Maple Ridge Rehab: Call Bell Failures, Ignored Grievances - PA
That finding came out of a complaint inspection completed September 3, 2025.
The resident, identified in the inspection report as Resident 2, told an inspector that he regularly waits longer than 30 minutes for staff to respond after he presses his call bell. He is cognitively intact, meaning he understood exactly what was happening to him and could describe it clearly. He also requires two staff members and his roller walker to get to the bathroom. He cannot do it alone. When nobody came, he experienced a bowel incontinence episode, a preventable humiliation for a man who was aware of every moment of it.
He had tried to do something about it. He raised the problem at a Resident Council meeting, the formal channel nursing homes provide for residents to voice concerns. He left that meeting unsatisfied with how the facility responded.
He was not alone.
Inspectors found that another resident, also described as cognitively intact, had also raised concerns. The inspection report does not specify what that resident reported, but the pattern it describes is facility-wide: grievances raised verbally and through Resident Council meetings were going nowhere, and there was no paper trail to prove otherwise.
When inspectors sat down with the facility's two top administrators on the morning of September 3, the Nursing Home Administrator and the Director of Nursing both acknowledged it. There was no documented evidence, they confirmed, that grievances raised during Resident Council meetings had been resolved. There was no documented evidence that verbal complaints had been resolved either.
That acknowledgment matters. This was not a case where administrators pushed back, disputed the findings, or claimed the documentation existed somewhere else. They confirmed the gap themselves.
What that means, practically, is that when a resident pressed his call bell and waited and waited and eventually could not wait any longer, the formal system that exists to catch that failure and fix it was not working. Complaints went in. Nothing came out the other side that anyone could point to.
Nursing homes are required under Pennsylvania law to have functioning grievance processes, and the inspection cited three separate state code provisions covering management, resident rights, and resident care policies. But the legal citations are almost beside the point. The point is that a man who needed two people and a walker to reach the bathroom pressed his call bell and was left to soil himself, and then raised that concern formally, and the facility responded in a way that left him unsatisfied, and administrators later admitted they had no documentation showing anything had been fixed.
The inspection classified the level of harm as minimal harm or potential for actual harm, and noted that few residents were affected. Those designations reflect regulatory language about scope and severity. They do not reflect what it feels like to be a cognitively intact adult who cannot get to the bathroom without help and who has learned that pressing the call bell may or may not produce anyone within half an hour.
Thirty minutes is a long time to wait under ordinary circumstances. It is a different thing entirely when the reason you are waiting is that you cannot stand up without assistance.
Maple Ridge Rehabilitation & Healthcare Center had no documented resolutions to show inspectors. Resident 2 had raised his concerns through the proper channel and remained unsatisfied. As of the date of the inspection, he was still waiting longer than 30 minutes for staff to answer his call bell.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Maple Ridge Rehabilitation & Healthcare Center from 2025-09-03 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 26, 2026 · Our methodology
MAPLE RIDGE REHABILITATION & HEALTHCARE CENTER in KINGSTON, PA was cited for violations during a health inspection on September 3, 2025.
That finding came out of a complaint inspection completed September 3, 2025.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.