Complete Care at Kensington

1810 KENSINGTON DR
WAUKESHA, WI, 53188
2625481400
CCN: 525242
1
Overall
2
Health
1
Staffing
3
Quality
ChainCOMPLETE CARE
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
NameRole%
JN WAUKESHA LLC5% OR GREATER DIRECT OWNERSHIP INTEREST30%
PEACE CAPITAL LLC5% OR GREATER DIRECT OWNERSHIP INTEREST28%
SMF WAUKESHA LLC5% OR GREATER DIRECT OWNERSHIP INTEREST22%
WAUKESHA HOLDCO LLC5% OR GREATER DIRECT OWNERSHIP INTEREST20%
FRIEDMAN, YISRAEL5% OR GREATER INDIRECT OWNERSHIP INTEREST7%
GREEN, ELYOKUM5% OR GREATER INDIRECT OWNERSHIP INTEREST20%
HELMAN, YOSEF5% OR GREATER INDIRECT OWNERSHIP INTEREST15%
NEUMAN, MARK5% OR GREATER INDIRECT OWNERSHIP INTEREST7%
SILVERBERG, NISANEL5% OR GREATER INDIRECT OWNERSHIP INTEREST15%
SINGER, MEIR5% OR GREATER INDIRECT OWNERSHIP INTEREST7%
STEIN, SHALOM5% OR GREATER INDIRECT OWNERSHIP INTEREST28%
SILVERBERG, NISANELW-2 MANAGING EMPLOYEENOT APPLICABLE
Penalties (1)
DateTypeAmount
2024-01-30Fine$67K
Health Deficiencies (39)
2025-05-21 · Health
E
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
C
F851 · Administration Deficiencies
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
D
F759 · Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
D
F690 · Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
D
F687 · Quality of Life and Care Deficiencies
Provide appropriate foot care.
G
F686 · Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
E
F628 · Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
D
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
D
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
2024-02-22 · Health
D
F881 · Infection Control Deficiencies
Implement a program that monitors antibiotic use.
F
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
C
F851 · Administration Deficiencies
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
D
F761 · Pharmacy Service Deficiencies
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.
D
F760 · Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
D
F759 · Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
D
F692 · Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
D
F690 · Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
F686 · Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
F558 · Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
2024-01-30 · Health
F
F949 · Administration Deficiencies
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
F
F946 · Administration Deficiencies
Provide training in compliance and ethics.
F
F868 · Administration Deficiencies
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
J
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
J
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2023-10-06 · Health
E
F804 · Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
D
F558 · Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
2022-11-10 · Health
E
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
E
F761 · Pharmacy Service Deficiencies
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.
D
F759 · Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
D
F758 · Pharmacy Service Deficiencies
Implement 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.
D
F757 · Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
F755 · Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
F726 · Nursing and Physician Services Deficiencies
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
D
F695 · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
D
F693 · Quality of Life and Care Deficiencies
Ensure 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.
E
F686 · Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
C
F577 · Resident Rights Deficiencies
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
3.65
3.68
RN Hrs/Resident/Day
0.57
0.54
LPN Hrs/Resident/Day
1.13
0.81
CNA Hrs/Resident/Day
1.95
2.33
PT Hrs/Resident/Day
0.03
0.12
Data as of 2026-03-01