Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around November 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Maple Heights during CMS and state inspections, most recent first.
A facility failed to develop a comprehensive care plan for a resident with an indwelling catheter, omitting Enhanced Barrier Precautions. The resident's care plan lacked necessary directives despite a physician's order for monthly catheter changes. The DON acknowledged the absence of a policy on care plan accuracy, relying on professional standards and the RAI.
A medication cart was left unlocked and unattended for five minutes by an LPN, during which a resident in a wheelchair passed by. An RN later locked the cart. Interviews with staff confirmed that medication carts should be locked when not in use or out of the nurse's eyesight, although the facility lacks a specific policy for this practice.
The facility failed to implement Enhanced Barrier Precautions for three residents requiring special care, including enteral feeding and catheter use. Staff did not wear gowns as required, despite the facility's policy mandating PPE for residents with indwelling medical devices. Observations and interviews confirmed the deficiency in infection prevention and control practices.
The facility failed to replace food items before their recommended past due date. A bin of flour in the kitchen was found with a date indicating it was last filled several months ago. The CDM was unsure of the flour's shelf life, but the dietician confirmed it should not exceed six months. The facility's policy required food rotation, which was not followed.
A facility failed to provide a comprehensive care plan for a resident, lacking goals and interventions for pain management with opioids. The resident, with no cognitive impairment and a diagnosis of pain, had a physician's order for Tramadol. The care plan did not include necessary elements for managing pain, and the DON acknowledged this absence, noting the facility follows CMS RAI guidelines.
A resident with severe cognitive impairment and multiple diagnoses, including heart failure and dementia, tested positive for COVID-19. Despite being treated with an antibiotic and steroid, the care plan was not updated to include specific interventions or monitoring goals. The facility lacked a specific policy for care plan updates, relying on general standards of care.
A resident with an indwelling catheter was observed with their catheter bag improperly secured to a trash can, lacking a dignity cover. A CNA confirmed the practice, and the DON stated the facility's expectation was for the catheter to be placed on a barrier on the ground, although no specific policy existed.
Failure to Include Enhanced Barrier Precautions in Care Plan
Penalty
Summary
The facility failed to develop a comprehensive care plan for a resident who utilized an indwelling catheter, as required by professional standards and the Resident Assessment Instrument (RAI). The resident was admitted to the facility from a short-term hospital stay and had a physician's order for a 16 French indwelling Foley catheter to be changed monthly. However, the baseline care plan, signed on February 7, 2025, did not include staff directives to use Enhanced Barrier Precautions, which are necessary for residents with indwelling catheters to prevent infections. During an interview, the Director of Nursing (DON) admitted that the facility did not have a policy on the accuracy of care plans, relying instead on professional standards and the RAI. This oversight resulted in the omission of critical care directives in the resident's care plan, which could potentially impact the resident's health and safety.
Medication Cart Left Unlocked and Unattended
Penalty
Summary
The facility failed to properly secure and store medications, as observed during a survey. On the east hall of the facility, a medication cart was left unlocked and unattended for five minutes by an LPN. During this time, a resident in a wheelchair passed by the unlocked cart. Subsequently, an RN arrived from the south hallway and locked the cart. Interviews with staff, including an RN and the Director of Nursing (DON), confirmed that the expectation is for medication carts to be locked when not in use or out of the nurse's eyesight. However, the facility does not have a specific policy for this practice, relying instead on standards of practice.
Failure to Implement Enhanced Barrier Precautions
Penalty
Summary
The facility failed to implement Enhanced Barrier Precautions (EBP) for three residents, leading to a deficiency in infection prevention and control. Resident #103 required special treatments including suctioning, tube feedings, and a suprapubic catheter, and had continuous nutrition through enteral feedings. Resident #47, who had severe limited physical mobility due to cerebral palsy, was dependent on staff for all activities of daily living and received nutrition and medication via a PEG tube. During observations, Staff A, an LPN, administered medication and set up enteral feeding for these residents without wearing a gown, which is a requirement under EBP. Resident #26, who had chronic kidney disease and required an indwelling catheter, was also not provided with appropriate EBP. Staff E and Staff F, both CNAs, were observed draining the resident's catheter drainage bag without wearing gowns, although they completed hand hygiene before and after the procedure. Interviews with staff and the Director of Nursing confirmed that the facility's policy required the use of PPE, including gowns, when caring for residents with indwelling medical devices under EBP. The facility's policy, updated in March 2024, specified that EBP should be applied to residents with indwelling medical devices, regardless of MDRO colonization status.
Failure to Rotate Food Items in Accordance with Shelf Life
Penalty
Summary
The facility failed to ensure that food items were replaced before their recommended past due date. During an observation of the facility kitchen, it was discovered that a bin of flour had a date of 10/16/23 on its lid, indicating when it was last filled. The Certified Dietary Manager (CDM) was unsure of the recommended shelf life for flour. Upon consultation with the dietician, it was confirmed that flour in those containers should not be kept for more than six months. The facility's undated policy on Safety in Food Products and Storage indicated that all food products should be rotated, which was not adhered to in this instance.
Lack of Comprehensive Care Plan for Pain Management
Penalty
Summary
The facility failed to provide a comprehensive care plan for a resident, specifically lacking goals and interventions related to pain management and the use of opioids. The resident, who had no cognitive impairment as indicated by a Brief Interview for Mental Status (BIMS) score of 14, had a documented diagnosis of pain and a physician's order for Tramadol 50mg PRN every 6 hours. Despite this, the care plan did not include necessary goals and interventions for managing pain with opioids. The Director of Nursing (DON) acknowledged the absence of these elements in the care plan and stated that the facility does not have a specific policy for care plans, instead following the Centers for Medicaid and Medicare Services (CMS) Resident Assessment Instrument (RAI) for care plan completion.
Care Plan Update Deficiency for COVID-19 Positive Resident
Penalty
Summary
The facility failed to update the care plan for a resident who experienced a change in condition, specifically increased weakness, loss of appetite, and a positive COVID-19 diagnosis. The resident, who had a severely impaired cognition with a BIMS score of 4 out of 15, was diagnosed with heart failure, non-Alzheimer's dementia, malnutrition, and urinary retention. Despite the resident's COVID-19 diagnosis and subsequent treatment with an antibiotic and steroid, the care plan lacked specific interventions or monitoring goals to address the resident's needs. The Director of Nursing acknowledged that the facility did not have a specific policy for care plan updates, relying instead on general standards of care.
Inappropriate Catheter Placement and Lack of Dignity Cover
Penalty
Summary
The facility failed to provide appropriate infection prevention practices for a resident with an indwelling catheter. The resident, who had intact cognition, was observed with their catheter drainage bag improperly secured to a trash can containing trash, and the bag lacked a dignity cover. A Certified Nursing Assistant (CNA) confirmed that the catheter was either placed on a barrier on the floor or hung from the garbage can, and dignity bags were not used in the resident's room. The Director of Nursing (DON) stated that the facility's expectation was for the catheter to be placed on a barrier on the ground and not hung on the garbage can. The DON also noted that the facility did not have a specific policy on catheter placement but followed professional standards of practice.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Mapleton
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Willow Dale Wellness Village | 15.1 mi | — | 2 | 0 |
| Accura Healthcare Of Onawa | 17.5 mi | — | 0 | 0 |
| Pleasant View Care Center | 18.2 mi | — | 0 | 0 |
| Correctionville Specialty Care | 22.3 mi | — | 7 | 0 |
| Dunlap Specialty Care | 24.3 mi | — | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.