Complete Care at Kensington

WAUKESHA, WI · 150 beds · For profit - Limited Liability company

0 Trust Score
Grade: F CRITICAL Risk → Stable

Red Flags

  • 1-star staffing rating
  • 2 citation(s) at the highest severity level — immediate risk to residents
  • 1 citation(s) where residents suffered actual harm
  • $66,632 in fines
  • RN hours significantly below state average

Green Flags

No positive signals identified yet.

Quick Facts

★☆☆☆☆
CMS Overall
★★☆☆☆
Health Inspection
9
0.9x state avg
Deficiencies
$66,632
Fines (3-yr)
★☆☆☆☆
Staffing

Violation Timeline

May 20, 2025

18 deficiencyies
F0687 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

Show details

Provide appropriate foot care.

F0609 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Show details

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

F0610 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Show details

Respond appropriately to all alleged violations.

F0628 Potential Harm Scope/Severity: E

Resident Rights Deficiencies

Show details

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

F0686 Actual Harm Scope/Severity: G

Quality of Life and Care Deficiencies

Show details

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

F0690 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

Show details

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

F0759 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

Show details

Ensure medication error rates are not 5 percent or greater.

F0851 No Harm Scope/Severity: C

Administration Deficiencies

Show details

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

F0880 Potential Harm Scope/Severity: E

Infection Control Deficiencies

Show details

Provide and implement an infection prevention and control program.

F0687 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

Show details

Provide appropriate foot care.

F0609 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Show details

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

F0610 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Show details

Respond appropriately to all alleged violations.

F0628 Potential Harm Scope/Severity: E

Resident Rights Deficiencies

Show details

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

F0686 Actual Harm Scope/Severity: G

Quality of Life and Care Deficiencies

Show details

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

F0690 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

Show details

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

F0759 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

Show details

Ensure medication error rates are not 5 percent or greater.

F0851 No Harm Scope/Severity: C

Administration Deficiencies

Show details

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

F0880 Potential Harm Scope/Severity: E

Infection Control Deficiencies

Show details

Provide and implement an infection prevention and control program.

February 21, 2024

2 deficiencyies
F0686 Potential Harm Scope/Severity: E

Quality of Life and Care Deficiencies

Show details

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

F0690 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

Show details

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

See full violation history →

Staffing

0.51
RN hrs/res/day
1.01
LPN hrs/res/day
1.75
CNA hrs/res/day
2.79
Weekend hrs/res/day
55%
Total nurse turnover
64%
RN turnover

A nurse checks on each resident roughly every 7.3 hours on average.

Fines & Penalties

  • Fine Jan 29, 2024
    $66,632
Total $66,632

Ownership

For profit - Limited Liability company Chain: COMPLETE CARE
  • JN WAUKESHA LLC

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 08/01/2017

    30% Organization
  • PEACE CAPITAL LLC

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 08/01/2017

    28% Organization
  • SMF WAUKESHA LLC

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 08/01/2017

    22% Organization
  • WAUKESHA HOLDCO LLC

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 08/01/2017

    20% Organization
  • FRIEDMAN, YISRAEL

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 08/01/2017

    7% Individual
  • GREEN, ELYOKUM

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 08/01/2017

    20% Individual
  • HELMAN, YOSEF

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 08/01/2017

    15% Individual
  • NEUMAN, MARK

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 08/01/2017

    7% Individual
  • SILVERBERG, NISANEL

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 08/01/2017

    15% Individual
  • SINGER, MEIR

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 08/01/2017

    7% Individual
  • STEIN, SHALOM

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 08/01/2017

    28% Individual
  • SILVERBERG, NISANEL

    W-2 MANAGING EMPLOYEE

    Since since 08/01/2017

    Individual

Nearby Facilities in WAUKESHA, WI