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Complaint Investigation

Maple Heights Health & Rehab Center, Llc

November 20, 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 November 20, 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

FF0804
Nutrition and Dietary Deficiencies
Potential for More Than Minimal Harm

Based on review of facility policies and observations, as well as resident and staff interviews, it was determined that the facility failed to serve food that was palatable and at appetizing temperatures.

Findings include:The facility's policy regarding food temperatures, dated September 23, 2025 indicated that hot foods should be at least 135 degrees Fahrenheit (F) when plated and should be palatable at the point of delivery.

Foods were to be transported as quickly as possible to maintain temperatures for delivery and service, and appropriate hot/cold holding equipment was to be used as needed.An interview with Resident 129 on November 17, 2025, at 1:53 p.m. revealed that she believed the quality and quantity of the food served for meals was poor, and that the food was often served cold when it should have been served hot.The lunch meal on November 18, 2025, consisted of fried chicken with poultry gravy, garlic mashed potatoes, seasoned spinach, and corn bread.

The recipes for the seasoned spinach only called for salt; the garlic mashed potatoes called for minced garlic, margarine and salt; and the cornbread called for water to be added to a cornbread mix.Observations in the main kitchen for the lunch meal service on November 18, 2025, at 12:09 p.m. revealed that Styrofoam containers were used instead of regular plates and bowls. A test tray left the kitchen and arrived on the third floor at 12:12 p.m.

Styrofoam containers of food were passed to the residents in their rooms, and the last resident was served and eating at 12:21 p.m.

The test tray on November 18, 2025, at 12:22 p.m. revealed that the temperature of the fried chicken was 127.0 degrees F and the spinach was 122.9 degrees F.

The fried chicken had a hard border, and the mashed potatoes, seasoned spinach, and cornbread lacked seasoning and flavor.Interview with the Assistant Dietary Manager at that time confirmed that food should be served at correct temperatures and be palatable.28 Pa.

Code 211.6(f) Dietary 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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