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Data / Nursing homes / Wisconsin / Complete Care at Kensington

Complete Care at Kensington, Waukesha, WI: 1 star rating, fined $66,632 across 1 fine

Complete Care at Kensington in Waukesha, WI is owned by Peace Capital LLC, is rated 1 of 5 stars by Medicare, and was fined $66,632 across 1 fine in the three years to October 1, 2026. CMS lists 32 health citations from inspections in that time, the latest survey on April 29, 2026, and 3 of them found actual harm or immediate jeopardy.

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Address
1810 Kensington Dr, Waukesha, WI 53188
Overall rating
1 of 5 stars
Health inspection rating
2 of 5
Staffing rating
1 of 5
Quality measure rating
3 of 5
Certified beds
150
Residents per day
67 on average
Ownership type
For profit, limited liability company
Legal business name
Waukesha Healthcare and Rehabilitation Center LLC
Chain
Complete Care, 85 facilities
Fines
$66,632 across 1 fine, three years to October 1, 2026
Payment denials
0
Health citations
32, of which 3 with actual harm or immediate jeopardy
Latest survey
April 29, 2026
CMS Certification Number
525242
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
January 30, 2024Fine$66,632Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
April 29, 2026F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 22, 2026data.cms.gov
April 29, 2026F851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.F: widespread, no actual harm, potential for more than minimal harmCorrectedMay 22, 2026data.cms.gov
April 29, 2026F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 22, 2026data.cms.gov
April 29, 2026F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 22, 2026data.cms.gov
February 23, 2026F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 20, 2026data.cms.gov
May 21, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G: isolated, actual harmCorrectedJune 12, 2025data.cms.gov
May 21, 2025F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 12, 2025data.cms.gov
May 21, 2025F851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.C: widespread, minimal harm potentialCorrectedJune 12, 2025data.cms.gov
May 21, 2025F759Ensure medication error rates are not 5 percent or greater.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 12, 2025data.cms.gov
May 21, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 12, 2025data.cms.gov
May 21, 2025F687Provide appropriate foot care.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 12, 2025data.cms.gov
May 21, 2025F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 12, 2025data.cms.gov
May 21, 2025F610Respond appropriately to all alleged violations.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 12, 2025data.cms.gov
May 21, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 12, 2025data.cms.gov
February 22, 2024F881Implement a program that monitors antibiotic use.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 15, 2024data.cms.gov
February 22, 2024F880Provide and implement an infection prevention and control program.F: widespread, no actual harm, potential for more than minimal harmCorrectedMarch 15, 2024data.cms.gov
February 22, 2024F851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.C: widespread, minimal harm potentialCorrectedMarch 15, 2024data.cms.gov
February 22, 2024F761Ensure 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: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 15, 2024data.cms.gov
February 22, 2024F760Ensure that residents are free from significant medication errors.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 15, 2024data.cms.gov
February 22, 2024F759Ensure medication error rates are not 5 percent or greater.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 15, 2024data.cms.gov
February 22, 2024F692Provide enough food/fluids to maintain a resident's health.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 15, 2024data.cms.gov
February 22, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 15, 2024data.cms.gov
February 22, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 15, 2024data.cms.gov
February 22, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 15, 2024data.cms.gov
February 22, 2024F558Reasonably accommodate the needs and preferences of each resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 15, 2024data.cms.gov
January 30, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J: isolated, immediate jeopardyCorrectedJanuary 31, 2024data.cms.gov
January 30, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.J: isolated, immediate jeopardyPast noncomplianceJanuary 15, 2024data.cms.gov
January 30, 2024F949Provide behavior health training consistent with the requirements and as determined by a facility assessment.F: widespread, no actual harm, potential for more than minimal harmCorrectedFebruary 13, 2024data.cms.gov
January 30, 2024F946Provide training in compliance and ethics.F: widespread, no actual harm, potential for more than minimal harmCorrectedFebruary 13, 2024data.cms.gov
January 30, 2024F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyF: widespread, no actual harm, potential for more than minimal harmCorrectedFebruary 13, 2024data.cms.gov
October 6, 2023F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E: pattern, no actual harm, potential for more than minimal harmCorrectedOctober 17, 2023data.cms.gov
October 6, 2023F558Reasonably accommodate the needs and preferences of each resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 17, 2023data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 17 individual or personal trusts (1 owners, 6 managers, 2 officers, directors or trustees, 8 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Peace Capital LLCDirect owner100%May 3, 2024data.cms.gov
Des Capital LLCAdditional disclosable partyNot listedAugust 1, 2017data.cms.gov
JRK Investments LLCAdditional disclosable partyNot listedAugust 1, 2017data.cms.gov
Peace Capital Holdings II LLCAdditional disclosable partyNot listedAugust 1, 2017data.cms.gov
SMS 2021 TrustAdditional disclosable partyNot listedAugust 1, 2017data.cms.gov
Wakesha PROPCO LLCAdditional disclosable partyNot listedAugust 1, 2017data.cms.gov
Wi 6 PROPCO HOLDCO LLCAdditional disclosable partyNot listedAugust 1, 2017data.cms.gov
Wi 6 PROPCO Topco LLCAdditional disclosable partyNot listedAugust 1, 2017data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.