Skilled nursing facility · CMS certification number 235669
Maple Manor Rehab Center of Novi Inc
Novi, Michigan · Medicare and Medicaid
Certified beds, as filed in Care Compare: 72
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 11 September 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,884,091 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,694,447 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,189,644 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,787,040 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $3,402,604 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $257,788 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $3,660,392 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $3,660,392 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 72 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 26,352 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 5,687 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 482 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 12,686 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 18,855 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 231 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 8 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 223 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 462 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.62 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 60.25 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 40.81 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1439120, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended 31 December 2023
Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 16 October 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,957,297 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,330,332 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,626,965 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,683,636 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,943,329 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $52,269 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,995,598 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,995,598 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 72 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,821 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 338 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.68 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 52.72 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1396372, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended 31 December 2022
Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 31 October 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,600,395 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,088,348 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,512,047 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,399,843 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $112,204 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $36,772 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $148,976 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $148,976 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 144 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,785 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 415 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.74 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 38.04 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1367369, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended 31 December 2021
Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 21 October 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,667,622 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $992,579 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,675,043 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,882,466 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$207,423 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$207,423 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$207,423 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 144 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,881 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 371 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.02 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 40.11 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1335591, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended 31 December 2020
Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 22 July 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,473,207 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,278,566 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,194,641 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,434,592 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,760,049 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,521,068 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $5,281,117 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $5,281,117 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 72 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 13,355 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 405 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.91 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 32.98 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1326762, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended 31 December 2019
Cost report for 1 January 2019 to 31 December 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 11 December 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,473,207 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,278,566 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,194,641 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,434,592 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,760,049 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,521,068 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $5,281,117 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $5,281,117 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 144 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,946 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 573 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.07 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 27.83 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1275870, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended 31 December 2018
Cost report for 1 January 2018 to 31 December 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 29 July 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,461,206 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,886,630 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,574,576 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,582,516 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$4,007,940 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,538,995 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,468,945 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,468,945 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 144 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,291 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 721 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.55 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 23.98 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1238621, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended 31 December 2017
Cost report for 1 January 2017 to 31 December 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 21 August 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,985,755 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,670,010 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,315,745 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,371,101 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$55,356 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,764,358 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,709,002 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,709,002 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 144 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,695 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 544 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.07 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 32.53 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1207650, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended 31 December 2016
Cost report for 1 January 2016 to 31 December 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 14 August 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,232,288 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $466,313 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,765,975 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,990,224 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $4,775,751 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$24,336 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $4,751,415 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $4,751,415 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 88 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,256 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 735 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.96 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 28.92 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1173125, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended 31 December 2015
Cost report for 1 January 2015 to 31 December 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 16 August 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,003,412 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,747,208 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,256,204 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,110,802 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $2,145,402 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $76 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,145,478 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,145,478 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 88 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,029 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 641 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.12 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 29.69 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1141451, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended 31 December 2014
Cost report for 16 May 2014 to 31 December 2014 — a reporting period of 229 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 25 July 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,443,211 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,677,962 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,765,249 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,867,943 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,102,694 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $7,840 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,094,854 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,094,854 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 88 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 8,482 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 283 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.39 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 29.97 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1103896, read from the public cost report file SNF10FY2014.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated 1 August 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| EVANGELISTA, MARCUS | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Individual | 10% | since 09/10/2010 |
| EVANGELISTA, STELLA | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Individual | 90% | since 09/10/2010 |
| EVANGELISTA, STELLA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/08/2010 |
| EVANGELISTA, MARCUS | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 09/08/2010 |
| EVANGELISTA, MARCUS | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/08/2010 |
| EVANGELISTA, STELLA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/08/2010 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of MAPLE MANOR REHAB CENTER OF NOVI INC. (enrollment ID O20130807000817).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| MARCUS S EVANGELISTA | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 10 | 9/10/2010 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| STELLA S EVANGELISTA | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 90 | 9/10/2010 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| STELLA S EVANGELISTA | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 9/8/2010 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| MARCUS S EVANGELISTA | Individual | CORPORATE OFFICER | 100 | 9/8/2010 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| MARCUS S EVANGELISTA | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 9/8/2010 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| STELLA S EVANGELISTA | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 9/8/2010 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
Changes in ownership
- 1 May 2026: MARCUS S EVANGELISTA no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: MARCUS S EVANGELISTA appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: MARCUS S EVANGELISTA appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: STELLA S EVANGELISTA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: STELLA S EVANGELISTA appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
Recent changes on this record
- 1 May 2026: MARCUS S EVANGELISTA no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: MARCUS S EVANGELISTA appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: MARCUS S EVANGELISTA appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: STELLA S EVANGELISTA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: STELLA S EVANGELISTA appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 11 September 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 16 October 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- 31 October 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- 21 October 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- 22 July 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- 11 December 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- 29 July 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- 21 August 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- 14 August 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- 16 August 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- 25 July 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 29 April 2026 | 29 April 2026 | 5 | 2 |
| 2 | 6 March 2025 | 6 March 2025 | 8 | 0 |
| 3 | 24 April 2024 | 24 April 2024 | 7 | 0 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
20 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 29 April 2026 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Yes | Deficient, Provider has date of correction | 16 May 2026 |
| 29 April 2026 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | No | Deficient, Provider has date of correction | 8 June 2026 |
| 29 April 2026 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | No | Deficient, Provider has date of correction | 8 June 2026 |
| 29 April 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | No | Deficient, Provider has date of correction | 8 June 2026 |
| 20 January 2026 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Yes | Deficient, Provider has date of correction | 27 February 2026 |
| 6 March 2025 | Health | F 0604 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | No | Deficient, Provider has date of correction | 11 April 2025 |
| 6 March 2025 | Health | F 0688 | Quality of Life and Care Deficiencies | 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. | D | No | Deficient, Provider has date of correction | 11 April 2025 |
| 6 March 2025 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | 11 April 2025 |
| 6 March 2025 | Health | F 0757 | Pharmacy Service Deficiencies | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | No | Deficient, Provider has date of correction | 11 April 2025 |
| 6 March 2025 | Health | F 0758 | Pharmacy Service Deficiencies | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | No | Deficient, Provider has date of correction | 11 April 2025 |
| 6 March 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | No | Deficient, Provider has date of correction | 11 April 2025 |
| 6 March 2025 | Health | F 0881 | Infection Control Deficiencies | Implement a program that monitors antibiotic use. | D | No | Deficient, Provider has date of correction | 11 April 2025 |
| 6 March 2025 | Health | F 0919 | Environmental Deficiencies | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | No | Deficient, Provider has date of correction | 11 April 2025 |
| 24 April 2024 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | No | Deficient, Provider has date of correction | 31 May 2024 |
| 24 April 2024 | Health | F 0578 | Resident Rights Deficiencies | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | No | Deficient, Provider has date of correction | 31 May 2024 |
| 24 April 2024 | Health | F 0656 | 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. | D | No | Deficient, Provider has date of correction | 31 May 2024 |
| 24 April 2024 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | No | Deficient, Provider has date of correction | 31 May 2024 |
| 24 April 2024 | Health | F 0690 | Quality of Life and Care Deficiencies | 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 | No | Deficient, Provider has date of correction | 31 May 2024 |
| 24 April 2024 | Health | F 0698 | Quality of Life and Care Deficiencies | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | No | Deficient, Provider has date of correction | 31 May 2024 |
| 24 April 2024 | Health | F 0881 | Infection Control Deficiencies | Implement a program that monitors antibiotic use. | D | Yes | Deficient, Provider has date of correction | 31 May 2024 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| 20 January 2026 | Payment Denial | 14 February 2026 | 13 |
From the Care Compare penalties file NH_Penalties_Aug2026.csv, processed on 1 August 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Corporation |
| Legal Business Name | MAPLE MANOR REHAB CENTER OF NOVI INC. |
| Date First Approved to Provide Medicare and Medicaid Services | 2014-05-16 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Oakland |
| Telephone Number | 2486248800 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 72 |
| Average Number of Residents per Day | 57.7 |
| Overall Rating | 4 |
| Health Inspection Rating | 3 |
| QM Rating | 3 |
| Long-Stay QM Rating | 2 |
| Short-Stay QM Rating | 3 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.
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On 1 May 2026: MARCUS S EVANGELISTA no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. That is one line of the alert.
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The citable document for Maple Manor Rehab Center of Novi Inc
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Michigan at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 235669.