Deficiency Index

Maple Manor Rehab Center

Wayne, Michigan · CCN 235613

19 surveys since 2012, and no finding has been recorded at harm level.

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

Citations on record
76
Surveys
19
Harm or worse
0
Immediate jeopardy
0
The record, 2012–2026
’12’15’20’25’26
No harm recordedHarm or worseNot surveyed
Harm or worseNone

No finding on record has been cited at harm level or above.

Beyond CMS’s monthly file14/19

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

The facility

Certified beds
59
Ownership
For profit - Individual
Chain
Independent
County
Wayne
Medicare-certified since
2004

CMS ratings

Overall
3
Health inspection
3
Staffing
4
Quality measures
2

CMS’s own Five-Star ratings.

Compared with similar facilities

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

Weighted by harm level, against 71 for-profit facilities with fewer than 66 beds in Michigan.

Last survey on record

May 29, 2026

164 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 day5.343.86
Registered-nurse hours per resident day0.77—
Annual nurse turnover66.7%45.9%

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

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

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 harmG—H—I—
No harm, potential for more than minimalD1562.5%E—F937.5%
No harm, potential for minimalA—B—C—
CMS’s current file: 24 of the 76 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8123×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • F6572×

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  • F6772×

    Provide care and assistance to perform activities of daily living for any resident who is unable.

  • F8802×

    Provide and implement an infection prevention and control program.

  • F8812×

    Implement a program that monitors antibiotic use.

In the surveyor’s words

From the most serious findings on record at Maple Manor Rehab Center, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF727May 29, 2026

    Based on interview and record review, the facility failed to ensure a registered nurse was designated to serve full-time as the Director of Nursing. Findings include:Upon entrance to the facility on 5/27/2026, the Director of Nursing (DON) said they had started in their role on 5/19/2026. On 5/28/2026 at approximately 12:00 PM, the DON and Registered Nurse (RN) D were interviewed regarding nurse staffing within the facility. RN D identified themselves as a Director of Nursing at another facility owned by the same company and was assisting the facility DON learn their new role. When asked who the DON prior to the current DON was, they responded that the prior DON was terminated from employment on May 1, 2026. […]

  • No harm, potential for more than minimal, widespreadF812May 29, 2026

    Based on observation, interview, and record review, the facility failed to maintain best practices in the food service area resulting in the potential to spread food borne illness to all residents that consume food from the kitchen. Findings Include:On 05/27/2026 at 8:49 AM in an interview regarding date marking, Dietary Manager (DM) E indicated every food item is dated the day opened, and is discarded within three days.On 05/27/2026 at 8:50 AM observed sliced cheese wrapped in plastic with a facility marked date of 5/18 in the walk in cooler. […]

  • No harm, potential for more than minimal, widespreadF880May 29, 2026

    Based on observation, interview and record review, the facility failed to have an active plan for reducing the risk of legionella and other opportunistic pathogens of premise plumbing (OPPP). This deficient practice has the increased potential to result in waterborne pathogens to exist and spread in the facility's plumbing system and an increased risk of respiratory infection among all residents in the facility. Based on interview and record review, the facility failed to consistently implement a comprehensive infection control program that conducted proper facility surveillance and utilized maps or other processes to readily identify trends of infections, resulting in missed opportunities for corrective actions and the potential for spread of infectious organisms throughout the facility… […]

  • No harm, potential for more than minimal, widespreadF881May 29, 2026

    Based on interview and record review the facility failed to maintain a continuous Antibiotic Stewardship Program that includes monitoring antibiotic usage, tracking resistance, preventing emergence of resistance, and following protocols for antibiotic use, which has the potential to affect all residents residing in the facility. Findings include: On 5/29/26 at 10:40 AM, a meeting was held with Director of Nursing (DON) D and Licensed Practical Nurse/Infection Preventionist (LPN/IP) H, both of whom were employed at a sister facility. DON D said that the facility's regular Infection Preventionist was currently out of the country. […]

  • No harm, potential for more than minimal, widespreadF812Sep 27, 2024

    Based on observation, interview, and record review, the facility failed to remove expired, undated, unlabeled food from the kitchen walk-in cooler, freezer, pantry and resident refrigerators. This deficient practice had the potential to affect all the residents who consumed food from the kitchen and resident refridgerators, resulting in the increased potential for food borne illness. Findings include: On [DATE] beginning at 8:45 AM, the initial tour of the kitchen was conducted with Dietary Manager (DM) A. […]

Read 20 findings in full →The most serious and the most recent: 20 of 76 on record.

Every survey on record

FindingsAt actual harm or above

  • May 29, 2026Standard4 findings
  • Jul 17, 2025Standard6 findings
  • Feb 5, 2025Complaint1 finding
  • Sep 27, 2024Standard6 findings
  • Oct 4, 2023Standard and complaint7 findings
  • Jan 20, 2021Infection control1 finding
  • Feb 25, 2020Standard6 findings
  • Mar 28, 2019Standard7 findings
Show the 11 earlier surveys
  • May 16, 2018Standard10 findings
  • Jun 1, 2017Standard7 findings
  • Dec 27, 2016Complaint1 finding
  • Jul 6, 2016Standard7 findings
  • Jun 21, 2016Complaint1 finding
  • Dec 11, 2014Complaint2 findings
  • Sep 26, 2014Standard5 findings
  • Apr 17, 2014Complaint2 findings
  • Oct 26, 2012—1 finding
  • Sep 14, 2012—1 finding
  • Jan 20, 2012—1 finding

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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