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Maple Valley Nursing Home

1086 W. Burdickville Road, Maple Valley, MI 49664
2312285895
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Overall CMS Rating

1.0/5

vs State Average: 3.2 stars

1.0/5

Health Inspections

vs State Average: 2.8/5

4.0/5

Staffing Level

vs State Average: 3.5/5

2.0/5

Quality Measures

vs State Average: 3.9/5

3 penalties in last 3 years
Penalties
vs State Average: 1.4 penalties

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Ratings Deep Dive

Score
1.0
State Average
2.8
National Average
2.8
5 Deficiencies found in last inspections
3 Penalties in last 3 years
2 Fines issued
Citation Date Description Severity
Apr 10, 2025 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D
Apr 10, 2025 Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. D
Apr 10, 2025 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. D
Apr 10, 2025 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F
Apr 10, 2025 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D
Score
4.0
State Average
3.5
National Average
2.9
1.3 RN Hours / Resident / Day
4.0 Total Nurse Hours / Resident / Day
75.0% RN Turnover Rate
Score
2.0
State Average
3.9
National Average
3.6
2.0 Long-Stay QM Rating
Short-Stay QM Rating
19.4 Avg Residents Per Day
Measure Score Type
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay
Percentage of long-stay residents who lose too much weight Long Stay
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay
Percentage of long-stay residents with a urinary tract infection Long Stay
Percentage of long-stay residents who have depressive symptoms Long Stay
Percentage of long-stay residents who were physically restrained Long Stay
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay

Ownership & Compliance

Ownership Info
5% OR GREATER DIRECT OWNERSHIP INTEREST KASBEN, DONNA
5% OR GREATER DIRECT OWNERSHIP INTEREST KASBEN, JOHN
OPERATIONAL/MANAGERIAL CONTROL CLEMENS GRAY, MICHELLE
OPERATIONAL/MANAGERIAL CONTROL DYKSTRA, SANTIAGO
OPERATIONAL/MANAGERIAL CONTROL HULBERT, AMY
OPERATIONAL/MANAGERIAL CONTROL HULBERT, RICHARD
OPERATIONAL/MANAGERIAL CONTROL KASBEN, JENNIFER
OPERATIONAL/MANAGERIAL CONTROL KASBEN, JOHN
OPERATIONAL/MANAGERIAL CONTROL KASBEN, SERENA
OPERATIONAL/MANAGERIAL CONTROL LANGLOIS, MARK
Recent Penalties
Date Type Fine
Aug 20, 2024 Fine $68,045
Mar 13, 2024 Fine $51,220
Mar 13, 2024 Payment Denial $0

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