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Complete Care At Maple Grove Llc

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 penalties in 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
5 Deficiencies found in last inspections
8 Penalties in last 3 years
5 Fines issued
Citation Date Description Severity
Jul 29, 2025 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D
May 5, 2025 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. D
May 5, 2025 Allow residents to self-administer drugs if determined clinically appropriate. D
May 5, 2025 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. E
May 5, 2025 Ensure 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
1.2 RN Hours / Resident / Day
4.9 Total Nurse Hours / Resident / Day
71.0% RN Turnover Rate
Score
3.0
State Average
3.1
National Average
3.6
3.0 Long-Stay QM Rating
3.0 Short-Stay QM Rating
100.7 Avg Residents Per Day
Measure Score Type
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay
Percentage of long-stay residents who lose too much weight Long Stay
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay
Percentage of long-stay residents with a urinary tract infection Long Stay
Percentage of long-stay residents who have depressive symptoms Long Stay
Percentage of long-stay residents who were physically restrained Long Stay
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay

Ownership & Compliance

Ownership Info
5% OR GREATER DIRECT OWNERSHIP INTEREST PC WCM OPCO HOLDCO LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST PC WCM TOPCO LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST PEACE CAPITAL HOLDINGS II LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST SMS 2021 TRUST
OPERATIONAL/MANAGERIAL CONTROL CHOLES, DIANA
OPERATIONAL/MANAGERIAL CONTROL HELMAN, YOSEF
OPERATIONAL/MANAGERIAL CONTROL MAINA, JENNIFER
OPERATIONAL/MANAGERIAL CONTROL MURPHY, SEAN
OPERATIONAL/MANAGERIAL CONTROL STERNBUCH, DANIEL
CORPORATE OFFICER STEIN, SHALOM
Recent Penalties
Date Type Fine
Mar 28, 2025 Fine $34,356
Oct 21, 2024 Fine $12,048
Oct 21, 2024 Payment Denial $0
Sep 12, 2024 Fine $15,642
Dec 4, 2023 Fine $18,018
Dec 4, 2023 Fine $15,239
Dec 4, 2023 Payment Denial $0
Feb 27, 2023 Payment Denial $0

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