1810 Kensington Dr, Waukesha, WI 53188 (opens Google Maps) · Waukesha County · (262) 548-1400· 150 certified beds · avg 69 residents/day · certified since Jun 17, 1971 · 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★)
New to these records? How to read an inspection report →
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 1/5 · 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.
▲ Immediate jeopardy, isolated · Jan 30, 2024 · 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 (J): Immediate jeopardy to resident health or safety was cited. 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: Jan 15, 2024 (Past Non-Compliance)
▲ Immediate jeopardy, isolated · Jan 30, 2024 · 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 (J): Immediate jeopardy to resident health or safety was cited. 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: Jan 31, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, isolated · May 21, 2025 · 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: Jun 12, 2025 (Deficient, Provider has date of correction)
Showing the latest 3 of 32 inspection findings. Open the full record below to read every finding.
The facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records. F-0851
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 provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. F-0755
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 29, 2026 | F · Potential for more than minimal harm, widespread | The facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records. · F-0851 |
| Apr 29, 2026 | D · Potential for more than minimal 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 29, 2026 | D · Potential for more than minimal harm, isolated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755 |
| Apr 29, 2026 | D · Potential for more than minimal harm, isolated | 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 |
| Feb 23, 2026 | E · Potential for more than minimal harm, pattern | 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. · from a complaint · F-0880 |
| May 21, 2025 | ▲ 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 |
| May 21, 2025 | E · Potential for more than minimal harm, pattern | The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). · F-0628 |
| May 21, 2025 | E · Potential for more than minimal harm, pattern | 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 |
| May 21, 2025 | D · Potential for more than minimal harm, isolated | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · F-0609 |
| May 21, 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. · F-0610 |
| May 21, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide proper foot care for residents. Foot care includes routine care like nail trimming and attention to foot problems, which matter greatly for older adults. · F-0687 |
| May 21, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · F-0690 |
| May 21, 2025 | 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 |
| May 21, 2025 | C · Potential for minimal harm, widespread | The facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records. · F-0851 |
| Feb 22, 2024 | 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 |
| Feb 22, 2024 | E · Potential for more than minimal harm, pattern | 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 |
| Feb 22, 2024 | D · Potential for more than minimal harm, isolated | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · from a complaint · F-0558 |
| Feb 22, 2024 | D · Potential for more than minimal 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 |
| Feb 22, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · F-0690 |
| Feb 22, 2024 | 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. · F-0692 |
| Feb 22, 2024 | 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 |
| Feb 22, 2024 | D · Potential for more than minimal harm, isolated | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · F-0760 |
| Feb 22, 2024 | D · Potential for more than minimal harm, isolated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761 |
| Feb 22, 2024 | D · Potential for more than minimal harm, isolated | The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective. · F-0881 |
| Feb 22, 2024 | C · Potential for minimal harm, widespread | The facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records. · F-0851 |
| Jan 30, 2024 | ▲ J · Immediate jeopardy, 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 |
| Jan 30, 2024 | ▲ J · Immediate jeopardy, 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 |
| Jan 30, 2024 | F · Potential for more than minimal harm, widespread | The facility's quality committee — the internal group responsible for finding and fixing care problems — did not have the required members or did not meet at least every three months. · from a complaint · F-0868 |
| Jan 30, 2024 | F · Potential for more than minimal harm, widespread | The facility did not provide its staff with training in compliance and ethics — teaching employees the laws and ethical standards that govern how residents must be treated. · from a complaint · F-0946 |
| Jan 30, 2024 | F · Potential for more than minimal harm, widespread | The facility did not provide its staff with required training on behavioral health — caring for residents with conditions like dementia, depression, or other mental health needs. · from a complaint · F-0949 |
| Oct 6, 2023 | E · Potential for more than minimal harm, pattern | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · from a complaint · F-0804 |
| Oct 6, 2023 | D · Potential for more than minimal harm, isolated | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · from a complaint · F-0558 |
Citations from standard inspections decreased between the last two inspection cycles (9 → 4).
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 2 | 0 | E |
| 2024 | 16 | 2 | J ▲ |
| 2025 | 9 | 1 | G ▲ |
| 2026 | 5 | 0 | F |
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.
How to file a complaint about care →
1 fine totaling $66,632.
Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.
| Date | Type | Amount / length |
|---|---|---|
| Jan 30, 2024 | Fine | $66,632 |
What these staffing numbers mean →
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) | 3.00 | 4.29 | 3.95 | bottom 4% in Wisconsin; bottom 14% in the U.S. |
| Registered Nurse hours | 0.49 | 1.01 | 0.69 | bottom 5% in Wisconsin; bottom 36% in the U.S. |
| Weekend total nurse staffing | 2.67 | 3.84 | 3.50 | bottom 6% in Wisconsin; bottom 15% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.36 | 0.68 | 0.48 | bottom 11% in Wisconsin; bottom 44% in the U.S. |
| Total nursing staff turnover (%) | 55.8 | 46.9 | 45.8 | bottom 26% in Wisconsin; bottom 23% in the U.S. |
| RN turnover (%) | 50.0 | 39.7 | 42.9 | bottom 36% in Wisconsin; bottom 39% 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 3.53, RN 0.58, weekend 3.14.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.53 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 1/5.
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
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Complete Care at Kensington. CMS inspection and staffing records do not tell us what this home will charge you.
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.
Understand who pays for care · How we handle price evidence · Report an incorrect price
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 |
|---|---|---|---|---|
| Peace Capital LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 05/03/2024 |
| Stein, Shalom | Individual | Indirect Ownership Interest | NOT APPLICABLE | 08/01/2017 |
| Culp, Karen | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/03/2020 |
| Culp, Karen | Individual | ADP of the SNF | NOT APPLICABLE | 02/03/2020 |
| Des Capital LLC | Organization | ADP of the SNF | NOT APPLICABLE | 08/01/2017 |
| Hellman, Yosef | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/01/2017 |
| Hellman, Yosef | Individual | ADP of the SNF | NOT APPLICABLE | 08/01/2017 |
| JRK Investments LLC | Organization | ADP of the SNF | NOT APPLICABLE | 08/01/2017 |
| Klekamp, Christine | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/13/2020 |
| Klekamp, Christine | Individual | ADP of the SNF | NOT APPLICABLE | 04/13/2020 |
| Klugman, Jacob | Individual | ADP of the SNF | NOT APPLICABLE | 08/01/2017 |
| Peace Capital Holdings II LLC | Organization | ADP of the SNF | NOT APPLICABLE | 08/01/2017 |
| Reed, Rachel | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/20/2022 |
| Reed, Rachel | Individual | ADP of the SNF | NOT APPLICABLE | 11/20/2022 |
| Sidhu, Sarfraz | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/28/2020 |
| Sidhu, Sarfraz | Individual | ADP of the SNF | NOT APPLICABLE | 08/01/2017 |
| SMS 2021 Trust | Organization | ADP of the SNF | NOT APPLICABLE | 08/01/2017 |
| Stein, Shalom | Individual | Managing Control - Governing Body | NOT APPLICABLE | 08/01/2017 |
| Stein, Shalom | Individual | Corporate Officer | NOT APPLICABLE | 08/01/2017 |
| Stein, Shalom | Individual | Trustee of the SNF | NOT APPLICABLE | 08/01/2017 |
Showing 20 of 25 parties CMS has on file for this facility; 5 are not displayed. The full list is in the CMS Ownership dataset.
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.
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.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Avina of Pewaukee | 1.2 mi | Waukesha, WI | ★☆☆☆☆ | 1/5 | |
| Lindengrove Waukesha | 1.4 mi | Waukesha, WI | ★☆☆☆☆ | 1/5 | |
| Aria of Waukesha | 2.5 mi | Waukesha, WI | ★☆☆☆☆ | 2/5 | |
| Complete Care at Care Age | 5.8 mi | Brookfield, WI | ★☆☆☆☆ | 1/5 | |
| Aria of Brookfield | 6.3 mi | Brookfield, WI | ★☆☆☆☆ | 1/5 | abuse |
| Franciscan Woods | 6.5 mi | Brookfield, WI | ★☆☆☆☆ | 1/5 | |
| Lindengrove New Berlin | 8.7 mi | New Berlin, WI | ★☆☆☆☆ | 1/5 | |
| Congregational Home, INC. | 10.0 mi | Brookfield, WI | ★★★★☆ | 3/5 | |
| Tudor Oaks Health Center | 10.0 mi | Muskego, WI | ★★☆☆☆ | 2/5 | |
| Muskego Health and Rehabilitation Center | 10.0 mi | Muskego, WI | ★★☆☆☆ | 2/5 | |
| Masonic Center for Health & Rehab INC. | 11.0 mi | Dousman, WI | ★★★★★ | 5/5 | |
| St Camillus Health Center | 11.2 mi | Wauwatosa, WI | ★★☆☆☆ | 1/5 |
Compare this facility with the 3 closest →
CMS records place this facility in Waukesha, WI — 17 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
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 525242.
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