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

MAPLEWOOD OF SAUK PRAIRIE

SAUK CITY, WI · 107 certified beds · Last Life Safety survey February 12, 2026

CMS Certification Number 525462 · first certified January 1990

Ownership

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

No change of ownership on CMS record since January 1, 2016, when the records begin.

25
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
5
Tags cited more than once
Across separate surveys
13
Inspection & testing records
Of the citations on file

Position within WI

25 citations — more than 73% of the 323 certified nursing homes in WI. Compared within WI 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

Holding steadyabout the same at the latest survey as at its earlier surveys in the window.

The latest survey found 8 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?

The window opens March 2027 — about 6 months from now. This facility’s last Life Safety survey was February 2026. Facilities in WI are typically surveyed 13–15 months after the last one (median 14), measured over 516 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

4 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

1 of the 25 citations on file is 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)

3 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 25 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.

How that compares

Citations on file over three years

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

This facility25WI median17National median11
Citations on file over three years, compared
MeasureCitations
This facility25
Median facility in WI17
Median facility nationally11

Survey history

Citations at each Life Safety survey
102023-0872024-0982026-02
Citations at each Life Safety survey
Survey dateCitations
August 24, 202310
September 26, 20247
February 12, 20268

Most-cited tags

Most-cited tags at this facility
K-02253K-03722K-03632K-03242K-03532K-02111K-02221K-03211
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0225Have stairways and smokeproof enclosures used as exits that meet safety requirements.32026-02-12
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.22024-09-26
K-0363Install corridor and hallway doors that block smoke.22026-02-12
K-0324Provide properly protected cooking facilities.22026-02-12
K-0353Inspect, test, and maintain automatic sprinkler systems.22024-09-26
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.12026-02-12
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.12023-08-24
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.12023-08-24

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 10
  • Egress Deficiencies 6
  • Gas, Vacuum, and Electrical Systems Deficiencies 4
  • Miscellaneous Deficiencies 2
  • Other 3
Citations by CMS category
CategoryCitations
Smoke Deficiencies10
Egress Deficiencies6
Gas, Vacuum, and Electrical Systems Deficiencies4
Miscellaneous Deficiencies2
Services Deficiencies2
Emergency Preparedness Deficiencies1

Every citation on file

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

February 12, 2026 — 8 citations

Citations issued on February 12, 2026
TagWhat the surveyor checksStatus
E-0006Conduct risk assessment and an All-Hazards approach.Deficient, Provider has date of correction (April 30, 2026)
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (April 30, 2026)
K-0225Have stairways and smokeproof enclosures used as exits that meet safety requirements.Deficient, Provider has no plan of correction
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (April 30, 2026)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (April 30, 2026)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (April 30, 2026)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (April 30, 2026)
K-0911Meet requirements for the installation and maintenance of electrical systems.Deficient, Provider has date of correction (April 30, 2026)

September 26, 2024 — 7 citations

Citations issued on September 26, 2024
TagWhat the surveyor checksStatus
K-0225Have stairways and smokeproof enclosures used as exits that meet safety requirements.Deficient, Provider has no plan of correction
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (October 21, 2024)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (October 21, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (October 21, 2024)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (October 21, 2024)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (October 21, 2024)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (October 21, 2024)

August 24, 2023 — 10 citations

Citations issued on August 24, 2023
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 (September 24, 2023)
K-0225Have stairways and smokeproof enclosures used as exits that meet safety requirements.Deficient, Provider has no plan of correction
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 (September 24, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (September 24, 2023)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (September 24, 2023)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (September 24, 2023)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (September 24, 2023)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (September 24, 2023)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (September 24, 2023)
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 (September 24, 2023)

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