5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Beautifully located in the serene setting of Mount Ayr, IA, Maple Ridge is a blissful haven that offers assisted living. With its commitment to improving residents’ welfare, a compassionate and well-trained team provides top-notch care tailored to their daily living activities and personal needs around the clock. Residents are guaranteed the utmost comfort and safety with beautifully furnished and secure accommodations.
A thoughtfully curated calendar of enriching activities and stimulating programs is conducted, encouraging residents to live actively and maintain social connections. Delicious and healthy dining options are served to satisfy residents’ dietary needs and preferences. The community is ideal for those needing assistance to live comfortably in retirement, especially with a nurturing and welcoming environment.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
|
1h 5m per day | |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
|
17m per day | |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
|
2h 21m per day | |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
|
3h 20m per day | |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
|
0m per day | |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
|
47m per day |
Maple Ridge Assisted Living is administered by Travis Hinz.
In Iowa, the Department of Inspections, Appeals, and Licensing conducts unannounced health and safety surveys to monitor compliance and protect residents in long-term care settings.
This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Iowa state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Inspections
|
This Facility | IA Average | vs. IA Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
|
7 | 15 | This facility has 53% fewer total inspections than a typical Iowa assisted living residence (7 vs. IA avg 15).↓ 53% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
State average N/A
Last Health inspection on Apr 2025
State average N/A
State average N/A
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 6 citations resulted from standard inspections.
In line with State average
State average: N/A
In line with State average
State average: N/A
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
0% compared with State average
State average ratio: 0 : 0
0% compared with State average
State average: 0 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 6 RN Staff are full-time employees. No contractors work on this role.
6
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.2 hours
Assists with medical care and medications.
All 2 LPN Staff are full-time employees. No contractors work on this role.
2
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hours
Helps with daily care and mobility.
All 14 CNA Staff are full-time employees. No contractors work on this role.
14
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.6 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
94 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 14 | 0 | 14 | 4,358 | 92 | 100% | 6.6 |
| Registered Nurse | 6 | 0 | 6 | 1,988 | 92 | 100% | 7.2 |
| Administrator | 2 | 0 | 2 | 1,024 | 64 | 70% | 8 |
| Nurse Aide in Training | 6 | 0 | 6 | 839 | 85 | 92% | 5.8 |
| Licensed Practical Nurse | 2 | 0 | 2 | 615 | 65 | 71% | 7.5 |
| Other Dietary Services Staff | 1 | 0 | 1 | 466 | 64 | 70% | 7.3 |
| Nurse Practitioner | 1 | 0 | 1 | 411 | 50 | 54% | 8.2 |
| Occupational Therapy Aide | 0 | 2 | 2 | 45 | 10 | 11% | 4.5 |
| Physical Therapy Aide | 0 | 1 | 1 | 15 | 21 | 23% | 0.7 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 11 | 11 | 12% | 1 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 10 | 3 | 3% | 3.3 |
| Speech Language Pathologist | 0 | 1 | 1 | 10 | 12 | 13% | 0.8 |
| Physical Therapy Assistant | 0 | 1 | 1 | 5 | 4 | 4% | 1.2 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.4
11% worse than State average
State average: 10.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
21.5
In line with State average
State average: 21.6
Percent of long-stay residents whose need for help with daily activities has increased
23.5%
25% worse than State average
State average: 18.8%
Percent of long-stay residents whose ability to move independently worsened
16.9%
14% better than State average
State average: 19.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
24.2%
8% better than State average
State average: 26.2%
Percent of long-stay residents experiencing one or more falls with major injury
3.1%
13% better than State average
State average: 3.6%
Percent of long-stay high risk residents with pressure ulcers
6.3%
43% worse than State average
State average: 4.4%
Percent of long-stay residents with a urinary tract infection
11.0%
344% worse than State average
State average: 2.5%
Percent of long-stay residents who lose too much weight
7.0%
40% worse than State average
State average: 5.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than State average
State average: 3.9%
Percent of long-stay residents who received an antipsychotic medication
28.9%
52% worse than State average
State average: 19.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.2%
5% better than State average
State average: 94.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than State average
State average: 95.3%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
18% better than State average
State average: 85.1%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
19% of new residents, usually for short-term rehab.
77% of new residents, often for short stays.
4% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
34
Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Maple Ridge Assisted Living from 2011–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #248 / 251Payroll — State benchmarkedThis home is ranked 248th out of 251 homes in Iowa. Shows total annual staff payroll benchmarked to the Iowa average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in Iowa that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #120 / 251Payroll % — State benchmarkedThis home is ranked 120th out of 251 homes in Iowa. Shows payroll as a percentage of revenue versus the Iowa average. Well-run Iowa facilities typically land around 61–69% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Iowa that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Housing Options: Private / Shared Rooms
Housekeeping Services
Social and Recreational Activities
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Most new residents arrive under private pay (77% of admissions), and a typical private pay stay runs around 6 - 7 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
1.0 miles from city center
Estimated distance in miles from Mt Ayr's city center to Maple Ridge Assisted Living's address, calculated via Google Maps.
Add your location
The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
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|---|---|---|---|---|---|---|---|
| Maple Ridge Assisted Living |
NH
AL
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Mt Ayr (Mount Ayr) | - | 24 | - | 13 | Private / Shared Rooms |
| Ramsey Village Continuing Care |
NH
AL
IL
MC
RC
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Des Moines (Drake) | - | 78 | - | 38 | 1 bed / 2 bed |
| Rotary Senior Living |
NH
AL
IL
MC
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Eagle Grove | - | 40 | - | 24 | Private Rooms |
| Calvin Community |
NH
AL
IL
MC
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Des Moines (Beaverdale) | - | 59 | - | 61 | 1 Bed |
Maple Ridge Assisted Living is in the Mount Ayr neighborhood of Mt Ayr.
Maple Ridge Assisted Living has a walk score of 13. Car-dependent. Most errands require a car, with limited nearby walkable options.
According to IA state health department records, Maple Ridge Assisted Living's license number is S0136.
According to IA state health department records, Maple Ridge Assisted Living's license expires on February 4, 2028.
Maple Ridge Assisted Living's occupancy is 71.0%.
The team at Maple Ridge Assisted Living can be reached at mtayr@tutera.com.
Maple Ridge Assisted Living is registered as a for-profit in IA.
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