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Facility profile · CCN 525276

Complete Care At Maple Grove Llc

70 federal citations on record , including 2 at the Immediate Jeopardy level, and 7 federal enforcement actions totaling $95,303.

2 Immediate Jeopardy

Record summary

Federal record · Q1 2026
70
Total citations
59
Last 3 years
7
Actual harm+
7
Federal penalties
$95,303
Total fines
1
Overall ★ rating

Most common violation categories here

Most common F-tags at this facility

Citation history

70 on record
SurveyF-TagViolationSeveritySource
Jul 29, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
May 5, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
May 5, 2025F761Ensure 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.EStandard
May 5, 2025F697Provide safe, appropriate pain management for a resident who requires such services.DStandard
May 5, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GStandard
May 5, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
May 5, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
May 5, 2025F675Honor each resident's preferences, choices, values and beliefs.DStandard
May 5, 2025F660Plan the resident's discharge to meet the resident's goals and needs.DStandard
May 5, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
May 5, 2025F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DStandard
May 5, 2025F585Honor 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.DStandard
May 5, 2025F554Allow residents to self-administer drugs if determined clinically appropriate.DStandard
May 5, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard
Mar 28, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Mar 28, 2025F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.DComplaint
Mar 28, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Nov 11, 2024F700Try 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.EComplaint
Nov 11, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Oct 21, 2024F758Implement 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.DComplaint
Oct 21, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Sep 12, 2024F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.DComplaint
Sep 12, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint
Jun 27, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Jun 27, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Jun 27, 2024F687Provide appropriate foot care.DComplaint
Jun 27, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Jun 27, 2024F610Respond appropriately to all alleged violations.DComplaint
Jun 27, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Jun 27, 2024F585Honor 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.DComplaint
Jun 27, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
May 2, 2024F883Develop and implement policies and procedures for flu and pneumonia vaccinations.DComplaint
May 2, 2024F881Implement a program that monitors antibiotic use.EComplaint
May 2, 2024F880Provide and implement an infection prevention and control program.FComplaint
May 2, 2024F761Ensure 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.EComplaint
May 2, 2024F760Ensure that residents are free from significant medication errors.DComplaint
May 2, 2024F732Post nurse staffing information every day.CComplaint
May 2, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
May 2, 2024F679Provide activities to meet all resident's needs.EComplaint
May 2, 2024F645PASARR screening for Mental disorders or Intellectual DisabilitiesEComplaint
May 2, 2024F641Ensure each resident receives an accurate assessment.DComplaint
May 2, 2024F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.DComplaint
May 2, 2024F610Respond appropriately to all alleged violations.DComplaint
May 2, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
May 2, 2024F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.DStandard
Apr 10, 2024F759Ensure medication error rates are not 5 percent or greater.DComplaint
Apr 10, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint
Apr 10, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Apr 10, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Apr 10, 2024F585Honor 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.DComplaint
Apr 10, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Jan 8, 2024F919Make sure that a working call system is available in each resident's bathroom and bathing area.DComplaint
Jan 8, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Dec 4, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint
Dec 4, 2023F610Respond appropriately to all alleged violations.EComplaint
Dec 4, 2023F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Oct 9, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint
Oct 9, 2023F610Respond appropriately to all alleged violations.DComplaint
Oct 9, 2023F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Feb 27, 2023F814Dispose of garbage and refuse properly.FStandard
Feb 27, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Feb 27, 2023F811Ensure 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.EStandard
Feb 27, 2023F759Ensure medication error rates are not 5 percent or greater.DStandard
Feb 27, 2023F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard
Feb 27, 2023F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EStandard
Feb 27, 2023F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Feb 27, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GStandard
Feb 27, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard
Feb 27, 2023F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DStandard
Feb 27, 2023F585Honor 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.DStandard

Federal enforcement history

Federal regulators have imposed 7 enforcement actions against this facility, including 5 civil money penalties totaling $95,303 and 2 payment-denial actions spanning 56 days.

DateTypeFinePayment denial
Mar 28, 2025Fine$34,356
Oct 21, 2024Payment DenialNov 15, 2024 · 8 days
Oct 21, 2024Fine$12,048
Sep 12, 2024Fine$15,642
Dec 4, 2023Fine$18,018
Dec 4, 2023Fine$15,239
Dec 4, 2023Payment DenialDec 30, 2023 · 48 days
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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