| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D8 | E4 | F16 |
| Minimal | A· | B· | C· |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Dec 18, 2025 | Fire safety | Fire Safety Standard | 13 | Potential harm | — | Open → |
| Dec 18, 2025 | Health | Health Standard | 4 | Potential harm | — | Open → |
| Feb 13, 2025 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Feb 13, 2025 | Health | Health Complaint, Health Standard | 3 | Potential harm | — | Open → |
| May 9, 2024 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| May 9, 2024 | Health | Health Standard | 4 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D8 | E4 | F16 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Dec 18, 2025 | K-0133 | Install a two-hour-resistant firewall separation. Construction Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 30, 2025 | |
| Dec 18, 2025 | K-0161 | Use approved construction type or materials. Construction Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 18, 2025 | |
| Dec 18, 2025 | K-0211 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
Not part of a CMS-reported chain.
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Mapleton Progress Inc | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Aug 1, 1968 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Mapleton Progress Inc | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Aug 1, 1968 |
| Erin Allen | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 11, 2021 |
| Toni Scott | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 3, 1997 |
| Thomas Swanson | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Mar 8, 1989 |
| Curtis Hesse | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 1989 |
Coordinates as published by CMS (geocoding footnote 22).
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 165267 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 165267 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety |
| F · Potential harm Widespread |
| Corrected Dec 17, 2025 |
| Dec 18, 2025 | K-0222 | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 17, 2025 |
| Dec 18, 2025 | K-0223 | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 13, 2026 |
| Dec 18, 2025 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 17, 2025 |
| Dec 18, 2025 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 13, 2026 |
| Dec 18, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 12, 2026 |
| Dec 18, 2025 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 18, 2025 |
| Dec 18, 2025 | K-0753 | Have restrictions on the use of highly flammable decorations. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 18, 2025 |
| Dec 18, 2025 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 16, 2026 |
| Dec 18, 2025 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 18, 2025 |
| Dec 18, 2025 | K-0921 | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 16, 2026 |
| Dec 18, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 15, 2026 |
| Dec 18, 2025 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 15, 2026 |
| Dec 18, 2025 | F-0761 | 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. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Jan 15, 2026 |
| Dec 18, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jan 15, 2026 |
| Feb 13, 2025 | K-0161 | Use approved construction type or materials. Construction Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 7, 2025 |
| Feb 13, 2025 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 17, 2025 |
| Feb 13, 2025 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 7, 2025 |
| Feb 13, 2025 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 4, 2025 |
| Feb 13, 2025 | F-0761 | 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. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Mar 4, 2025 |
| Feb 13, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Mar 4, 2025 | Complaint |
| May 9, 2024 | K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 17, 2024 |
| May 9, 2024 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 5, 2024 |
| May 9, 2024 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 5, 2024 |
| May 9, 2024 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jun 5, 2024 |
| May 9, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jun 5, 2024 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 5.18 (case-mix index 1.19).
| Carol Koenigs | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2020 |
| Edward Maier | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2025 |
| Richard Nichols | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2013 |
| Earl Wenger | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 1985 |
| Williams & Company PC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 1995 |
| Erin Allen | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2021 |
| Curtis Hesse | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 31, 2025 |
| Toni Scott | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Nov 3, 1997 |
| Thomas Swanson | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 8, 1989 |