• 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.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Allow residents to self-administer drugs if determined clinically appropriate.
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.
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Plan the resident's discharge to meet the resident's goals and needs.
Honor each resident's preferences, choices, values and beliefs.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide safe, appropriate pain management for a resident who requires such services.
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.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Respond appropriately to all alleged violations.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Provide appropriate foot care.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
+ 40 more deficiencies
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| PC WCM OPCO HOLDCO LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | Feb 28, 2025 |
| PC WCM TOPCO LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | N/A | Feb 28, 2025 |
| PEACE CAPITAL HOLDINGS II LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | N/A | Feb 28, 2025 |
| SMS 2021 TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | N/A | Feb 28, 2025 |
| CHOLES, DIANA | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Feb 28, 2025 |
| HELMAN, YOSEF | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Feb 28, 2025 |
| MAINA, JENNIFER | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Feb 28, 2025 |
| MURPHY, SEAN | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Feb 28, 2025 |
| STERNBUCH, DANIEL | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Feb 28, 2025 |
| STEIN, SHALOM | CORPORATE OFFICER | Individual | N/A | Feb 28, 2025 |
This chain operates 85 facilities. View all →