Maple Manor Rehab Center
3999 Venoy Road
Wayne, MI, 48184
7347270440
CCN: 235613
4
Overall4
Health4
Staffing3
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
OIG Federal Exclusion Matches (1)
This facility's name matches one or more entities on the OIG List of Excluded Individuals/Entities (LEIE). Excluded parties are prohibited from participation in Medicare and Medicaid programs.
BIRMINGHAM REHABILITATION & PH
1128a1
Excluded 2003-12-18
Ownership
| Name | Role | % |
|---|---|---|
| EVANGELISTA, MARCUS | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 10% |
| EVANGELISTA, STELLA | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 90% |
| EVANGELISTA, MARCUS | CORPORATE DIRECTOR | NOT APPLICABLE |
| EVANGELISTA, STELLA | CORPORATE DIRECTOR | NOT APPLICABLE |
| EVANGELISTA, MARCUS | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
| EVANGELISTA, STELLA | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
Health Deficiencies (20)
2025-07-17 · Health
D
F887 · Infection Control Deficiencies
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
D
F883 · Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
D
F881 · Infection Control Deficiencies
Implement a program that monitors antibiotic use.
D
F686 · Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
F677 · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
F657 · Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
2025-02-05 · Health
D
F624 · Resident Rights Deficiencies
Prepare residents for a safe transfer or discharge from the nursing home.
2024-09-27 · Health
F
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F849 · Administration Deficiencies
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
F
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F677 · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
F583 · Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
D
F554 · Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
2023-10-04 · Health
F
F908 · Environmental Deficiencies
Keep all essential equipment working safely.
F
F865 · Administration Deficiencies
Have a plan that describes the process for conducting QAPI and QAA activities.
F
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F692 · Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
D
F658 · Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
D
F657 · Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
D
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day3.68
5.05
RN Hrs/Resident/Day0.54
0.86
LPN Hrs/Resident/Day0.81
1.34
CNA Hrs/Resident/Day2.33
2.85
PT Hrs/Resident/Day0.12
0.18
Data as of 2026-03-01