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Complaint Investigation

The Greens At Maple Leaf

December 22, 2025 · Statesville, NC · 1101 Maple Care Lane
Citations 1
CMS Rating 4/5
Beds 94
Provider ID 345340
Healthcare Facility
The Greens At Maple Leaf
Statesville, NC  ·  View full profile →
Inspection Summary

The Greens at Maple Leaf in Statesville, NC — inspection on December 22, 2025.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF0689
Quality of Life and Care Deficiencies
Actual Harm

as determined at the Ad HOC QAPI meeting on 11/25/25.

The Director of Nursing or Designee will conduct the Skills Checklist for Bed Mobility/Positioning on Side with nursing staff across all shifts to ensure proper technique is utilized.

The Nursing Assistant Clinical Skills Checklist and Competency Evaluation will be completed with five Certified Nursing Assistants per week for eight weeks across all shifts.

Nurse Manager will observe all Certified Nursing Assistants to ensure they are turning and repositioning the resident correctly by utilizing the Nursing Assistant Clinical Skills Checklist and Competency Evaluation.

The Nurse Managers were notified by the Director of Nursing on 11/25/25 to complete competency evaluations with staff and to review the amount of assistance that was needed prior to allowing staff to perform tasks.

The Nurse Manager reviewed the amount of assistance that was needed prior to allowing staff to perform tasks.

The Administrator or Designee will review the results of these audits and the plan during the monthly Quality Assurance and Performance Improvement (QAPI) meeting.

The audits will continue at the discretion of the Quality Assurance and Performance Improvement committee based on compliance results.

Date of Compliance: 11/26/2025 The facility's plan of correction was validated on 12/18/25 that included reviews of Resident #1's care plan to require a two person assist with bed mobility and turning, audits of falls within the past 30 days that occurred with staff assistance to ensure there were no issues and reviewed audits to ensure residents mobility assessments and care plans matched to the amount of assistance required.

The review also included how education was provided with nursing staff through verbal instruction and return demonstration of the education.

Interviews were obtained to verify the Nurse Managers were conducting the observations during their daily rounds of staff utilizing proper bed mobility and turning techniques and making sure the correct bed mobility assistance reflected the residents' care summary.

The facility's compliance date of 11/26/25 was validated.

Facility ID:

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 Statesville, 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 The Greens at Maple Leaf or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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