Complete Care at Christian Home LLC
452 Fox Lake Road, Waupun, WI 53963 · CCN 525531
Ratings
- Overall
- ★★★☆☆ 3
- Health inspection
- ★★★☆☆ 3
- Quality measures
- ★★☆☆☆ 2
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- Non profit - Corporation
- Certified beds
- 50
- Avg residents/day
- 32.2
- Phone
- 9203249051
Inspection history vs Wisconsin & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Wisconsin avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-01-30 | 6 | 9.8 | 9.5 | -3.8 better |
| 2 | 2023-11-22 | 1 | 9.2 | 9.8 | -8.2 better |
| 3 | 2022-10-19 | 2 | 8.3 | 9.3 | -6.3 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 3 |
| Resident rights | 1 |
| Pharmacy service | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 5.02 | 54.3% |
| RN staffing (reported) | 1.33 | 45.5% |
| Total nurse staffing (adjusted) | 4.92 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Chain
- Chain
- COMPLETE CARE
- Facilities in chain
- 85
- Chain avg overall
- 3.20 / 5
Inspection citations (9)2 actual harm
- DF0610Respond appropriately to all alleged violations.2025-10-14 · Health · corrected 2025-11-07
Potential for more than minimal harm
- GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-10-14 · Health · corrected 2025-11-07
Actual harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-10-14 · Health · corrected 2025-11-07
Actual harm
- DF0692Provide enough food/fluids to maintain a resident's health.2025-10-14 · Health · corrected 2025-11-07
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-01-30 · Health · corrected 2025-02-21
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2025-01-30 · Health · corrected 2025-02-21
Potential for more than minimal harm
- DF0585Honor 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.2023-11-22 · Health · corrected 2023-12-21
Potential for more than minimal harm
- EF0641Ensure each resident receives an accurate assessment.2022-10-19 · Health · corrected 2022-11-14
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-10-19 · Health · corrected 2022-11-14
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| PC WCM OPCO HOLDCO LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2025-02-28 |
| PC WCM TOPCO LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2025-02-28 |
| PEACE CAPITAL HOLDINGS II LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2025-02-28 |
| SMS 2021 TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2025-02-28 |
| FENTROW, LAUREN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-28 |
| HELMAN, YOSEF | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-28 |
| LARSON, CINDY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-28 |
| STERNBUCH, DANIEL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-28 |
| WEBER, LISA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-28 |
| STEIN, SHALOM | Individual | CORPORATE OFFICER | — | 2025-02-28 |
Other facilities in Waupun
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.