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SSM HEALTH ST MARY'S CARE CENTER

πŸ“ 3401 MAPLE GROVE DR, madison, WI 53719 πŸ“ž 6088451000 πŸ›οΈ 184 beds

Overall Rating

⭐⭐⭐
3/5

Health Inspection

⭐⭐
2/5

Staffing

⭐⭐⭐⭐⭐
5/5

Quality Measures

⭐⭐⭐⭐
4/5

Inspection History Overview

70
Total Violations
6 years of data
$20,475
Total Fines
2 penalties
8
Inspections
Since 2014
21
Quality Metrics
Tracked measures

Health Violations by Year

2025 3 violations

Tag 0689 G Mar 28, 2025

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Jun 9, 2025
Tag 0805 D Mar 28, 2025

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

βœ“ Corrected: Jun 9, 2025
Tag 0842 D Mar 28, 2025

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

βœ“ Corrected: Jun 9, 2025

2024 30 violations

Tag 0580 D Jun 27, 2024

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

βœ“ Corrected: Jul 19, 2024
Tag 0585 D Jun 27, 2024

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.

βœ“ Corrected: Jul 19, 2024
Tag 0609 D Jun 27, 2024

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

βœ“ Corrected: Jul 19, 2024
Tag 0610 D Jun 27, 2024

Respond appropriately to all alleged violations.

βœ“ Corrected: Jul 19, 2024
Tag 0686 D Jun 27, 2024

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

βœ“ Corrected: Jul 19, 2024
Tag 0687 D Jun 27, 2024

Provide appropriate foot care.

βœ“ Corrected: Jul 19, 2024
Tag 0689 D Jun 27, 2024

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Jul 19, 2024
Tag 0755 D Jun 27, 2024

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

βœ“ Corrected: Jul 19, 2024
Tag 0609 D May 2, 2024

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

βœ“ Corrected: May 24, 2024
Tag 0610 D May 2, 2024

Respond appropriately to all alleged violations.

βœ“ Corrected: May 24, 2024
Tag 0636 D May 2, 2024

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

βœ“ Corrected: May 24, 2024
Tag 0641 D May 2, 2024

Ensure each resident receives an accurate assessment.

βœ“ Corrected: May 24, 2024
Tag 0645 E May 2, 2024

PASARR screening for Mental disorders or Intellectual Disabilities

βœ“ Corrected: May 24, 2024
Tag 0679 E May 2, 2024

Provide activities to meet all resident's needs.

βœ“ Corrected: May 24, 2024
Tag 0684 D May 2, 2024

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

βœ“ Corrected: May 24, 2024
Tag 0732 C May 2, 2024

Post nurse staffing information every day.

βœ“ Corrected: May 24, 2024
Tag 0760 D May 2, 2024

Ensure that residents are free from significant medication errors.

βœ“ Corrected: May 24, 2024
Tag 0761 E May 2, 2024

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.

βœ“ Corrected: May 24, 2024
Tag 0804 D May 2, 2024

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

βœ“ Corrected: May 24, 2024
Tag 0880 F May 2, 2024

Provide and implement an infection prevention and control program.

βœ“ Corrected: May 29, 2024

2023 17 violations

Tag 0609 D Dec 4, 2023

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Tag 0610 E Dec 4, 2023

Respond appropriately to all alleged violations.

Tag 0689 J Dec 4, 2023

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Tag 0609 D Oct 9, 2023

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

βœ“ Corrected: Oct 23, 2023
Tag 0610 D Oct 9, 2023

Respond appropriately to all alleged violations.

βœ“ Corrected: Nov 2, 2023
Tag 0684 E Oct 9, 2023

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

βœ“ Corrected: Oct 23, 2023
Tag 0585 D Feb 27, 2023

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.

Tag 0604 D Feb 27, 2023

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

βœ“ Corrected: Mar 27, 2023
Tag 0677 E Feb 27, 2023

Provide care and assistance to perform activities of daily living for any resident who is unable.

Tag 0686 G Feb 27, 2023

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Tag 0690 D Feb 27, 2023

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Tag 0725 E Feb 27, 2023

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Tag 0757 D Feb 27, 2023

Ensure each resident’s drug regimen must be free from unnecessary drugs.

βœ“ Corrected: Mar 27, 2023
Tag 0759 D Feb 27, 2023

Ensure medication error rates are not 5 percent or greater.

Tag 0811 E Feb 27, 2023

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.

Tag 0812 F Feb 27, 2023

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: Mar 27, 2023
Tag 0814 F Feb 27, 2023

Dispose of garbage and refuse properly.

βœ“ Corrected: Mar 27, 2023

2019 6 violations

Tag 0686 D Sep 12, 2019

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

βœ“ Corrected: Oct 3, 2019
Tag 0688 D Sep 12, 2019

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

βœ“ Corrected: Oct 3, 2019
Tag 0689 D Sep 12, 2019

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Oct 3, 2019
Tag 0758 E Sep 12, 2019

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.

βœ“ Corrected: Oct 3, 2019
Tag 0761 D Sep 12, 2019

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.

βœ“ Corrected: Oct 3, 2019
Tag 0812 F Sep 12, 2019

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: Oct 3, 2019

2018 8 violations

Tag 0697 D Sep 5, 2018

Provide safe, appropriate pain management for a resident who requires such services.

βœ“ Corrected: Sep 10, 2018
Tag 0584 D Jul 26, 2018

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

βœ“ Corrected: Aug 16, 2018
Tag 0684 D Jul 26, 2018

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

βœ“ Corrected: Aug 16, 2018
Tag 0686 D Jul 26, 2018

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

βœ“ Corrected: Aug 16, 2018
Tag 0698 D Jul 26, 2018

Provide safe, appropriate dialysis care/services for a resident who requires such services.

βœ“ Corrected: Aug 16, 2018
Tag 0804 D Jul 26, 2018

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

βœ“ Corrected: Aug 16, 2018
Tag 0812 F Jul 26, 2018

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: Aug 16, 2018
Tag 0880 D Jul 26, 2018

Provide and implement an infection prevention and control program.

βœ“ Corrected: Aug 16, 2018

2017 6 violations

Tag 0314 G Sep 20, 2017

Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.

βœ“ Corrected: Oct 11, 2017
Tag 0225 E May 8, 2017

1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.

βœ“ Corrected: Jun 12, 2017
Tag 0323 G May 8, 2017

Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

βœ“ Corrected: Jun 12, 2017
Tag 0328 D May 8, 2017

Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.

βœ“ Corrected: Jun 12, 2017
Tag 0371 F May 8, 2017

Store, cook, and serve food in a safe and clean way.

βœ“ Corrected: Jun 12, 2017
Tag 0157 D Apr 3, 2017

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

βœ“ Corrected: May 3, 2017

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2018 1 penalties totaling $11,700

$11,700
Fine
September 5, 2018
Average: $11,700 | Range: $11,700 - $11,700

2017 1 penalties totaling $8,775

$8,775
Fine
September 20, 2017
Average: $8,775 | Range: $8,775 - $8,775

Fire Safety Deficiencies

Unknown Date

No description available

Inspection Survey Reports

Health

June 27, 2024
0.00

Health

May 2, 2024
0.00

Health

April 10, 2024
0.00

Health

January 8, 2024
0.00

Health

December 4, 2023
0.00

Health

October 9, 2023
0.00

Health

February 27, 2023
0.00

Health

September 12, 2019
0.00

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Ownership Information

Non profit - Corporation
Independent (Not part of a chain)
525276
525276
6088451000
Dane

Historical Ownership Records

August 25, 2025