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Complaint Investigation

Maple Heights Health & Rehab Center, Llc

October 1, 2025 · Ebensburg, PA · 429 Manor Drive
Citations 1
CMS Rating 1/5
Beds 301
Provider ID 395828
Healthcare Facility
Maple Heights Health & Rehab Center, Llc
Ebensburg, PA  ·  View full profile →
Inspection Summary

Maple Heights Health & Rehab Center, LLC in EBENSBURG, PA — inspection on October 1, 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

FF0842
Resident Assessment and Care Planning Deficiencies
Potential for More Than Minimal Harm

Based on review of facility policy and clinical records, as well as resident and staff interviews, it was determined that the facility failed to maintain clinical records that were complete and accurately documented for one of 10 residents reviewed (Resident 4).Findings include: The facility policy for Activities of Daily Living (ADL) documentation, dated September 23, 2025, indicated that Provisions of ADL care will be documented each shift by staff providing the care.

This shall include, but not limited to, documentation of food intake, toileting, ambulation, bathing, dressing, and transferring.

Actual meal consumption will be documented. An annual Minimum Data Set (MDS) assessment (a mandated assessment of a resident's abilities and care needs) for Resident 4 dated July 1, 2025, indicated that the resident was cognitively impaired, was dependent on staff for personal care needs including eating, and had diagnoses that included dysphagia (difficulty swallowing food or liquids).The care plan for Resident 4 dated August 2, 2023, indicated that the resident required a texture modified diet and staff were to provide assistance at meals. A review of meal intakes for Resident 4 for August and September, 2025 revealed that no meal intakes were documented for the breakfast meal on August 3, 4, 9, 15, 22, 23, and September 1, 2025.Interview with the Nursing Home Administrator on October 1, 2025, at 4:47 p.m. confirmed that there was no evidence that meal intakes were documented for Resident 4 per the facility's policy on the above-mentioned dates and times. 28 Pa Code 211.5(f) Clinical records28 Pa.

Code 211.12(d)(5) Nursing services

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.

For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

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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 EBENSBURG, PA, (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 Heights Health & Rehab Center, LLC or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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