Senior Care Records.

Complete Care at Maple Grove LLC

3401 Maple Grove Dr., Madison, WI, 53719

Nursing home184 licensed beds0 citations on record
4 more within 6 milesOpen in Maps
Has this facility been cited?

Yes. Federal inspectors cited 14 deficiencies against Complete Care at Maple Grove LLC in Madison, Wisconsin at its most recent standard inspection on 2025-05-05, 1 of them arising from complaints. 2 findings have been recorded at the immediate-jeopardy level, the most serious CMS uses, meaning a resident was placed in immediate danger. Medicare has fined it 6 times, totalling $153,657. Medicare rates it 1 out of 5 overall.

1 / 5Medicare overall rating
184certified beds
14deficiencies at the last inspection
2immediate-jeopardy findings on record
5actual-harm findings on record
6federal fines, $153,657
What the inspectors found

Every deficiency on record, by how serious CMS judged it

CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.

Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.2
Actual harmA resident was harmed, but not placed in immediate danger.5
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.62
Potential for minimal harmThe least serious band.1
Most recent

The last 20 findings, newest first

Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.

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

Quality of Life and Care Deficiencies · F0689 · 2025-07-29 · from a complaint · No actual harm, potential for more than minimal harm

D

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

Quality of Life and Care Deficiencies · F0689 · 2025-05-05 · standard survey · Actual harm to a resident

G

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

Nutrition and Dietary Deficiencies · F0812 · 2025-05-05 · standard survey · No actual harm, potential for more than minimal harm

F

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

Resident Rights Deficiencies · F0550 · 2025-05-05 · standard survey · No actual harm, potential for more than minimal harm

E

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.

Pharmacy Service Deficiencies · F0761 · 2025-05-05 · standard survey · No actual harm, potential for more than minimal harm

E

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

Resident Rights Deficiencies · F0554 · 2025-05-05 · standard survey · No actual harm, potential for more than minimal harm

D

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.

Resident Rights Deficiencies · F0585 · 2025-05-05 · standard survey · No actual harm, potential for more than minimal harm

D

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

Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0604 · 2025-05-05 · standard survey · No actual harm, potential for more than minimal harm

D

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

Resident Assessment and Care Planning Deficiencies · F0656 · 2025-05-05 · standard survey · No actual harm, potential for more than minimal harm

D

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

Resident Assessment and Care Planning Deficiencies · F0660 · 2025-05-05 · standard survey · No actual harm, potential for more than minimal harm

D

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

Quality of Life and Care Deficiencies · F0675 · 2025-05-05 · standard survey · No actual harm, potential for more than minimal harm

D

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

Quality of Life and Care Deficiencies · F0677 · 2025-05-05 · standard survey · No actual harm, potential for more than minimal harm

D

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

Quality of Life and Care Deficiencies · F0686 · 2025-05-05 · standard survey · No actual harm, potential for more than minimal harm

D

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

Quality of Life and Care Deficiencies · F0697 · 2025-05-05 · standard survey · No actual harm, potential for more than minimal harm

D

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

Quality of Life and Care Deficiencies · F0689 · 2025-03-28 · from a complaint · Actual harm to a resident

G

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

Nutrition and Dietary Deficiencies · F0805 · 2025-03-28 · from a complaint · No actual harm, potential for more than minimal harm

D

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

Resident Assessment and Care Planning Deficiencies · F0842 · 2025-03-28 · from a complaint · No actual harm, potential for more than minimal harm

D

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.

Quality of Life and Care Deficiencies · F0700 · 2024-11-11 · from a complaint · No actual harm, potential for more than minimal harm

E

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

Quality of Life and Care Deficiencies · F0689 · 2024-11-11 · from a complaint · No actual harm, potential for more than minimal harm

D

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

Quality of Life and Care Deficiencies · F0689 · 2024-10-21 · from a complaint · Actual harm to a resident

G
Medicare’s own rating

How CMS scores this home

These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.

OverallCombines the three below1 of 5
Health inspectionBased on the last three inspection cycles1 of 5
StaffingNurse hours per resident, adjusted for how sick residents are4 of 5
Quality measuresResident outcomes reported by the home4 of 5
Nurse hours per resident per dayReported by the home to CMS4.96826
Nursing staff turnoverShare of nursing staff who left in a year64%
Penalties

What Medicare has fined this home

FinesCivil money penalties imposed by CMS6
Total fined$153,657
Payment denials and other penaltiesMedicare refusing to pay for new admissions is the usual one9
Ownership

Who owns Complete Care at Maple Grove LLC

Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.

OwnerRoleShareSince
PC WCM OPCO HOLDCO LLCOrganization100%since 02/28/2025
PC WCM TOPCO LLCOrganizationNO PERCENTAGE PROVIDEDsince 02/28/2025
PEACE CAPITAL HOLDINGS II LLCOrganizationNO PERCENTAGE PROVIDEDsince 02/28/2025
SMS 2021 TRUSTOrganizationNO PERCENTAGE PROVIDEDsince 02/28/2025
KLUGMAN, JACOBIndividualNOT APPLICABLEsince 02/28/2025
STEIN, SHALOMIndividualNOT APPLICABLEsince 02/28/2025
HELLMAN, YOSEFIndividualNOT APPLICABLEsince 02/28/2025
STEIN, SHALOMIndividualNOT APPLICABLEsince 02/28/2025
STEIN, SHALOMIndividualNOT APPLICABLEsince 02/28/2025
CHOLES, DIANAIndividualNOT APPLICABLEsince 02/28/2025
HELLMAN, YOSEFIndividualNOT APPLICABLEsince 02/28/2025
MAINA, JENNIFERIndividualNOT APPLICABLEsince 02/28/2025

Part of the COMPLETE CARE group.

Nearby

Other licensed providers within six miles

Listed by distance. Nobody paid to appear here and the order is not for sale.

Contact

Ask Complete Care at Maple Grove LLC a question

This page has not been claimed, so messages sent here would reach nobody. Call them instead — we take no commission either way, so we have no reason to steer you anywhere.

What is needed

Complete Care at Maple Grove LLC has not claimed this page, so there is nobody here to deliver a message to. We will not take your details and sit on them. Call them on 6088451000 — the number is from their licence record.

Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 525276.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction