Nursing homeFAID #13055
Complete Care At Maple Grove
★★★★★1/5CMS Five-Star overall1/5 health inspections4/5 staffing4/5 quality measuresSource: CMS Care Compare
Photo via Google · Complete Care at Maple Grove (St. Mary's Care and Rehab Center)
Public record summary
What we can show you for free.
Bed capacity
184
CMS facility ID
525276
Care type
Nursing home
County
Dane
Facility name
Complete Care At Maple Grove
Street address
3401 Maple Grove Dr.
City / state / ZIP
Madison, WI 53719
Phone
(608) 845-1000
Website
About this facility — Complete Care At Maple Grove
Complete Care At Maple Grove is a Medicare/Medicaid-certified skilled nursing facility in Madison, Wisconsin. It is licensed for 184 beds — well above the median for skilled nursing facilities in Wisconsin (65 beds).
It is one of 107 senior care facilities in Madison and 323 skilled nursing facilities across Wisconsin. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.
Federal inspectors have cited Complete Care At Maple Grove 118 times across 19 inspections in the last three years, including 7 food-safety citations, and CMS has imposed $153,657 in fines. Every citation is listed, dated, and graded in the inspection record below.
This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.
Facility background
What the public record shows.
Ownership & operator
Parent company
Complete Care
Ownership type
For profit - Corporation
Registered owners & officers
Pc Wcm Opco Holdco Llc
Direct owner — 100% stake — since 2025
Choles, Diana
Operational control · Additional disclosable party — since 2005
Des Capital Llc
Additional disclosable party — since 2025
Hellman, Yosef
Governing body · Operational control — since 2025
Jrk Investments Llc
Additional disclosable party — since 2025
Klugman, Jacob
Indirect owner · Additional disclosable party — since 2025
Leverentz, Luanne
Additional disclosable party — since 2025
Maina, Jennifer
Operational control · Additional disclosable party — since 2025
Murphy, Sean
Operational control · Additional disclosable party — since 2025
Pc Wcm Propco Holdco Llc
Additional disclosable party — since 2025
Pc Wcm Topco Llc
Indirect owner · Additional disclosable party — since 2025
Peace Capital Holdings Ii Llc
Indirect owner · Additional disclosable party — since 2025
Sms 2021 Trust
Indirect owner · Additional disclosable party — since 2025
Stein, Shalom
Indirect owner · Governing body · Officer · Trustee · Additional disclosable party — since 2025
Sternbuch, Daniel
Operational control · Additional disclosable party — since 2025
Regulatory standing
Federal court records
20 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1977-01-01
CMS overall rating
1 of 5 stars
Health deficiencies
25 at the last standard inspection
Federal fines
$153,657 total
Last standard inspection
2025-05-05
Nurse staffing
5.0 hours per resident per day
Cost & payer profile (FY2023 cost report)
Average billed charges
$486 per day (≈ $14,770/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
65% Medicaid · 10% Medicare · 26% private/other
Occupancy
59% (fiscal year 2023)
Vs. state median
19% above the WI median of $407/day — full state cost breakdown
Services & coverage
Licensed beds
184
Medicare
Accepted
Medicaid
Accepted
Wheelchair accessible
entrance and parking
Visiting hours
Daily Open 24 hours
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-08-31. Facilities can submit a correction.
Inspection record
Every citation, dated and graded.
Kitchen & food safety
Federal surveyors inspect the kitchen at every standard visit. This facility has 7 food-safety citations on its three-year record — flagged below among the inspections.
2026-07-02Health inspectionComplaint-triggered11 citations
F-0554
D · No harm foundFrom a complaint
Allow residents to self-administer drugs if determined clinically appropriate.
F-0585
D · No harm foundFrom a complaint
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.
F-0645
D · No harm foundFrom a complaint
PASARR screening for Mental disorders or Intellectual Disabilities
F-0677
E · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F-0686
D · No harm foundFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F-0690
D · No harm foundFrom a complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F-0699
D · No harm foundFrom a complaint
Provide care or services that was trauma informed and/or culturally competent.
F-0812
F · No harm foundFood safetyFrom a complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F-0849
D · No harm foundFrom a complaint
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
2026-06-25Health inspectionComplaint-triggered1 citation
F-0760
D · No harm foundFrom a complaint
Ensure that residents are free from significant medication errors.
Corrected 2026-07-23
16 earlier / fire-safety inspections (106 citations)
2025-07-29Health inspectionComplaint-triggered1 citation
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-08-12
2025-05-05Health inspection13 citations
F-0550
E · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-06-09
F-0554
D · No harm found
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2025-06-09
F-0585
D · No harm found
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.
Corrected 2025-06-09
F-0604
D · No harm found
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2025-06-09
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-06-09
F-0660
D · No harm found
Plan the resident's discharge to meet the resident's goals and needs.
Corrected 2025-06-09
F-0675
D · No harm found
Honor each resident's preferences, choices, values and beliefs.
Corrected 2025-06-09
F-0677
D · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-06-09
F-0686
D · No harm found
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-06-09
F-0689
G · Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-06-09
F-0697
D · No harm found
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-06-09
F-0761
E · No harm found
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.
Corrected 2025-06-09
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-06-09
2025-03-28Health inspectionComplaint-triggered3 citations
F-0689
G · Actual harmFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-04-26
F-0805
D · No harm foundFood safetyFrom a complaint
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2025-04-26
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-04-26
2024-11-11Health inspectionComplaint-triggered2 citations
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-11-23
F-0700
E · No harm foundFrom a complaint
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.
Corrected 2024-11-23
2024-10-21Health inspectionComplaint-triggered2 citations
F-0689
G · Actual harmFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-11-23
F-0758
D · No harm foundFrom a complaint
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.
Corrected 2024-11-15
2024-09-12Health inspectionComplaint-triggered2 citations
F-0689
J · Immediate jeopardyFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-10-10
F-0947
D · No harm foundFrom a complaint
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected 2024-10-10
2024-06-27Health inspectionComplaint-triggered8 citations
F-0580
D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-07-19
F-0585
D · No harm foundFrom a complaint
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.
Corrected 2024-07-19
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-07-19
F-0610
D · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2024-07-19
F-0686
D · No harm foundFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-07-19
F-0687
D · No harm foundFrom a complaint
Provide appropriate foot care.
Corrected 2024-07-19
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-07-19
F-0755
D · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-07-19
2024-05-02Health inspectionComplaint-triggered14 citations
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-05-24
F-0610
D · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2024-05-24
F-0636
D · No harm foundFrom a complaint
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2024-05-24
F-0641
D · No harm foundFrom a complaint
Ensure each resident receives an accurate assessment.
Corrected 2024-05-24
F-0645
E · No harm foundFrom a complaint
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2024-05-24
F-0679
E · No harm foundFrom a complaint
Provide activities to meet all resident's needs.
Corrected 2024-05-24
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-05-24
F-0732
C · No harm foundFrom a complaint
Post nurse staffing information every day.
Corrected 2024-05-24
F-0760
D · No harm foundFrom a complaint
Ensure that residents are free from significant medication errors.
Corrected 2024-05-24
F-0761
E · No harm foundFrom a complaint
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.
Corrected 2024-05-24
F-0804
D · No harm foundFood safety
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-05-24
F-0880
F · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2024-05-29
F-0881
E · No harm foundFrom a complaint
Implement a program that monitors antibiotic use.
Corrected 2024-05-24
F-0883
D · No harm foundFrom a complaint
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-05-24
2024-04-10Health inspectionComplaint-triggered6 citations
F-0550
D · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-05-08
F-0585
D · No harm foundFrom a complaint
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.
Corrected 2024-05-08
F-0657
D · No harm foundFrom a complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-05-08
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-05-08
F-0755
E · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-05-08
F-0759
D · No harm foundFrom a complaint
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-05-08
2024-01-08Health inspectionComplaint-triggered2 citations
F-0689
G · Actual harmFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-02-16
F-0919
D · No harm foundFrom a complaint
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2024-01-17
2023-12-04Health inspectionComplaint-triggered3 citations
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-12-22
F-0610
E · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2023-12-22
F-0689
J · Immediate jeopardyFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-02-16
2023-10-09Health inspectionComplaint-triggered3 citations
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-10-23
F-0610
D · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2023-11-02
F-0684
E · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-10-23
2023-02-27Health inspection11 citations
F-0585
D · No harm found
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.
Corrected 2023-03-27
F-0604
D · No harm found
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2023-03-27
F-0677
E · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-03-27
F-0686
G · Actual harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-03-27
F-0690
D · No harm found
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2023-03-27
F-0725
E · No harm found
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2023-03-27
F-0757
D · No harm found
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2023-03-27
F-0759
D · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-03-27
F-0811
E · No harm foundFood safety
Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised.
Corrected 2023-03-27
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-03-27
F-0814
F · No harm foundFood safety
Dispose of garbage and refuse properly.
Corrected 2023-03-27
2025-05-05Fire-safety inspection14 citations
E-0004
F · No harm found
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2025-06-24
E-0006
F · No harm found
Conduct risk assessment and an All-Hazards approach.
Corrected 2025-06-24
E-0039
F · No harm found
Conduct testing and exercise requirements.
Corrected 2025-06-24
K-0331
E · No harm found
Construct fire resistant interior walls.
Corrected 2025-06-24
K-0351
D · No harm found
Install an approved automatic sprinkler system.
Corrected 2025-06-24
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-06-24
K-0355
F · No harm found
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-06-24
K-0362
E · No harm found
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2025-06-24
K-0363
E · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2025-06-24
K-0521
D · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2025-06-24
K-0761
F · No harm found
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-06-24
K-0912
E · No harm found
Have power receptacles that are properly grounded.
Corrected 2025-06-24
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-06-24
K-0919
E · No harm found
Meet requirements for the use of electrical equipment.
Corrected 2025-06-24
2024-05-02Fire-safety inspection9 citations
E-0006
F · No harm found
Conduct risk assessment and an All-Hazards approach.
Corrected 2024-05-24
K-0321
D · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-05-24
K-0324
F · No harm found
Provide properly protected cooking facilities.
Corrected 2024-05-24
K-0331
E · No harm found
Construct fire resistant interior walls.
Corrected 2024-05-24
K-0351
D · No harm found
Install an approved automatic sprinkler system.
Corrected 2024-05-24
K-0353
E · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-05-24
K-0372
E · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-05-24
K-0918
D · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-06-14
K-0927
E · No harm found
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
Corrected 2024-05-24
2023-02-27Fire-safety inspection13 citations
K-0331
D · No harm found
Construct fire resistant interior walls.
Corrected 2023-03-27
K-0345
E · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-07-06
K-0353
D · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-03-27
K-0362
D · No harm found
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2023-03-27
K-0363
D · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2023-03-27
K-0372
D · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-03-27
K-0511
D · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2023-03-27
K-0521
D · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-03-27
K-0712
E · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2023-03-27
K-0761
F · No harm found
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-04-27
K-0912
D · No harm found
Have power receptacles that are properly grounded.
Corrected 2023-03-27
K-0914
F · No harm found
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2023-04-27
K-0927
D · No harm found
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
Corrected 2023-04-27
Federal penalties
2025-05-05Fine$58,354
2025-03-28Fine$34,356
2024-10-21Fine$12,048
2024-09-12Fine$15,642
2023-12-04Fine$15,239
2023-12-04Fine$18,018
2025-05-05Medicare payment denial — 21 days
2024-10-21Medicare payment denial — 8 days
2023-12-04Medicare payment denial — 48 days
Total fines$153,657
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 525276.
Visitor reviews
What people say on Google.
4.2★★★★★58 ratings on Google
★★★★★Al Lorenz · 2026-07-17 · via Google“My wife was was just transferred to Complete Care for rehab yesterday after 18 days in the hospital. When we arrived at least 5 people greeted her at the door and welcomed her and said they were glad we had chosen to come to them for her care and that their number one mission was to get her strong enough and confident enough and instructed to be able to safely return home where she really wanted t…”
★★★★★Judy Wheeler · 2026-06-01 · via Google“Complete Care has been outstanding assisting with the end of life care with our Father and assisting with our Mothers care. I cannot say enough positive words for Ashley in nursing, Tasha in nursing, the CNAs, the positive words from the cleaning staff Johnny and Suzanne. The kindness and support has been deeply appreciated by our family.”
★★★★★Roylene Galbraith · 2026-03-30 · via Google“My Dad participated in an activity of the day in the sun room which was fun for all the participants. He really enjoyed it.”
Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google
Inside your report
What unlocks when you order.
Ownership & corporate history
Primary tierPrior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more
Inspection citations — last 5 years
LockedThe 118 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.
Civil & criminal lawsuits
Advanced tier onlyActive civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Original records
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered