Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around January 2027
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 Lawn Senior Care during CMS and state inspections, most recent first.
The facility failed to manage food storage and cleanliness, affecting 37 residents. Expired milk and unlabeled desserts were found, and a fan in the dishwasher room had lint debris, risking contamination of clean dishes. The dietary manager and maintenance supervisor acknowledged these issues, revealing lapses in protocol and maintenance responsibilities.
A facility failed to ensure its narcotic emergency kit did not contain expired medications and that the E-kit contents label was updated monthly. An observation revealed that several medications, including lorazepam and warfarin, had expired. Interviews with the DON and consulting pharmacist supervisor highlighted a lack of clarity regarding the responsibility for updating and reviewing the E-kit medications, leading to the oversight of expired medications.
The facility failed to obtain informed consent for psychotropic medication use for two residents and did not establish a baseline assessment for monitoring abnormal involuntary movements for a resident prescribed a new antipsychotic medication. The Director of Nursing acknowledged the oversight in obtaining consents and completing necessary assessments, and the facility's policy on antipsychotic medication use was not reviewed and updated annually as required.
Deficiencies in Food Management and Kitchen Cleanliness
Penalty
Summary
The facility failed to properly manage food storage and cleanliness in the kitchen, which had the potential to affect all 37 residents. During an observation and interview with the dietary manager, it was found that the refrigerator contained expired milk and unlabeled desserts, while a pre-made salad was discolored and past its date. The dietary manager acknowledged these issues and confirmed that the expired and unlabeled items needed to be discarded. Additionally, a fan in the dishwasher room was observed to have lint debris, which could potentially contaminate clean dishes. The dietary manager noted that the maintenance department was responsible for cleaning the fan, but it was not being regularly maintained. Interviews with the dietician and maintenance supervisor revealed further lapses in protocol. The dietician stated that expired food should be discarded within 48 hours past the best use by date and expected all food items to be labeled and dated. The maintenance supervisor admitted that the fan was only cleaned as needed and was surprised by its condition, indicating a lack of regular cleaning. The director of nursing expected the kitchen staff to monitor for expired food and maintain cleanliness, including the fan. However, the dietary shift cleaning checklist did not include the fan, and there was no policy provided for monitoring expired food or ensuring items were labeled and dated.
Expired Medications Found in Narcotic Emergency Kit
Penalty
Summary
The facility failed to ensure that one of its two narcotic emergency kits (E-kits) did not contain expired medications and that the E-kit contents label was updated monthly and current. During an observation, a large narcotic E-kit was identified with a red numbered tag, indicating it had not been opened. However, upon review, it was found that several medications within the E-kit, including lorazepam, warfarin, sulfamethoxazole/trimethoprim, doxycycline, levofloxacin, and prednisone, had expired on 12/15/24. The E-kit medication log from July 2023 also showed discrepancies, such as missing expiration dates and outdated information. Interviews with the Director of Nursing (DON) and the consulting pharmacist supervisor revealed a lack of clarity and communication regarding the responsibility for updating and reviewing the E-kit medications. The DON was aware that the local pharmacy was supposed to replace E-kit medications monthly and upon request, but there was uncertainty about whether the clinical pharmacist had a process to review the E-kit medications. The consulting pharmacist supervisor stated that the E-kit was the pharmacy's responsibility and expected the facility to have an updated E-kit medication log. However, the facility had not received an updated medication log for the current year, leading to the oversight of expired medications in the E-kit.
Failure to Obtain Informed Consent and Conduct Baseline Assessments for Psychotropic Medications
Penalty
Summary
The facility failed to obtain informed consent for the use of psychotropic medications for two residents, R32 and R91. R32, who had severe cognitive impairment and was dependent for all care, was prescribed Depakote and Zoloft for anxiety and depression. However, there was no documentation of consent from the resident, family, or guardian for these medications. Similarly, R91, who had moderate cognitive impairment and was on hospice care, was prescribed Zoloft, Zyprexa, Buspirone, and Ativan for anxiety and depression. Again, there was no indication of consent for these medications in the medical record. Additionally, the facility failed to establish a baseline assessment for monitoring abnormal involuntary movements for R91, who was prescribed a new antipsychotic medication, Zyprexa. The Director of Nursing (DON) acknowledged that the assessment for involuntary movements was supposed to be completed when a resident started on an antipsychotic medication, but this was not done for R91. The consulting pharmacist also confirmed the expectation for a baseline assessment upon starting an antipsychotic medication. The DON admitted to forgetting about obtaining consents for psychotropic medication use and completing the necessary assessments following R91's new antipsychotic medication order. The facility's policy required an AIMS assessment at the start of an antipsychotic medication and quarterly thereafter, but there was no indication that this policy had been reviewed and updated annually as required by regulation.
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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 Fulda
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Good Samaritan Society - Westbrook | 14.1 mi | — | 11 | 0 |
| The Shores Of Worthington | 18.3 mi | — | 21 | 1 |
| Good Samaritan Society - Windom | 23.6 mi | — | 23 | 1 |
| Prairie View Senior Living | 24.7 mi | — | 0 | 0 |
| Colonial Manor Nursing Home | 25 mi | — | 21 | 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.