nursing home in Waukesha, WI
Complete Care at Kensington
1810 Kensington Dr, Waukesha, WI 53188 · (262) 548-1400
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★1
- Quality measures★★★★★3
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Complete Care at Kensington at a glance
Complete Care at Kensington is a 150-bed for-profit nursing home in Waukesha, Wisconsin (Waukesha County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the Wisconsin average of 3.
Residents receive about 3.5 hours of nursing care per day (0.6 of them from registered nurses), worse than the state average of 4.2 hours.
Its most recent standard health inspection (April 29, 2026) found 5 health citations. The Wisconsin average is 9.5.
Federal regulators fined it 1 time in the past three years, totaling $66,632.
Nursing staff turnover is 55.8% per year (state average 46.9%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 150
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Complete Care
- Medicare-certified since
- June 17, 1971
- Resident/family council
- Resident
- County
- Waukesha County
- CMS Certification Number
- 525242
Ratings
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 3 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 1 / 5 | 3.6 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 3 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 3 / 5 | 3.1 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 3 / 5 | 3.1 / 5 | 3.3 / 5 | Average |
Staffing
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.53 hrs | 4.21 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.58 hrs | 0.99 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.84 hrs | 2.58 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 3.14 hrs | 3.77 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 55.8% | 46.9% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 50% | 39.7% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 1 | 1 | 1 | Worse |
Inspections
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 5 | 9 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 1 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 81.8 | 100.3 | 80.6 | Average |
Penalties
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $66,632 | $48,150 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 1 | 1 | 1 | Average |
Size
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 150 | 77 | 107 | |
| Average residents per day | 69 | 55 | 86 | |
| Occupancy | 45.7% | 74% | 80.9% |
Long-stay residents
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 3.3% | 3.3% | 3.2% | Average |
| Long-stay residents with pressure ulcers (lower is better) | 5.2% | 5% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 21.2% | 15.8% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 2.1% | 2.7% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.7% | 2.1% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 5% | 16.1% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 10.7% | 18.4% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 17.2% | 5.1% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 14% | 5.7% | 12.8% | Worse |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.1% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 7% | 16.9% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 15.3% | 24.6% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 95% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 98.3% | 95.7% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 1.2% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 94.6% | 82.2% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 96.8% | 86.5% | 82% | Better |
Inspection citations
State inspectors cited this home for 32 health deficiencies and 3 fire safety deficiencies in the inspection records CMS currently publishes. 3 citations involved actual harm, including 2 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| April 29, 2026 Standard | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Administration Deficiencies · Tag F0851 | F Potential harm, widespread | Corrected May 22, 2026 |
| April 29, 2026 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected May 22, 2026 |
| April 29, 2026 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected May 22, 2026 |
| April 29, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected May 22, 2026 |
| February 23, 2026 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected March 20, 2026 |
| May 21, 2025 Fire safety | Develop Emergency Preparedness policies and procedures. Emergency Preparedness Deficiencies · Tag E0013 | F Potential harm, widespread | Corrected June 12, 2025 |
| May 21, 2025 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | F Potential harm, widespread | Corrected June 12, 2025 |
| May 21, 2025 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | G Actual harm, isolated | Corrected June 12, 2025 |
| May 21, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected June 12, 2025 |
| May 21, 2025 Standard | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Tag F0628 | E Potential harm, pattern | Corrected June 12, 2025 |
| May 21, 2025 Standard | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected June 12, 2025 |
| May 21, 2025 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected June 12, 2025 |
| May 21, 2025 Standard | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected June 12, 2025 |
| May 21, 2025 Standard | Provide appropriate foot care. Quality of Life and Care Deficiencies · Tag F0687 | D Potential harm, isolated | Corrected June 12, 2025 |
| May 21, 2025 Standard | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected June 12, 2025 |
| May 21, 2025 Standard | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Administration Deficiencies · Tag F0851 | C No harm, widespread | Corrected June 12, 2025 |
| February 22, 2024 Fire safety | Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Tag E0006 | F Potential harm, widespread | Corrected March 13, 2024 |
| February 22, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | F Potential harm, widespread | Corrected March 15, 2024 |
| February 22, 2024 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | E Potential harm, pattern | Corrected March 15, 2024 |
| February 22, 2024 Standard | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected March 15, 2024 |
| February 22, 2024 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected March 15, 2024 |
| February 22, 2024 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | D Potential harm, isolated | Corrected March 15, 2024 |
| February 22, 2024 Standard | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected March 15, 2024 |
| February 22, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected March 15, 2024 |
| February 22, 2024 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected March 15, 2024 |
| February 22, 2024 Standard | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Tag F0881 | D Potential harm, isolated | Corrected March 15, 2024 |
| February 22, 2024 Complaint | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | D Potential harm, isolated | Corrected March 15, 2024 |
| February 22, 2024 Standard | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Administration Deficiencies · Tag F0851 | C No harm, widespread | Corrected March 15, 2024 |
| January 30, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | J Immediate jeopardy, isolated | Corrected January 31, 2024 |
| January 30, 2024 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | J Immediate jeopardy, isolated | Corrected January 15, 2024 |
| January 30, 2024 Complaint | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Administration Deficiencies · Tag F0868 | F Potential harm, widespread | Corrected February 13, 2024 |
| January 30, 2024 Complaint | Provide behavior health training consistent with the requirements and as determined by a facility assessment. Administration Deficiencies · Tag F0949 | F Potential harm, widespread | Corrected February 13, 2024 |
| January 30, 2024 Complaint | Provide training in compliance and ethics. Administration Deficiencies · Tag F0946 | F Potential harm, widespread | Corrected February 13, 2024 |
| October 6, 2023 Complaint | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | E Potential harm, pattern | Corrected October 17, 2023 |
| October 6, 2023 Complaint | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | D Potential harm, isolated | Corrected October 17, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $66,632 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| January 30, 2024 | Fine | $66,632 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| PEACE CAPITAL LLC Organization | 5% or greater direct ownership interest | 100% | 05/03/2024 |
| CULP, KAREN Individual | adp of the snf | NOT APPLICABLE | 02/03/2020 |
| DES CAPITAL LLC Organization | adp of the snf | NOT APPLICABLE | 08/01/2017 |
| HELLMAN, YOSEF Individual | adp of the snf | NOT APPLICABLE | 08/01/2017 |
| JRK INVESTMENTS LLC Organization | adp of the snf | NOT APPLICABLE | 08/01/2017 |
| KLEKAMP, CHRISTINE Individual | adp of the snf | NOT APPLICABLE | 04/13/2020 |
| KLUGMAN, JACOB Individual | adp of the snf | NOT APPLICABLE | 08/01/2017 |
| PEACE CAPITAL HOLDINGS II LLC Organization | adp of the snf | NOT APPLICABLE | 08/01/2017 |
| REED, RACHEL Individual | adp of the snf | NOT APPLICABLE | 11/20/2022 |
| SIDHU, SARFRAZ Individual | adp of the snf | NOT APPLICABLE | 08/01/2017 |
| SMS 2021 TRUST Organization | adp of the snf | NOT APPLICABLE | 08/01/2017 |
| STEIN, SHALOM Individual | adp of the snf | NOT APPLICABLE | 08/01/2017 |
| STERNBUCH, DANIEL Individual | adp of the snf | NOT APPLICABLE | 08/01/2017 |
| WAKESHA PROPCO LLC Organization | adp of the snf | NOT APPLICABLE | 08/01/2017 |
| WI 6 PROPCO HOLDCO LLC Organization | adp of the snf | NOT APPLICABLE | 08/01/2017 |
| WI 6 PROPCO TOPCO LLC Organization | adp of the snf | NOT APPLICABLE | 08/01/2017 |
| STEIN, SHALOM Individual | corporate officer | NOT APPLICABLE | 08/01/2017 |
| STEIN, SHALOM Individual | indirect ownership interest | NOT APPLICABLE | 08/01/2017 |
| STEIN, SHALOM Individual | managing control - governing body | NOT APPLICABLE | 08/01/2017 |
| CULP, KAREN Individual | operational/managerial control | NOT APPLICABLE | 02/03/2020 |
| HELLMAN, YOSEF Individual | operational/managerial control | NOT APPLICABLE | 08/01/2017 |
| KLEKAMP, CHRISTINE Individual | operational/managerial control | NOT APPLICABLE | 04/13/2020 |
| REED, RACHEL Individual | operational/managerial control | NOT APPLICABLE | 11/20/2022 |
| SIDHU, SARFRAZ Individual | operational/managerial control | NOT APPLICABLE | 07/28/2020 |
| STEIN, SHALOM Individual | trustee of the snf | NOT APPLICABLE | 08/01/2017 |
Other nursing homes near Complete Care at Kensington
Avina of Pewaukee
N26 W23977 Watertown Rd., Waukesha, WI 53188 · 1.2 mi
For-profit · 120 beds · Part of Avina Healthcare
★★★★★1Much below average- ★★★★★1Much below average
- ★★★★★1Much below average
Complete Care at Care Age
1755 N. Barker Rd., Brookfield, WI 53045 · 5.8 mi
For-profit · 110 beds · Part of Complete Care
★★★★★1Much below averageAria of Brookfield
18740 W Bluemound Rd, Brookfield, WI 53045 · 6.3 mi
For-profit · 170 beds
- Abuse citation
★★★★★1Much below averageFranciscan Woods
19525 W North Ave, Brookfield, WI 53045 · 6.5 mi
Non-profit · 110 beds · Part of Ascension Living
★★★★★1Much below average
Frequently asked questions
What is Complete Care at Kensington's rating?
Complete Care at Kensington has 1 out of 5 stars on the CMS overall star rating. The average for Wisconsin nursing homes is 3 stars.
How many inspection citations did Complete Care at Kensington receive?
Its most recent standard health inspection found 5 citations, compared with a Wisconsin average of 9.5. Every citation is listed on this page with its severity.
Does Complete Care at Kensington accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Complete Care at Kensington?
It is for profit - limited liability company and part of Complete Care. The ownership section on this page lists the owners and managers reported to CMS.
Where is Complete Care at Kensington and how do I contact it?
Complete Care at Kensington is at 1810 Kensington Dr, Waukesha, WI 53188. Phone: (262) 548-1400.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.