
May 18, 2026Standard inspection · 22 citations
  1. E
    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
    F605 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 30, 2026
    Inspectors wroteBased on review of clinical records, as well as staff interviews, it was determined that the facility failed to ensure that non-pharmacological interventions were attempted prior to the administration of a psychotropic medication for one of 21 residents reviewed (Resident 5).
  2. E
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 14, 2026
    Inspectors wroteBased on review of Pennsylvania's Nursing Practice Act and clinical records, as well as staff interviews, it was determined that the facility failed to clarify a provider's orders for two of 21 residents reviewed (Resident 8, 48).
  3. E
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 30, 2026
    Inspectors wroteBased on review of facility policies and clinical record reviews, as well as staff interviews, it was determined that the facility failed to follow physician's orders for medications and treatments for seven of 21 residents reviewed (Residents 3, 6, 12, 16, 17, 24, and 48).
  4. E
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 14, 2026
    Inspectors wroteBased on review of clinical records as well as staff interviews, it was determined that the facility failed to provide care for pressure ulcers in accordance with professional standards of practice, by failing to ensure that treatments and recommendations from a wound consultant were reviewed and completed for two of 21 residents reviewed (Residents 4 and 52) who had pressure ulcers.
  5. E
    Provide for the safe, appropriate administration of IV fluids for a resident when needed.
    F694 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 14, 2026
    Inspectors wroteBased on review of policies and clinical records, as well as staff interviews, it was determined that the facility failed to ensure that professional standards of practice were followed for the care of long-term intravenous catheters for one of 21 residents reviewed (Resident 8). Based on review of policies and clinical records, as well as staff interviews, it was determined that the facility failed to ensure that professional standards of practice were followed for the care of long-term intravenous catheters for one of 21 residents reviewed (Resident 8).
  6. E
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 30, 2026
    Inspectors wroteBased on review of facility policies and clinical records, as well as staff interviews, it was determined that the facility failed to maintain accountability for controlled medications (drugs with the potential to be abused) for five of 21 residents reviewed (Residents 4, 5, 17, 24, 37).
  7. E
    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
    F887 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 30, 2026
    Inspectors wroteBased on review clinical records, as well as staff interviews, it was determined that the facility failed to ensure that residents were offered the COVID vaccination and that education was provided to the resident and/or representative regarding the benefits and potential risks of the COVID vaccination for three of 21 residents reviewed (Residents 1, 36, and 52) and failed to ensure that staff were offered the COVID vaccination and that education was provided to the resident and/or representative regarding the benefits and potential risks of the COVID vaccination.
  8. E
    Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
    F944 · Administration · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 30, 2026
    Inspectors wroteBased on review of facility documents, and staff interviews, it was determined that the facility failed to provide training on Quality Assurance and Performance Improvement (QAPI) for five of five Nurse Aides reviewed (Nurse Aides 4, 5, 6, 7 and 8).
  9. D
    Ensure that residents are fully informed and understand their health status, care and treatments.
    F552 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 30, 2026
    Inspectors wroteBased on review of facility policies and clinical records, as well as staff interviews, it was determined that the facility failed to inform the resident and/or resident representative in advance of the risks and benefits of psychotropic medications (medications that affect the persons mental state, emotions and behavior) and the treatment alternatives prior to initiating the administration of the medication for two of 21 residents reviewed (Residents 24 and 36).
  10. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 30, 2026
    Inspectors wroteBased on review of the Resident Assessment Instrument User's Manual and clinical records, as well as staff interviews, it was determined that the facility failed to complete accurate Minimum Data Set assessments for three of 21 residents reviewed (Residents 2, 4, 7).
  11. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 30, 2026
    Inspectors wroteBased on review of clinical records, as well as staff interviews, it was determined that the facility failed to develop and implement an individualized care plan for two of 21 residents reviewed (Residents 24 and 36).
  12. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 30, 2026
    Inspectors wroteBased on review of clinical records, as well as staff interviews, it was determined that the facility failed to ensure that a resident's care plan was updated/revised to reflect the resident's specific care needs for four of 21 residents reviewed (Residents 13, 16, 24 and 52).
  13. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 30, 2026
    Inspectors wroteBased on review of facility policies and clinical records, as well as staff interviews, it was determined that the facility failed to ensure that a resident had dentures in place for breakfast for one of 21 residents reviewed (Resident 36).
  14. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 30, 2026
    Inspectors wroteBased on review of facility policies and clinical records, as well as observations and staff interviews, it was determined that the facility failed to ensure that the resident environment was as free of accident hazards by failing to complete safety assessments for air mattress use for three of 21 residents reviewed (Residents 4, 6, 24).
  15. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 30, 2026
    Inspectors wroteBased on review of clinical records, as well as observations and staff interviews, it was determined that the facility failed to ensure nephrostomy output was monitored for one of 21 residents reviewed (Resident 4) who had a nephrostomy tube (a flexible tube inserted into the kidney to drain urine), and failed to ensure that a follow up appointment was kept for one of 21 residents reviewed (Resident 5).
  16. D
    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
    F693 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 30, 2026
    Inspectors wroteBased on review of facility policies and clinical records, as well as staff interviews, it was determined that the facility failed to ensure that physician's orders were followed for one of 21 residents reviewed (Resident 52) who had a feeding tube.
  17. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 30, 2026
    Inspectors wroteBased on review of facility policies and clinical records, as well as observations and staff interviews, it was determined that the facility failed to administer a resident's continuous oxygen as ordered for one of 21 residents reviewed (Resident 12).
  18. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 30, 2026
    Inspectors wroteBased on a review of clinical records, as well as staff interviews, it was determined that the facility failed to maintain clinical records that were complete and accurately documented for one of 21 residents reviewed (Resident 17).
  19. D
    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
    F867 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 30, 2026
    Inspectors wroteBased on review of the facility's plans of correction for previous surveys, and the results of the current survey, it was determined that the facility's Quality Assurance Performance Improvement (QAPI) committee failed to correct quality deficiencies and ensure that plans to improve the delivery of care and services effectively addressed recurring deficiencies.
  20. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 30, 2026
    Inspectors wroteBased on review of established infection control guidelines, facility policy, and residents' clinical records, as well as observations and staff interviews, it was determined that the facility failed to follow infection control guidelines from the Centers for Medicare/Medicaid Services (CMS) and the Centers for Disease Control (CDC) to reduce the spread of infections and prevent cross-contamination for one of 21 residents reviewed (Resident 52).
  21. D
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    F883 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 30, 2026
    Inspectors wroteBased on review of facility policies and clinical records, as well as staff interviews, it was determined that the facility failed to ensure that each resident was offered and/or received the influenza immunization for one of 21 residents reviewed (Resident 24) and failed to ensure that each resident was offered and/or received the pneumococcal immunization for five of 21 residents reviewed (Residents 1, 5, 24, 48 and 52).
  22. D
    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
    F947 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 30, 2026
    Inspectors wroteBased on a review of the facility assessment and employee education records, as well as staff interviews, it was determined that the facility failed to ensure that nurse aides completed the required annual education for three of five nurse aides reviewed (Nurse Aides 4, 6, and 7).
July 2, 2025Standard inspection, Complaint inspection · 17 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) August 12, 2025
    Inspectors wroteBased on facility policy, observations, and staff interviews, it was determined that the facility failed to ensure that food stored in the kitchen and dry storage room was dated once opened.
  2. E
    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
    F636 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 12, 2025
    Inspectors wroteBased on review of the Resident Assessment Instrument User's Manual and residents' clinical records, as well as staff interviews, it was determined that the facility failed to ensure that comprehensive admission Minimum Data Set assessments were completed in the required timeframe for 10 of 35 residents reviewed (Residents 14, 26, 34, 43, 44, 139, 140, 141, 142, 143).
  3. E
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) August 12, 2025
    Inspectors wroteBased on review of policies and clinical records, as well as staff interviews, it was determined that the facility failed to ensure that care plans were updated to reflect changes in residents' care needs for one of 35 residents reviewed (Resident 13).
  4. E
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) August 12, 2025
    Inspectors wroteBased on review of policies and clinical records, as well as observations and staff interviews, it was determined that the facility failed to ensure urinary output was monitored for one of 35 residents reviewed (Resident 1) who had an indwelling urinary catheter, and failed to ensure proper incontinent care was completed for one of 35 residents reviewed (Resident 13).
  5. E
    Provide for the safe, appropriate administration of IV fluids for a resident when needed.
    F694 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 12, 2025
    Inspectors wroteBased on review of policies and clinical records, as well as staff interviews, it was determined that the facility failed to ensure that intravenous catheters were flushed according to facility policy and failed to ensure that physician's orders for the care and maintenance of intravenous catheters were obtained for two 35 residents reviewed (Residents 9, 12).
  6. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 12, 2025
    Inspectors wroteBased on review of policies and clinical records, as well as staff interviews, it was determined that the facility failed to notify the physician and the resident's responsible party regarding a change in condition for one of 35 residents reviewed (Resident 2).
  7. D
    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
    F585 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 12, 2025
    Inspectors wroteBased on review of policies and facility grievance/complaint logs, as well as staff interviews, it was determined that the facility failed to follow its grievance policies regarding maintaining a log of all grievances received for one of 35 residents reviewed (Resident 13).
  8. D
    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
    F628 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 12, 2025
    Inspectors wroteBased on review of policies and clinical records, as well as staff interviews, it was determined that the facility failed to notify the resident and the resident's representative, in writing regarding the reason for transfer to the hospital, to ensure that a bed-hold notice was provided to the resident's responsible party and that the ombudsman was notified of the transfer to the hospital, for three of 35 residents reviewed (Residents 2, 19, 38), and failed to complete a post discharge summary for one of 35 resident's reviewed (Resident 37)
  9. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 12, 2025
    Inspectors wroteBased on a review of the Resident Assessment Instrument User's Manual and clinical records, as well as staff interviews, it was determined that the facility failed to complete accurate Minimum Data Set assessments for two of 35 residents reviewed (Residents 1, 25).
  10. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 12, 2025
    Inspectors wroteBased on review of facility policies, clinical records, and staff interviews, it was determined that the facility failed to develop a comprehensive care plan that included specific and individualized interventions to address the care needs of residents for one of 35 residents reviewed (Resident 9).
  11. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 12, 2025
    Inspectors wroteBased on review of clinical records, as well as staff interviews, it was determined that the facility failed to ensure that residents received care and treatment in accordance with professional standards of practice, by failing to ensure that physician's orders were followed for one of 35 residents reviewed (Resident 12).
  12. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 12, 2025
    Inspectors wroteBased on clinical record reviews, observations, and staff interviews, it was determined that the facility failed to ensure that the resident environment remained as free of accident hazards as possible by failing to ensure that fall/injury prevention interventions were in place for one of 35 residents reviewed (Resident 9).
  13. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 12, 2025
    Inspectors wroteBased on review of policies and clinical records, as well as staff interviews, it was determined that the facility failed to maintain accountability for controlled medications (drugs with the potential to be abused) for one of 35 residents reviewed (Resident 25).
  14. D
    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
    F849 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 12, 2025
    Inspectors wroteBased on review of clinical records and staff interviews, it was determined that the facility failed to ensure that the designated interdisciplinary team member obtained the required information from the contracted hospice provider for one of 35 residents reviewed (Resident 25) who were receiving hospice services.
  15. D
    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
    F867 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 12, 2025
    Inspectors wroteBased on review of the facility's plans of correction for previous surveys, and the results of the current survey, it was determined that the facility's Quality Assurance Performance Improvement (QAPI) committee failed to maintain compliance with nursing home regulations and ensure that plans to improve the delivery of care and services effectively addressed recurring deficiencies.
  16. D
    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
    F868 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 12, 2025
    Inspectors wroteBased on review of policies and attendance records for the facility's Quality Assurance Committee, as well as staff interviews, it was determined that the facility failed to ensure that all required members of the Quality Assurance Committee attended quarterly meetings.
  17. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 12, 2025
    Inspectors wroteBased on review of policies, as well as observations and staff interviews, it was determined that the facility failed to ensure that proper hand washing techniques were used during medication administration for three of three residents observed (Residents 2, 29, 45).
December 26, 2024Complaint inspection · 4 citations
  1. E
    Provide for the safe, appropriate administration of IV fluids for a resident when needed.
    F694 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) February 4, 2025
    Inspectors wroteBased on review of facility policies, clinical record reviews, observations, and resident and staff interviews, it was determined that the facility failed to ensure that peripherally-inserted central catheters (PICC lines) site dressings were changed per physician's orders for one of six residents reviewed (Resident 2).
  2. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 4, 2025
    Inspectors wroteBased on review of facility policy, clinical record reviews, observations, and resident and staff interviews, it was determined that the facility failed to maintain resident dignity for two of six residents reviewed (Residents 2, 6).
  3. D
    Keep residents' personal and medical records private and confidential.
    F583 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 4, 2025
    Inspectors wroteBased on review of facility policies, observations, and resident and staff interviews, it was determined that the facility failed to ensure personal privacy for one of six resident reviewed (Resident 2).
  4. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 4, 2025
    Inspectors wroteBased on review of facility policies, clinical records, and investigation reports, as well as staff interviews, it was determined that the facility failed to ensure that a thorough investigation was completed for an injury of unknown origin, to rule out that abuse and/or neglect were involved for one of five residents reviewed (Resident 5).
July 11, 2024Complaint inspection · 1 citation
  1. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 30, 2024
    Inspectors wroteBased on review of manufacturer's directions for use, investigative reports, and clinical records, as well as staff interviews, it was determined that the facility failed to ensure that the resident environment remained as free from accident hazards as possible by failing to follow the manufacturer's directions for use of a high-back reclining wheelchair for one of three residents reviewed (Resident 1), resulting in a fall.
June 5, 2024Standard inspection · 15 citations
  1. F
    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
    F803 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) July 16, 2024
    Inspectors wroteBased on review of the facility's written menus, as well as observations and staff interviews, it was determined that the facility failed to follow their planned menu.
  2. E
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 16, 2024
    Inspectors wroteBased on review of facility policies and clinical records, as well as staff interviews, it was determined that the facility failed to ensure that physician's orders for were followed for three of 27 residents reviewed (Residents 11, 27, 35) and failed to ensure that neurological checks were completed following an unwitnessed fall for one of 27 residents reviewed (Resident 13).
  3. E
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 20, 2024
    Inspectors wroteBased on review of facility policies and clinical records, as well as staff interviews, it was determined that the facility failed to maintain accountability for controlled medications (drugs with the potential to be abused) for four of 27 residents reviewed (Residents 2, 11, 29, 34).
  4. E
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 16, 2024
    Inspectors wroteBased on a review of facility policies and clinical records, as well as staff interviews, it was determined that the facility failed to respond timely to pharmacy recommendations for four of 27 residents reviewed (Residents 3, 11, 35, 36) and failed to obtain completed pharmacy recommendations for physician review for two of 27 residents reviewed (Residents 10, 29).
  5. D
    Reasonably accommodate the needs and preferences of each resident.
    F558 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 16, 2024
    Inspectors wroteBased on clinical record reviews, observations, and staff interviews, it was determined that the facility failed to provide reasonable accommodation of a resident's needs by failing to ensure that the call bell was within reach for one of 27 residents reviewed (Resident 35).
  6. D
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 16, 2024
    Inspectors wroteBased on review of facility policies and clinical records, as well as staff interviews, it was determined that the facility failed to address and maintain advance directives as part of the clinical record for one of 27 residents reviewed (Resident 29).
  7. D
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    F607 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 16, 2024
    Inspectors wroteBased on review of policies and personnel files, as well as staff interviews, it was determined that the facility failed to ensure that the status of nursing licenses was checked with the State Board of Nursing for one of two nurses reviewed (Licensed Practical Nurse 2) and failed to complete a Nurse Aide Registry verification for one of three nurse aides reviewed (Nurse Aide 3).
  8. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 16, 2024
    Inspectors wroteBased on review of clinical records, as well as staff interviews, it was determined that the facility failed to ensure that a resident's care plan was updated/revised to reflect the resident's specific care needs for three of 27 residents reviewed (Residents 13, 29, 43).
  9. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 16, 2024
    Inspectors wroteBased on review of Pennsylvania's Nursing Practice Act, clinical records, and staff interviews, it was determined that the facility failed to ensure that a professional (registered) nurse assessed a resident after a fall for one of 27 residents reviewed (Resident 13).
  10. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 16, 2024
    Inspectors wroteBased on review facility policy and clinical records, as well as staff interviews, it was determined that the facility failed to follow treatment recommendations for one of six residents reviewed (Resident 6).
  11. D
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    F688 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 16, 2024
    Inspectors wroteBased on review of clinical records, as well as observations and staff interviews, it was determined that the facility failed to ensure that contracture management services were provided as care planned for one of 27 residents reviewed (Resident 25).
  12. 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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 16, 2024
    Inspectors wroteBased on observations and staff interviews, it was determined that the facility failed to ensure that medications were properly secured in the medication cart.
  13. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 16, 2024
    Inspectors wroteBased on facility policy, clinical record reviews, and staff interviews, it was determined that the facility failed to ensure that clinical records were complete and accurately documented for one of 27 residents reviewed (Resident 13).
  14. D
    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
    F867 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 16, 2024
    Inspectors wroteBased on review of the facility's plans of correction and the results of the current survey, it was determined that the facility's Quality Assurance Performance Improvement (QAPI) committee failed to correct quality deficiencies and ensure that plans to improve the delivery of care and services effectively addressed recurring deficiencies.
  15. D
    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
    F947 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 16, 2024
    Inspectors wroteBased on review of policies and personnel files, as well as staff interviews, it was determined that based on nurse aides' hire dates, the facility failed to ensure that nurse aides completed at least 12 hours of inservice education for one of five nurse aides reviewed (Nurse Aide 6).
January 26, 2024Complaint inspection · 3 citations
  1. E
    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
    F625 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) March 4, 2024
    Inspectors wroteBased on review of policies and clinical records, as well as staff interviews, it was determined that the facility failed to provide a written notice of the facility's bed-hold policy to the resident and/or the resident's representative at the time of transfer for three of three residents reviewed (Residents 1, 2, 3).
  2. D
    Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
    F626 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 4, 2024
    Inspectors wroteBased on review of facility policies and clinical records, as well as staff interviews, it was determined that the facility failed to permit the readmission of a hospitalized resident without providing evidence that the facility was not able to meet the resident's needs for one of three residents reviewed (Resident 1).
  3. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 4, 2024
    Inspectors wroteBased on review of policies and clinical records, as well as staff interviews, it was determined that the facility failed to maintain clinical records that were accurately documented for one of three residents reviewed (Resident 1).

Fire safety inspections

17 fire safety citations on file: 1 on May 18, 2026, 7 on July 2, 2025, 9 on June 5, 2024.

Every fire safety citation17 citations
  1. E
    Have simulated fire drills held at unexpected times.
    K 712 · May 18, 2026 · Corrected (the home has a date of correction)
  2. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · July 2, 2025 · Corrected (the home has a date of correction)
  3. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · July 2, 2025 · Corrected (the home has a date of correction)
  4. E
    Install corridor and hallway doors that block smoke.
    K 363 · July 2, 2025 · Corrected (the home has a date of correction)
  5. C
    Conduct risk assessment and an All-Hazards approach.
    E 6 · July 2, 2025 · Corrected (the home has a date of correction)
  6. C
    Establish roles under a Waiver declared by secretary.
    E 26 · July 2, 2025 · Corrected (the home has a date of correction)
  7. C
    Establish staff and initial training requirements.
    E 37 · July 2, 2025 · Corrected (the home has a date of correction)
  8. C
    Conduct testing and exercise requirements.
    E 39 · July 2, 2025 · Corrected (the home has a date of correction)
  9. F
    Implement emergency and standby power systems.
    E 41 · June 5, 2024 · Corrected (the home has a date of correction)
  10. E
    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.
    K 222 · June 5, 2024 · Corrected (the home has a date of correction)
  11. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · June 5, 2024 · Corrected (the home has a date of correction)
  12. E
    Provide properly protected cooking facilities.
    K 324 · June 5, 2024 · Corrected (the home has a date of correction)
  13. E
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · June 5, 2024 · Corrected (the home has a date of correction)
  14. E
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · June 5, 2024 · Corrected (the home has a date of correction)
  15. E
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · June 5, 2024 · Corrected (the home has a date of correction)
  16. E
    Meet requirements for the use of electrical equipment.
    K 919 · June 5, 2024 · Corrected (the home has a date of correction)
  17. C
    Have simulated fire drills held at unexpected times.
    K 712 · June 5, 2024 · Corrected (the home has a date of correction)

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.

MeasureThis homePennsylvaniaUnited States
All nursing staff (RN, LPN and aides)4.153.893.86
Registered nurses1.040.790.69
All nursing staff on weekends3.833.533.42
Nurse aides2.40
Licensed practical nurses0.70
Nursing staff turnover (share who left in a year)62.9%44.5%45.8%
Registered nurse turnover57.1%39.9%42.9%
Administrators who left1

CMS expects 3.97 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 4.28 on weekdays and 3.83 on weekends, 11% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 20.9% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.37 in April to June 2025 to 4.15 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.151.044.283.83 20.9%0 of 9043
Oct to Dec 20254.141.044.283.78 20.3%0 of 9243
Jul to Sep 20254.391.044.573.91 32.3%0 of 9243
Apr to Jun 20254.371.044.514.00 34.4%0 of 9143
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Pennsylvania, Jan to Mar 20263.690.653.823.3411.3%0.1% 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.

MeasureThis homePennsylvaniaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
8.416.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.70.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.01.41.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
0.83.13.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.41.41.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
7.417.014.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
5.44.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
11.517.715.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
21.222.523.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
12.19.512.0

Owners and operators

Legal business name: MAPLE WINDS HEALTHCARE AND REHABILITATION CENTER, LLC. CMS links this home to Mb Healthcare, a group of 12 nursing homes averaging 3.6 stars overall.

NameRoleTypeShareSince
Brodt, Moshe5% or greater direct ownership interestIndividual25%04/07/2017
Dorfman, YaakovDirect ownership interestIndividual04/07/2017
Lahasky, EphramDirect ownership interestIndividual04/07/2017
Piller, MendyDirect ownership interestIndividual04/07/2017
Evans, ChadOperational/managerial controlIndividual01/08/2025
Sommers, DovidOperational/managerial controlIndividual04/07/2017
Mb Healthcare Services LLCAdp of the SNFOrganization04/07/2017
Brodt, MosheAdp of the SNFIndividual04/07/2017
Dorfman, YaakovAdp of the SNFIndividual04/07/2017
Evans, ChadAdp of the SNFIndividual01/08/2025
Fockler, CraigAdp of the SNFIndividual03/12/2025
Lahasky, EphramAdp of the SNFIndividual04/07/2017
Piller, MendyAdp of the SNFIndividual04/07/2017

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.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 17 problems in this area, most recently on May 18, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  2. When is the care plan meeting, and can family attend it?Inspectors cited 13 problems in this area, most recently on May 18, 2026: "Ensure services provided by the nursing facility meet professional standards of quality."
  3. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 10 problems in this area, most recently on May 18, 2026: "Ensure that residents are fully informed and understand their health status, care and treatments."
  4. Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 6 problems in this area, most recently on May 18, 2026: "Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program."
  5. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

Other nursing homes nearby

Pennsylvania contacts for a concern about a nursing home

These are the official offices in Pennsylvania. NursingHomeClear cannot take or act on complaints.

Common questions

What is Maple Winds Healthcare and Rehabilitation, LLC's Medicare star rating?
CMS rates Maple Winds Healthcare and Rehabilitation, LLC 2 out of 5 stars overall, with 1 for health inspections, 4 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Maple Winds Healthcare and Rehabilitation, LLC get at its last inspection?
22 health deficiencies at the standard inspection on May 18, 2026. The Pennsylvania average is 10.
Has Maple Winds Healthcare and Rehabilitation, LLC been fined?
CMS lists no fines in the last three years.
Does Maple Winds Healthcare and Rehabilitation, LLC 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 Winds Healthcare and Rehabilitation, LLC?
CMS lists 13 owners and managers, and links the home to Mb Healthcare. Legal business name: MAPLE WINDS HEALTHCARE AND REHABILITATION CENTER, LLC.

Sources

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