Maplewood Park Place

Total Number of Beds: 29	Percent of Occupied Beds: 90%
Total Number of Residents: 26	Located Within a Hospital: No
Type of Ownership: For profit - Corporation	Multiple Nursing Homes by Same Owner: Yes
Councils the Nursing Home Participates in: Family & Resident	Medicare/Medicaid: Participating in Medicare Only
* Details Last Reported on: 04/10/2003

Nursing Home Staff Information:

Number of RN Hours per Nursing Home Resident per Day: 0.88

Number of LPN/LVN Hours per Nursing Home Resident per Day: 1.05

Number of CNA Hours per Nursing Home Resident per Day: 2.42

Number of Staff Hours per Nursing Home Resident per Day: 4.35

Nursing Home Resident Information**:

** Details Last Reported on: 4/10/2003

Nursing Home Inspection Violations:

Date of Violation	Date Corrected	Type of Violation	Deficiency	Scope	Level of Harm
2001-06-11	2001-07-26	Resident Rights Deficiencies	Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for; or 2) how to apply for Medicaid, along with the names and addresses of State groups that can help.	Pattern	Potential for minimal harm
2001-06-11	2001-07-28	Resident Rights Deficiencies	Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged.	Isolated	Minimal harm or potential for actual harm
2001-06-11	2001-08-01	Quality Care Deficiencies	Give professional services that meet a professional standard of quality.	Isolated	Minimal harm or potential for actual harm
2001-06-11	2001-07-28	Administration Deficiencies	Give or get x-rays and other tests to meet the needs of residents.	Isolated	Minimal harm or potential for actual harm

*** All violations listed are based on federal government records.