Nursing HomeInspections

Complete Care at Maple Grove LLC

Nursing home in Madison, WI

Medicare & Medicaid certified1★ overall (CMS)

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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
104
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

CMS certification number 525276. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: Jul 2, 2026. CMS lists 71 health citations for this facility across its last three standard inspection cycles and complaint inspections (Oct 9, 2023 to Jul 2, 2026): 57 from complaint inspections, 6 at the “actual harm” level or higher, including 2 at “immediate jeopardy”.

InspectionCitationSeverity
Jul 2, 2026Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights · complaint inspection
D
Potential for more than minimal harm, isolated
Jul 2, 2026Honor 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.
Resident Rights · complaint inspection
D
Potential for more than minimal harm, isolated
Jul 2, 2026PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning · complaint inspection
D
Potential for more than minimal harm, isolated
Jul 2, 2026Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
Jul 2, 2026Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
Jul 2, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
Jul 2, 2026Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
Jul 2, 2026Provide care or services that was trauma informed and/or culturally competent.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
Jul 2, 2026Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Administration · complaint inspection
D
Potential for more than minimal harm, isolated
Jul 2, 2026Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · complaint inspection
E
Potential for more than minimal harm, pattern
Jul 2, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · complaint inspection
F
Potential for more than minimal harm, widespread
Jun 25, 2026Ensure that residents are free from significant medication errors.
Pharmacy Service · complaint inspection
D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 71. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Oct 1, 2026.

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, 2025Fine: $58,354
May 5, 2025Payment denial for 21 days from Jun 3, 2025
Mar 28, 2025Fine: $34,356
Oct 21, 2024Fine: $12,048
Oct 21, 2024Payment denial for 8 days from Nov 15, 2024
Sep 12, 2024Fine: $15,642
Dec 4, 2023Fine: $15,239
Dec 4, 2023Fine: $18,018
Dec 4, 2023Payment denial for 48 days from Dec 30, 2023

Source: CMS Penalties file, processed Oct 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
4.76 hours
Registered nurse (RN) time per resident per day
1.03 hours
Nurse aide time per resident per day
3.05 hours
Total nurse staffing on weekends
4.23 hours
Nursing staff turnover (yearly)
55%
RN turnover (yearly)
35%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

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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