Complete Care at Maple Grove LLC

3401 Maple Grove Dr. · Madison, WI · 53719 · 6088451000

184 certified beds For profit - Corporation Chain: Complete Care

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).
  • Federal penalties on record: $120,400 in fines in the last 24 months.
  • 5 citations involved actual harm to residents.
  • Staffing hours comfortably above national benchmarks.
  • Inspection results have improved across recent cycles.

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Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

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Red flags

2 immediate-jeopardy citations in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

$120,400 in federal fines in the last 24 months

4 fines — CMS fines are reserved for verified, serious non-compliance.

89% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 30
Serious harm & abuse 20% 58
Staffing 20% 82
Federal penalties 15% 0
Trend 10% 88
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 1 of 5 Staffing: 4 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day4.933.48 min · 4.1 strong
RN hours / resident-day1.110.55–0.75
Weekend hours / resident-day4.65≈ weekday level
Nursing turnover / year89%median 45%
Fines (3-yr window)6 · $153,657

Inspection citations (70 in the current record)

  • Potential for harm · D July 29, 2025 · found via complaint

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

    Corrected August 12, 2025 · Quality of Life and Care

  • Actual harm · G May 5, 2025

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

    Corrected June 9, 2025 · Quality of Life and Care

  • Potential for harm · E May 5, 2025

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

    Corrected June 9, 2025 · Resident Rights

  • Potential for harm · D May 5, 2025

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

    Corrected June 9, 2025 · Resident Rights

  • Potential for harm · D May 5, 2025

    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.

    Corrected June 9, 2025 · Resident Rights

  • Potential for harm · D May 5, 2025

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

    Corrected June 9, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D May 5, 2025

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

    Corrected June 9, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D May 5, 2025

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

    Corrected June 9, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D May 5, 2025

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

    Corrected June 9, 2025 · Quality of Life and Care

  • Potential for harm · D May 5, 2025

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

    Corrected June 9, 2025 · Quality of Life and Care

  • Potential for harm · D May 5, 2025

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

    Corrected June 9, 2025 · Quality of Life and Care

  • Potential for harm · D May 5, 2025

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

    Corrected June 9, 2025 · Quality of Life and Care

  • Potential for harm · E May 5, 2025

    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.

    Corrected June 9, 2025 · Pharmacy Service

  • Potential for harm · F May 5, 2025

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

    Corrected June 9, 2025 · Nutrition and Dietary

  • Actual harm · G March 28, 2025 · found via complaint

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

    Corrected April 26, 2025 · Quality of Life and Care

  • Potential for harm · D March 28, 2025 · found via complaint

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

    Corrected April 26, 2025 · Nutrition and Dietary

  • Potential for harm · D March 28, 2025 · found via complaint

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

    Corrected April 26, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D November 11, 2024 · found via complaint

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

    Corrected November 23, 2024 · Quality of Life and Care

  • Potential for harm · E November 11, 2024 · found via complaint

    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.

    Corrected November 23, 2024 · Quality of Life and Care

  • Actual harm · G October 21, 2024 · found via complaint

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

    Corrected November 23, 2024 · Quality of Life and Care

  • Potential for harm · D October 21, 2024 · found via complaint

    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.

    Corrected November 15, 2024 · Pharmacy Service

  • Immediate jeopardy · J September 12, 2024 · found via complaint

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

    Corrected October 10, 2024 · Quality of Life and Care

  • Potential for harm · D September 12, 2024 · found via complaint

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

    Corrected October 10, 2024 · Nursing and Physician Services

  • Potential for harm · D June 27, 2024 · found via complaint

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

    Corrected July 19, 2024 · Resident Rights

  • Potential for harm · D June 27, 2024 · found via complaint

    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.

    Corrected July 19, 2024 · Resident Rights

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
May 5, 2025Fine$58,354
May 5, 2025Payment Denial21 days
March 28, 2025Fine$34,356
October 21, 2024Fine$12,048
October 21, 2024Payment Denial8 days
September 12, 2024Fine$15,642
December 4, 2023Fine$15,239
December 4, 2023Fine$18,018
December 4, 2023Payment Denial48 days

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 525276 · certified since January 1, 1977. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.