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Maple Crest Manor

For profit - Corporation  ·  100 Bolger Drive, Fayette, IA 52142  ·  See home’s Medicare page

4.08
Nurse hours/resident/day
Reported total nurse staffing hours per resident per day.
State Average: 3.7
67.2%
Nurse turnover
The percentage of nursing staff who stopped working at the home over a 12-month period.
State Average: 54.9%
55
Certified beds
Qualifying beds in the certified provider or supplier facility.
36
Average residents/day
Average number of residents based on daily census.
Direct owners are the layer of ownership closest to the nursing home while indirect owners have a stake in the nursing home but are further removed, like a company that owns the direct owner of a home. All owners listed below are people or companies who have at least a 5% stake in the nursing home. Entities with “managerial control” are those who conduct the day-to-day operations of the nursing home.
Direct owners
Albert W Martin Estate (5%)
Aspen Farms Llc (5%)
William Kauten Revocable Trust (5%)
Patricia Humeston (5%)
Lauritz Larson (5%)
Dennis Martin (5%)
Doug Martin (5%)
Susan Martin (5%)
Edgar Traeger (5%)
Indirect owners
No indirect owner information
Managerial control
No information available
Managing employee(s)
Betty Davis since Nov, 2021

Inspection Reports

15

total deficiencies

1

infection-related deficiency

This home violated federal standards protecting residents from the spread of infections.

Inspection reports document deficiencies, which are nursing homes’ failures to meet care requirements. The Centers for Medicare and Medicaid Services releases the last three standard inspection reports, as well as the last 36 months of complaint and infection-control reports.
Dec 21, 2023
Standard report
6 deficiencies
B

to D
D

Resident Assessment and Care Planning Deficiency — F0658
Failure to: Ensure services provided by the nursing facility meet professional standards of quality.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D

Administration Deficiency — F0865
Failure to: Have a plan that describes the process for conducting QAPI and QAA activities.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D

Resident Rights Deficiency — F0582
Failure to: Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Severity
No actual harm, with potential for minimal harm
Scope
Some people affected
Seriousness
B

Resident Rights Deficiency — F0625
Failure to: Notify 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.
Severity
No actual harm, with potential for minimal harm
Scope
Some people affected
Seriousness
B

Resident Assessment and Care Planning Deficiency — F0640
Failure to: Encode each resident's assessment data and transmit these data to the State within 7 days of assessment.
Severity
No actual harm, with potential for minimal harm
Scope
Some people affected
Seriousness
B

Resident Assessment and Care Planning Deficiency — F0641
Failure to: Ensure each resident receives an accurate assessment.
Severity
No actual harm, with potential for minimal harm
Scope
Some people affected
Seriousness
B

Jun 23, 2022
Standard report
3 deficiencies
B

to D
D

Resident Rights Deficiency — F0578
Failure to: Honor 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.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D

Administration Deficiency — F0838
Failure to: Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies.
Severity
No actual harm, with potential for minimal harm
Scope
Many people affected
Seriousness
C

Resident Rights Deficiency — F0582
Failure to: Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Severity
No actual harm, with potential for minimal harm
Scope
Some people affected
Seriousness
B

Feb 25, 2021
Standard report
6 deficiencies
(1 infection)

This report includes a citation for violating federal standards protecting residents from the spread of infections.

D

to J
J

Quality of Life and Care Deficiency — F0689
Failure to: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity
Immediate jeopardy to resident health or safety
Scope
Few people affected
Seriousness
J

Infection Control Deficiency — F0880
Failure to: Provide and implement an infection prevention and control program.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Some people affected
Seriousness
E

Resident Rights Deficiency — F0582
Failure to: Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D

Nursing and Physician Services Deficiency — F0711
Failure to: Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D

Administration Deficiency — F0835
Failure to: Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D

Administration Deficiency — F0868
Failure to: Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D

Penalties

$109K

total fines

A nursing home receives a penalty, either a fine or payment suspensions, when it has a serious health citation or fails to fix a citation. Fines may be imposed once per citation or regularly until the nursing home corrects the citation. Fines not associated with inspection reports can include fines for not reporting COVID-19 data or not complying with infection-control requirements. Payment suspensions are when the government stops payments to the nursing home until an issue is fixed. The Centers for Medicare and Medicaid Services releases the last three years of penalty information.
May 30, 2023
No corresponding inspection report.
May 23, 2023
No corresponding inspection report.
May 15, 2023
No corresponding inspection report.
May 8, 2023
No corresponding inspection report.
Apr 17, 2023
No corresponding inspection report.
Mar 20, 2023
No corresponding inspection report.
Feb 28, 2023
No corresponding inspection report.
Feb 6, 2023
No corresponding inspection report.
Jan 17, 2023
No corresponding inspection report.
Jan 3, 2023
No corresponding inspection report.
Dec 27, 2022
No corresponding inspection report.
Dec 19, 2022
No corresponding inspection report.
Dec 12, 2022
No corresponding inspection report.
Dec 5, 2022
No corresponding inspection report.
Nov 28, 2022
No corresponding inspection report.
Nov 21, 2022
No corresponding inspection report.
Nov 15, 2022
No corresponding inspection report.
Nov 7, 2022
No corresponding inspection report.
Oct 17, 2022
No corresponding inspection report.
May 31, 2021
$983 fine
No corresponding inspection report.
May 17, 2021
$650 fine
No corresponding inspection report.