Inspection Reports for
Maple Manor Village
343 Parriott, Aplington, IA, 506041063
Back to Facility Profile6 Reports
Inspection Report — Dec 10, 2025
Renewal
Date: Dec 10, 2025
Visit Reason
The visit was a recertification visit to determine compliance with certification rules for an Assisted Living Program. The investigation also covered Incident #130700-I.
Complaint Details
Incident #130700-I
Findings
No regulatory insufficiencies were cited during the investigation of Incident #130700-I or the recertification visit.
Inspection Report — Nov 20, 2025
Complaint Investigation
Date: Nov 20, 2025
Visit Reason
The investigation was conducted due to suspected controlled substance diversion involving multiple residents and concerns about medication administration and documentation errors.
Complaint Details
The investigation was initiated due to suspected diversion of controlled substances by Staff A involving Residents #1, #2, #3, #4, and #5. The complaint was substantiated based on medication record discrepancies, video evidence, and staff interviews.
Findings
The facility failed to prevent diversion of controlled substances for 5 residents, with multiple discrepancies in medication counts and administration times. Additionally, the facility failed to discontinue medication per hospital orders for one resident. Staff A was implicated in diversion and documentation errors, leading to termination.
Violations (2)
F0602: The facility failed to protect residents from wrongful use of their belongings or money by allowing diversion of controlled substances for 5 residents. Multiple medication count discrepancies and early administration without physician orders were documented.
F0658: The facility failed to discontinue Eliquis medication for a resident per hospital discharge orders, resulting in the resident receiving 4 unnecessary doses after return from hospitalization.
Report Facts
Residents affected: 5
Unaccounted tablets: 1
Unaccounted tablets: 1
Unaccounted tablets: 1
Unaccounted tablets: 2
Unaccounted tablets: 1
Eliquis doses given after discharge: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Licensed Practical Nurse (LPN) | Named in multiple findings related to controlled substance diversion and medication administration errors |
| Staff B | Certified Nurse Aide (CNA) | Witnessed and reported concerns about Staff A's behavior and medication counts |
| Staff C | Registered Nurse (RN) | Participated in medication counts and reported discrepancies involving Staff A |
| Director of Nursing | Director of Nursing (DON) | Conducted medication counts, interviews, and reported findings related to diversion and medication errors |
| Licensed Nursing Home Administrator | Administrator | Reviewed video evidence and participated in investigation leading to Staff A's termination |
Inspection Report — Feb 20, 2025
Routine
Date: Feb 20, 2025
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident assessments, behavioral health care, and dental services at the nursing home.
Findings
The facility failed to accurately code Minimum Data Set (MDS) assessments for insulin use in two residents, did not develop or implement behavioral health care plans for one resident, and failed to provide dental services for one resident with broken dentures. The facility reported a census of 32 residents.
Violations (3)
F 0641: The facility failed to accurately code the MDS assessment for 2 of 5 residents by documenting insulin use when residents received Ozempic, a non-insulin diabetic medication.
F 0740: The facility failed to develop and implement behavioral health care plans addressing picking behavior for 1 of 1 resident sampled, despite observations of the behavior and lack of staff intervention.
F 0791: The facility failed to provide or ensure dental services for 1 of 1 resident with broken dentures, despite resident requests and documented attempts to arrange dental care.
Report Facts
Residents affected: 2
Residents affected: 1
Residents affected: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Licensed Practical Nurse (LPN) | Acknowledged residents received Ozempic, not insulin |
| Staff B | Registered Nurse (RN)/Assistant Director of Nursing (ADON) | Acknowledged inaccurate MDS insulin documentation |
| Staff C | Registered Nurse (RN) / MDS Coordinator | Present during interview about MDS documentation |
| Staff D | Licensed Practical Nurse (LPN) | Reported knowledge of resident's broken dentures |
| Director of Nursing | Director of Nursing (DON) | Reported on behavioral health care and dental service issues |
| Administrator | Administrator | Acknowledged facility policies and issues related to deficiencies |
Inspection Report — Apr 4, 2024
Date: Apr 4, 2024
Visit Reason
The inspection was conducted to evaluate compliance with dependent adult abuse training requirements for staff at the facility.
Findings
The facility failed to ensure that one of five employees completed the required dependent adult abuse training within six months of hire. Staff interviews and policy review confirmed the training delay.
Violations (1)
F0943: The facility failed to ensure staff completed dependent adult abuse training within 6 months of hire for 1 of 5 employees reviewed. The employee completed training 7 months post hire.
Report Facts
Residents present: 27
Employees reviewed: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Dietary Aide | Named in deficiency for delayed dependent adult abuse training |
| Staff B | Human Resources | Confirmed hire date and training delay during interview |
Inspection Report — Nov 30, 2023
Renewal
Date: Nov 30, 2023
Visit Reason
The visit was a recertification inspection conducted to determine compliance with certification rules for an Assisted Living Program and to investigate Complaint #113471-C.
Complaint Details
Investigation of Complaint #113471-C was conducted with no regulatory insufficiencies found.
Findings
No regulatory insufficiencies were cited during the recertification visit or the complaint investigation.
Report Facts
Number of tenants without cognitive disorder: 8
Number of tenants with cognitive disorder: 0
Inspection Report — Dec 15, 2022
Annual Inspection
Date: Dec 15, 2022
Visit Reason
Annual survey inspection of Maple Manor Village nursing home to assess compliance with health and safety regulations.
Findings
No health deficiencies were found during the inspection.
4 CMS Surveys
CMS Survey — Nov 20, 2025
Nov 20, 2025
CMS Survey — Dec 15, 2022
Dec 15, 2022
CMS Survey — Apr 4, 2024
Apr 4, 2024
CMS Survey — Feb 20, 2025
Feb 20, 2025
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