Nursing homes › Wisconsin › Complete Care at Kensington
1810 Kensington Dr, Waukesha, WI 53188 · 2625481400 · 150 certified beds
Per CMS filings, this facility is affiliated with Complete Care, a group operating 85 facilities in 8 states. Group record: average rating 3.1/5, 7 abuse citation icons, 0 facilities on the Special Focus list, $2,308,934 in federal fines. This facility rates below its group average (3.1/5).
Total nurse staffing: 3.53 (Wisconsin median: 4.06). RN hours: 0.58. Weekend total: 3.14. Nursing staff turnover: 56%.
All-time on record: 32 deficiency citations, including 2 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-04-29 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | Health | corrected 2026-05-22 |
| 2026-04-29 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Health | corrected 2026-05-22 |
| 2026-04-29 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Health | corrected 2026-05-22 |
| 2026-04-29 | Provide and implement an infection prevention and control program. | D | Health | corrected 2026-05-22 |
| 2026-02-23 | Provide and implement an infection prevention and control program. | E | complaint | corrected 2026-03-20 |
| 2025-05-21 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Health | corrected 2025-06-12 |
| 2025-05-21 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | E | Health | corrected 2025-06-12 |
| 2025-05-21 | Provide and implement an infection prevention and control program. | E | Health | corrected 2025-06-12 |
| 2025-05-21 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Health | corrected 2025-06-12 |
| 2025-05-21 | Respond appropriately to all alleged violations. | D | Health | corrected 2025-06-12 |
| 2025-05-21 | Provide appropriate foot care. | D | Health | corrected 2025-06-12 |
| 2025-05-21 | 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 | Health | corrected 2025-06-12 |
| 2025-05-21 | Ensure medication error rates are not 5 percent or greater. | D | Health | corrected 2025-06-12 |
| 2025-05-21 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | C | Health | corrected 2025-06-12 |
| 2024-02-22 | Provide and implement an infection prevention and control program. | F | Health | corrected 2024-03-15 |
| 2024-02-22 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | Health | corrected 2024-03-15 |
| 2024-02-22 | Reasonably accommodate the needs and preferences of each resident. | D | complaint | corrected 2024-03-15 |
| 2024-02-22 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2024-03-15 |
| 2024-02-22 | 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 | Health | corrected 2024-03-15 |
| 2024-02-22 | Provide enough food/fluids to maintain a resident's health. | D | Health | corrected 2024-03-15 |
| 2024-02-22 | Ensure medication error rates are not 5 percent or greater. | D | Health | corrected 2024-03-15 |
| 2024-02-22 | Ensure that residents are free from significant medication errors. | D | Health | corrected 2024-03-15 |
| 2024-02-22 | 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 | Health | corrected 2024-03-15 |
| 2024-02-22 | Implement a program that monitors antibiotic use. | D | Health | corrected 2024-03-15 |
| 2024-02-22 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | C | Health | corrected 2024-03-15 |
| 2024-01-30 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | complaint | corrected 2024-01-15 |
| 2024-01-30 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | complaint | corrected 2024-01-31 |
| 2024-01-30 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | complaint | corrected 2024-02-13 |
| 2024-01-30 | Provide training in compliance and ethics. | F | complaint | corrected 2024-02-13 |
| 2024-01-30 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | F | complaint | corrected 2024-02-13 |
| 2023-10-06 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | complaint | corrected 2023-10-17 |
| 2023-10-06 | Reasonably accommodate the needs and preferences of each resident. | D | complaint | corrected 2023-10-17 |
| Date | Type | Amount |
|---|---|---|
| 2024-01-30 | Fine | $66,632 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| PEACE CAPITAL LLC | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 05/03/2024 |
| STEIN, SHALOM | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 08/01/2017 |
| STEIN, SHALOM | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 08/01/2017 |
| STEIN, SHALOM | Corporate Officer | Individual | NOT APPLICABLE | since 08/01/2017 |
| CULP, KAREN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/03/2020 |
| HELLMAN, YOSEF | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/01/2017 |
| KLEKAMP, CHRISTINE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 04/13/2020 |
| REED, RACHEL | Operational/Managerial Control | Individual | NOT APPLICABLE | since 11/20/2022 |
| SIDHU, SARFRAZ | Operational/Managerial Control | Individual | NOT APPLICABLE | since 07/28/2020 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 525242. Corrections: data@carerecords.org.