MAPLE WINDS HEALTHCARE AND REHABILITATION, LLC
4112 SPRING HILL ROAD, PORTAGE, PA 15946 · CCN 396088
Ratings
- Overall
- ★★☆☆☆ 2
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★★★☆ 4
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 50
- Avg residents/day
- 43.0
- Phone
- 8147366006
Inspection history vs Pennsylvania & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Pennsylvania avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-07-02 | 17 | 10.1 | 9.5 | +6.9 worse |
| 2 | 2024-06-05 | 20 | 10.9 | 9.8 | +9.1 worse |
| 3 | 2023-06-01 | 14 | 10.5 | 9.3 | +3.5 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 4 |
| Resident assessment and care planning | 4 |
| Resident rights | 3 |
| Nutrition and dietary | 1 |
| Pharmacy service | 1 |
| Administration | 3 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.39 | 61.5% |
| RN staffing (reported) | 1.04 | 30.0% |
| Total nurse staffing (adjusted) | 4.54 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Chain
- Chain
- MB HEALTHCARE
- Facilities in chain
- 11
- Chain avg overall
- 3.40 / 5
Inspection citations (51)
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-07-02 · Health · corrected 2025-08-12
Potential for more than minimal harm
- DF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2025-07-02 · Health · corrected 2025-08-12
Potential for more than minimal harm
- DF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2025-07-02 · Health · corrected 2025-08-12
Potential for more than minimal harm
- EF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2025-07-02 · Health · corrected 2025-08-12
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2025-07-02 · Health · corrected 2025-08-12
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-07-02 · Health · corrected 2025-08-12
Potential for more than minimal harm
- EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-07-02 · Health · corrected 2025-08-12
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-07-02 · Health · corrected 2025-08-12
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-07-02 · Health · corrected 2025-08-12
Potential for more than minimal harm
- EF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-07-02 · Health · corrected 2025-08-12
Potential for more than minimal harm
- EF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2025-07-02 · Health · corrected 2025-08-12
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-07-02 · Health · corrected 2025-08-12
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-07-02 · Health · corrected 2025-08-12
Potential for more than minimal harm
- DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2025-07-02 · Health · corrected 2025-08-12
Potential for more than minimal harm
- DF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2025-07-02 · Health · corrected 2025-08-12
Potential for more than minimal harm
- DF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2025-07-02 · Health · corrected 2025-08-12
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-07-02 · Health · corrected 2025-08-12
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-12-26 · Health · corrected 2025-02-04
Potential for more than minimal harm
- DF0583Keep residents' personal and medical records private and confidential.2024-12-26 · Health · corrected 2025-02-04
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2024-12-26 · Health · corrected 2025-02-04
Potential for more than minimal harm
- EF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2024-12-26 · Health · corrected 2025-02-04
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-07-11 · Health · corrected 2024-07-30
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2024-06-05 · Health · corrected 2024-07-16
Potential for more than minimal harm
- DF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2024-06-05 · Health · corrected 2024-07-16
Potential for more than minimal harm
- DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-06-05 · Health · corrected 2024-07-16
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-06-05 · Health · corrected 2024-07-16
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-06-05 · Health · corrected 2024-07-16
Potential for more than minimal harm
- EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-06-05 · Health · corrected 2024-07-16
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-06-05 · Health · corrected 2024-07-16
Potential for more than minimal harm
- DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2024-06-05 · Health · corrected 2024-07-16
Potential for more than minimal harm
- EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-06-05 · Health · corrected 2024-08-20
Potential for more than minimal harm
- EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-06-05 · Health · corrected 2024-07-16
Potential for more than minimal harm
- DF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2024-06-05 · Health · corrected 2024-07-16
Potential for more than minimal harm
- FF0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.2024-06-05 · Health · corrected 2024-07-16
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-06-05 · Health · corrected 2024-07-16
Potential for more than minimal harm
- DF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2024-06-05 · Health · corrected 2024-07-16
Potential for more than minimal harm
- DF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2024-06-05 · Health · corrected 2024-07-16
Potential for more than minimal harm
- EF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.2024-01-26 · Health · corrected 2024-03-04
Potential for more than minimal harm
- DF0626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.2024-01-26 · Health · corrected 2024-03-04
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-01-26 · Health · corrected 2024-03-04
Potential for more than minimal harm
- DF0637Assess the resident when there is a significant change in condition2023-06-01 · Health · corrected 2023-07-10
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2023-06-01 · Health · corrected 2023-07-10
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-06-01 · Health · corrected 2023-07-10
Potential for more than minimal harm
- EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-06-01 · Health · corrected 2023-07-10
Potential for more than minimal harm
- EF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.2023-06-01 · Health · corrected 2023-07-10
Potential for more than minimal harm
- EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-06-01 · Health · corrected 2023-07-10
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-06-01 · Health · corrected 2023-07-10
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-06-01 · Health · corrected 2023-07-10
Potential for more than minimal harm
- DF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2023-06-01 · Health · corrected 2023-07-10
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2023-06-01 · Health · corrected 2023-07-10
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2023-04-06 · Health · corrected 2023-05-04
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| BRODT, MOSHE | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 25% | 2017-04-07 |
| EVANS, CHAD | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-08 |
| SOMMERS, DOVID | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-04-07 |
Other facilities in PORTAGE
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.