Maple Grove Health And Rehabilitation Center
Inspection Findings
F-Tag F0600
F 0600 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
medical records and speaking to staff. The Medical Director stated she felt that it was very possible that Resident #1 had injured himself due to his outbursts and behaviors. The Medical Director indicated Resident #1 had been followed for seizures and had not had any issues in a long time and labs were completed frequently to follow Resident #1's Keppra levels. The MD indicated Resident #1's labs and had not shown any levels of Keppra that were concerning. The Medical Director stated Resident #1 did not complain of pain or discomfort and was almost healed on 10/15/25.
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Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
11/19/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Maple Grove Health and Rehabilitation Center
308 West Meadowview Road Greensboro, NC 27406
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0791
F 0791 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
assessed by the dentist immediately if Resident #1 had shown signs of pain or discomfort.An interview was conducted with the Administrator, Assistant Administrator, and Director of Nursing (DON) on 10/16/25 at 6:00 PM. The Administrator revealed they had found where the facility had been notified on 08/22/25 and 09/29/25 that Resident #1 required a medical consultation for adjusting his medicine before he could be scheduled for a routine dental visit. The Administrator stated they were not aware how it was missed, but
the facility should have followed up with the dentist to get the medical consultation completed so that Resident #1 could have been seen. The DON and Administrator indicated if Resident #1 had shown any signs of pain and discomfort, they would have sent him out immediately. The Assistant Administrator and Administrator explained the facility was in the process of getting Resident #1's medical consultation so he could be seen for a routine visit on 10/22/25 but did not think it was urgent due to the NP and Medical Director assessing the resident and not having any dental concerns.An interview with hospital Physician on 10/27/25 at 11:05 AM revealed Resident #1 was assessed on 10/09/25 at the hospital for possible assault with facial swelling. The Physician stated during the assessment the resident had no evidence of infection or abscesses. The Physician indicated Resident #1's swelling was not caused due to any dental issues but recommended follow-up with his dentist.
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Maple Grove Health and Rehabilitation Center in Greensboro, NC inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Greensboro, NC, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Maple Grove Health and Rehabilitation Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.