Deficiency Index

Maple Heights Nursing & Rehabilitative Center

Hiawatha, Kansas · CCN 175508

16 surveys since 2011, 5 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
88
Surveys
16
Harm or worse
5
Immediate jeopardy
1
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy1

Findings at the most serious level CMS records.

Beyond CMS’s monthly file12/16

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
53
Ownership
For profit - Limited Liability company
Chain
Independent
County
Brown · rural
Medicare-certified since
2008

CMS ratings

Overall
3
Health inspection
3
Staffing
3
Quality measures
2

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded somewhat fewer weighted findings than its peer group.

Weighted by harm level, against 108 for-profit facilities with fewer than 66 beds in Kansas.

Last survey on record

Mar 19, 2026

235 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.443.78
Registered-nurse hours per resident day0.55—
Annual nurse turnover45.7%50.0%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$8,278 across 1 penalty

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG13.8%H—I—
No harm, potential for more than minimalD1973.1%E519.2%F13.8%
No harm, potential for minimalA—B—C—
CMS’s current file: 26 of the 88 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F7563×

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

  • F7613×

    Ensure 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.

  • F6232×

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

  • F6862×

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

  • F6892×

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

In the surveyor’s words

From the most serious findings on record at Maple Heights Nursing & Rehabilitative Center, in the surveyor’s own words.

  • Actual harm, isolatedF689Mar 19, 2026

    The facility identified a census of 50 residents. The sample included three residents with three residents reviewed for hot liquid safety. Based on observations, record review, and interviews, the facility failed to ensure an environment free from accident hazards when on 02/15/26 Dietary Staff CC provided cognitively impaired Resident (R) 1 with coffee in a lidded cup, without obtaining the temperature of the coffee prior to giving it to her, and R1 spilled the coffee on herself. After the spill, the staff obtained the temperature of the coffee, which was 151 degrees Fahrenheit. R1 sustained second degree burns from the hot liquid spill. Findings included:- R1 admitted to the facility on [DATE]. […]

  • Actual harm, isolatedF689Jan 24, 2023

    The facility identified a census of 51 residents. The sample included one resident reviewed for accidents. Based on record review, interview, and observations, the facility failed to prevent an avoidable accident when staff failed to safely apply and monitor a warmed rice pack. On 01/11/23, Resident (R)1, who required assistance with cares asked for a warm pack for her stomach. Certified Nurse Aide (CNA) M warmed a rice pack in the microwave for one minute and 30 seconds then wrapped the rice pack with two towels and placed on R1's abdomen. After lunch, roughly one hour, R1 still had the rice pack on her abdomen. CNA M removed the rice pack and noted that R1 had a reddened area that was blistering and painful. […]

  • Actual harm, isolatedF689Jul 6, 2022

    The facility identified a census of 43. The sample included three residents and three residents were reviewed for accidents. Based on observations, record review, and interviews, the facility failed to ensure Resident (R) 1 remained free from accidents when facility staff failed to provide one-to-one assistance during ambulation and transfer for R1. This deficient practice resulted in R1 falling in her room and fracturing her left hip. Findings included: - The Diagnoses tab of R1's Electronic Medical Record (EMR) documented a diagnosis of dementia (progressive mental disorder characterized by failing memory, confusion) without behavioral disturbance. […]

  • No harm, potential for more than minimal, widespreadF812Jun 15, 2023

    The facility identified a census of 36 residents with one kitchen. Based on observation, record review, and interviews, the facility failed to maintain sanitary dietary standards related to storage of food. This deficient practice placed the residents at risk related to food borne illnesses and food safety concerns. Findings included: - On 06/13/23 at 07:15 AM in the kitchen's small refrigerator an observation revealed a bag of mozzarella cheese open with no date. On 06/13/23 at 07:16 AM in the kitchen's small refrigerator an observation revealed bacon, cut into small pieces, in a resealable bag that had no label or date. […]

  • No harm, potential for more than minimal, patternF812Mar 26, 2025

    The facility had a census of 44 residents. The facility had one kitchen. Based on observation, interview, and record review the facility failed to prepare, store, distribute, and serve food under sanitary conditions for the 44 residents in the facility, who receive their meals from the kitchen. This deficient practice placed the residents of the facility at risk for food borne illness. Findings included: - On 03/24/25 at 8:20 AM, during initial kitchen tour, observation revealed the following: Two 24 inch by 24 inch, air vent located above the cooking stove area covered with brownish grease/sticky substance and gray fuzzy substance blowing directly on the food preparation and stove cooking area. […]

Read 24 findings in full →The most serious and the most recent: 24 of 88 on record.

Every survey on record

FindingsAt actual harm or above

  • Mar 19, 2026Complaint1 finding · 1 harm
  • Mar 26, 2025Standard and complaint7 findings
  • Jun 15, 2023Standard and complaint15 findings
  • Jan 24, 2023Complaint1 finding · 1 harm
  • Jul 6, 2022Complaint1 finding · 1 harm
  • Nov 4, 2021Standard3 findings
  • Oct 27, 2020Infection control1 finding
  • Dec 12, 2019Standard7 findings
Show the 8 earlier surveys
  • Nov 28, 2018Standard4 findings
  • Jun 19, 2017Standard4 findings
  • May 17, 2017Complaint2 findings · 1 harm
  • Nov 2, 2015Standard6 findings
  • Sep 5, 2014Standard1 finding
  • Jul 9, 2014Standard and complaint11 findings · 1 harm
  • Mar 21, 2013—14 findings
  • Dec 5, 2011—10 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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