Quick answers
- Where is Complete Care at Maple Grove LLC?
- 3401 Maple Grove Dr., Madison, WI 53719, in Dane County, Wisconsin.
- What is the phone number of Complete Care at Maple Grove LLC?
- (608) 845-1000, as listed by Medicare (CMS).
- What is the Medicare star rating of Complete Care at Maple Grove LLC?
- Medicare overall rating: 1 out of 5 stars (CMS data updated 2026-10-01).
- Has Complete Care at Maple Grove LLC been fined?
- Medicare lists 6 fines totaling $153,657 and 3 payment denials.
- What did inspectors find at Complete Care at Maple Grove LLC?
- In its last three inspection cycles (October 9, 2023 to July 2, 2026), Medicare lists 71 health citations; the most serious was level J. 6 were level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (October 9, 2023 to July 2, 2026), Complete Care at Maple Grove LLC had 71 health citations; the most serious was level J (immediate jeopardy to resident health or safety). 6 of them were level G or higher (actual harm or immediate jeopardy). It was fined $153,657 in total (6 fines, the latest on May 5, 2025) and had 3 Medicare payment denials. Nurse staffing is 4.76 hours per resident per day; the Wisconsin average is 4.25 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: July 2, 2026 — 12 health citations
Inspections in this cycle: June 25, 2026 (complaint investigation); July 2, 2026 (complaint investigation); July 2, 2026 (standard health inspection).
Show 12 citations (levels A to F, no actual harm)
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0677 Level E
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0554 Level D
“Allow residents to self-administer drugs if determined clinically appropriate.”
F0585 Level D
“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.”
F0645 Level D
“PASARR screening for Mental disorders or Intellectual Disabilities”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0686 Level D
“Provide appropriate pressure ulcer care and prevent new ulcers from developing.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0690 Level D
“Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.”
F0699 Level D
“Provide care or services that was trauma informed and/or culturally competent.”
F0849 Level D
“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.”
F0760 Level D
“Ensure that residents are free from significant medication errors.”
Previous cycle: May 5, 2025 — 21 health citations
Inspections in this cycle: October 21, 2024 (complaint investigation); November 11, 2024 (complaint investigation); March 28, 2025 (complaint investigation); May 5, 2025 (standard health inspection); July 29, 2025 (complaint investigation).
F0689 Level G
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
F0689 Level G
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
F0689 Level G
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 18 less serious citations (levels A to F)
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0550 Level E
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0761 Level E
“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.”
F0700 Level E
“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.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0554 Level D
“Allow residents to self-administer drugs if determined clinically appropriate.”
F0585 Level D
“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.”
F0604 Level D
“Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0660 Level D
“Plan the resident's discharge to meet the resident's goals and needs.”
F0675 Level D
“Honor each resident's preferences, choices, values and beliefs.”
F0677 Level D
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0686 Level D
“Provide appropriate pressure ulcer care and prevent new ulcers from developing.”
F0697 Level D
“Provide safe, appropriate pain management for a resident who requires such services.”
F0805 Level D
“Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.”
F0842 Level D
“Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0758 Level D
“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.”
Earlier cycle: May 2, 2024 — 38 health citations
Inspections in this cycle: October 9, 2023 (complaint investigation); December 4, 2023 (complaint investigation); January 8, 2024 (complaint investigation); April 10, 2024 (complaint investigation); May 2, 2024 (complaint investigation); May 2, 2024 (standard health inspection); June 27, 2024 (complaint investigation); September 12, 2024 (complaint investigation).
F0689 Level J
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
immediate jeopardy to resident health or safety; isolated (a few residents) · Quality of Life and Care Deficiencies
F0689 Level J
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
immediate jeopardy to resident health or safety; isolated (a few residents) · Quality of Life and Care Deficiencies
F0689 Level G
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 35 less serious citations (levels A to F)
F0880 Level F
“Provide and implement an infection prevention and control program.”
F0645 Level E
“PASARR screening for Mental disorders or Intellectual Disabilities”
F0679 Level E
“Provide activities to meet all resident's needs.”
F0761 Level E
“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.”
F0881 Level E
“Implement a program that monitors antibiotic use.”
F0755 Level E
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0610 Level E
“Respond appropriately to all alleged violations.”
F0684 Level E
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0947 Level D
“Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.”
F0580 Level D
“Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.”
F0585 Level D
“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.”
F0609 Level D
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0610 Level D
“Respond appropriately to all alleged violations.”
F0686 Level D
“Provide appropriate pressure ulcer care and prevent new ulcers from developing.”
F0687 Level D
“Provide appropriate foot care.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0755 Level D
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0609 Level D
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0610 Level D
“Respond appropriately to all alleged violations.”
F0636 Level D
“Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.”
F0641 Level D
“Ensure each resident receives an accurate assessment.”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0760 Level D
“Ensure that residents are free from significant medication errors.”
F0804 Level D
“Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.”
F0883 Level D
“Develop and implement policies and procedures for flu and pneumonia vaccinations.”
F0550 Level D
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0585 Level D
“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.”
F0657 Level D
“Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”
F0677 Level D
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0759 Level D
“Ensure medication error rates are not 5 percent or greater.”
F0919 Level D
“Make sure that a working call system is available in each resident's bathroom and bathing area.”
F0609 Level D
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0609 Level D
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0610 Level D
“Respond appropriately to all alleged violations.”
F0732 Level C
“Post nurse staffing information every day.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (32)
K0324 Level F
“Provide properly protected cooking facilities.”
K0353 Level F
“Inspect, test, and maintain automatic sprinkler systems.”
K0355 Level F
“Properly select, install, inspect, or maintain portable fire extinguishes.”
K0521 Level F
“Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.”
K0914 Level F
“Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.”
K0918 Level F
“Have generator or other power source capable of supplying service within 10 seconds.”
K0345 Level E
“Have approved installation, maintenance and testing program for fire alarm systems.”
K0911 Level D
“Meet requirements for the installation and maintenance of electrical systems.”
K0920 Level D
“Ensure proper usage of power strips and extension cords.”
E0004 Level F
“Develop and maintain an Emergency Preparedness Program (EP).”
E0006 Level F
“Conduct risk assessment and an All-Hazards approach.”
E0039 Level F
“Conduct testing and exercise requirements.”
K0353 Level F
“Inspect, test, and maintain automatic sprinkler systems.”
K0355 Level F
“Properly select, install, inspect, or maintain portable fire extinguishes.”
K0761 Level F
“To conduct inspection, testing and maintenance of fire doors by qualified individuals.”
K0918 Level F
“Have generator or other power source capable of supplying service within 10 seconds.”
K0331 Level E
“Construct fire resistant interior walls.”
K0362 Level E
“Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.”
K0363 Level E
“Install corridor and hallway doors that block smoke.”
K0912 Level E
“Have power receptacles that are properly grounded.”
K0919 Level E
“Meet requirements for the use of electrical equipment.”
K0351 Level D
“Install an approved automatic sprinkler system.”
K0521 Level D
“Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.”
E0006 Level F
“Conduct risk assessment and an All-Hazards approach.”
K0324 Level F
“Provide properly protected cooking facilities.”
K0331 Level E
“Construct fire resistant interior walls.”
K0353 Level E
“Inspect, test, and maintain automatic sprinkler systems.”
K0372 Level E
“Ensure smoke barriers are constructed to a 1 hour fire resistance rating.”
K0927 Level E
“Have proper fire barriers, ventilation and signs for the transfilling of oxygen.”
K0321 Level D
“Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”
K0351 Level D
“Install an approved automatic sprinkler system.”
K0918 Level D
“Have generator or other power source capable of supplying service within 10 seconds.”
Fines and payment denials
Total fines over about the last three years: $153,657 (6 fines). A payment denial means Medicare stopped paying for new admissions for a time.
| Date | Penalty | Amount or length |
|---|---|---|
| May 5, 2025 | Fine | $58,354 |
| May 5, 2025 | Payment denial | from June 3, 2025, 21 days |
| March 28, 2025 | Fine | $34,356 |
| October 21, 2024 | Fine | $12,048 |
| October 21, 2024 | Payment denial | from November 15, 2024, 8 days |
| September 12, 2024 | Fine | $15,642 |
| December 4, 2023 | Fine | $15,239 |
| December 4, 2023 | Fine | $18,018 |
| December 4, 2023 | Payment denial | from December 30, 2023, 48 days |
Source: Medicare (CMS) Penalties file, data updated October 1, 2026.
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | Wisconsin | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 1.03 | 0.98 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.67 | 0.65 | 0.86 |
| Nurse aide hours per resident per day | 3.05 | 2.61 | 2.35 |
| Total nurse staff hours per resident per day | 4.76 | 4.25 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 4.23 | 3.75 | 3.43 |
| RN hours per resident per day on the weekend | 0.64 | 0.66 | 0.48 |
| Nursing staff turnover (per year) | 54.7% | 46.7% | 45.3% |
| RN turnover (per year) | 34.6% | 40.1% | 42.5% |
| Administrators who left in the last year | 0.0 | 0.5 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Part of a group of 85 nursing homes: Complete Care.
Legal business name: St Marys Care and Rehab Center LLC.
Owners and managers Medicare lists (6)
| Name | Role | Share | Since |
|---|---|---|---|
| PC WCM Opco Holdco LLC | Direct owner | 100% | February 28, 2025 |
| PC WCM Topco LLC | Indirect owner | — | February 28, 2025 |
| Peace Capital Holdings II LLC | Indirect owner | — | February 28, 2025 |
| SMS 2021 Trust | Indirect owner | — | February 28, 2025 |
| Klugman, Jacob | Indirect owner | NOT APPLICABLE | February 28, 2025 |
| Stein, Shalom | Indirect owner | NOT APPLICABLE | February 28, 2025 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 184 |
| Average residents per day | 103.6 |
| Takes part in | Medicare and Medicaid |
| Ownership | For profit – corporation |
| Group or chain (affiliated entity) | Complete Care |
| Legal business name | St Marys Care and Rehab Center LLC |
| First approved by Medicare/Medicaid | 1977-01-01 |
| Resident and family councils | Resident and family councils |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 3401 Maple Grove Dr., Madison, WI 53719 |
| County | Dane County |
| State | Wisconsin |
| Phone | (608) 845‑1000 |
| CMS Certification Number | 525276 |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Hebron Oaks1.5 mi · Madison, WI · 4 of 5 stars
- Badger Prairie HCC1.8 mi · Verona, WI · 5 of 5 stars
- Four Winds Manor2.3 mi · Verona, WI · 3 of 5 stars
- Oak Park Place of Nakoma3.2 mi · Madison, WI · 3 of 5 stars
- Middleton Village Nursing and Rehab5.4 mi · Middleton, WI · 1 of 5 stars
Nearest hospital emergency rooms
- Madison VA Medical Center5.6 mi · Madison, WI · Federal/VA Acute Care Hospital
- University of WI Hospitals & Clinics Authority5.8 mi · Madison, WI · Acute Care Hospital
- SSM Health St Mary's Hospital - Madison6.0 mi · Madison, WI · Acute Care Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13