Complete Care at Germantown
W173 N10915 Bernies Way, Germantown, WI 53022 · CCN 525653
Ratings
- Overall
- ★★★★☆ 4
- Health inspection
- ★★★★☆ 4
- Quality measures
- ★★★★☆ 4
- Staffing
- ★★☆☆☆ 2
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 121
- Avg residents/day
- 52.0
- Phone
- 2625093300
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 | 2025-03-05 | 4 | 9.8 | 9.5 | -5.8 better |
| 2 | 2024-01-24 | 8 | 9.2 | 9.8 | -1.2 better |
| 3 | 2022-11-10 | 17 | 8.3 | 9.3 | +8.7 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Resident assessment and care planning | 1 |
| Resident rights | 2 |
| Nutrition and dietary | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.60 | 59.1% |
| RN staffing (reported) | 0.91 | 40.0% |
| Total nurse staffing (adjusted) | 2.99 | — |
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 (29)
- DF0551Give the resident's representative the ability to exercise the resident's rights.2025-03-05 · Health · corrected 2025-03-21
Potential for more than minimal harm
- DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2025-03-05 · Health · corrected 2025-03-24
Potential for more than minimal harm
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2025-03-05 · Health · corrected 2025-03-25
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-03-05 · Health · corrected 2025-03-25
Potential for more than minimal harm
- EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-01-30 · Health · corrected 2025-03-01
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-07-17 · Health · corrected 2024-08-16
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2024-07-17 · Health · corrected 2024-08-16
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-05-08 · Health · corrected 2024-06-08
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2024-05-08 · Health · corrected 2024-06-08
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.2024-01-24 · Health · corrected 2024-02-23
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-01-24 · Health · corrected 2024-02-23
Potential for more than minimal harm
- DF0700Try 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.2024-01-24 · Health · corrected 2024-02-23
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.2023-11-07 · Health · corrected 2023-11-23
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-11-07 · Health · corrected 2023-12-01
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.2023-10-25 · Health · corrected 2023-11-23
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.2023-10-25 · Health · corrected 2023-11-23
Potential for more than minimal harm
- DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2023-10-25 · Health · corrected 2023-11-23
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-10-25 · Health · corrected 2023-11-23
Potential for more than minimal harm
- DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2022-11-10 · Health · corrected 2022-12-08
Potential for more than minimal harm
- DF0660Plan the resident's discharge to meet the resident's goals and needs.2022-11-10 · Health · corrected 2022-12-08
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-11-10 · Health · corrected 2022-12-08
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-11-10 · Health · corrected 2022-12-08
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2022-11-10 · Health · corrected 2022-12-08
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2022-11-10 · Health · corrected 2022-12-08
Potential for more than minimal harm
- EF0759Ensure medication error rates are not 5 percent or greater.2022-11-10 · Health · corrected 2022-12-08
Potential for more than minimal harm
- EF0761Ensure 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.2022-11-10 · Health · corrected 2022-12-08
Potential for more than minimal harm
- DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2022-11-10 · Health · corrected 2022-12-08
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2022-11-10 · Health · corrected 2022-12-08
Potential for more than minimal harm
- FF0908Keep all essential equipment working safely.2022-11-10 · Health · corrected 2022-12-08
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| PC SWI HOLDCO LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2022-06-01 |
| PC SWI TOPCO LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2022-06-01 |
| PEACE CAPITAL HOLDINGS LLC (DE) | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2022-06-01 |
| SMS 2021 TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2022-06-01 |
| BIELINSKI, RENEE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-07-11 |
| HALE, CASSANDRA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-01-22 |
| HELMAN, YOSEF | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-06-01 |
| SIDHU, SARFRAZ | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-05-15 |
| SPITZER, MICHAEL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-03-26 |
| STEIN, SHALOM | Individual | CORPORATE OFFICER | — | 2022-06-01 |
Other facilities in Germantown
| 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.