Starfile

Starfile / Wisconsin

MAPLEWOOD CENTER

8615 W BELOIT RD, WEST ALLIS, WI 53227 · CCN 525069

Ratings

Overall
★☆☆☆☆ 1
Health inspection
★☆☆☆☆ 1
Quality measures
★☆☆☆☆ 1
Staffing
★★★★☆ 4

Facility

Ownership type
Non profit - Corporation
Certified beds
150
Avg residents/day
105.8
Phone
4146074100

Inspection history vs Wisconsin & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityWisconsin avgNational avgvs state
12025-05-01269.89.5+16.2 worse
22024-04-04289.29.8+18.8 worse
32022-12-28248.39.3+15.7 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Quality of life and care5
Nursing and physician services4
Resident rights3
Nutrition and dietary2
Pharmacy service5
Administration5
Infection control2

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)5.1150.4%
RN staffing (reported)1.0343.5%
Total nurse staffing (adjusted)4.48

Fines & penalties

Total fines
$508,068
Number of fines
4
Number of penalties
5
Payment denials
1

Inspection citations (78)5 immediate jeopardy5 actual harm

  1. CF0732Post nurse staffing information every day.2025-07-09 · Health · corrected 2025-08-06

    Potential for minimal harm

  2. EF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2025-05-01 · Health · corrected 2025-05-30

    Potential for more than minimal harm

  3. EF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2025-05-01 · Health · corrected 2025-05-30

    Potential for more than minimal harm

  4. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-05-01 · Health · corrected 2025-05-30

    Potential for more than minimal harm

  5. DF0685Assist a resident in gaining access to vision and hearing services.2025-05-01 · Health · corrected 2025-05-30

    Potential for more than minimal harm

  6. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-05-01 · Health · corrected 2025-05-30

    Actual harm

  7. 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.2025-05-01 · Health · corrected 2025-05-30

    Potential for more than minimal harm

  8. KF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-05-01 · Health · corrected 2025-05-30

    Immediate jeopardy

  9. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2025-05-01 · Health · corrected 2025-05-30

    Potential for more than minimal harm

  10. FF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2025-05-01 · Health · corrected 2025-05-30

    Potential for more than minimal harm

  11. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-05-01 · Health · corrected 2025-05-30

    Potential for more than minimal harm

  12. EF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2025-05-01 · Health · corrected 2025-05-30

    Potential for more than minimal harm

  13. DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2025-05-01 · Health · corrected 2025-05-30

    Potential for more than minimal harm

  14. DF0759Ensure medication error rates are not 5 percent or greater.2025-05-01 · Health · corrected 2025-05-30

    Potential for more than minimal harm

  15. EF0761Ensure 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.2025-05-01 · Health · corrected 2025-05-30

    Potential for more than minimal harm

  16. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-05-01 · Health · corrected 2025-05-30

    Potential for more than minimal harm

  17. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-05-01 · Health · corrected 2025-05-30

    Potential for more than minimal harm

  18. 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.2025-05-01 · Health · corrected 2025-05-30

    Potential for more than minimal harm

  19. DF0880Provide and implement an infection prevention and control program.2025-05-01 · Health · corrected 2025-05-30

    Potential for more than minimal harm

  20. FF0940Develop, implement, and/or maintain an effective training program for all new and existing staff members.2025-05-01 · Health · corrected 2025-05-30

    Potential for more than minimal harm

  21. FF0941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.2025-05-01 · Health · corrected 2025-05-30

    Potential for more than minimal harm

  22. FF0942Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.2025-05-01 · Health · corrected 2025-05-30

    Potential for more than minimal harm

  23. FF0944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.2025-05-01 · Health · corrected 2025-05-30

    Potential for more than minimal harm

  24. FF0945Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.2025-05-01 · Health · corrected 2025-05-30

    Potential for more than minimal harm

  25. FF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2025-05-01 · Health · corrected 2025-05-30

    Potential for more than minimal harm

  26. FF0949Provide behavior health training consistent with the requirements and as determined by a facility assessment.2025-05-01 · Health · corrected 2025-05-30

    Potential for more than minimal harm

  27. EF0559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.2025-02-13 · Health · corrected 2025-03-05

    Potential for more than minimal harm

  28. EF0560Protect a residents' right to refuse some types of non-requested transfers within the nursing home.2025-02-13 · Health · corrected 2025-03-05

    Potential for more than minimal harm

  29. EF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2025-02-13 · Health · corrected 2025-03-05

    Potential for more than minimal harm

  30. DF0610Respond appropriately to all alleged violations.2025-02-13 · Health · corrected 2025-03-05

    Potential for more than minimal harm

  31. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-02-13 · Health · corrected 2025-03-05

    Potential for more than minimal harm

  32. JF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-02-13 · Health · corrected 2025-03-05

    Immediate jeopardy

  33. KF0695Provide safe and appropriate respiratory care for a resident when needed.2025-02-13 · Health · corrected 2025-03-05

    Immediate jeopardy

  34. DF0880Provide and implement an infection prevention and control program.2025-02-13 · Health · corrected 2025-03-05

    Potential for more than minimal harm

  35. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-11-12 · Health · corrected 2024-12-10

    Potential for more than minimal harm

  36. 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.2024-11-12 · Health · corrected 2024-12-10

    Potential for more than minimal harm

  37. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-11-12 · Health · corrected 2024-12-10

    Potential for more than minimal harm

  38. DF0610Respond appropriately to all alleged violations.2024-11-12 · Health · corrected 2024-12-10

    Potential for more than minimal harm

  39. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-11-12 · Health · corrected 2024-12-10

    Potential for more than minimal harm

  40. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-11-12 · Health · corrected 2024-12-10

    Potential for more than minimal harm

  41. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-11-12 · Health · corrected 2024-12-10

    Potential for more than minimal harm

  42. DF0759Ensure medication error rates are not 5 percent or greater.2024-11-12 · Health · corrected 2024-12-10

    Potential for more than minimal harm

  43. DF0880Provide and implement an infection prevention and control program.2024-11-12 · Health · corrected 2024-12-10

    Potential for more than minimal harm

  44. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2024-05-29 · Health · corrected 2024-06-29

    Potential for more than minimal harm

  45. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-05-29 · Health · corrected 2024-06-29

    Potential for more than minimal harm

  46. EF0880Provide and implement an infection prevention and control program.2024-05-29 · Health · corrected 2024-06-29

    Potential for more than minimal harm

  47. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-04-04 · Health · corrected 2024-05-04

    Potential for more than minimal harm

  48. EF0610Respond appropriately to all alleged violations.2024-04-04 · Health · corrected 2024-05-04

    Potential for more than minimal harm

  49. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-04-04 · Health · corrected 2024-05-04

    Potential for more than minimal harm

  50. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-04-04 · Health · corrected 2024-05-04

    Potential for more than minimal harm

  51. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-04-04 · Health · corrected 2024-05-04

    Potential for more than minimal harm

  52. 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.2024-04-04 · Health · corrected 2024-05-04

    Potential for more than minimal harm

  53. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-04-04 · Health · corrected 2024-05-04

    Potential for more than minimal harm

  54. FF0880Provide and implement an infection prevention and control program.2024-04-04 · Health · corrected 2024-05-04

    Potential for more than minimal harm

  55. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-01-13 · Health · corrected 2024-02-09

    Potential for more than minimal harm

  56. DF0610Respond appropriately to all alleged violations.2024-01-13 · Health · corrected 2024-02-09

    Potential for more than minimal harm

  57. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-01-13 · Health · corrected 2024-02-09

    Immediate jeopardy

  58. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-01-13 · Health · corrected 2024-02-09

    Potential for more than minimal harm

  59. 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.2023-10-12 · Health · corrected 2023-11-10

    Potential for more than minimal harm

  60. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-10-12 · Health · corrected 2023-11-10

    Potential for more than minimal harm

  61. DF0610Respond appropriately to all alleged violations.2023-10-12 · Health · corrected 2023-11-10

    Potential for more than minimal harm

  62. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-10-12 · Health · corrected 2023-11-10

    Potential for more than minimal harm

  63. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-10-12 · Health · corrected 2023-11-10

    Actual harm

  64. 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.2023-10-12 · Health · corrected 2023-11-10

    Potential for more than minimal harm

  65. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-10-12 · Health · corrected 2023-11-10

    Actual harm

  66. EF0585Honor 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.2022-12-28 · Health · corrected 2023-02-07

    Potential for more than minimal harm

  67. GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-12-28 · Health · corrected 2023-03-07

    Actual harm

  68. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2022-12-28 · Health · corrected 2023-03-07

    Actual harm

  69. 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.2022-12-28 · Health · corrected 2023-02-07

    Potential for more than minimal harm

  70. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-12-28 · Health · corrected 2023-03-07

    Immediate jeopardy

  71. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2022-12-28 · Health · corrected 2023-02-07

    Potential for more than minimal harm

  72. DF0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.2022-12-28 · Health · corrected 2023-02-07

    Potential for more than minimal harm

  73. DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2022-12-28 · Health · corrected 2023-02-07

    Potential for more than minimal harm

  74. DF0760Ensure that residents are free from significant medication errors.2022-12-28 · Health · corrected 2023-02-07

    Potential for more than minimal harm

  75. EF0761Ensure 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.2022-12-28 · Health · corrected 2023-02-07

    Potential for more than minimal harm

  76. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2022-12-28 · Health · corrected 2023-03-07

    Potential for more than minimal harm

  77. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-12-28 · Health · corrected 2023-02-07

    Potential for more than minimal harm

  78. CF0888Ensure staff are vaccinated for COVID-192022-12-28 · Health · corrected 2023-02-07

    Potential for minimal harm

Ownership

OwnerTypeRolePercentSince
NEW HORIZON FOODS, LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL2024-04-15
REHAB SOLUTIONS GROUP, LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL2024-07-01
AFFELDT, DAVIDIndividualOPERATIONAL/MANAGERIAL CONTROL2014-10-24
KELLAR, RICHARDIndividualCORPORATE DIRECTOR2014-10-24
RABE, SUSANIndividualCORPORATE DIRECTOR2019-09-24
AFFELDT, DAVIDIndividualCORPORATE OFFICER2014-10-24

Other facilities in WEST ALLIS

NameOverallBeds
ARIA AT MITCHELL MANOR★★★☆☆50
RESOLVE AT WEST ALLIS RESPIRATORY AND REHAB★☆☆☆☆152

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.