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Complete Care At Maple Grove Llc in Madison, WI

3401 Maple Grove Dr., Madison, WI 53719
6088451000
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Overall CMS Rating

1.0/5

vs State Average: 3.0 stars

1.0/5

Health Inspections

vs State Average: 2.8/5

4.0/5

Staffing Level

vs State Average: 3.7/5

3.0/5

Quality Measures

vs State Average: 3.1/5

8 penaltiesin last 3 years
Penalties
vs State Average: 1.2 penalties

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Ratings Deep Dive

Score
1.0
State Average
2.8
National Average
2.8
5Deficiencies found in last inspections
8Penalties in last 3 years
5Fines issued
CitationDateDescriptionSeverity
F689Jul 29, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
F585May 5, 2025Honor 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
F554May 5, 2025Allow residents to self-administer drugs if determined clinically appropriate.D
F550May 5, 2025Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.E
F604May 5, 2025Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.D
Score
4.0
State Average
3.7
National Average
2.9
1.2RN Hours / Resident / Day
4.9Total Nurse Hours / Resident / Day
71.0%RN Turnover Rate
Score
3.0
State Average
3.1
National Average
3.6
3.0Long-Stay QM Rating
3.0Short-Stay QM Rating
100.7Avg Residents Per Day
MeasureScoreType
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay
Percentage of long-stay residents who lose too much weightLong Stay
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay
Percentage of long-stay residents with a urinary tract infectionLong Stay
Percentage of long-stay residents who have depressive symptomsLong Stay
Percentage of long-stay residents who were physically restrainedLong Stay
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccineLong Stay
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccineShort Stay
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay

Ownership & Compliance

Ownership Info

Ownership information has not been added yet.

Ownership Info CMS
5% OR GREATER DIRECT OWNERSHIP INTERESTPC WCM OPCO HOLDCO LLC
5% OR GREATER INDIRECT OWNERSHIP INTERESTPC WCM TOPCO LLC
5% OR GREATER INDIRECT OWNERSHIP INTERESTPEACE CAPITAL HOLDINGS II LLC
5% OR GREATER INDIRECT OWNERSHIP INTERESTSMS 2021 TRUST
OPERATIONAL/MANAGERIAL CONTROLCHOLES, DIANA
OPERATIONAL/MANAGERIAL CONTROLHELMAN, YOSEF
OPERATIONAL/MANAGERIAL CONTROLMAINA, JENNIFER
OPERATIONAL/MANAGERIAL CONTROLMURPHY, SEAN
OPERATIONAL/MANAGERIAL CONTROLSTERNBUCH, DANIEL
CORPORATE OFFICERSTEIN, SHALOM
Recent Penalties
DateTypeFine
Mar 28, 2025Fine$34,356
Oct 21, 2024Fine$12,048
Oct 21, 2024Payment Denial$0
Sep 12, 2024Fine$15,642
Dec 4, 2023Fine$18,018
Dec 4, 2023Fine$15,239
Dec 4, 2023Payment Denial$0
Feb 27, 2023Payment Denial$0

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