Maple Healthcare is a nursing home approved by U.S Centers for Medicare & Medicaid Services (CMS). The federal provider number is #045228. The provider type is Medicare and Medicaid. The ownership type is for profit - limited liability company. The address is 200 S Maple Street, Hazen, AR 72064. The overall rating is 1.
| Federal Provider Number | 045228 |
| Provider Name | MAPLE HEALTHCARE |
| Legal Business Name | HAZEN SNF OPERATOR LLC |
| Address |
200 S Maple Street Hazen AR 72064 |
| County | Prairie |
| Telephone | 8702554323 |
| Ownership Type | For profit - Limited Liability company |
| Provider Type | Medicare and Medicaid |
| Date Approved | 1994-01-01 |
| Number of Certified Beds | 70 |
| Average Number of Residents per Day | 35.4 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Abuse Icon |
N Cited for abuse or neglect at harm level or above on survey cycle 1 (Scope/severity G or greater) or cited for abuse or neglect at potential harm level (Scope/Severity D or above) on both survey cycles 1 and 2. |
| Most Recent Health Inspection More Than 2 Years Ago | N |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Overall Rating | 1 |
| Health Inspection Rating | 1 |
| Quality Measure Rating | 1 |
| Long Stay Quality Measure Rating | 1 |
| Short Stay Quality Measure Rating Footnote | Not enough data available to calculate a star rating. |
| Staffing Rating | 1 This facility either did not submit staffing data, has reported a high number of days without a registered nurse onsite, or submitted data that could not be verified through an audit. |
| Registered Nurses Staffing Rating | 1 This facility either did not submit staffing data, has reported a high number of days without a registered nurse onsite, or submitted data that could not be verified through an audit. |
| Reported Staffing Footnote | This facility did not submit staffing data, or submitted data that did not meet the criteria required to calculate a staffing measure. |
| Physical Therapist Staffing Footnote | This facility did not submit staffing data, or submitted data that did not meet the criteria required to calculate a staffing measure. |
| Rating Cycle 1 Standard Survey Health Date | 2020-02-21 |
| Rating Cycle 1 Total Number of Health Deficiencies | 6 |
| Rating Cycle 1 Number of Standard Health Deficiencies | 6 |
| Rating Cycle 1 Number of Complavarchar Health Deficiencies | 0 |
| Rating Cycle 1 Health Deficiency Score | 189 |
| Rating Cycle 1 Number of Health Revisits | 1 |
| Rating Cycle 1 Health Revisit Score | 0 |
| Rating Cycle 1 Total Health Score | 189 |
| Rating Cycle 2 Standard Health Survey Date | 2019-02-21 |
| Rating Cycle 2 Total Number of Health Deficiencies | 5 |
| Rating Cycle 2 Number of Standard Health Deficiencies | 5 |
| Rating Cycle 2 Number of Complavarchar Health Deficiencies | 0 |
| Rating Cycle 2 Health Deficiency Score | 56 |
| Rating Cycle 2 Number of Health Revisits | 1 |
| Rating Cycle 2 Health Revisit Score | 0 |
| Rating Cycle 2 Total Health Score | 56 |
| Rating Cycle 3 Standard Health Survey Date | 2018-05-03 |
| Rating Cycle 3 Total Number of Health Deficiencies | 12 |
| Rating Cycle 3 Number of Standard Health Deficiencies | 12 |
| Rating Cycle 3 Number of Complavarchar Health Deficiencies | 0 |
| Rating Cycle 3 Health Deficiency Score | 72 |
| Rating Cycle 3 Number of Health Revisits | 1 |
| Rating Cycle 3 Health Revisit Score | 0 |
| Rating Cycle 3 Total Health Score | 72 |
| Total Weighted Health Survey Score | 125.167 |
| Number of Facility Reported Incidents | 0 |
| Number of Substantiated Complavarchars | 0 |
| Number of Citations from Infection Control Inspections | 0 |
| Number of Fines | 2 |
| Total Amount of Fines in Dollars | 25649.00 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 2 |
| Processing Date | 2021-05-01 |
| Notes |
CMS: Centers for Medicare & Medicaid Services CNA: Certified Nursing Assistant LPN: Licensed Practical Nurse RN: Registered Nurse |
| Role Played | Owner Name | Owner Type | Ownership Percentage | Association Date |
|---|---|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | BROGDON GRANDCHILDREN TRUST | Organization | 100% | since 11/01/2018 |
| MANAGING EMPLOYEE | BARKER, RUSHELL | Individual | since 11/01/2018 | |
| OFFICER | BROGDON, CHRISTOPHER | Individual | since 11/01/2018 | |
| OFFICER | NICHOLS, CHERYL | Individual | since 11/01/2018 | |
| OPERATIONAL/MANAGERIAL CONTROL | BROGDON, CHRISTOPHER | Individual | since 11/01/2018 | |
| OPERATIONAL/MANAGERIAL CONTROL | MARSH POINTE MANAGEMENT LLC | Organization | since 11/01/2018 | |
| OPERATIONAL/MANAGERIAL CONTROL | NICHOLS, CHERYL | Individual | since 11/01/2018 |
| Street Address |
200 S MAPLE STREET |
| City | HAZEN |
| State | AR |
| Zip Code | 72064 |
| Nursing Home Name | Address | Telephone | Date Approved | Overall Rating |
|---|---|---|---|---|
| Cla-Clif Nursing and Rehab Center, Inc. | 1214 North Main, Brinkley, AR 72021 | 8707343636 | 2009-06-19 | 5 |
| Harris Health and Rehab · Chc Harris Healthcare, LLC | 287 South Country Club Road, Osceola, AR 72370 | 8705633201 | 2011-03-08 | 2 |
| Deerview, LLC | 502 West Pennington, Ola, AR 72853 | 4794895237 | 2012-03-16 | 2 |
| Katherine's Place At Wedington · Wcnc, Inc. | 4405 West Persimmon Street, Fayetteville, AR 72704 | 4794446108 | 2010-08-19 | 3 |
| Greenhurst Nursing Center · Greenhurst, Inc. | 226 Skyler Drive, Charleston, AR 72933 | 4799657373 | 2012-02-21 | 5 |
| The Waters of West Dixon, LLC · The Waters of West Dixon LLC | 2821 W Dixon Rd, Little Rock, AR 72206 | 5018884200 | 2011-10-25 | 1 |
| Colonel Glenn Health and Rehab, LLC · Colonel Glenn Health and Rehab LLC | 13700 David O Dodd Road, Little Rock, AR 72210 | 5019078200 | 2016-07-22 | 3 |
| Barrow Creek Health and Rehab · Slr Health Services, LLC | 2600 Barrow Road, Little Rock, AR 72204 | 5012244173 | 2010-07-25 | |
| Superior Health & Rehab, LLC · Superior Health & Rehab LLC | 625 Tommy Lewis Dr, Conway, AR 72033 | 5015856800 | 2019-06-11 | 5 |
| Mitchell's Nursing Home, Inc · Mitchells Nursing Home Inc | 501 W 10th, Danville, AR 72833 | 4794952914 | 2013-07-17 | 4 |
| Find all nursing homes in the state of AR | ||||
| Nursing Home Name | Address | Telephone | Date Approved | Overall Rating |
|---|---|---|---|---|
| Maple Winds Healthcare and Rehabilitation, LLC · Maple Winds Healthcare and Rehabilitation Center, LLC | 4112 Spring Hill Road, Portage, PA 15946 | 8147366006 | 2003-09-11 | 1 |
| Maple Knoll Village · Maple Knoll Communities, Inc | 11100 Springfield Pike, Cincinnati, OH 45246 | 5137822788 | 1978-05-01 | 3 |
| Maple Springs Senior Living · Maple Springs Management LLC | 350 East 2200 North, North Logan, UT 84341 | 4357539400 | 2017-04-14 | 3 |
| Hermitage Healthcare (The) · 383 Mill Street Operator LLC | 383 Mill Street, Worcester, MA 01602 | 5087918131 | 1967-01-01 | 2 |
| Maple Ridge Health Services · Nsh Maple Ridge LLC | 2730 W Ramsey Ave, Milwaukee, WI 53221 | 4142822600 | 1984-04-01 | 1 |
| Maple Wood Healthcare Center · Northeast Leasing Co LLC | 724 Northeast 79th Terrace, Kansas City, MO 64118 | 8164368940 | 1989-05-11 | 1 |
| Oakhill Healthcare · 76 North Street Operator LLC | 76 North Street, Middleboro, MA 02346 | 5089474774 | 1967-11-06 | 3 |
| Maple Leaf Health Care Center · Pearl Street Healthcare Center LLC | 198 Pearl Street, Manchester, NH 03104 | 6036691660 | 1975-02-18 | 3 |
| La Paloma Healthcare Center · Italian Maple Holdings LLC | 3232 Thunder Drive, Oceanside, CA 92056 | 7607242193 | 1967-01-01 | 5 |
| Heathwood Healthcare · 188 Florence Street Operator LLC | 188 Florence Street, Chestnut Hill, MA 02467 | 6173324730 | 1993-05-19 | 4 |
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This dataset includes 15 thousand nursing homes approved by U.S Centers for Medicare & Medicaid Services (CMS) to provide Medicare & Medicaid services. CMS created Care Compare, a healthcare compare tool, for consumers to understand information about doctors, hospitals, and skilled nursing facilities. The information on nursing homes include number of certified beds, quality measure scores, staffing and other information used in the Five-Star Rating System.