Nursing homes › Wisconsin › Complete Care at Maple Grove LLC
3401 Maple Grove Dr., Madison, WI 53719 · 6088451000 · 184 certified beds
Per CMS filings, this facility is affiliated with Complete Care, a group operating 85 facilities in 8 states. Group record: average rating 3.1/5, 7 abuse citation icons, 0 facilities on the Special Focus list, $2,308,934 in federal fines. This facility rates below its group average (3.1/5).
Total nurse staffing: 4.97 (Wisconsin median: 4.06). RN hours: 1.04. Weekend total: 4.46. Nursing staff turnover: 64%.
All-time on record: 70 deficiency citations, including 2 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-07-29 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2025-08-12 |
| 2025-05-05 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Health | corrected 2025-06-09 |
| 2025-05-05 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2025-06-09 |
| 2025-05-05 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Health | corrected 2025-06-09 |
| 2025-05-05 | 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. | E | Health | corrected 2025-06-09 |
| 2025-05-05 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Health | corrected 2025-06-09 |
| 2025-05-05 | 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. | D | Health | corrected 2025-06-09 |
| 2025-05-05 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Health | corrected 2025-06-09 |
| 2025-05-05 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2025-06-09 |
| 2025-05-05 | Plan the resident's discharge to meet the resident's goals and needs. | D | Health | corrected 2025-06-09 |
| 2025-05-05 | Honor each resident's preferences, choices, values and beliefs. | D | Health | corrected 2025-06-09 |
| 2025-05-05 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2025-06-09 |
| 2025-05-05 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Health | corrected 2025-06-09 |
| 2025-05-05 | Provide safe, appropriate pain management for a resident who requires such services. | D | Health | corrected 2025-06-09 |
| 2025-03-28 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | complaint | corrected 2025-04-26 |
| 2025-03-28 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | complaint | corrected 2025-04-26 |
| 2025-03-28 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | complaint | corrected 2025-04-26 |
| 2024-11-11 | 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. | E | complaint | corrected 2024-11-23 |
| 2024-11-11 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2024-11-23 |
| 2024-10-21 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | complaint | corrected 2024-11-23 |
| 2024-10-21 | 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. | D | complaint | corrected 2024-11-15 |
| 2024-09-12 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | complaint | corrected 2024-10-10 |
| 2024-09-12 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | complaint | corrected 2024-10-10 |
| 2024-06-27 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | complaint | corrected 2024-07-19 |
| 2024-06-27 | 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. | D | complaint | corrected 2024-07-19 |
| 2024-06-27 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2024-07-19 |
| 2024-06-27 | Respond appropriately to all alleged violations. | D | complaint | corrected 2024-07-19 |
| 2024-06-27 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | complaint | corrected 2024-07-19 |
| 2024-06-27 | Provide appropriate foot care. | D | complaint | corrected 2024-07-19 |
| 2024-06-27 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2024-07-19 |
| 2024-06-27 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2024-07-19 |
| 2024-05-02 | Provide and implement an infection prevention and control program. | F | complaint | corrected 2024-05-29 |
| 2024-05-02 | PASARR screening for Mental disorders or Intellectual Disabilities | E | complaint | corrected 2024-05-24 |
| 2024-05-02 | Provide activities to meet all resident's needs. | E | complaint | corrected 2024-05-24 |
| 2024-05-02 | 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. | E | complaint | corrected 2024-05-24 |
| 2024-05-02 | Implement a program that monitors antibiotic use. | E | complaint | corrected 2024-05-24 |
| 2024-05-02 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2024-05-24 |
| 2024-05-02 | Respond appropriately to all alleged violations. | D | complaint | corrected 2024-05-24 |
| 2024-05-02 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | complaint | corrected 2024-05-24 |
| 2024-05-02 | Ensure each resident receives an accurate assessment. | D | complaint | corrected 2024-05-24 |
| Date | Type | Amount |
|---|---|---|
| 2025-05-05 | Fine | $58,354 |
| 2025-05-05 | Payment Denial | 21 days payment denial |
| 2025-03-28 | Fine | $34,356 |
| 2024-10-21 | Fine | $12,048 |
| 2024-10-21 | Payment Denial | 8 days payment denial |
| 2024-09-12 | Fine | $15,642 |
| 2023-12-04 | Fine | $15,239 |
| 2023-12-04 | Fine | $18,018 |
| 2023-12-04 | Payment Denial | 48 days payment denial |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| PC WCM OPCO HOLDCO LLC | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 02/28/2025 |
| PC WCM TOPCO LLC | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 02/28/2025 |
| PEACE CAPITAL HOLDINGS II LLC | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 02/28/2025 |
| SMS 2021 TRUST | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 02/28/2025 |
| KLUGMAN, JACOB | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 02/28/2025 |
| STEIN, SHALOM | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 02/28/2025 |
| HELLMAN, YOSEF | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 02/28/2025 |
| STEIN, SHALOM | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 02/28/2025 |
| STEIN, SHALOM | Corporate Officer | Individual | NOT APPLICABLE | since 02/28/2025 |
| CHOLES, DIANA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/28/2025 |
| HELLMAN, YOSEF | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/28/2025 |
| MAINA, JENNIFER | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/28/2025 |
| MURPHY, SEAN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/28/2025 |
| STERNBUCH, DANIEL | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/28/2025 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 525276. Corrections: data@carerecords.org.