Nursing homeActive
Complete Care at Kensington
1810 Kensington Dr, Waukesha, WI 531882625481400150 certified beds · 69 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
6
since 2023
Deficiencies
32
● 2● 27● 3
Penalties · 3 yrs
$66,632
1 fine
Last survey
2026-04-29
Standard
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 2
Staffing 1
Quality 3
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Wisconsin Division of Quality Assurance · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-04-29 | Standard | 040 | CMS-2567 (Care Compare) | — |
| 2026-02-23 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-05-21 | Standard | 171 | CMS-2567 (Care Compare) | — |
| 2024-02-22 | Standard | 1100 | CMS-2567 (Care Compare) | — |
| 2024-01-30 | Complaint | 032 | CMS-2567 (Care Compare) | — |
| 2023-10-06 | Complaint | 020 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Wisconsin Division of Quality Assurance publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-22Record 525242-20260429-F686
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-22Record 525242-20260429-F755
F851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.Scope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-05-22Record 525242-20260429-F851
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-22Record 525242-20260429-F880
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-03-20Record 525242-20260223-F880
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-06-12Record 525242-20250521-F686
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-12Record 525242-20250521-F609
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-12Record 525242-20250521-F610
F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-06-12Record 525242-20250521-F628
F687Provide appropriate foot care.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-12Record 525242-20250521-F687
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-12Record 525242-20250521-F690
F759Ensure medication error rates are not 5 percent or greater.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-12Record 525242-20250521-F759
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-06-12Record 525242-20250521-F880
F851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.Scope/severity CPaperwork
Records
Widespread; potential for minimal harm.Corrected 2025-06-12Record 525242-20250521-F851
F558Reasonably accommodate the needs and preferences of each resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-15Record 525242-20240222-F558
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-03-15Record 525242-20240222-F686
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-15Record 525242-20240222-F689
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-15Record 525242-20240222-F690
F692Provide enough food/fluids to maintain a resident's health.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-15Record 525242-20240222-F692
F759Ensure medication error rates are not 5 percent or greater.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-15Record 525242-20240222-F759
F760Ensure that residents are free from significant medication errors.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-15Record 525242-20240222-F760
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-15Record 525242-20240222-F761
F880Provide and implement an infection prevention and control program.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-03-15Record 525242-20240222-F880
F881Implement a program that monitors antibiotic use.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-15Record 525242-20240222-F881
F851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.Scope/severity CPaperwork
Records
Widespread; potential for minimal harm.Corrected 2024-03-15Record 525242-20240222-F851
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity JHarm
Care planning
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-01-15Record 525242-20240130-F684
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity JHarm
Care planningFalls
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-01-31Record 525242-20240130-F689
F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyScope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-02-13Record 525242-20240130-F868
F946Provide training in compliance and ethics.Scope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-02-13Record 525242-20240130-F946
F949Provide behavior health training consistent with the requirements and as determined by a facility assessment.Scope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-02-13Record 525242-20240130-F949
F558Reasonably accommodate the needs and preferences of each resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-17Record 525242-20231006-F558
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-10-17Record 525242-20231006-F804
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2024-01-30 | Civil money penalty | $66,632 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.58
Facility
Wisconsin
National
Wisconsin 0.99 · National 0.69
Total nurse hours per resident day3.53
Facility
Wisconsin
National
Wisconsin 4.21 · National 3.86
Weekend total nurse hours3.14
Facility
Wisconsin
National
Wisconsin 3.77 · National 3.42
Total nursing staff turnover56%
Facility
Wisconsin
National
Wisconsin 47% · National 46%
Registered nurse turnover50%
Facility
Wisconsin
National
Wisconsin 40% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Wisconsin | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 5.2% | 5.0% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 3.3% | 3.3% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 21.2% | 15.8% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 2.1% | 2.7% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 5.0% | 16.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 17.2% | 5.1% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 7.0% | 16.9% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Peace Capital LLC Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Culp, Karen Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Hellman, Yosef Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Klekamp, Christine Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Reed, Rachel Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Sidhu, Sarfraz Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Culp, Karen Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Des Capital LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Hellman, Yosef Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Jrk Investments LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Klekamp, Christine Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Klugman, Jacob Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Peace Capital Holdings II LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Reed, Rachel Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Sidhu, Sarfraz Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Sms 2021 Trust Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Stein, Shalom Individual | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
| Stein, Shalom Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Stein, Shalom Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Stein, Shalom Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Stein, Shalom Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Sternbuch, Daniel Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Wakesha Propco LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Wi 6 Propco Holdco LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Wi 6 Propco Topco LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
Part of a chain
Complete Care — 85 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Wisconsin.
No county cost figures on file for Waukesha.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Avina of Pewaukee Waukesha | 1.2 mi | 2026-03-18 | 0461 |
| Lindengrove Waukesha Waukesha | 1.4 mi | 2026-01-21 | 1392 |
| Aria of Waukesha Waukesha | 2.5 mi | 2026-02-16 | 0172 |
| Complete Care at Care Age Brookfield | 5.8 mi | 2025-12-03 | 0213 |
| Franciscan Woods Brookfield | 6.5 mi | 2026-04-09 | 2435 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |