F

Complete Care at Maple Grove LLC

3401 Maple Grove Dr., Madison, WI 53719
Score: 14 / 100

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

Overall CMS Rating 8 / 40 pts
1 ★ CMS rating
Health Inspections 5 / 25 pts
1 ★ inspection rating
Staffing 16 / 20 pts
4 ★ staffing rating
Quality Measures 9 / 15 pts
3 ★ quality measures

🏥 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

70
Total Deficiencies
Jul 28, 2025
Most Recent Inspection
⚪ 1 Minor 🟠 67 Moderate 🔴 2 Serious
View recent deficiencies (5 shown)
  • Tag 0689 Severity D
    Ensure 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 G
    Ensure 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 F
    Procure 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 E
    Honor 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 E
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologi
    May 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

Ownership
For profit - Corporation
Certified Beds
184
Provider Type
Medicare and Medicaid
Resident Council
No
Family Council
No
Sprinkler System
Yes
Last Inspection
May 4, 2025
Deficiencies (Cycle 1)
17