nursing home in Waupun, WI
Complete Care at Christian Home LLC
452 Fox Lake Road, Waupun, WI 53963 · (920) 324-9051
★★★★★2
Below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★4
- 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 Christian Home LLC at a glance
Complete Care at Christian Home LLC is a 50-bed for-profit nursing home in Waupun, Wisconsin (Dodge County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the Wisconsin average of 3.
Residents receive about 4.7 hours of nursing care per day (1.3 of them from registered nurses), better than the state average of 4.2 hours.
Its most recent standard health inspection (April 15, 2026) found 9 health citations. The Wisconsin average is 9.5.
It has not received a federal fine in the past three years.
Nursing staff turnover is 66.1% per year (state average 46.9%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 50
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Complete Care
- Medicare-certified since
- May 1, 1994
- Resident/family council
- Resident
- County
- Dodge County
- CMS Certification Number
- 525531
Ratings
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 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) | 4 / 5 | 3.6 / 5 | 2.9 / 5 | Better |
| 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) | 4.66 hrs | 4.21 hrs | 3.86 hrs | Better |
| Registered nurse hours per resident per day (higher is better) | 1.33 hrs | 0.99 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 2.41 hrs | 2.58 hrs | 2.32 hrs | Average |
| Weekend nurse staff hours per resident per day (higher is better) | 4.32 hrs | 3.77 hrs | 3.42 hrs | Better |
| Nursing staff turnover (yearly) (lower is better) | 66.1% | 46.9% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 66.7% | 39.7% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 9 | 9 | 9 | Average |
| Citations from complaint investigations (latest cycle) (lower is better) | 4 | 4 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 86 | 100.3 | 80.6 | Worse |
Penalties
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $48,150 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 50 | 77 | 107 | |
| Average residents per day | 37 | 55 | 86 | |
| Occupancy | 73.2% | 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) | 4.8% | 3.3% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 9.4% | 5% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 11.3% | 15.8% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0% | 2.7% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 2.1% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 7.1% | 16.1% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 11.5% | 18.4% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 0% | 5.1% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 14.8% | 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) | 15.7% | 16.9% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 29.9% | 24.6% | 19% | Worse |
| 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) | 90.4% | 95.7% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 1.1% | 1.2% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 82.5% | 82.2% | 79.8% | Average |
| Short-stay residents given a pneumonia vaccine (higher is better) | 56.4% | 86.5% | 82% | Worse |
Inspection citations
State inspectors cited this home for 12 health deficiencies and 16 fire safety deficiencies in the inspection records CMS currently publishes. 4 citations involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| April 15, 2026 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | F Potential harm, widespread | Deficient, Provider has no plan of correction |
| April 15, 2026 Fire safety | Have exits that are accessible at all times. Egress Deficiencies · Tag K0271 | E Potential harm, pattern | Corrected May 11, 2026 |
| April 15, 2026 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | D Potential harm, isolated | Corrected May 8, 2026 |
| April 15, 2026 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | C No harm, widespread | Corrected May 8, 2026 |
| April 15, 2026 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 May 8, 2026 |
| April 15, 2026 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | G Actual harm, isolated | Corrected May 8, 2026 |
| April 15, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | F Potential harm, widespread | Corrected May 8, 2026 |
| April 15, 2026 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected May 8, 2026 |
| April 15, 2026 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected May 8, 2026 |
| October 14, 2025 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 | G Actual harm, isolated | Corrected November 7, 2025 |
| October 14, 2025 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | G Actual harm, isolated | Corrected November 7, 2025 |
| October 14, 2025 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected November 7, 2025 |
| October 14, 2025 Complaint | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | D Potential harm, isolated | Corrected November 7, 2025 |
| January 30, 2025 Fire safety | Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Tag E0006 | F Potential harm, widespread | Corrected March 14, 2025 |
| January 30, 2025 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | F Potential harm, widespread | Deficient, Provider has no plan of correction |
| January 30, 2025 Fire safety | Have exits that are accessible at all times. Egress Deficiencies · Tag K0271 | E Potential harm, pattern | Corrected March 14, 2025 |
| January 30, 2025 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | E Potential harm, pattern | Corrected March 14, 2025 |
| January 30, 2025 Fire safety | Have power receptacles that are properly grounded. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0912 | E Potential harm, pattern | Corrected March 14, 2025 |
| January 30, 2025 Fire safety | Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351 | E Potential harm, pattern | Corrected March 14, 2025 |
| January 30, 2025 Fire safety | Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0911 | D Potential harm, isolated | Corrected March 14, 2025 |
| January 30, 2025 Standard | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected February 21, 2025 |
| January 30, 2025 Standard | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Tag F0757 | D Potential harm, isolated | Corrected February 21, 2025 |
| November 22, 2023 Fire safety | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914 | F Potential harm, widespread | Corrected January 22, 2024 |
| November 22, 2023 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | F Potential harm, widespread | Waiver has been granted |
| November 22, 2023 Fire safety | Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Tag E0006 | F Potential harm, widespread | Corrected December 29, 2023 |
| November 22, 2023 Fire safety | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Tag K0223 | D Potential harm, isolated | Corrected December 21, 2023 |
| November 22, 2023 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | D Potential harm, isolated | Corrected December 21, 2023 |
| November 22, 2023 Standard | Honor 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. Resident Rights Deficiencies · Tag F0585 | D Potential harm, isolated | Corrected December 21, 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 no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| PC WCM OPCO HOLDCO LLC Organization | 5% or greater direct ownership interest | 100% | 02/28/2025 |
| PC WCM TOPCO LLC Organization | 5% or greater indirect ownership interest | — | 02/28/2025 |
| PEACE CAPITAL HOLDINGS II LLC Organization | 5% or greater indirect ownership interest | — | 02/28/2025 |
| SMS 2021 TRUST Organization | 5% or greater indirect ownership interest | — | 02/28/2025 |
| CHRISTIAN HOME PROPCO LLC Organization | adp of the snf | NOT APPLICABLE | 02/28/2025 |
| DES CAPITAL LLC Organization | adp of the snf | NOT APPLICABLE | 02/28/2025 |
| FENTROW, LAUREN Individual | adp of the snf | NOT APPLICABLE | 02/28/2025 |
| JRK INVESTMENTS LLC Organization | adp of the snf | NOT APPLICABLE | 02/28/2025 |
| KLUGMAN, JACOB Individual | adp of the snf | NOT APPLICABLE | 02/28/2025 |
| LARSON, CINDY Individual | adp of the snf | NOT APPLICABLE | 03/28/2025 |
| LEVERENTZ, LUANNE Individual | adp of the snf | NOT APPLICABLE | 02/28/2025 |
| PC WCM PROPCO HOLDCO LLC Organization | adp of the snf | NOT APPLICABLE | 02/28/2025 |
| PC WCM TOPCO LLC Organization | adp of the snf | NOT APPLICABLE | 02/28/2025 |
| PEACE CAPITAL HOLDINGS II LLC Organization | adp of the snf | NOT APPLICABLE | 02/28/2025 |
| SMS 2021 TRUST Organization | adp of the snf | NOT APPLICABLE | 02/28/2025 |
| STEIN, SHALOM Individual | adp of the snf | NOT APPLICABLE | 02/28/2025 |
| STERNBUCH, DANIEL Individual | adp of the snf | NOT APPLICABLE | 02/28/2025 |
| WEBER, LISA Individual | adp of the snf | NOT APPLICABLE | 02/28/2025 |
| STEIN, SHALOM Individual | corporate officer | NOT APPLICABLE | 02/28/2025 |
| KLUGMAN, JACOB Individual | indirect ownership interest | NOT APPLICABLE | 02/28/2025 |
| STEIN, SHALOM Individual | indirect ownership interest | NOT APPLICABLE | 02/28/2025 |
| HELLMAN, YOSEF Individual | managing control - governing body | NOT APPLICABLE | 02/28/2025 |
| STEIN, SHALOM Individual | managing control - governing body | NOT APPLICABLE | 02/28/2025 |
| FENTROW, LAUREN Individual | operational/managerial control | NOT APPLICABLE | 02/28/2025 |
| HELLMAN, YOSEF Individual | operational/managerial control | NOT APPLICABLE | 02/28/2025 |
| LARSON, CINDY Individual | operational/managerial control | NOT APPLICABLE | 02/28/2025 |
| STERNBUCH, DANIEL Individual | operational/managerial control | NOT APPLICABLE | 02/28/2025 |
| WEBER, LISA Individual | operational/managerial control | NOT APPLICABLE | 02/28/2025 |
| STEIN, SHALOM Individual | trustee of the snf | NOT APPLICABLE | 02/28/2025 |
Other nursing homes near Complete Care at Christian Home LLC
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★★★★★2Below averageBeaver Dam Health Care Center
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★★★★★1Much below averageMarkesan Resident Home
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- CMS high performer
★★★★★5Much above averageAvina of Mayville
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★★★★★3AverageRandolph Health Services
502 S High St, Randolph, WI 53956 · 14.1 mi
For-profit · 84 beds · Part of North Shore Healthcare
★★★★★3Average- ★★★★★5Much above average
Frequently asked questions
What is Complete Care at Christian Home LLC's rating?
Complete Care at Christian Home LLC has 2 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 Christian Home LLC receive?
Its most recent standard health inspection found 9 citations, compared with a Wisconsin average of 9.5. Every citation is listed on this page with its severity.
Does Complete Care at Christian Home LLC 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 Christian Home LLC?
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 Christian Home LLC and how do I contact it?
Complete Care at Christian Home LLC is at 452 Fox Lake Road, Waupun, WI 53963. Phone: (920) 324-9051.
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.