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Complete Care at Christian Home LLC
452 Fox Lake Road, Waupun, WI 53963 (opens Google Maps) · Dodge County · (920) 324-9051· 50 certified beds · avg 37 residents/day · certified since May 1, 1994 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: COMPLETE CARE (85 facilities, chain avg rating 3.1★)
2/5
Health inspection rating (on-site)
inspected Apr 15, 2026
4
Serious findings on record
most recent Apr 15, 2026
$0
Fines, last 3 years
4.58
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5 · how star ratings work →
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, isolated · Apr 15, 2026 · F-0684
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
▲ Actual harm, isolated · Apr 15, 2026 · F-0684
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: May 8, 2026 (Deficient, Provider has date of correction)
▲ Actual harm, isolated · Apr 15, 2026 · F-0686
The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
▲ Actual harm, isolated · Apr 15, 2026 · F-0686
The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.
Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: May 8, 2026 (Deficient, Provider has date of correction)
▲ Actual harm, isolated · Oct 14, 2025 · F-0684 · triggered by a complaint
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
▲ Actual harm, isolated · Oct 14, 2025 · F-0684 · triggered by a complaint
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Nov 7, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, isolated · Oct 14, 2025 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
▲ Actual harm, isolated · Oct 14, 2025 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Nov 7, 2025 (Deficient, Provider has date of correction)
Inspection findings in the public record
Showing the latest 3 of 12 inspection findings. Open the full record below to read every finding.
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. F-0684
The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. F-0686
The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. F-0880
View all 12 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Apr 15, 2026 | ▲ G · Actual harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684 |
| Apr 15, 2026 | ▲ G · Actual harm, isolated | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · F-0686 |
| Apr 15, 2026 | F · Potential for more than minimal harm, widespread | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880 |
| Apr 15, 2026 | D · Potential for more than minimal harm, isolated | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · F-0677 |
| Apr 15, 2026 | D · Potential for more than minimal harm, isolated | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. · F-0759 |
| Oct 14, 2025 | ▲ G · Actual harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint · F-0684 |
| Oct 14, 2025 | ▲ G · Actual harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689 |
| Oct 14, 2025 | D · Potential for more than minimal harm, isolated | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint · F-0610 |
| Oct 14, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · from a complaint · F-0692 |
| Jan 30, 2025 | D · Potential for more than minimal harm, isolated | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · F-0580 |
| Jan 30, 2025 | D · Potential for more than minimal harm, isolated | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. · F-0757 |
| Nov 22, 2023 | D · Potential for more than minimal harm, isolated | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. · F-0585 |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (2 → 5).
All citationsSerious citations (G–L)
2023
All citations: 1
Serious citations (G–L): 0
2025
All citations: 6
Serious citations (G–L): 2
2026
All citations: 5
Serious citations (G–L): 2
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 1 | 0 | D |
| 2025 | 6 | 2 | G ▲ |
| 2026 | 5 | 2 | G ▲ |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityWisconsin averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 4.58
Wisconsin average: 4.29
U.S. average: 3.95
Registered Nurse hours
This facility: 1.31
Wisconsin average: 1.01
U.S. average: 0.69
Weekend total nurse staffing
This facility: 4.24
Wisconsin average: 3.84
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | Wisconsin avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.58 | 4.29 | 3.95 | top 33% in Wisconsin; top 21% in the U.S. |
| Registered Nurse hours | 1.31 | 1.01 | 0.69 | top 19% in Wisconsin; top 7% in the U.S. |
| Weekend total nurse staffing | 4.24 | 3.84 | 3.50 | top 30% in Wisconsin; top 17% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 1.01 | 0.68 | 0.48 | top 12% in Wisconsin; top 6% in the U.S. |
| Total nursing staff turnover (%) | 66.1 | 46.9 | 45.8 | bottom 10% in Wisconsin; bottom 9% in the U.S. |
| RN turnover (%) | 66.7 | 39.7 | 42.9 | bottom 11% in Wisconsin; bottom 15% in the U.S. |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.66, RN 1.33, weekend 4.32.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.66 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 3/5 · long-stay residents: 3/5 · short-stay residents: 3/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Complete Care at Christian Home LLC. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Klugman, Jacob | Individual | Indirect Ownership Interest | NOT APPLICABLE | 02/28/2025 |
| PC WCM Opco Holdco LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 02/28/2025 |
| PC WCM Topco LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 02/28/2025 |
| Peace Capital Holdings II LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 02/28/2025 |
| SMS 2021 Trust | Organization | 5% or Greater Indirect Ownership Interest | — | 02/28/2025 |
| Stein, Shalom | Individual | Indirect Ownership Interest | NOT APPLICABLE | 02/28/2025 |
| Christian Home Propco LLC | Organization | ADP of the SNF | NOT APPLICABLE | 02/28/2025 |
| Des Capital LLC | Organization | ADP of the SNF | NOT APPLICABLE | 02/28/2025 |
| Fentrow, Lauren | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/28/2025 |
| Fentrow, Lauren | Individual | ADP of the SNF | NOT APPLICABLE | 02/28/2025 |
| Hellman, Yosef | Individual | Managing Control - Governing Body | NOT APPLICABLE | 02/28/2025 |
| Hellman, Yosef | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/28/2025 |
| JRK Investments LLC | Organization | ADP of the SNF | NOT APPLICABLE | 02/28/2025 |
| Klugman, Jacob | Individual | ADP of the SNF | NOT APPLICABLE | 02/28/2025 |
| Larson, Cindy | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/28/2025 |
| Larson, Cindy | Individual | ADP of the SNF | NOT APPLICABLE | 03/28/2025 |
| Leverentz, Luanne | Individual | ADP of the SNF | NOT APPLICABLE | 02/28/2025 |
| PC WCM Propco Holdco LLC | Organization | ADP of the SNF | NOT APPLICABLE | 02/28/2025 |
| PC WCM Topco LLC | Organization | ADP of the SNF | NOT APPLICABLE | 02/28/2025 |
| Peace Capital Holdings II LLC | Organization | ADP of the SNF | NOT APPLICABLE | 02/28/2025 |
Showing 20 of 29 parties CMS has on file for this facility; 9 are not displayed. The full list is in the CMS Ownership dataset.
Other facilities in the same chain
CMS lists this facility under the chain Complete Care — 85 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
- Complete Care at Germantown — Germantown, WI · overall 4/5
- Complete Care at Glendale West — Glendale, WI · overall 3/5
- Complete Care at Grande Prairie — Pleasant Prairie, WI · overall 2/5
- Complete Care at Hales Corners — Hales Corners, WI · overall 3/5
- Complete Care at Jefferson Meadows LLC — Baraboo, WI · overall 3/5
- Complete Care at Kensington — Waukesha, WI · overall 1/5
- Complete Care at Manitowoc LLC — Manitowoc, WI · overall 4/5
- Complete Care at Maple Grove LLC — Madison, WI · overall 1/5
Listed by state, then facility name — not a ranking. Showing 8 of the 84 others, continuing from this facility's own place in that list.
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
- "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
Also worth asking anywhere
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 66% total nursing staff turnover here — who on the care team has been with you longest?"
- "The ownership record on file lists 29 owning or managing parties — who makes the decisions about staffing levels?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (12 closest of 15 within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Hillside Manor | 13.0 mi | Beaver Dam, WI | ★★☆☆☆ | 2/5 | |
| Beaver Dam Health Care Center | 13.2 mi | Beaver Dam, WI | ★☆☆☆☆ | 1/5 | abuseSFF |
| Markesan Resident Home | 13.2 mi | Markesan, WI | ★★★★★ | 5/5 | |
| Avina of Mayville | 13.8 mi | Mayville, WI | ★★★☆☆ | 3/5 | |
| Randolph Health Services | 14.1 mi | Randolph, WI | ★★★☆☆ | 3/5 | |
| Hope Health and Rehab | 16.2 mi | Lomira, WI | ★★★★★ | 4/5 | |
| Whispering Pines Nursing and Rehab, LLC | 16.3 mi | Ripon, WI | ★★★☆☆ | 3/5 | |
| Clearview | 16.5 mi | Juneau, WI | ★★★★★ | 4/5 | |
| Clearview Brain Injury Center | 16.5 mi | Juneau, WI | ★★★★★ | 5/5 | |
| Fond Du Lac Lutheran Home | 18.8 mi | Fond Du Lac, WI | ★★★☆☆ | 3/5 | |
| Avina of Fond Du Lac | 19.1 mi | Fond Du Lac, WI | ★★☆☆☆ | 2/5 | |
| St Francis Home | 19.1 mi | Fond Du Lac, WI | ★★★☆☆ | 3/5 |
Compare this facility with the 3 closest →
Other facilities in the same county
CMS records place this facility in Dodge, WI — 10 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
- Marquardt Memorial Manor — Watertown, WI · overall 2/5
- Watertown Health Care Center — Watertown, WI · overall 1/5SFF
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 525531.