Complete Care At Kensington
Waukesha, Waukesha County, Wisconsin · CCN 525242 · For-profit (LLC) · part of Complete Care (85 facilities, chain average 3.1 stars)
CMS rates Complete Care At Kensington 1 of 5 overall as of August 2026. 150 certified beds, 69 residents a day on average. 32 citations on record from the current inspection cycles, 2 at immediate jeopardy; 1 fine totalling $66,632.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★☆☆☆☆ 1 of 5 |
|---|---|
| Health inspections | ★★☆☆☆ 2 of 5 |
| Staffing | ★☆☆☆☆ 1 of 5 |
| Quality measures | ★★★☆☆ 3 of 5 |
| Quality: long-stay / short-stay | 3 / 3 of 5 |
Staffing
| Total nurse staffing | 3.53109 hours per resident per day |
|---|---|
| Registered nurses | 0.57681 hours per resident per day |
| Weekend total | 3.13928 hours per resident per day |
| Nursing staff turnover | 55.8% (registered nurses 50%) |
| Administrators who left | 1 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-04-29 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Administration Deficiencies · tag F0851 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2026-05-22 |
| 2026-04-29 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 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. Pharmacy Service Deficiencies · tag F0755 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-05-22 |
| 2026-04-29 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-05-22 |
| 2026-02-23 complaint survey |
Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-03-20 |
| 2025-05-21 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2025-06-12 |
| 2025-05-21 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · tag F0628 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-06-12 |
| 2025-05-21 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-06-12 |
| 2025-05-21 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-06-12 |
| 2025-05-21 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-06-12 |
| 2025-05-21 | Provide appropriate foot care. Quality of Life and Care Deficiencies · tag F0687 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 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. Quality of Life and Care Deficiencies · tag F0690 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-06-12 |
| 2025-05-21 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · tag F0759 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 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. Administration Deficiencies · tag F0851 |
C No actual harm, with potential for minimal harm; widespread | Deficient, Provider has date of correction 2025-06-12 |
| 2024-02-22 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2024-03-15 |
| 2024-02-22 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-03-15 |
| 2024-02-22 complaint survey |
Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · tag F0558 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-03-15 |
| 2024-02-22 complaint survey |
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 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 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. Quality of Life and Care Deficiencies · tag F0690 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-03-15 |
| 2024-02-22 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · tag F0692 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-03-15 |
| 2024-02-22 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · tag F0759 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-03-15 |
| 2024-02-22 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · tag F0760 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 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. Pharmacy Service Deficiencies · tag F0761 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-03-15 |
| 2024-02-22 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · tag F0881 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 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. Administration Deficiencies · tag F0851 |
C No actual harm, with potential for minimal harm; widespread | Deficient, Provider has date of correction 2024-03-15 |
| 2024-01-30 complaint survey |
Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
J Immediate jeopardy to resident health or safety; isolated | Past Non-Compliance 2024-01-15 |
| 2024-01-30 complaint survey |
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 |
J Immediate jeopardy to resident health or safety; isolated | Deficient, Provider has date of correction 2024-01-31 |
| 2024-01-30 complaint survey |
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Administration Deficiencies · tag F0868 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2024-02-13 |
| 2024-01-30 complaint survey |
Provide training in compliance and ethics. Administration Deficiencies · tag F0946 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2024-02-13 |
| 2024-01-30 complaint survey |
Provide behavior health training consistent with the requirements and as determined by a facility assessment. Administration Deficiencies · tag F0949 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2024-02-13 |
| 2023-10-06 complaint survey |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · tag F0804 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-10-17 |
| 2023-10-06 complaint survey |
Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · tag F0558 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-10-17 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2024-01-30 | Fine | $66,632 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Peace Capital LLC Organization | 5% or greater direct ownership interest | 100% | 2024-05-03 |
| Des Capital LLC Organization | adp of the snf | — | 2017-08-01 |
| Jrk Investments LLC Organization | adp of the snf | — | 2017-08-01 |
| Peace Capital Holdings II LLC Organization | adp of the snf | — | 2017-08-01 |
| Sms 2021 Trust Organization | adp of the snf | — | 2017-08-01 |
| Wakesha Propco LLC Organization | adp of the snf | — | 2017-08-01 |
| Wi 6 Propco Holdco LLC Organization | adp of the snf | — | 2017-08-01 |
| Wi 6 Propco Topco LLC Organization | adp of the snf | — | 2017-08-01 |
| Culp, Karen Individual | adp of the snf | — | 2020-02-03 |
| Hellman, Yosef Individual | adp of the snf | — | 2017-08-01 |
| Klekamp, Christine Individual | adp of the snf | — | 2020-04-13 |
| Klugman, Jacob Individual | adp of the snf | — | 2017-08-01 |
| Reed, Rachel Individual | adp of the snf | — | 2022-11-20 |
| Sidhu, Sarfraz Individual | adp of the snf | — | 2017-08-01 |
| Stein, Shalom Individual | adp of the snf | — | 2017-08-01 |
| Sternbuch, Daniel Individual | adp of the snf | — | 2017-08-01 |
| Stein, Shalom Individual | corporate officer | — | 2017-08-01 |
| Stein, Shalom Individual | indirect ownership interest | — | 2017-08-01 |
| Stein, Shalom Individual | managing control - governing body | — | 2017-08-01 |
| Culp, Karen Individual | operational/managerial control | — | 2020-02-03 |
| Hellman, Yosef Individual | operational/managerial control | — | 2017-08-01 |
| Klekamp, Christine Individual | operational/managerial control | — | 2020-04-13 |
| Reed, Rachel Individual | operational/managerial control | — | 2022-11-20 |
| Sidhu, Sarfraz Individual | operational/managerial control | — | 2020-07-28 |
| Stein, Shalom Individual | trustee of the snf | — | 2017-08-01 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Complete Care At Kensington.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Waukesha County.