Overview

Address
1810 KENSINGTON DR, WAUKESHA, WI 53188
Phone
2625481400
Certified beds
150
Avg daily residents
66 (44% of beds filled)
Ownership
For-profit LLC
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1971-06-17
Setting
Urban
1 /5
CMS Overall Rating

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
1/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
2/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
1/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
3/5
Quality Measures breakdown
Long-Stay Quality Measures 3/5
Short-Stay Quality Measures 3/5

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
3.65 4.30 3.27 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
0.57 0.75 0.51 ≥ 0.55
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
1.13 0.96 1.01
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
1.95 2.60 1.75
Licensed (RN + LPN)
Combined licensed nurse coverage.
1.70
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
0.03

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
3.12
hrs / resident / day
RN (weekend)
0.21
hrs / resident / day
Total nurse (adjusted, weekend)
2.79
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
55.3%
annual
RN turnover
63.6%
annual
Administrators departed
0
last 12 months

Resident acuity

Nursing Case-Mix Index
1.53
higher acuity than avg
Case-Mix Index Ratio
1.11
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2025-05-21 9 9 0 56 1 56
Cycle 2/3 (prior) 2024-02-22 18 11 9 211 1 211
Total weighted health score
94.8
lower is better

Deficiencies (39)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

3 A/B/C No actual harm — minor
33 D/E/F Actual harm — potential for minor
1 G/H/I Actual harm
2 J/K/L Immediate jeopardy
Tag Description Scope/Severity Survey date Corrected
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2025-05-21 2025-06-12
0610 Respond appropriately to all alleged violations. D 2025-05-21 2025-06-12
0628 Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. E 2025-05-21 2025-06-12
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. G 2025-05-21 2025-06-12
0687 Provide appropriate foot care. D 2025-05-21 2025-06-12
0690 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 2025-05-21 2025-06-12
0759 Ensure medication error rates are not 5 percent or greater. D 2025-05-21 2025-06-12
0851 Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. C 2025-05-21 2025-06-12
0880 Provide and implement an infection prevention and control program. E 2025-05-21 2025-06-12
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. E 2024-02-22 2024-03-15
0690 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 2024-02-22 2024-03-15
0692 Provide enough food/fluids to maintain a resident's health. D 2024-02-22 2024-03-15
0759 Ensure medication error rates are not 5 percent or greater. D 2024-02-22 2024-03-15
0760 Ensure that residents are free from significant medication errors. D 2024-02-22 2024-03-15
0761 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 2024-02-22 2024-03-15
0851 Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. C 2024-02-22 2024-03-15
0880 Provide and implement an infection prevention and control program. F 2024-02-22 2024-03-15
0881 Implement a program that monitors antibiotic use. D 2024-02-22 2024-03-15
0558 Reasonably accommodate the needs and preferences of each resident. D 2024-02-22 2024-03-15
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2024-02-22 2024-03-15
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. J 2024-01-30 2024-01-15
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. J 2024-01-30 2024-01-31
0868 Have the Quality Assessment and Assurance group have the required members and meet at least quarterly F 2024-01-30 2024-02-13
0946 Provide training in compliance and ethics. F 2024-01-30 2024-02-13
0949 Provide behavior health training consistent with the requirements and as determined by a facility assessment. F 2024-01-30 2024-02-13
0558 Reasonably accommodate the needs and preferences of each resident. D 2023-10-06 2023-10-17
0804 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. E 2023-10-06 2023-10-17
0577 Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. C 2022-11-10 2022-11-30
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2022-11-10 2022-12-02
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. E 2022-11-10 2022-12-02
0693 Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. D 2022-11-10 2022-12-02
0695 Provide safe and appropriate respiratory care for a resident when needed. D 2022-11-10 2022-12-02
0726 Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. D 2022-11-10 2022-12-02
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. D 2022-11-10 2022-12-02
0757 Ensure each resident’s drug regimen must be free from unnecessary drugs. D 2022-11-10 2022-12-02
0758 Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. D 2022-11-10 2022-12-02
0759 Ensure medication error rates are not 5 percent or greater. D 2022-11-10 2022-12-02
0761 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. E 2022-11-10 2022-12-02
0880 Provide and implement an infection prevention and control program. E 2022-11-10 2022-12-01

Penalties (1)

Fines issued
1
last 3 years
Total fines
$66,632
Date Type Fine amount
2024-01-30 Fine $66,632

Source: CMS Nursing Home Penalties.

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 6.3% Medicaid 80.9% Other 12.8%

Operating performance

Operating Margin
10.2%
Total Margin
10.8%
Occupancy Rate
54.0%
Cost per Resident Day
$22

Revenue & costs

Net Patient Revenue
$10.5M
Total Costs
$653K
Net Income
$1.1M

Balance sheet

Total Assets
$3.8M
Total Liabilities
$1.5M
Fund Balance
$2.2M
Current Ratio
1.73

Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: COMPLETE CARE

Chain ID
157
Facilities in chain
85
Legal business name
WAUKESHA HEALTHCARE AND REHABILITATION CENTER LLC
Chain-average star ratings (for peer context)
Overall
3.2
Health
2.7
Staffing
2.5
QM
4.4

Owner / manager organizations (4)

Organization Role Association
JN WAUKESHA LLC 5% OR GREATER DIRECT OWNERSHIP INTEREST since 08/01/2017
PEACE CAPITAL LLC 5% OR GREATER DIRECT OWNERSHIP INTEREST since 08/01/2017
SMF WAUKESHA LLC 5% OR GREATER DIRECT OWNERSHIP INTEREST since 08/01/2017
WAUKESHA HOLDCO LLC 5% OR GREATER DIRECT OWNERSHIP INTEREST since 08/01/2017

Owner / manager individuals (8)

Name Role Association
FRIEDMAN, YISRAEL 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 08/01/2017
GREEN, ELYOKUM 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 08/01/2017
HELMAN, YOSEF 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 08/01/2017
NEUMAN, MARK 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 08/01/2017
SILVERBERG, NISANEL 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 08/01/2017
SINGER, MEIR 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 08/01/2017
STEIN, SHALOM 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 08/01/2017
SILVERBERG, NISANEL W-2 MANAGING EMPLOYEE since 08/01/2017

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
No
Hospital-based
No
Resident / family council
Resident
Sprinkler systems
Yes
Abuse citation flag
No
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

Download CSV

Show 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $22 metrics.cost_per_resident_day
Cost Report Current Ratio 1.73 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 80.9% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 6.3% metrics.medicare_day_share
Cost Report Net Income ($) $1,131,490 metrics.net_income
Cost Report Net Patient Revenue ($) $10,461,162 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 54.0% metrics.occupancy_rate
Cost Report Operating Margin (%) 10.2% metrics.operating_margin
Cost Report Total Assets ($) $3,752,651 metrics.total_assets
Cost Report Total Costs ($) $652,973 metrics.total_costs
Cost Report Total Fund Balances ($) $2,202,947 metrics.fund_balance
Cost Report Total Liabilities ($) $1,549,704 metrics.total_liabilities
Cost Report Total Margin (%) 10.8% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 1.01313 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 1.74573 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.51242 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 3.27128 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 2.79380 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 65.7 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 0.95537 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.59649 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.75304 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 4.30490 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.79432 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 2.7 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 3.2 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 4.4 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 2.5 Chain Average Staffing Rating
Provider Information Chain ID 157 Chain ID
Provider Information Chain Name COMPLETE CARE Chain Name
Provider Information City/Town WAUKESHA City/Town
Provider Information CMS Certification Number (CCN) 525242 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Waukesha County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1971-06-17 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote Geocoding Footnote
Provider Information Health Inspection Rating 2 Health Inspection Rating
Provider Information Health Inspection Rating Footnote Health Inspection Rating Footnote
Provider Information Latitude 43.0013 Latitude
Provider Information Legal Business Name WAUKESHA HEALTHCARE AND REHABILITATION CENTER LLC Legal Business Name
Provider Information Location 1810 KENSINGTON DR,WAUKESHA,WI,53188 Location
Provider Information Long-Stay QM Rating 3 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote Long-Stay QM Rating Footnote
Provider Information Longitude -88.255 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago N Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home 0 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 150 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 85 Number of Facilities in Chain
Provider Information Number of Fines 1 Number of Fines
Provider Information Number of Payment Denials 0 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.52503 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 1.10698 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 1 Overall Rating
Provider Information Overall Rating Footnote Overall Rating Footnote
Provider Information Ownership Type For profit - Limited Liability company Ownership Type
Provider Information Physical Therapist Staffing Footnote Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 1810 KENSINGTON DR Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name Complete Care at Kensington Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 660 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 3 QM Rating
Provider Information QM Rating Footnote QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 56 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 0 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 9 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2025-05-21 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 56 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 9 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 11 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2024-02-22 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 211 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 0 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 9 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 1 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 211 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 18 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.21206 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 63.6 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.70098 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 1.12963 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 1.94648 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.02598 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.57134 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 3.64745 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 3 Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote Short-Stay QM Rating Footnote
Provider Information Special Focus Status Special Focus Status
Provider Information Staffing Rating 1 Staffing Rating
Provider Information Staffing Rating Footnote Staffing Rating Footnote
Provider Information State WI State
Provider Information Telephone Number 2625481400 Telephone Number
Provider Information Total Amount of Fines in Dollars 66632.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 3.11506 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 1 Total Number of Penalties
Provider Information Total nursing staff turnover 55.3 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 94.750 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Resident With a Resident and Family Council
Provider Information ZIP Code 53188 ZIP Code