Complete Care at Maple Grove LLC

3401 Maple Grove Dr., Madison, WI 53719 · (608) 845-1000
For profit - Corporation · 184 certified beds

Complete Care at Maple Grove LLC has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in May 2025, found 13 citations, 1 for actual harm or immediate jeopardy (the Wisconsin average is 9.5). It was fined 6 times in the last three years, $153,657 in all.

Medicare ratings

How to read a nursing home's star ratings

Most recent health inspection

The standard health inspection on May 5, 2025 found 13 citations. What an inspection citation means

• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.May 5, 2025 · F0689 · Level of harm: Actual harm · Residents affected: Few
• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.May 5, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.May 5, 2025 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• 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.May 5, 2025 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Allow residents to self-administer drugs if determined clinically appropriate.May 5, 2025 · F0554 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.May 5, 2025 · F0585 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.May 5, 2025 · F0604 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.May 5, 2025 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Plan the resident's discharge to meet the resident's goals and needs.May 5, 2025 · F0660 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Honor each resident's preferences, choices, values and beliefs.May 5, 2025 · F0675 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide care and assistance to perform activities of daily living for any resident who is unable.May 5, 2025 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate pressure ulcer care and prevent new ulcers from developing.May 5, 2025 · F0686 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide safe, appropriate pain management for a resident who requires such services.May 5, 2025 · F0697 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few

Complaint inspections, last three years

Inspections after complaints found 57 citations.

• Allow residents to self-administer drugs if determined clinically appropriate.July 2, 2026 · F0554 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.July 2, 2026 · F0585 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• PASARR screening for Mental disorders or Intellectual DisabilitiesJuly 2, 2026 · F0645 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide care and assistance to perform activities of daily living for any resident who is unable.July 2, 2026 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.July 2, 2026 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate pressure ulcer care and prevent new ulcers from developing.July 2, 2026 · F0686 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.July 2, 2026 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.July 2, 2026 · F0690 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide care or services that was trauma informed and/or culturally competent.July 2, 2026 · F0699 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.July 2, 2026 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• 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.July 2, 2026 · F0849 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that residents are free from significant medication errors.June 25, 2026 · F0760 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.July 29, 2025 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.March 28, 2025 · F0689 · Level of harm: Actual harm · Residents affected: Few
• Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.March 28, 2025 · F0805 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.March 28, 2025 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.November 11, 2024 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.November 11, 2024 · F0700 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.October 21, 2024 · F0689 · Level of harm: Actual harm · Residents affected: Few
• 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.October 21, 2024 · F0758 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.September 12, 2024 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
• Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.September 12, 2024 · F0947 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.June 27, 2024 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.June 27, 2024 · F0585 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.June 27, 2024 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Respond appropriately to all alleged violations.June 27, 2024 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate pressure ulcer care and prevent new ulcers from developing.June 27, 2024 · F0686 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate foot care.June 27, 2024 · F0687 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.June 27, 2024 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.June 27, 2024 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.May 2, 2024 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Respond appropriately to all alleged violations.May 2, 2024 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.May 2, 2024 · F0636 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure each resident receives an accurate assessment.May 2, 2024 · F0641 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• PASARR screening for Mental disorders or Intellectual DisabilitiesMay 2, 2024 · F0645 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide activities to meet all resident's needs.May 2, 2024 · F0679 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.May 2, 2024 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Post nurse staffing information every day.May 2, 2024 · F0732 · Level of harm: Potential for minimal harm · Residents affected: Many
• Ensure that residents are free from significant medication errors.May 2, 2024 · F0760 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.May 2, 2024 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide and implement an infection prevention and control program.May 2, 2024 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Implement a program that monitors antibiotic use.May 2, 2024 · F0881 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Develop and implement policies and procedures for flu and pneumonia vaccinations.May 2, 2024 · F0883 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.April 10, 2024 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.April 10, 2024 · F0585 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.April 10, 2024 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide care and assistance to perform activities of daily living for any resident who is unable.April 10, 2024 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.April 10, 2024 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure medication error rates are not 5 percent or greater.April 10, 2024 · F0759 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.January 8, 2024 · F0689 · Level of harm: Actual harm · Residents affected: Few
• Make sure that a working call system is available in each resident's bathroom and bathing area.January 8, 2024 · F0919 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.December 4, 2023 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Respond appropriately to all alleged violations.December 4, 2023 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.December 4, 2023 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.October 9, 2023 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Respond appropriately to all alleged violations.October 9, 2023 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.October 9, 2023 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some

Fines and payment denials

• Fine of $58,354May 5, 2025
• Fine of $34,356March 28, 2025
• Fine of $12,048October 21, 2024
• Fine of $15,642September 12, 2024
• Fine of $15,239December 4, 2023
• Fine of $18,018December 4, 2023
• Medicare payment denial for 21 daysStarting June 3, 2025
• Medicare payment denial for 8 daysStarting November 15, 2024
• Medicare payment denial for 48 daysStarting December 30, 2023

Nurse staffing

Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.

About this home