Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

MAPLE MANOR CHRISTIAN HOME INC

SELLERSBURG, IN · 57 certified beds · Last Life Safety survey February 11, 2026

CMS Certification Number 155766 · first certified December 2007

Ownership

Independently operated (no chain recorded by CMS) · Non profit - Church related

  • Ownership changed February 1, 2019 (change of ownership)to MAPLE MANOR CHRISTIAN HOME
31
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
6
Tags cited more than once
Across separate surveys
11
Inspection & testing records
Of the citations on file

Position within IN

31 citations — more than 88% of the 507 certified nursing homes in IN. Compared within IN rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 9 citations; the earlier surveys in the window averaged 11. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens January 2027 — about 4 months from now. This facility’s last Life Safety survey was February 2026. Facilities in IN are typically surveyed 11–14 months after the last one (median 13), measured over 883 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

2 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

2 of the 31 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

How that compares

Citations on file over three years

Compared with the median facility in IN, and nationally. Surveyors differ markedly between states, so the IN figure is the meaningful one.

This facility31IN median15National median11
Citations on file over three years, compared
MeasureCitations
This facility31
Median facility in IN15
Median facility nationally11

Survey history

Citations at each Life Safety survey
142023-1182025-0192026-02
Citations at each Life Safety survey
Survey dateCitations
November 17, 202314
January 14, 20258
February 11, 20269

Most-cited tags

Most-cited tags at this facility
K-03633K-03513K-02222K-03212K-03532K-09202K-07611K-09141
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0363Install corridor and hallway doors that block smoke.32026-02-11
K-0351Install an approved automatic sprinkler system.32026-02-11
K-0222Add 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.22026-02-11
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.22026-02-11
K-0353Inspect, test, and maintain automatic sprinkler systems.22026-02-11
K-0920Ensure proper usage of power strips and extension cords.22026-02-11
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.12025-01-14
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.12023-11-17

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 15
  • Gas, Vacuum, and Electrical Systems Deficiencies 7
  • Egress Deficiencies 4
  • Emergency Preparedness Deficiencies 2
  • Other 3
Citations by CMS category
CategoryCitations
Smoke Deficiencies15
Gas, Vacuum, and Electrical Systems Deficiencies7
Egress Deficiencies4
Emergency Preparedness Deficiencies2
Miscellaneous Deficiencies2
Services Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

February 11, 2026 — 9 citations

Citations issued on February 11, 2026
TagWhat the surveyor checksStatus
K-0222Add 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.Deficient, Provider has date of correction (March 6, 2026)
K-0226Have horizontal exits used in accordance with safety requirements.Deficient, Provider has date of correction (March 6, 2026)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (March 6, 2026)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (March 6, 2026)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (March 6, 2026)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (May 18, 2026)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (March 6, 2026)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (March 6, 2026)
K-0927Have proper fire barriers, ventilation and signs for the transfilling of oxygen.Deficient, Provider has date of correction (May 15, 2026)

January 14, 2025 — 8 citations

Citations issued on January 14, 2025
TagWhat the surveyor checksStatus
K-0346Follow proper procedures when the fire alarm was out of service for more than 4 hours.Deficient, Provider has date of correction (February 28, 2025)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (February 28, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (February 28, 2025)
K-0354Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.Deficient, Provider has date of correction (February 28, 2025)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (February 28, 2025)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (February 28, 2025)
K-0921Ensure that testing and maintenance of electrical equipment is performed.Deficient, Provider has date of correction (February 28, 2025)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (February 28, 2025)

November 17, 2023 — 14 citations

Citations issued on November 17, 2023
TagWhat the surveyor checksStatus
E-0037Establish staff and initial training requirements.Deficient, Provider has date of correction (February 8, 2024)
E-0041Implement emergency and standby power systems.Deficient, Provider has date of correction (February 8, 2024)
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (February 8, 2024)
K-0222Add 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.Deficient, Provider has date of correction (February 8, 2024)
K-0311Have an enclosure around a vertical opening shaft.Deficient, Provider has date of correction (February 19, 2024)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (February 8, 2024)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (February 8, 2024)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (February 8, 2024)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (February 8, 2024)
K-0522Have an externally vented heating system.Deficient, Provider has date of correction (February 8, 2024)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (February 8, 2024)
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.Deficient, Provider has date of correction (February 8, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (February 8, 2024)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (February 8, 2024)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.