Maple Valley Nursing Home
CCN: 235588 · Maple Valley, MI 49664 · Leelanau County
Overview
- Address
- 1086 W. Burdickville Road, Maple Valley, MI 49664
- Phone
- 2312285895
- Certified beds
- 25
- Avg daily residents
- 19 (78% of beds filled)
- Ownership
- For-profit corporation
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1998-12-15
- Setting
- Urban
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Staffing & Workforce
Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.
| Role | Reported | Case-mix expected | Adjusted | Federal floor | |
|---|---|---|---|---|---|
| Total nurse All nursing staff combined: RN + LPN + Aide | 4.05 | 2.87 | 5.45 | ≥ 3.48 | |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 1.26 | 0.50 | 1.70 | ≥ 0.55 | |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 0.70 | 0.64 | 0.95 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 2.08 | 1.73 | 2.80 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.97 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.09 | — | — | — |
Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.
Weekend staffing
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Staff turnover
Resident acuity
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2025-04-10 | 9 | 9 | 2 | 60 | 1 | 60 |
| Cycle 2/3 (prior) | 2024-04-25 | 29 | 26 | 3 | 287 | 2 | 431 |
Deficiencies (62)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-04-10 | 2025-05-19 |
| 0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | D | 2025-04-10 | 2025-05-19 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-04-10 | 2025-05-19 |
| 0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | 2025-04-10 | 2025-05-19 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2025-04-10 | 2025-05-19 |
| 0880 | Provide and implement an infection prevention and control program. | F | 2025-04-10 | 2025-05-19 |
| 0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2025-04-10 | 2025-05-19 |
| 0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2025-04-10 | 2025-05-19 |
| 0760 | Ensure that residents are free from significant medication errors. | D | 2025-04-10 | 2025-05-19 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-01-22 | 2025-02-10 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2024-08-20 | 2024-08-29 |
| 0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | 2024-04-25 | 2024-06-30 |
| 0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | 2024-04-25 | 2024-07-19 |
| 0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-04-25 | 2024-06-03 |
| 0610 | Respond appropriately to all alleged violations. | D | 2024-04-25 | 2024-06-03 |
| 0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | 2024-04-25 | 2024-06-03 |
| 0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | 2024-04-25 | 2024-06-03 |
| 0638 | Assure that each resident’s assessment is updated at least once every 3 months. | D | 2024-04-25 | 2024-06-03 |
| 0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2024-04-25 | 2024-06-03 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2024-04-25 | 2024-06-03 |
| 0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | 2024-04-25 | 2024-07-19 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-04-25 | 2024-06-03 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2024-04-25 | 2024-06-03 |
| 0699 | Provide care or services that was trauma informed and/or culturally competent. | D | 2024-04-25 | 2024-06-12 |
| 0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | 2024-04-25 | 2024-06-03 |
| 0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | 2024-04-25 | 2024-06-03 |
| 0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2024-04-25 | 2024-06-03 |
| 0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | 2024-04-25 | 2024-07-19 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-04-25 | 2024-07-19 |
| 0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | 2024-04-25 | 2024-06-03 |
| 0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-04-25 | 2024-06-03 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2024-04-25 | 2024-06-03 |
| 0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | 2024-04-25 | 2024-06-03 |
| 0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2024-04-25 | 2024-06-03 |
| 0942 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | E | 2024-04-25 | 2024-07-19 |
| 0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | D | 2024-04-25 | 2024-07-19 |
| 0945 | Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | E | 2024-04-25 | 2024-07-19 |
| 0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2024-03-13 | 2024-06-30 |
| 0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2023-02-17 | 2023-03-28 |
| 0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | 2023-02-17 | 2023-03-28 |
| 0606 | Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | F | 2023-02-17 | 2023-03-15 |
| 0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | 2023-02-17 | 2023-03-28 |
| 0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | G | 2023-02-17 | 2023-03-13 |
| 0679 | Provide activities to meet all resident's needs. | D | 2023-02-17 | 2023-03-28 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2023-02-17 | 2023-03-28 |
| 0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | E | 2023-02-17 | 2023-06-01 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | F | 2023-02-17 | 2023-06-01 |
| 0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2023-02-17 | 2023-03-28 |
| 0692 | Provide enough food/fluids to maintain a resident's health. | D | 2023-02-17 | 2023-03-28 |
| 0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2023-02-17 | 2023-03-28 |
Showing 50 most recent of 62. See the All Data CSV for the full list.
Penalties (3)
| Date | Type | Fine amount |
|---|---|---|
| 2024-03-13 | Fine | $51,220 |
| 2024-08-20 | Fine | $68,045 |
| 2024-03-13 | Payment Denial | — |
Source: CMS Nursing Home Penalties.
Ownership & Corporate Structure
Owner / manager individuals (14)
| Name | Role | Association |
|---|---|---|
| KASBEN, DONNA | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 03/08/1996 |
| KASBEN, JOHN | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 03/08/1996 |
| CLEMENS GRAY, MICHELLE | OPERATIONAL/MANAGERIAL CONTROL | since 04/03/2024 |
| DYKSTRA, SANTIAGO | OPERATIONAL/MANAGERIAL CONTROL | since 09/24/2023 |
| HULBERT, AMY | OPERATIONAL/MANAGERIAL CONTROL | since 01/30/2022 |
| HULBERT, RICHARD | OPERATIONAL/MANAGERIAL CONTROL | since 11/13/2023 |
| KASBEN, JENNIFER | OPERATIONAL/MANAGERIAL CONTROL | since 07/29/2019 |
| KASBEN, JOHN | OPERATIONAL/MANAGERIAL CONTROL | since 03/08/1996 |
| KASBEN, SERENA | OPERATIONAL/MANAGERIAL CONTROL | since 10/15/1997 |
| LANGLOIS, MARK | OPERATIONAL/MANAGERIAL CONTROL | since 02/01/2020 |
| MOORE, KENDRA | OPERATIONAL/MANAGERIAL CONTROL | since 10/20/2024 |
| PORTER, MISTY | OPERATIONAL/MANAGERIAL CONTROL | since 01/01/2023 |
| KASBEN, DONNA | CORPORATE OFFICER | since 03/08/1996 |
| KASBEN, JOHN | CORPORATE OFFICER | since 03/08/1996 |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- No
- Hospital-based
- No
- Resident / family council
- Resident
- Sprinkler systems
- Yes
- Abuse citation flag
- No
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Penalties (
nh-penalties), vintage 2026, downloaded 2026-04-14 , 16,915 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 99 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 0.94695 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 2.80029 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 1.70277 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 5.45001 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 4.58080 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | — | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 19.4 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | 0.63643 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 1.72966 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.50164 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 2.86773 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 2.52760 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | — | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | — | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | — | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | — | Chain Average Staffing Rating |
| Provider Information | Chain ID | — | Chain ID |
| Provider Information | Chain Name | — | Chain Name |
| Provider Information | City/Town | Maple Valley | City/Town |
| Provider Information | CMS Certification Number (CCN) | 235588 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | Leelanau | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 1998-12-15 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 1 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 44.8537 | Latitude |
| Provider Information | Legal Business Name | MAPLE VALLEY NURSING HOME OF MAPLE CITY, INC. | Legal Business Name |
| Provider Information | Location | 1086 W. Burdickville Road,Maple Valley,MI,49664 | Location |
| Provider Information | Long-Stay QM Rating | 2 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -85.877 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | N | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | 0 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 25 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | — | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | — | Number of Facilities in Chain |
| Provider Information | Number of Fines | 2 | Number of Fines |
| Provider Information | Number of Payment Denials | 1 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.01591 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 0.73742 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 1 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | For profit - Corporation | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | — | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | 1086 W. Burdickville Road | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | Maple Valley Nursing Home | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 440 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 2 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 60 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 0 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 2 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 1 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 9 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2025-04-10 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 60 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 9 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 26 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2024-04-25 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 287 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 144 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 3 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 2 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 431 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 29 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.89112 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 75.0 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.96810 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 0.70336 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 2.07994 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.08915 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 1.26474 | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | — | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | 4.04804 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | — | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | 2 | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 4 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | MI | State |
| Provider Information | Telephone Number | 2312285895 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 119265.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 3.40242 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 3 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 65.4 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 152.750 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | Resident | With a Resident and Family Council |
| Provider Information | ZIP Code | 49664 | ZIP Code |