Complete Care At Maple Grove Llc
Complete Care at Maple Grove LLC in Madison, WI — inspection on July 2, 2026.
Found 11 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Federal health inspectors cited Complete Care at Maple Grove LLC in Madison, WI for a deficiency under regulatory tag F-F0554 during a complaint investigation conducted on 2026-07-02.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Allow residents to self-administer drugs if determined clinically appropriate.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 11 deficiencies cited during this inspection of Complete Care at Maple Grove LLC.
Correction Status: Deficient, Provider has no plan of correction.
Federal health inspectors cited Complete Care at Maple Grove LLC in Madison, WI for a deficiency under regulatory tag F-F0585 during a complaint investigation conducted on 2026-07-02.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: 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.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 11 deficiencies cited during this inspection of Complete Care at Maple Grove LLC.
Correction Status: Deficient, Provider has no plan of correction.
Federal health inspectors cited Complete Care at Maple Grove LLC in Madison, WI for a deficiency under regulatory tag F-F0645 during a complaint investigation conducted on 2026-07-02.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: PASARR screening for Mental disorders or Intellectual Disabilities
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 11 deficiencies cited during this inspection of Complete Care at Maple Grove LLC.
Correction Status: Deficient, Provider has no plan of correction.
Federal health inspectors cited Complete Care at Maple Grove LLC in Madison, WI for a deficiency under regulatory tag F-F0677 during a complaint investigation conducted on 2026-07-02.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide care and assistance to perform activities of daily living for any resident who is unable.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 11 deficiencies cited during this inspection of Complete Care at Maple Grove LLC.
Correction Status: Deficient, Provider has no plan of correction.
Federal health inspectors cited Complete Care at Maple Grove LLC in Madison, WI for a deficiency under regulatory tag F-F0684 during a complaint investigation conducted on 2026-07-02.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 11 deficiencies cited during this inspection of Complete Care at Maple Grove LLC.
Correction Status: Deficient, Provider has no plan of correction.
Federal health inspectors cited Complete Care at Maple Grove LLC in Madison, WI for a deficiency under regulatory tag F-F0686 during a complaint investigation conducted on 2026-07-02.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 11 deficiencies cited during this inspection of Complete Care at Maple Grove LLC.
Correction Status: Deficient, Provider has no plan of correction.
Federal health inspectors cited Complete Care at Maple Grove LLC in Madison, WI for a deficiency under regulatory tag F-F0689 during a complaint investigation conducted on 2026-07-02.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 11 deficiencies cited during this inspection of Complete Care at Maple Grove LLC.
Correction Status: Deficient, Provider has no plan of correction.
Federal health inspectors cited Complete Care at Maple Grove LLC in Madison, WI for a deficiency under regulatory tag F-F0690 during a complaint investigation conducted on 2026-07-02.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 11 deficiencies cited during this inspection of Complete Care at Maple Grove LLC.
Correction Status: Deficient, Provider has no plan of correction.
Federal health inspectors cited Complete Care at Maple Grove LLC in Madison, WI for a deficiency under regulatory tag F-F0699 during a complaint investigation conducted on 2026-07-02.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide care or services that was trauma informed and/or culturally competent.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 11 deficiencies cited during this inspection of Complete Care at Maple Grove LLC.
Correction Status: Deficient, Provider has no plan of correction.
Federal health inspectors cited Complete Care at Maple Grove LLC in Madison, WI for a deficiency under regulatory tag F-F0812 during a complaint investigation conducted on 2026-07-02.
Category: Nutrition and Dietary Deficiencies
The facility was found deficient in the following area: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 11 deficiencies cited during this inspection of Complete Care at Maple Grove LLC.
Correction Status: Deficient, Provider has no plan of correction.
Federal health inspectors cited Complete Care at Maple Grove LLC in Madison, WI for a deficiency under regulatory tag F-F0849 during a complaint investigation conducted on 2026-07-02.
Category: Administration Deficiencies
The facility was found deficient in the following area: 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.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 11 deficiencies cited during this inspection of Complete Care at Maple Grove LLC.
Correction Status: Deficient, Provider has no plan of correction.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.