Nursing homes › Michigan › Maple Valley Nursing Home
1086 W. Burdickville Road, Maple Valley, MI 49664 · 2312285895 · 25 certified beds
CMS lists no chain affiliation for this facility. Ownership type on record: For profit - Corporation.
Total nurse staffing: 3.96 (Michigan median: 3.80). RN hours: 1.12. Weekend total: 3.33. Nursing staff turnover: 55%.
All-time on record: 63 deficiency citations, including 2 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-05-06 | Protect each resident from the wrongful use of the resident's belongings or money. | D | complaint | corrected 2026-06-18 |
| 2025-04-10 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2025-05-19 |
| 2025-04-10 | Provide and implement an infection prevention and control program. | F | Health | corrected 2025-05-19 |
| 2025-04-10 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Health | corrected 2025-05-19 |
| 2025-04-10 | Ensure services provided by the nursing facility meet professional standards of quality. | D | complaint | corrected 2025-05-19 |
| 2025-04-10 | 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 | Health | corrected 2025-05-19 |
| 2025-04-10 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2025-05-19 |
| 2025-04-10 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Health | corrected 2025-05-19 |
| 2025-04-10 | Ensure that residents are free from significant medication errors. | D | complaint | corrected 2025-05-19 |
| 2025-04-10 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Health | corrected 2025-05-19 |
| 2025-01-22 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2025-02-10 |
| 2024-08-20 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | complaint | corrected 2024-08-29 |
| 2024-04-25 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Health | corrected 2024-06-30 |
| 2024-04-25 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Health | corrected 2024-06-03 |
| 2024-04-25 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2024-07-19 |
| 2024-04-25 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | Health | corrected 2024-06-03 |
| 2024-04-25 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | Health | corrected 2024-06-03 |
| 2024-04-25 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Health | corrected 2024-07-19 |
| 2024-04-25 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Health | corrected 2024-07-19 |
| 2024-04-25 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | E | Health | corrected 2024-07-19 |
| 2024-04-25 | Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | E | Health | corrected 2024-07-19 |
| 2024-04-25 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Health | corrected 2024-07-19 |
| 2024-04-25 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Health | corrected 2024-06-03 |
| 2024-04-25 | Respond appropriately to all alleged violations. | D | Health | corrected 2024-06-03 |
| 2024-04-25 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Health | corrected 2024-06-03 |
| 2024-04-25 | 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 | Health | corrected 2024-06-03 |
| 2024-04-25 | Assure that each resident’s assessment is updated at least once every 3 months. | D | Health | corrected 2024-06-03 |
| 2024-04-25 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Health | corrected 2024-06-03 |
| 2024-04-25 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2024-06-03 |
| 2024-04-25 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2024-06-03 |
| 2024-04-25 | Provide care or services that was trauma informed and/or culturally competent. | D | Health | corrected 2024-06-12 |
| 2024-04-25 | 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 | Health | corrected 2024-06-03 |
| 2024-04-25 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Health | corrected 2024-06-03 |
| 2024-04-25 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Health | corrected 2024-06-03 |
| 2024-04-25 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Health | corrected 2024-06-03 |
| 2024-04-25 | Provide and implement an infection prevention and control program. | D | Health | corrected 2024-06-03 |
| 2024-04-25 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Health | corrected 2024-06-03 |
| 2024-04-25 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | D | Health | corrected 2024-07-19 |
| 2024-03-13 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | complaint | corrected 2024-06-30 |
| 2023-02-17 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | J | Health | corrected 2023-03-28 |
| Date | Type | Amount |
|---|---|---|
| 2024-08-20 | Fine | $68,045 |
| 2024-03-13 | Fine | $51,220 |
| 2024-03-13 | Payment Denial | 56 days payment denial |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| KASBEN, DONNA | 5% Or Greater Direct Ownership Interest | Individual | 50% | since 03/08/1996 |
| KASBEN, JOHN | 5% Or Greater Direct Ownership Interest | Individual | 50% | since 03/08/1996 |
| KASBEN, DONNA | Corporate Officer | Individual | NOT APPLICABLE | since 03/08/1996 |
| KASBEN, JOHN | Corporate Officer | Individual | NOT APPLICABLE | since 03/08/1996 |
| CLEMENS GRAY, MICHELLE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 04/03/2024 |
| DYKSTRA, SANTIAGO | Operational/Managerial Control | Individual | NOT APPLICABLE | since 09/24/2023 |
| HULBERT, AMY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/30/2022 |
| HULBERT, RICHARD | Operational/Managerial Control | Individual | NOT APPLICABLE | since 11/13/2023 |
| KASBEN, JENNIFER | Operational/Managerial Control | Individual | NOT APPLICABLE | since 07/29/2019 |
| KASBEN, JOHN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 03/08/1996 |
| KASBEN, SERENA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 10/15/1997 |
| LANGLOIS, MARK | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/01/2020 |
| MOORE, KENDRA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 10/20/2024 |
| PORTER, MISTY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/01/2023 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 235588. Corrections: data@carerecords.org.