General Information: MAPLE WINDS CARE CENTER
Nursing home name MAPLE WINDS CARE CENTER
Address4112 SPRING HILL ROAD
PORTAGE, PA 15946
Phone number (814) 736-6006
Located within a hospital No
Type of ownership For profit - Corporation
Owner operates multiple homesNo
Accept Medicare or Medicaid Medicare and Medicaid
Continue Care Retirement CommunityNo
Resident and family councils Resident
Certified number of beds 50
Total number of residents 40
Perc of occupied beds 80
Sprinkler status Yes
Number of Facility Reported Incidents0
Number of Substantiated Complaints1
Number of Fines0
Total Amount of Fines$0
Total Number of Penalties0
Total Number of Penalties0
Ratings Summary: MAPLE WINDS CARE CENTER
Overall rating 1
1
Nursing Home Staffing 3
3
Registered Nurses only 4
4
Health Inspections 2
2
Quality Measures 1
1
Nursing Home Staffing Info: MAPLE WINDS CARE CENTER
National AveragePennsylvania AverageMAPLE WINDS CARE CENTER
Overall staff rating NA NA 3
3
Registered Nurses only rating NANA 4
4
Total Number of Residents NA NA 40
Total Number of Nurse Staff Hours per Resident per Day 4.11 hours 4.05 hours 3.8 hours
Total Number of Licensed Nurse Staff Hours per Resident per Day 1.64 hours 1.78 hours 1.89 hours
Registered Nurses Hours per Residents per Day 0.81 hours 0.94 hours 0.86 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.83 hours 0.84 hours 1.03 hours
Certified Nursing Assistants Hours per Residents per Day 2.47 hours 2.26 hours 1.91 hours
Physical Therapy Staffing Hours per Resident Per Day 0.1 hours 0.12 hours 0.14 hours
Health Survey: MAPLE WINDS CARE CENTER
Heath Survey Summary on 2013-10-04
Total Number of Health Deficiencies 5
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Heath Survey Summary on 2012-11-21
Total Number of Health Deficiencies 6
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Heath Survey Summary on 2011-10-05
Total Number of Health Deficiencies 2
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Health Survey Details: MAPLE WINDS CARE CENTER
Inspection Results: 10/04/2013
Corrected Deficiency Scope and Severity
10/28/2013 Keep each resident free from physical restraints, unless needed for medical treatment. Isolated/Minimal harm or potential for actual harm
10/28/2013 Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated/Minimal harm or potential for actual harm
10/28/2013 Ensure services provided by the nursing facility meet professional standards of quality. Isolated/Minimal harm or potential for actual harm
10/28/2013 Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated/Minimal harm or potential for actual harm
10/21/2013 Store, cook, and serve food in a safe and clean way. Pattern/Minimal harm or potential for actual harm
Inspection Results: 11/21/2012
Corrected Deficiency Scope and Severity
12/13/2012 Ensure services provided by the nursing facility meet professional standards of quality. Isolated/Minimal harm or potential for actual harm
12/13/2012 Provide necessary care and services to maintain or improve the highest well being of each resident . Pattern/Minimal harm or potential for actual harm
12/13/2012 Keep each resident free from physical restraints, unless needed for medical treatment. Isolated/Minimal harm or potential for actual harm
12/13/2012 Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated/Minimal harm or potential for actual harm
12/13/2012 Store, cook, and serve food in a safe and clean way. Pattern/Minimal harm or potential for actual harm
12/13/2012 Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Isolated/Minimal harm or potential for actual harm
Inspection Results: 10/05/2011
Corrected Deficiency Scope and Severity
10/21/2011 Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Isolated/Minimal harm or potential for actual harm
10/21/2011 At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. Pattern/Minimal harm or potential for actual harm

Fire Safety Survey: MAPLE WINDS CARE CENTER
Fire Safety Survey Summary on 2013-10-30
Total Number of Fire SafetyDeficiencies 4
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2012-11-21
Total Number of Fire SafetyDeficiencies 0
Scope and Severity of most Severe Health Deficiency
Fire Safety Survey Summary on 2011-10-26
Total Number of Fire SafetyDeficiencies 2
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Fire Safety Survey: MAPLE WINDS CARE CENTER
Fire Safety Survey Results: 10/30/2013
Corrected Deficiency Severity
12/29/2013 Corridor and hallway doors that block smoke. Isolated/Minimal harm or potential for actual harm
12/29/2013 Walls that prevent smoke from passing through and would resist fire for at least one hour. Pattern/Minimal harm or potential for actual harm
12/29/2013 Automatic sprinkler systems that have been maintained in working order. Pattern/Minimal harm or potential for actual harm
12/29/2013 Other fire safety features required by fire safety codes. Widespread/Potential for minimal harm
Fire Safety Survey Results: 10/26/2011
Corrected Deficiency Severity
12/25/2011 Walls that prevent smoke from passing through and would resist fire for at least one hour. Pattern/Minimal harm or potential for actual harm
12/25/2011 Proper medical gas storage and administration areas. Isolated/Minimal harm or potential for actual harm

Resident Complaints: MAPLE WINDS CARE CENTER
Date Complaint Substantiated: 09/12/2013
CorrectedCategoryDeficiencySeverity
10/03/2013Have a program that investigates, controls and keeps infection from spreading. D
10/03/2013Provide necessary care and services to maintain or improve the highest well being of each resident . D
10/03/2013Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D

Quality Measures: MAPLE WINDS CARE CENTER
Quality Measures National Average Pennsylvania Average MAPLE WINDS CARE CENTER
Overall quality rating NA NA 1
1
Long-Stay Residents
Percent of Long Stay Residents Whose Need for Help with ADLs has Increased 15.4% 15.5% 9.1%
Percent of Long Stay Residents Who Self Report Moderate to Severe Pain 8.3% 8.1% 7.4%
Percent of High Risk Long Stay Residents With Pressure Ulcers 6.1% 5.6% 7.1%
Percent of Long Stay Residents Who Lose Too Much Weight 7.2% 7.5% 18.2%
Percent of Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 43.9% 55.9% 76.5%
Percent of Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3.2% 3.4% 6.0%
Percent of Long Stay Residents With a Urinary Tract Infection 6.2% 5.0% 19.3%
Percent of Long Stay Residents Who Have Depressive Symptoms 6.3% 3.7% 0.0%
Percent of Long Stay Residents Who Were Physically Restrained 1.4% 1.1% 7.6%
Percent of Long Stay Residents Experiencing One or More Falls with Major Injury 3.2% 3.2% 6.5%
Percent of Long Stay Residents Assessed and Appropriately Given the Seasonal Influenza Vaccine 92.7% 92.3% 91.1%
Percent of Long Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 94.3% 94.2% 100.0%
Percent of Long Stay Residents Who Received an Antipsychotic Medication 20.7% 19.3% 19.8%
Short-Stay Residents
Percent of Short Stay Residents Who Self Report Moderate to Severe Pain 19.2% 19.5% 34.3%
Percent of Short Stay Residents With Pressure Ulcers That Are New or Worsened 1.2% 1.2% 1.3%
Percent of Short Stay Residents Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine 83.4% 83.3% 84.2%
Percent of Short Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 82.4% 83.4% 95.8%
Percent of Short Stay Residents Who Newly Received an Antipsychotic Medication 2.6% 2.6% 0.0%

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