Complete Care at Maple Grove LLC
Nursing home in Madison, WI
Medicare & Medicaid certified1★ overall (CMS)
Public-record details
- Address
- 3401 Maple Grove Dr., Madison, WI 53719
- Phone
- (608) 845-1000
- Listed under
- For-profit
- Medicare CCN
- 525276
- Overall star rating
- 1 of 5 ★☆☆☆☆
- Health inspection rating
- 1 of 5
- Staffing rating
- 4 of 5
- Quality measures rating
- 4 of 5
- Certified beds
- 184
- Average residents per day
- 110
- Ownership
- For-profit, corporation
- Legal business name
- St Marys Care and Rehab Center LLC
- Chain
- Complete Care (85 facilities)
- Certified for
- Medicare and Medicaid
- First approved by Medicare/Medicaid
- Jan 1, 1977
- Changed ownership in last 12 months
- No
- Continuing care retirement community
- No
- Located inside a hospital
- No
- Resident or family council
- Resident and family councils
- Sprinklers in all required areas
- Yes
Inspection record
Most recent standard health inspection: May 5, 2025. CMS lists 82 health citations for this facility across its last three standard inspection cycles and complaint inspections (Feb 27, 2023 to Jul 2, 2026): 57 from complaint inspections, 7 at the “actual harm” level or higher, including 2 at “immediate jeopardy”.
| Inspection | Citation | Severity |
|---|---|---|
| Jul 2, 2026 | Allow residents to self-administer drugs if determined clinically appropriate. | D |
| Jul 2, 2026 | 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 |
| Jul 2, 2026 | PASARR screening for Mental disorders or Intellectual Disabilities | D |
| Jul 2, 2026 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| Jul 2, 2026 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D |
| Jul 2, 2026 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| Jul 2, 2026 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D |
| Jul 2, 2026 | Provide care or services that was trauma informed and/or culturally competent. | D |
| Jul 2, 2026 | 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. | D |
| Jul 2, 2026 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E |
| Jul 2, 2026 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| Jun 25, 2026 | Ensure that residents are free from significant medication errors. | D |
Fines and payment denials
CMS records 6 fines totalling $153,657 and 3 denials of Medicare payment for new admissions in the last three years.
| May 5, 2025 | Fine: $58,354 |
| May 5, 2025 | Payment denial for 21 days from Jun 3, 2025 |
| Mar 28, 2025 | Fine: $34,356 |
| Oct 21, 2024 | Fine: $12,048 |
| Oct 21, 2024 | Payment denial for 8 days from Nov 15, 2024 |
| Sep 12, 2024 | Fine: $15,642 |
| Dec 4, 2023 | Fine: $15,239 |
| Dec 4, 2023 | Fine: $18,018 |
| Dec 4, 2023 | Payment denial for 48 days from Dec 30, 2023 |
Staffing
- Total nurse staffing per resident per day
- 4.97 hours
- Registered nurse (RN) time per resident per day
- 1.04 hours
- Nurse aide time per resident per day
- 3.23 hours
- Total nurse staffing on weekends
- 4.46 hours
- Nursing staff turnover (yearly)
- 64%
- RN turnover (yearly)
- 60%
- Administrators who left in the past year
- 0
A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.
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