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

MAPLEWOOD NURSING AND REHAB CENTER

PHILADELPHIA, PA · 180 certified beds · Last Life Safety survey August 28, 2025

CMS Certification Number 395865 · first certified October 1991

Ownership

Independently operated (no chain recorded by CMS) · For profit - Individual

  • New ownershipOwnership changed June 1, 2025 (change of ownership)to MAPLEWOOD NURSING AND REHABILITATION CENTER from MAPLEWOOD OPERATING LLC
21
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
6
Tags cited more than once
Across separate surveys
10
Inspection & testing records
Of the citations on file

Position within PA

21 citations — more than 84% of the 656 certified nursing homes in PA. Compared within PA 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 4 citations; the earlier surveys in the window averaged 8.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Well past the typical window (July 2026 to August 2026), and past the point by which nine in ten PA facilities have been surveyed. This facility’s last Life Safety survey was August 2025. Facilities in PA are typically surveyed 10–12 months after the last one (median 11), measured over 1,113 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 21 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

Physical environment (health survey)

10 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 21 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0880 Provide and implement an infection prevention and control program.
  • F-0908 Keep all essential equipment working safely.
  • F-0922 Have enough backup water supply for essential areas of the nursing home.
  • F-0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
  • F-0919 Make sure that a working call system is available in each resident's bathroom and bathing area.

How that compares

Citations on file over three years

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

This facility21PA median10National median11
Citations on file over three years, compared
MeasureCitations
This facility21
Median facility in PA10
Median facility nationally11

Survey history

Citations at each Life Safety survey
102024-0172024-1142025-08
Citations at each Life Safety survey
Survey dateCitations
January 12, 202410
November 6, 20247
August 28, 20254

Most-cited tags

Most-cited tags at this facility
K-09233K-02112K-05412K-09202E-00042K-07122K-07411K-02001
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0923Have proper medical gas storage and administration areas.32025-08-28
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.22025-08-28
K-0541Install properly constructed and protected linen or trash chutes.22024-11-06
K-0920Ensure proper usage of power strips and extension cords.22024-11-06
E-0004Develop and maintain an Emergency Preparedness Program (EP).22025-08-28
K-0712Have simulated fire drills held at unexpected times.22024-11-06
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.12024-01-12
K-0200Meet other general requirements.12024-11-06

What the citations cover

Citations by CMS category
  • Gas, Vacuum, and Electrical Systems Deficiencies 6
  • Egress Deficiencies 4
  • Miscellaneous Deficiencies 3
  • Smoke Deficiencies 3
  • Other 5
Citations by CMS category
CategoryCitations
Gas, Vacuum, and Electrical Systems Deficiencies6
Egress Deficiencies4
Miscellaneous Deficiencies3
Smoke Deficiencies3
Services Deficiencies3
Emergency Preparedness Deficiencies2

Every citation on file

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

August 28, 2025 — 4 citations

Citations issued on August 28, 2025
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (November 2, 2025)
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (November 2, 2025)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (November 2, 2025)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (November 2, 2025)

November 6, 2024 — 7 citations

Citations issued on November 6, 2024
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (January 5, 2025)
K-0200Meet other general requirements.Deficient, Provider has date of correction (January 5, 2025)
K-0541Install properly constructed and protected linen or trash chutes.Deficient, Provider has date of correction (January 5, 2025)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (January 5, 2025)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (January 5, 2025)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (January 5, 2025)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (January 5, 2025)

January 12, 2024 — 10 citations

Citations issued on January 12, 2024
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (March 1, 2024)
K-0271Have exits that are accessible at all times.Deficient, Provider has date of correction (March 1, 2024)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (March 1, 2024)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (March 1, 2024)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (March 1, 2024)
K-0541Install properly constructed and protected linen or trash chutes.Deficient, Provider has date of correction (March 1, 2024)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (March 1, 2024)
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.Deficient, Provider has date of correction (March 1, 2024)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (March 1, 2024)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (March 1, 2024)

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