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Nursing HomeMedicaid Investigative

Complete Care at Maple Grove LLC

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

3401 Maple Grove Dr., Madison, WI 53719184 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Complete Care at Maple Grove LLC Nursing Home in Madison, WI — Street View
Street View

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5/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • Above-median deficiencies (17 vs median 7)
  • High staff turnover (73%)
  • High RN turnover (71%)

Bottom 25% in WI · Meets national RN staffing standard · Above recommended total nurse staffing · Very high staff turnover · Worst in COMPLETE CARE chain · $95,303 in fines

Source: Medicare data

What this means for your family

This facility has areas of concern that warrant careful consideration. The facility has 14 deficiencies, which is above the state average. We recommend asking the administrator directly: "How are you addressing recent staffing shortfalls?" These are not reasons to panic, but they are reasons to ask tough questions and visit in person.

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
1.11hrs
OK
Registered nurses for medical care
Total Nursing
4.93hrs
OK
All nurses + aides combined
Staff Turnover
89%
Lower is better (< 30% = good)
RN Turnover
96%
Lower is better (< 30% = good)

This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
4/ 5
Better Than Avg

9

measures

Worse Than Avg

4

measures

Mixed Results

4

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility35.3%
Worse than Avg
Here
35.3%
US
19.4%
WI
25.0%
Dane
28.3%
😔

Residents with depression symptoms

↓ Lower is better
This Facility3.9%
Better than Avg
Here
3.9%
US
12.1%
WI
5.2%
Dane
8.2%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility12.8%
Mixed vs Avgs
Here
12.8%
US
19.5%
WI
16.8%
Dane
12.0%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility14.1%
Better than Avg
Here
14.1%
US
15.3%
WI
19.9%
Dane
19.1%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility11.0%
Better than Avg
Here
11.0%
US
14.4%
WI
16.7%
Dane
13.7%
⚠️

Residents who fell and were seriously hurt

↓ Lower is better
This Facility6.3%
Worse than Avg
Here
6.3%
US
3.2%
WI
3.2%
Dane
2.3%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility76.0%
Worse than Avg
Here
76.0%
US
81.8%
WI
86.6%
Dane
88.9%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility84.8%
Mixed vs Avgs
Here
84.8%
US
79.8%
WI
82.2%
Dane
88.1%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.5%
Worse than Avg
Here
1.5%
US
1.6%
WI
1.3%
Dane
1.6%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

14deficiencies
9penalties
Above state avg (9.8)
45 complaint-triggered
$95,303 in fines

This facility has concerning patterns with families filing multiple complaints leading to 45 deficiencies across key areas. Accident prevention and safety issues persist repeatedly across surveys, along with problems in medication management and abuse/neglect reporting. While all deficiencies show correction dates, the recurring nature of safety violations—particularly accident hazards cited six times including recent complaints—suggests ongoing supervision and care quality challenges that families should carefully evaluate during visits.

Jul 29, 2025Complaint
1
0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

May 5, 2025Routine
27
0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0004Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

0006Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct risk assessment and an All-Hazards approach.

0039Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0355Potential for harm · WidespreadCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0761Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0550Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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.

0331Potential for harm · PatternCorrected

Smoke Deficiencies

Construct fire resistant interior walls.

0362Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0912Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have power receptacles that are properly grounded.

0919Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the use of electrical equipment.

0554Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Allow residents to self-administer drugs if determined clinically appropriate.

0585Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0604Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0660Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Plan the resident's discharge to meet the resident's goals and needs.

0675Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Honor each resident's preferences, choices, values and beliefs.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0697Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

0351Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0521Potential for harm · IsolatedCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Mar 28, 2025Complaint
3
0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0805Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Nov 11, 2024Complaint
2
0700Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Oct 21, 2024Complaint
2
0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0758Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

Sep 12, 2024Complaint
2
0689Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0947Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Federal Penalties

Payment Denial

May 5, 2025

21-day denial

Fine

May 5, 2025

$58,354

Fine

Mar 28, 2025

$34,356

Fine

Oct 21, 2024

$12,048

Payment Denial

Oct 21, 2024

8-day denial

Fine

Sep 12, 2024

$15,642

Fine

Dec 4, 2023

$15,239

Payment Denial

Dec 4, 2023

48-day denial

Fine

Dec 4, 2023

$18,018

Ownership & Operations

Who Operates This Facility

Owner / Operator

Complete Care at Maple Grove LLC

Organization Type

for profit

Chain Affiliation

Chain Name

Complete Care

Chain Size

85 facilities nationwide

Chain avg rating: 3.2/5 · Rank 82 of 85 (Worst)

Ownership & Management

Owners

Pc Wcm Opco Holdco LLC

Owner · Organization

100%

Pc Wcm Topco LLC

Owner (parent company) · Organization

Peace Capital Holdings II LLC

Owner (parent company) · Organization

Sms 2021 Trust

Owner (parent company) · Organization

Klugman, Jacob

Owner (parent company)

Stein, Shalom

Owner (parent company)

Key personnel

Hellman, YosefManaging Control - Governing BodyStein, ShalomManaging Control - Governing BodyStein, ShalomOfficer / DirectorCholes, DianaManagerHellman, YosefManager
Source: Medicare provider data

Contact

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References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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