With a score of 14/100, Complete Care At Maple Grove Llc ranks in the bottom tier of Wisconsin nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.
Staffing levels at Complete Care At Maple Grove Llc exceed national averages, with 4.94 total nursing hours per resident per day — compared to the national average of 3.8 hours. RN coverage of 1.16 hours per resident per day also exceeds the national average of 0.7 hours.
Recent CMS inspections identified 70 deficiencies at Complete Care At Maple Grove Llc, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 4.94 | 3.8 | Above Average |
| Registered Nurses (RN) | 1.16 | 0.7 | Above Average |
| Licensed Practical Nurses (LPN) | 0.66 | 0.7 | Average |
| Certified Nursing Assistants (CNA) | 3.12 | 2.4 | Above Average |
| Weekend Total Nursing | 4.57 | 3.8 | Above Average |
| Weekend RN Hours | 0.92 | 0.7 | Above Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0689 Severity DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Jul 28, 2025 · Quality of Life and Care Deficiencies
- Tag 0689 Severity GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.May 4, 2025 · Quality of Life and Care Deficiencies
- Tag 0812 Severity FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.May 4, 2025 · Nutrition and Dietary Deficiencies
- Tag 0550 Severity EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.May 4, 2025 · Resident Rights Deficiencies
- Tag 0761 Severity EEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologiMay 4, 2025 · Pharmacy Service Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 5.5% | 4.5% | Worse |
| Falls with major injury | 5.6% | 3.0% | Worse |
| On antipsychotic medication | 16.4% | 14.5% | Worse |
| Urinary tract infections | 1.4% | 2.5% | Better |
| ADL decline (daily activities) | 14.3% | 14.0% | Average |
| Excessive weight loss | 4.8% | 7.5% | Better |
| New/worsened incontinence | 37.0% | 45.0% | Better |
⚠️ Penalties & Fines
5 penalties recorded by CMS
Total fines: $95,303
How This Grade Was Calculated
This facility's grade of F is based on a score of 14 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 4★ → 16 pts (max 20)
- Quality Measures Rating: 3★ → 9 pts (max 15)
- Penalty deductions: -15 pts
- Fine deductions: -9 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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