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Maple Leaf Health Care
2640 DAVIE AVENUE
Statesville, NC 28625
(704) 871-0705
General
Ratings
Deficiencies
Resident Stats
Staff Stats
| Certified Beds: | 94 |
| Number of Residents: | 86 |
| Percent of Occupied Beds: | 91% |
| Sprinkler Status: | Fully Sprinklered |
| Program Participation: | Medicare and Medicaid |
| Type of Ownership: | For profit - Limited liability company |
| Located Within a Hospital? | No |
| Multi Nursing Home Ownership? | Yes |
| Resident and Family Councils? | Resident |
| Continuing Care Retirement Community? | No |
| Quality Indicator Survey? | Yes |
| Special Focus Facility? | No |
| Overall: |  |
| Health Inspection: | |
| Nurse Staffing: |  |
| Quality Measures: |  |
| RN Only: | |
| Date | Type | Category | Deficiency | Scope | Level of Harm | Date of Correction |
| 20071107 | Health | 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 | 20071205 |
| 20071107 | Health | Resident Rights Deficiencies | Provide care in a way that keeps or builds each resident's dignity and self respect. | Isolated | Minimal harm or potential for actual harm | 20071205 |
| Value | Notes | |
| Percent of long-stay residents given influenza vaccination during the flu season: | 95 | |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination: | 99 | |
| Percent of long-stay residents whose need for help with daily activities has increased: | 9 | |
| Percent of long-stay residents who have moderate to severe pain: | 0 | |
| Percent of high-risk long-stay residents who have pressure sores: | 5 | |
| Percent of low-risk long-stay residents who have pressure sores: | 3 | |
| Percent of long-stay residents who were physically restrained: | 1 | |
| Percent of long-stay residents who are more depressed or anxious: | 12 | |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder: | 66 | |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder: | 1 | |
| Percent of long-stay residents who spend most of their time in bed or in a chair: | 6 | |
| Percent of long-stay residents whose ability to move about in and around their room got worse: | 12 | |
| Percent of long-stay residents who had a urinary tract infection: | 4 | |
| Percent of long-stay residents who lose too much weight: | 7 | |
| Percent of short-stay residents given influenza vaccination during the flu season: | 89 | |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination: | 92 | |
| Percent of short-stay residents who have delirium: | 0 | |
| Percent of short-stay residents who had moderate to severe pain: | 6 | |
| Percent of short-stay residents who have pressure sores: | 8 | |
| # of Residents: | 86 |
| # RN Hours per Resident: | 0.46 |
| # LPN Hours per Resident: | 0.81 |
| # CNA Hours per Resident: | 2.1 |
| Total Staff Hours per Resident: | 1.27 |
