Complete Care at Kensington
1810 KENSINGTON DR, WAUKESHA, WI 53188 · CCN 525242
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★★☆☆ 3
- Staffing
- ★☆☆☆☆ 1
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 150
- Avg residents/day
- 65.7
- Phone
- 2625481400
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 | 2025-05-21 | 9 | 9.8 | 9.5 | -0.8 better |
| 2 | 2024-02-22 | 11 | 9.2 | 9.8 | +1.8 worse |
| 3 | 2022-11-10 | 19 | 8.3 | 9.3 | +10.7 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 2 |
| Quality of life and care | 3 |
| Resident rights | 1 |
| Pharmacy service | 1 |
| Administration | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.65 | 55.3% |
| RN staffing (reported) | 0.57 | 63.6% |
| Total nurse staffing (adjusted) | 3.27 | — |
Fines & penalties
- Total fines
- $66,632
- Number of fines
- 1
- Number of penalties
- 1
- Payment denials
- 0
Chain
- Chain
- COMPLETE CARE
- Facilities in chain
- 85
- Chain avg overall
- 3.20 / 5
Inspection citations (39)2 immediate jeopardy1 actual harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-05-21 · Health · corrected 2025-06-12
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2025-05-21 · Health · corrected 2025-06-12
Potential for more than minimal harm
- EF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2025-05-21 · Health · corrected 2025-06-12
Potential for more than minimal harm
- GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-05-21 · Health · corrected 2025-06-12
Actual harm
- DF0687Provide appropriate foot care.2025-05-21 · Health · corrected 2025-06-12
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-05-21 · Health · corrected 2025-06-12
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2025-05-21 · Health · corrected 2025-06-12
Potential for more than minimal harm
- CF0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.2025-05-21 · Health · corrected 2025-06-12
Potential for minimal harm
- EF0880Provide and implement an infection prevention and control program.2025-05-21 · Health · corrected 2025-06-12
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2024-02-22 · Health · corrected 2024-03-15
Potential for more than minimal harm
- EF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-02-22 · Health · corrected 2024-03-15
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-02-22 · Health · corrected 2024-03-15
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-02-22 · Health · corrected 2024-03-15
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2024-02-22 · Health · corrected 2024-03-15
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2024-02-22 · Health · corrected 2024-03-15
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2024-02-22 · Health · corrected 2024-03-15
Potential for more than minimal harm
- DF0761Ensure 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.2024-02-22 · Health · corrected 2024-03-15
Potential for more than minimal harm
- CF0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.2024-02-22 · Health · corrected 2024-03-15
Potential for minimal harm
- FF0880Provide and implement an infection prevention and control program.2024-02-22 · Health · corrected 2024-03-15
Potential for more than minimal harm
- DF0881Implement a program that monitors antibiotic use.2024-02-22 · Health · corrected 2024-03-15
Potential for more than minimal harm
- JF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-01-30 · Health · corrected 2024-01-15
Immediate jeopardy
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-01-30 · Health · corrected 2024-01-31
Immediate jeopardy
- FF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2024-01-30 · Health · corrected 2024-02-13
Potential for more than minimal harm
- FF0946Provide training in compliance and ethics.2024-01-30 · Health · corrected 2024-02-13
Potential for more than minimal harm
- FF0949Provide behavior health training consistent with the requirements and as determined by a facility assessment.2024-01-30 · Health · corrected 2024-02-13
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2023-10-06 · Health · corrected 2023-10-17
Potential for more than minimal harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2023-10-06 · Health · corrected 2023-10-17
Potential for more than minimal harm
- CF0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.2022-11-10 · Health · corrected 2022-11-30
Potential for minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-11-10 · Health · corrected 2022-12-02
Potential for more than minimal harm
- EF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2022-11-10 · Health · corrected 2022-12-02
Potential for more than minimal harm
- DF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.2022-11-10 · Health · corrected 2022-12-02
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2022-11-10 · Health · corrected 2022-12-02
Potential for more than minimal harm
- DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2022-11-10 · Health · corrected 2022-12-02
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2022-11-10 · Health · corrected 2022-12-02
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2022-11-10 · Health · corrected 2022-12-02
Potential for more than minimal harm
- DF0758Implement 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.2022-11-10 · Health · corrected 2022-12-02
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2022-11-10 · Health · corrected 2022-12-02
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 2022-12-02
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2022-11-10 · Health · corrected 2022-12-01
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| JN WAUKESHA LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 30% | 2017-08-01 |
| PEACE CAPITAL LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 28% | 2017-08-01 |
| STEIN, SHALOM | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 28% | 2017-08-01 |
| SMF WAUKESHA LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 22% | 2017-08-01 |
| WAUKESHA HOLDCO LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 20% | 2017-08-01 |
| GREEN, ELYOKUM | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 20% | 2017-08-01 |
| HELMAN, YOSEF | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 15% | 2017-08-01 |
| SILVERBERG, NISANEL | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 15% | 2017-08-01 |
| SINGER, MEIR | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 7% | 2017-08-01 |
| FRIEDMAN, YISRAEL | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 7% | 2017-08-01 |
| NEUMAN, MARK | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 7% | 2017-08-01 |
| SILVERBERG, NISANEL | Individual | W-2 MANAGING EMPLOYEE | — | 2017-08-01 |
Other facilities in WAUKESHA
| Name | Overall | Beds |
|---|---|---|
| LINDENGROVE WAUKESHA | ★☆☆☆☆ | 61 |
| ARIA OF WAUKESHA | ★☆☆☆☆ | 105 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.