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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K1 | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D22 | E15 | F11 |
| Minimal | A· | B· | C2 |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Jul 21, 2026 | Fire safety | Fire Safety Standard | 11 | Potential harm | 1 | Open → |
| Jul 21, 2026 | Health | Health Standard | 8 | Potential harm | — | Open → |
| Jul 2, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 13, 2025 | Fire safety | Fire Safety Standard | 11 | Potential harm | — | Open → |
| May 13, 2025 | Health | Health Complaint, Health Standard | 14 | Actual harm | — | Open → |
| Jan 31, 2025 | Health | Health Complaint | 1 | Immediate jeopardy | — | Open → |
| May 14, 2024 | Fire safety | Fire Safety Standard | 6 | Potential harm | — | Open → |
| May 14, 2024 | Health | Health Standard | 0 | No citations | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| May 13, 2025 | Civil money penalty (fine) | $19,135 | — | 525317|Fine|133854 |
| Jan 31, 2025 | Civil money penalty (fine) | $35,191 | — | 525317|Fine|61276 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K1 | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D22 | E15 | F11 |
| Minimal | A· | B· | C2 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jul 21, 2026 | E-0013 | Develop Emergency Preparedness policies and procedures. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Aug 13, 2026 | |
| Jul 21, 2026 | K-0132 | Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction. Construction Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 13, 2026 | |
| Jul 21, 2026 | K-0223 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
85 facilities in 8 states. CMS chain ID 157.
Chain average overall rating (CMS): 3.3
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| PC Wcm Opco Holdco LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Feb 28, 2025 |
| PC Wcm Topco LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Feb 28, 2025 |
| Peace Capital Holdings II LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Feb 28, 2025 |
| Sms 2021 Trust | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Feb 28, 2025 |
| Jacob Klugman | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Feb 28, 2025 |
| Shalom Stein | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Feb 28, 2025 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| PC Wcm Opco Holdco LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Feb 28, 2025 |
| PC Wcm Topco LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Feb 28, 2025 |
| Peace Capital Holdings II LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Feb 28, 2025 |
| Sms 2021 Trust | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Complete Care at Kensington 1810 Kensington Dr, Waukesha, WI 53188 CCN 525242 | 150 | Apr 29, 2026 | 352 IJ1 harm | $67k | |
| Complete Care at Maple Grove LLC 3401 Maple Grove Dr., Madison, WI 53719 CCN 525276 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Dove Healthcare - Lodi 700 Clark St, Lodi, WI 53555 CCN 525520 | 24.1 km | 50 | Jul 14, 2026 | 621 IJ | $14k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 525317 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 525317 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Environment & life safety |
| E · Potential harm Pattern |
| Corrected Aug 13, 2026 |
| Jul 21, 2026 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 13, 2026 |
| Jul 21, 2026 | K-0347 | Properly provide smoke detection systems in areas open to corridors. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 19, 2026 |
| Jul 21, 2026 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 13, 2026 |
| Jul 21, 2026 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 13, 2026 |
| Jul 21, 2026 | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety | F · Potential harm Widespread | Plan of correction, not yet verified Dec 31, 2026 |
| Jul 21, 2026 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 13, 2026 |
| Jul 21, 2026 | K-0911 | Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 13, 2026 |
| Jul 21, 2026 | K-0927 | Have proper fire barriers, ventilation and signs for the transfilling of oxygen. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 13, 2026 |
| Jul 21, 2026 | F-0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 13, 2026 |
| Jul 21, 2026 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Aug 13, 2026 |
| Jul 21, 2026 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 13, 2026 |
| Jul 21, 2026 | F-0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 13, 2026 |
| Jul 21, 2026 | F-0699 | Provide care or services that was trauma informed and/or culturally competent. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 13, 2026 |
| Jul 21, 2026 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Aug 13, 2026 |
| Jul 21, 2026 | F-0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Aug 13, 2026 |
| Jul 21, 2026 | F-0732 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision | C · Minimal Widespread | Corrected Aug 13, 2026 |
| Jul 2, 2026 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 15, 2026 | Complaint |
| May 13, 2025 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Jun 10, 2025 |
| May 13, 2025 | K-0281 | Install proper backup exit lighting. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 10, 2025 |
| May 13, 2025 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 10, 2025 |
| May 13, 2025 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 10, 2025 |
| May 13, 2025 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 10, 2025 |
| May 13, 2025 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 10, 2025 |
| May 13, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 10, 2025 |
| May 13, 2025 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 10, 2025 |
| May 13, 2025 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 10, 2025 |
| May 13, 2025 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 10, 2025 |
| May 13, 2025 | K-0754 | Provide properly sized and located linen or trash receptacles. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 10, 2025 |
| May 13, 2025 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 10, 2025 |
| May 13, 2025 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 10, 2025 | Complaint |
| May 13, 2025 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 10, 2025 | Complaint |
| May 13, 2025 | F-0645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 10, 2025 |
| May 13, 2025 | F-0679 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 10, 2025 |
| May 13, 2025 | F-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. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 10, 2025 |
| May 13, 2025 | F-0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 10, 2025 | Complaint |
| May 13, 2025 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jun 10, 2025 |
| May 13, 2025 | F-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. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Jun 10, 2025 |
| May 13, 2025 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Jun 10, 2025 |
| May 13, 2025 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jun 10, 2025 |
| May 13, 2025 | F-0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Jun 10, 2025 |
| May 13, 2025 | F-0881 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jun 10, 2025 | Complaint |
| May 13, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | C · Minimal Widespread | Corrected Jun 10, 2025 |
| Jan 31, 2025 | F-0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Quality of Life and Care Deficiencies · Clinical care | K · Immediate jeopardy Pattern | Corrected Feb 21, 2025 | Complaint |
| May 14, 2024 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 24, 2024 |
| May 14, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 24, 2024 |
| May 14, 2024 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 24, 2024 |
| May 14, 2024 | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 7, 2024 |
| May 14, 2024 | K-0911 | Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 24, 2024 |
| May 14, 2024 | K-0914 | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 24, 2024 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.59 (case-mix index 1.59).
| not provided |
| Feb 28, 2025 |
| Jacob Klugman | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Feb 28, 2025 |
| Shalom Stein | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Feb 28, 2025 |
| Yosef Hellman | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Feb 28, 2025 |
| Shalom Stein | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Feb 28, 2025 |
| Thomas Flygt | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 28, 2025 |
| Emily Greenwood | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 28, 2025 |
| Yosef Hellman | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 28, 2025 |
| Julie Pendleton | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 28, 2025 |
| Daniel Sternbuch | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 28, 2025 |
| Shalom Stein | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Feb 28, 2025 |
| Shalom Stein | Individual | Trustee | TRUSTEE OF THE SNF | not provided | Feb 28, 2025 |
| Des Capital LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Feb 28, 2025 |
| Jrk Investments LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Feb 28, 2025 |
| PC Wcm Propco Holdco LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Feb 28, 2025 |
| PC Wcm Topco LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Feb 28, 2025 |
| Peace Capital Holdings II LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Feb 28, 2025 |
| Sms 2021 Trust | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Feb 28, 2025 |
| St. Clare Propco LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Feb 28, 2025 |
| Thomas Flygt | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 28, 2025 |
| Emily Greenwood | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 28, 2025 |
| Jacob Klugman | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 28, 2025 |
| Luanne Leverentz | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 28, 2025 |
| Julie Pendleton | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 28, 2025 |
| Shalom Stein | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 28, 2025 |
| Daniel Sternbuch | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 28, 2025 |
| 184 |
| Jul 2, 2026 |
1032 IJ4 harm1 open |
| $154k |
| Complete Care at Manitowoc LLC 2021 S Alverno Rd, Manitowoc, WI 54220 CCN 525441 | 150 | Oct 1, 2025 | 23 | — |
| Complete Care at Care Age 1755 N. Barker Rd., Brookfield, WI 53045 CCN 525519 | 110 | Dec 3, 2025 | 571 IJ4 harm | $61k |
| Complete Care at Christian Home LLC 452 Fox Lake Road, Waupun, WI 53963 CCN 525531 | 50 | Apr 15, 2026 | 284 harm2 open | — |
| Complete Care at Glendale West 6263 N Green Bay Ave, Glendale, WI 53209 CCN 525547 | 94 | Nov 12, 2025 | 651 IJ1 harm | $11k |
| Complete Care at Hales Corners 9449 W. Forest Home Ave., Hales Corners, WI 53130 CCN 525596 | 62 | Feb 19, 2026 | 371 harm | $18k |
| Complete Care at Southpointe 4500 W. Loomis Rd., Greenfield, WI 53220 CCN 525604 | 174 | Mar 12, 2026 | 452 IJ2 harm3 open | — |