Maple Leaf Health Care
Maple Leaf Health Care Information
| Facility Name | Maple Leaf Health Care |
| Location | 1101 Maple Care Lane, Statesville, NC 28625 |
| County (SSA Code) | Iredell (480) |
| Phone Number | 704-871-0705 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 94 |
| Average Number of Residents | 80.9 |
| CCRC Facility? | No |
| Medicare Overall Rating | |
| Survey Rating | |
| Quality Rating | |
| Long Stay Quality Rating | |
| Short Stay Quality Rating | |
| Staff Quality Rating | |
| Registered Nurse Quality Rating |
| Abuse Flag | No |
| Sprinklers Installed | Yes |
| Located In Hospital | No |
| Resident Family Council | Resident |
| Provider Business Name | SSC STATESVILLE MAPLE LEAF OPERATING COMPANY LLC |
| Ownership Type | For profit - Corporation |
| Date First Approved | 1990-11-13 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.68617 |
| Reported LPN Staffing Hours per Resident per Day | 0.67144 |
| Reported RN Staffing - Hours per Resident per Day | 0.52133 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.19277 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.87895 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.06862 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.15167 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.82086 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.41654 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.38907 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.64902 |
| Total Weighted Health Survey Score for three cycles | 10 |
| Rating cycle 1 Standard Survey Health Date | 2019-12-12 |
| Rating cycle 1 - Total Health Inspection Score | 20 |
| Date of Rating cycle 2 Standard Health Survey Date | 2019-01-10 |
| Rating cycle 2 - Health Deficiency Score | 20 |
| Date of Rating cycle 3 Standard Health Survey Date | 2018-03-16 |
| Rating cycle 3 - Health Deficiency Score | 20 |
| Rating cycle 3 - Total Health Inspection Score | 20 |
| Number of Facility-Reported Incidents | 0 |
| Number of Substantiated Complaints | 1 |
| Number of Substantiated Complaints | 1 |
| Total Number of Penalties | 0 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |