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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeWisconsinComplete Care at Maple Grove LLC

Complete Care at Maple Grove LLC

3401 Maple Grove Dr., Madison, WI 537196088451000
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
1/5
Staffing
4/5
Quality
3/5
Beds
184
certified
Ownership changed in the last 12 months.
5 fine(s) totaling $95,303

Key Findings

• CMS rates this facility 1/5 stars (below average)

• Has 184 certified beds with an average of 100.7 residents per day (55% occupancy)

• Last health inspection found 17 deficiencies (inspected May 5, 2025)

• Has been fined a total of $95,303 across 5 fine(s)

• Total nursing staff: 4.94 hours per resident per day

• Staff turnover rate: 72.8% (high)

• Part of the Complete Care chain (85 facilities)

Complete Care at Maple Grove LLC is a 1-star Medicare and Medicaid certified nursing home in Madison, Wisconsin with 184 certified beds. It has been operating since 1977. The facility scored below average compared to Wisconsin facilities.

Beds
184
Avg Residents/Day
100.7
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Jan 1, 1977
Sprinklers
Yes
Council
Both
County
Dane
Last Inspection
May 5, 2025
Deficiencies (Cycle 1)
17
Weighted Score
199.5
Infection Citations
0

Deficiency Citations (70)

F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Jul 29, 2025Corrected: NoCycle: 1
F0689Actual Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Mar 28, 2025Corrected: NoCycle: 1
F0805Potential for Harm

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Survey: Mar 28, 2025Corrected: NoCycle: 1
F0842Potential for Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey: Mar 28, 2025Corrected: NoCycle: 1
F0550Potential for Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey: May 5, 2025Corrected: NoCycle: 1
F0554Potential for Harm

Allow residents to self-administer drugs if determined clinically appropriate.

Survey: May 5, 2025Corrected: NoCycle: 1
F0585Potential for Harm

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Survey: May 5, 2025Corrected: NoCycle: 1
F0604Potential for Harm

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Survey: May 5, 2025Corrected: NoCycle: 1
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: May 5, 2025Corrected: NoCycle: 1
F0660Potential for Harm

Plan the resident's discharge to meet the resident's goals and needs.

Survey: May 5, 2025Corrected: NoCycle: 1
F0675Potential for Harm

Honor each resident's preferences, choices, values and beliefs.

Survey: May 5, 2025Corrected: NoCycle: 1
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: May 5, 2025Corrected: NoCycle: 1
F0686Potential for Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey: May 5, 2025Corrected: NoCycle: 1
F0689Actual Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: May 5, 2025Corrected: NoCycle: 1
F0697Potential for Harm

Provide safe, appropriate pain management for a resident who requires such services.

Survey: May 5, 2025Corrected: NoCycle: 1
F0761Potential for Harm

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Survey: May 5, 2025Corrected: NoCycle: 1
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: May 5, 2025Corrected: NoCycle: 1
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Nov 11, 2024Corrected: NoCycle: 2
F0700Potential for Harm

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.

Survey: Nov 11, 2024Corrected: NoCycle: 2
F0689Actual Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Oct 21, 2024Corrected: NoCycle: 2
F0758Potential for Harm

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.

Survey: Oct 21, 2024Corrected: NoCycle: 2
F0689Immediate Jeopardy

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Sep 12, 2024Corrected: NoCycle: 2
F0947Potential for Harm

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Survey: Sep 12, 2024Corrected: NoCycle: 2
F0580Potential for Harm

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey: Jun 27, 2024Corrected: NoCycle: 2
F0585Potential for Harm

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Survey: Jun 27, 2024Corrected: NoCycle: 2
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: Jun 27, 2024Corrected: NoCycle: 2
F0610Potential for Harm

Respond appropriately to all alleged violations.

Survey: Jun 27, 2024Corrected: NoCycle: 2
F0686Potential for Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey: Jun 27, 2024Corrected: NoCycle: 2
F0687Potential for Harm

Provide appropriate foot care.

Survey: Jun 27, 2024Corrected: NoCycle: 2
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Jun 27, 2024Corrected: NoCycle: 2

+ 40 more deficiencies

Total Fines
$95,303
Number of Fines
5
Payment Denials
3
Total Penalties
8

Penalty History

FineOct 21, 2024
$12,048
FineDec 4, 2023
$15,239
FineSep 12, 2024
$15,642
FineDec 4, 2023
$18,018
FineMar 28, 2025
$34,356
Payment DenialOct 21, 2024
8 days denied
Payment DenialDec 4, 2023
48 days denied
Payment DenialFeb 27, 2023
30 days denied

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide3.12 hrs
National avg: 2.35 hrs
LPN0.66 hrs
National avg: 0.86 hrs
RN1.16 hrs
National avg: 0.68 hrs
Total Nursing4.94 hrs
National avg: 3.89 hrs
Weekend Total4.57 hrs
National avg: 0.00 hrs
Physical Therapist0.07 hrs
National avg: 0.07 hrs
Total Turnover
72.8%
RN Turnover
71.0%
Administrators Left
2

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Corporation
Recent Change
Yes (within 12 months)

Owners & Managers (10)

NameRoleTypeOwnership %Since
PC WCM OPCO HOLDCO LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Feb 28, 2025
PC WCM TOPCO LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationN/AFeb 28, 2025
PEACE CAPITAL HOLDINGS II LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationN/AFeb 28, 2025
SMS 2021 TRUST5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationN/AFeb 28, 2025
CHOLES, DIANAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AFeb 28, 2025
HELMAN, YOSEFOPERATIONAL/MANAGERIAL CONTROLIndividualN/AFeb 28, 2025
MAINA, JENNIFEROPERATIONAL/MANAGERIAL CONTROLIndividualN/AFeb 28, 2025
MURPHY, SEANOPERATIONAL/MANAGERIAL CONTROLIndividualN/AFeb 28, 2025
STERNBUCH, DANIELOPERATIONAL/MANAGERIAL CONTROLIndividualN/AFeb 28, 2025
STEIN, SHALOMCORPORATE OFFICERIndividualN/AFeb 28, 2025

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Frequently Asked Questions

What is the CMS rating for Complete Care at Maple Grove LLC?▾
Complete Care at Maple Grove LLC has an overall CMS rating of 1 out of 5 stars, with a health inspection rating of 1/5, staffing rating of 4/5, and quality measures rating of 3/5. This facility is rated below average.
Has Complete Care at Maple Grove LLC had any health inspection violations?▾
Complete Care at Maple Grove LLC had 17 deficiency citations in its most recent health inspection (May 5, 2025). The facility has been fined a total of $95,303 across 5 fine(s).
What are the staffing levels at Complete Care at Maple Grove LLC?▾
Complete Care at Maple Grove LLC provides 4.94 total nursing staff hours per resident per day, including 1.16 RN hours, 0.66 LPN hours, and 3.12 nurse aide hours. The total staff turnover rate is 72.8%.
How many beds does Complete Care at Maple Grove LLC have?▾
Complete Care at Maple Grove LLC has 184 certified beds with an average of 100.7 residents per day, resulting in approximately 55% occupancy. The facility is For profit - Corporation owned and is part of the Complete Care chain.
Are there other nursing homes near Complete Care at Maple Grove LLC?▾
Yes, there are 6 other nursing homes in Madison, Wisconsin with an average rating of 1.8/5. You can compare all facilities on the Madison nursing homes page.

Part of Complete Care

This chain operates 85 facilities. View all →