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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G4 | H· | I· |
| Potential harm | D11 | E5 | F7 |
| Minimal | A· | B· | C1 |
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 | |
|---|---|---|---|---|---|---|
| Apr 15, 2026 | Fire safety | Fire Safety Standard | 4 | Potential harm | 1 | Open → |
| Apr 15, 2026 | Health | Health Standard | 5 | Actual harm | — | Open → |
| Oct 14, 2025 | Health | Health Complaint | 4 | Actual harm | — | Open → |
| Jan 30, 2025 | Fire safety | Fire Safety Standard | 7 | Potential harm | 1 | Open → |
| Jan 30, 2025 | Health | Health Standard | 2 | Potential harm | — | Open → |
| Nov 22, 2023 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| Nov 22, 2023 | Health | Health Standard | 1 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G4 | H· | I· |
| Potential harm | D11 | E5 | F7 |
| Minimal | A· | B· | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Apr 15, 2026 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected May 8, 2026 | |
| Apr 15, 2026 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected May 8, 2026 | |
| Apr 15, 2026 | K-0271 |
“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.
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 525531 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 525531 | 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
| Have exits that are accessible at all times. Egress Deficiencies · Environment & life safety |
| E · Potential harm Pattern |
| Corrected May 11, 2026 |
| Apr 15, 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 | F · Potential harm Widespread | No plan of correction |
| Apr 15, 2026 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 8, 2026 |
| Apr 15, 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 May 8, 2026 |
| Apr 15, 2026 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected May 8, 2026 |
| Apr 15, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected May 8, 2026 |
| Apr 15, 2026 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected May 8, 2026 |
| Oct 14, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Nov 7, 2025 | Complaint |
| Oct 14, 2025 | 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 | G · Actual harm Isolated | Corrected Nov 7, 2025 | Complaint |
| Oct 14, 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 Nov 7, 2025 | Complaint |
| Oct 14, 2025 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 7, 2025 | Complaint |
| Jan 30, 2025 | E-0006 | Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Mar 14, 2025 |
| Jan 30, 2025 | K-0271 | Have exits that are accessible at all times. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 14, 2025 |
| Jan 30, 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 | F · Potential harm Widespread | No plan of correction |
| Jan 30, 2025 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 14, 2025 |
| Jan 30, 2025 | 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 Mar 14, 2025 |
| Jan 30, 2025 | K-0912 | Have power receptacles that are properly grounded. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 14, 2025 |
| Jan 30, 2025 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 14, 2025 |
| Jan 30, 2025 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 21, 2025 |
| Jan 30, 2025 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Feb 21, 2025 |
| Nov 22, 2023 | E-0006 | Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Dec 29, 2023 |
| Nov 22, 2023 | K-0223 | 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 | D · Potential harm Isolated | Corrected Dec 21, 2023 |
| Nov 22, 2023 | 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 | F · Potential harm Widespread | Waiver granted |
| Nov 22, 2023 | 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 Jan 22, 2024 |
| Nov 22, 2023 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 21, 2023 |
| Nov 22, 2023 | F-0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 21, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.71 (case-mix index 1.39).
| 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 |
| Lauren Fentrow | 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 |
| Cindy Larson | 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 |
| Lisa Weber | 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 |
| Christian Home Propco LLC | Organization | Additional disclosable party | ADP 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 |
| Lauren Fentrow | 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 |
| Cindy Larson | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 28, 2025 |
| Luanne Leverentz | 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 |
| Lisa Weber | 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 Jefferson Meadows LLC 1414 Jefferson St., Baraboo, WI 53913 CCN 525317 | 102 | Jul 21, 2026 | 521 IJ1 harm1 open | $54k |
| 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 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 | — |