ElderGrade
F

27.7/100

Poor

Complete Care At Kensington

1810 Kensington Dr, Waukesha, WI 53188

CMS 1/5 stars #16 of 17 in Waukesha County (262) 548-1400
Certified beds
150
Occupancy
46%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • 3 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $66,632 in federal fines

    CMS has fined this facility across 1 penalty action(s).

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

0.7/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -20 for 2 immediate-jeopardy citation(s) in the last 3 years
  • -4 for 1 actual-harm citation(s) in the last 3 years
  • -5.3 for 32 total citations against a national median of 17

Staffing

8/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 3 total nurse hours per resident per day (national median 3.77)
  • 0.58 RN hours per resident per day
  • Weekend staffing drops 11% against weekdays

Staff stability

5/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 56% of nursing staff left in the last year

Resident outcomes

9/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 3 of 5 stars on the CMS quality-measure rating

Enforcement history

5/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $66,632 in federal fines across 1 action(s)

Grade ceiling applied

  • Capped at 64 (grade C) — immediate-jeopardy citation in the last 3 years

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.53 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.58 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 3.14 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 55.80%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

All 32 citations

Last standard health inspection: April 29, 2026 (3 months ago).

F Apr 29, 2026 F0851

Administration Deficiencies

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

No actual harm, potential for more than minimal harm

D Apr 29, 2026 F0686

Quality of Life and Care Deficiencies

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

No actual harm, potential for more than minimal harm

D Apr 29, 2026 F0755

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

No actual harm, potential for more than minimal harm

D Apr 29, 2026 F0880

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

E Feb 23, 2026 F0880 From a complaint

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

G May 21, 2025 F0686

Quality of Life and Care Deficiencies

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

Actual harm to a resident

E May 21, 2025 F0628

Resident Rights Deficiencies

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

No actual harm, potential for more than minimal harm

E May 21, 2025 F0880

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of COMPLETE CARE, which operates 85 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
STEIN, SHALOM Individual INDIRECT OWNERSHIP INTEREST
STEIN, SHALOM Individual MANAGING CONTROL - GOVERNING BODY
STEIN, SHALOM Individual CORPORATE OFFICER
CULP, KAREN Individual OPERATIONAL/MANAGERIAL CONTROL
HELLMAN, YOSEF Individual OPERATIONAL/MANAGERIAL CONTROL
KLEKAMP, CHRISTINE Individual OPERATIONAL/MANAGERIAL CONTROL
REED, RACHEL Individual OPERATIONAL/MANAGERIAL CONTROL
SIDHU, SARFRAZ Individual OPERATIONAL/MANAGERIAL CONTROL
STEIN, SHALOM Individual TRUSTEE OF THE SNF
DES CAPITAL LLC Organization ADP OF THE SNF
JRK INVESTMENTS LLC Organization ADP OF THE SNF
PEACE CAPITAL HOLDINGS II LLC Organization ADP OF THE SNF

What families say

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Common questions about Complete Care At Kensington

What is the ElderGrade for Complete Care At Kensington? +

Complete Care At Kensington holds an ElderGrade of F (27.7 out of 100), which we describe as "poor". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Complete Care At Kensington? +

Residents receive an average of 3.53 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Complete Care At Kensington been cited for harming residents? +

Yes. 3 of the 32 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Complete Care At Kensington accept Medicaid? +

Yes, Complete Care At Kensington is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.