Complete Care at Maple Grove LLC

3401 Maple Grove Dr., Madison, WI 53719 · CCN 525276 · 184 certified beds · Data as of 2026-07-01

CMS overall1 of 5CMS inspections1 of 5CMS staffing4 of 5CMS quality4 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 1 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

Serious inspection findings

2025-05-05 ACTUAL HARM (tag F0689, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2025-03-28 ACTUAL HARM (tag F0689, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2024-10-21 ACTUAL HARM (tag F0689, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2024-09-12 IMMEDIATE JEOPARDY (tag F0689, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2024-01-08 ACTUAL HARM (tag F0689, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2023-12-04 IMMEDIATE JEOPARDY (tag F0689, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2023-02-27 ACTUAL HARM (tag F0686, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Staffing, from payroll records

Nursing hours / resident / day

4.68

state median 3.58

Weekend staffing gap

−8%

fewer nursing hours on weekends · state median −4%

RN hours / resident / day

0.78

registered nurses only

Contract (agency) staff

15%

share of all nursing hours

Nursing staff turnover

64%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

9 enforcement action(s), totaling $153,657 in fines.

DateTypeAmount
2025-05-05Fine$58,354
2025-05-05Payment Denialpayment denial
2025-03-28Fine$34,356
2024-10-21Fine$12,048
2024-10-21Payment Denialpayment denial
2024-09-12Fine$15,642
2023-12-04Fine$15,239
2023-12-04Fine$18,018
2023-12-04Payment Denialpayment denial

Ownership

Ownership type: For profit - Corporation. Part of the COMPLETE CARE chain.

Other facilities under the same ownership, with their CMS overall ratings:

Full citation history

By severity: No harm, potential for minimal harm: 1 · Actual harm: 5 · Potential for more than minimal harm: 62 · Immediate jeopardy: 2

Survey dateTagCategorySeverityCorrected
2025-07-29F0689Quality of Life and Care DeficienciesDnot recorded
2025-05-05F0550Resident Rights DeficienciesEnot recorded
2025-05-05F0554Resident Rights DeficienciesDnot recorded
2025-05-05F0585Resident Rights DeficienciesDnot recorded
2025-05-05F0604Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2025-05-05F0656Resident Assessment and Care Planning DeficienciesDnot recorded
2025-05-05F0660Resident Assessment and Care Planning DeficienciesDnot recorded
2025-05-05F0675Quality of Life and Care DeficienciesDnot recorded
2025-05-05F0677Quality of Life and Care DeficienciesDnot recorded
2025-05-05F0686Quality of Life and Care DeficienciesDnot recorded
2025-05-05F0689Quality of Life and Care DeficienciesGnot recorded
2025-05-05F0697Quality of Life and Care DeficienciesDnot recorded
2025-05-05F0761Pharmacy Service DeficienciesEnot recorded
2025-05-05F0812Nutrition and Dietary DeficienciesFnot recorded
2025-03-28F0689Quality of Life and Care DeficienciesGnot recorded
2025-03-28F0805Nutrition and Dietary DeficienciesDnot recorded
2025-03-28F0842Resident Assessment and Care Planning DeficienciesDnot recorded
2024-11-11F0689Quality of Life and Care DeficienciesDnot recorded
2024-11-11F0700Quality of Life and Care DeficienciesEnot recorded
2024-10-21F0689Quality of Life and Care DeficienciesGnot recorded
2024-10-21F0758Pharmacy Service DeficienciesDnot recorded
2024-09-12F0689Quality of Life and Care DeficienciesJnot recorded
2024-09-12F0947Nursing and Physician Services DeficienciesDnot recorded
2024-06-27F0580Resident Rights DeficienciesDnot recorded
2024-06-27F0585Resident Rights DeficienciesDnot recorded
2024-06-27F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2024-06-27F0610Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2024-06-27F0686Quality of Life and Care DeficienciesDnot recorded
2024-06-27F0687Quality of Life and Care DeficienciesDnot recorded
2024-06-27F0689Quality of Life and Care DeficienciesDnot recorded
2024-06-27F0755Pharmacy Service DeficienciesDnot recorded
2024-05-02F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2024-05-02F0610Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2024-05-02F0636Resident Assessment and Care Planning DeficienciesDnot recorded
2024-05-02F0641Resident Assessment and Care Planning DeficienciesDnot recorded
2024-05-02F0645Resident Assessment and Care Planning DeficienciesEnot recorded
2024-05-02F0679Quality of Life and Care DeficienciesEnot recorded
2024-05-02F0684Quality of Life and Care DeficienciesDnot recorded
2024-05-02F0732Nursing and Physician Services DeficienciesCnot recorded
2024-05-02F0760Pharmacy Service DeficienciesDnot recorded
2024-05-02F0761Pharmacy Service DeficienciesEnot recorded
2024-05-02F0804Nutrition and Dietary DeficienciesDnot recorded
2024-05-02F0880Infection Control DeficienciesFnot recorded
2024-05-02F0881Infection Control DeficienciesEnot recorded
2024-05-02F0883Infection Control DeficienciesDnot recorded
2024-04-10F0550Resident Rights DeficienciesDnot recorded
2024-04-10F0585Resident Rights DeficienciesDnot recorded
2024-04-10F0657Resident Assessment and Care Planning DeficienciesDnot recorded
2024-04-10F0677Quality of Life and Care DeficienciesDnot recorded
2024-04-10F0755Pharmacy Service DeficienciesEnot recorded
2024-04-10F0759Pharmacy Service DeficienciesDnot recorded
2024-01-08F0689Quality of Life and Care DeficienciesGnot recorded
2024-01-08F0919Environmental DeficienciesDnot recorded
2023-12-04F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2023-12-04F0610Freedom from Abuse, Neglect, and Exploitation DeficienciesEnot recorded
2023-12-04F0689Quality of Life and Care DeficienciesJnot recorded
2023-10-09F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2023-10-09F0610Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2023-10-09F0684Quality of Life and Care DeficienciesEnot recorded
2023-02-27F0585Resident Rights DeficienciesDnot recorded
2023-02-27F0604Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2023-02-27F0677Quality of Life and Care DeficienciesEnot recorded
2023-02-27F0686Quality of Life and Care DeficienciesGnot recorded
2023-02-27F0690Quality of Life and Care DeficienciesDnot recorded
2023-02-27F0725Nursing and Physician Services DeficienciesEnot recorded
2023-02-27F0757Pharmacy Service DeficienciesDnot recorded
2023-02-27F0759Pharmacy Service DeficienciesDnot recorded
2023-02-27F0811Nutrition and Dietary DeficienciesEnot recorded
2023-02-27F0812Nutrition and Dietary DeficienciesFnot recorded
2023-02-27F0814Nutrition and Dietary DeficienciesFnot recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “Complete Care at Maple Grove LLC, Madison” at medicare.gov/care-compare.