Complete Care at Kensington

CCN 525242 · WAUKESHA HEALTHCARE AND REHABILITATION CENTER LLC · For profit - Limited Liability company · COMPLETE CARE chain · 150 certified beds · Waukesha · WI


Complete Care at Kensington is a 150-bed nursing home in WAUKESHA, Wisconsin. CMS has certified it for Medicare and Medicaid since 1971-06-17. It averages 68.5 residents a day.

What harm was found in the violations cited at Complete Care at Kensington?

CMS lists 32 health-inspection deficiencies for Complete Care at Kensington, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-04-29.

Survey dateTagDeficiencySeverity
2026-04-29F0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.F
2026-04-29F0686, F0755, F0880Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Provide and implement an infection prevention and control program.D
2026-02-23F0880Provide and implement an infection prevention and control program.E
2025-05-21F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G
2025-05-21F0628, F0880Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Provide and implement an infection prevention and control program.E
2025-05-21F0609, F0610, F0687, F0690, F0759Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Provide appropriate foot care. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Ensure medication error rates are not 5 percent or greater.D
2025-05-21F0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.C
2024-02-22F0880Provide and implement an infection prevention and control program.F
2024-02-22F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.E
2024-02-22F0558, F0689, F0690, F0692, F0759, F0760, F0761, F0881Reasonably accommodate the needs and preferences of each resident. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide enough food/fluids to maintain a resident's health. / Ensure medication error rates are not 5 percent or greater. / Ensure that residents are free from significant medication errors. / 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. / Implement a program that monitors antibiotic use.D
2024-02-22F0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.C
2024-01-30F0684, F0689Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J
2024-01-30F0868, F0946, F0949Have the Quality Assessment and Assurance group have the required members and meet at least quarterly / Provide training in compliance and ethics. / Provide behavior health training consistent with the requirements and as determined by a facility assessment.F
2023-10-06F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E
2023-10-06F0558Reasonably accommodate the needs and preferences of each resident.D

Why was Complete Care at Kensington fined?

DateTypeAmount
2024-01-30Fine$66,632

How is Complete Care at Kensington staffed relative to the WI average?

MeasureThis facilityWI average
Total nurse staffing hours per resident per day3.531094.21234
Total nursing staff turnover (%)55.846.9
Average number of residents per day68.554.8

Who owns Complete Care at Kensington, and what chain is it in?

Complete Care at Kensington is registered with CMS as For profit - Limited Liability company, operates under the legal business name WAUKESHA HEALTHCARE AND REHABILITATION CENTER LLC and belongs to the COMPLETE CARE chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTPEACE CAPITAL LLCsince 05/03/2024
INDIRECT OWNERSHIP INTERESTSTEIN, SHALOMsince 08/01/2017
MANAGING CONTROL - GOVERNING BODYSTEIN, SHALOMsince 08/01/2017
CORPORATE OFFICERSTEIN, SHALOMsince 08/01/2017
OPERATIONAL/MANAGERIAL CONTROLCULP, KAREN, HELLMAN, YOSEF, KLEKAMP, CHRISTINE, REED, RACHEL, SIDHU, SARFRAZsince 02/03/2020
TRUSTEE OF THE SNFSTEIN, SHALOMsince 08/01/2017
ADP OF THE SNFDES CAPITAL LLC, JRK INVESTMENTS LLC, PEACE CAPITAL HOLDINGS II LLC, SMS 2021 TRUST, WAKESHA PROPCO LLC, WI 6 PROPCO HOLDCO LLC, WI 6 PROPCO TOPCO LLC, CULP, KAREN, HELLMAN, YOSEF, KLEKAMP, CHRISTINE, KLUGMAN, JACOB, REED, RACHEL, SIDHU, SARFRAZ, STEIN, SHALOM, STERNBUCH, DANIELsince 02/03/2020

Were you or a family member harmed at Complete Care at Kensington?