Nursing HomeInspections

Complete Care at Kensington

Nursing home in Waukesha, WI

Medicare & Medicaid certified1★ overall (CMS)

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Public-record details

Address
1810 Kensington Dr, Waukesha, WI 53188
Phone
(262) 548-1400
Listed under
For-profit
Medicare CCN
525242
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
2 of 5
Staffing rating
1 of 5
Quality measures rating
3 of 5
Certified beds
150
Average residents per day
69
Ownership
For-profit, limited Liability company
Legal business name
Waukesha Healthcare and Rehabilitation Center LLC
Chain
Complete Care (85 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jun 17, 1971
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 525242. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Apr 29, 2026. CMS lists 32 health citations for this facility across its last three standard inspection cycles and complaint inspections (Oct 6, 2023 to Apr 29, 2026): 10 from complaint inspections, 3 at the “actual harm” level or higher, including 2 at “immediate jeopardy”.

InspectionCitationSeverity
Apr 29, 2026Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Apr 29, 2026Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service
D
Potential for more than minimal harm, isolated
Apr 29, 2026Provide and implement an infection prevention and control program.
Infection Control
D
Potential for more than minimal harm, isolated
Apr 29, 2026Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Administration
F
Potential for more than minimal harm, widespread
Feb 23, 2026Provide and implement an infection prevention and control program.
Infection Control · complaint inspection
E
Potential for more than minimal harm, pattern
May 21, 2025Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Administration
C
Potential for minimal harm, widespread
May 21, 2025Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation
D
Potential for more than minimal harm, isolated
May 21, 2025Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation
D
Potential for more than minimal harm, isolated
May 21, 2025Provide appropriate foot care.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
May 21, 2025Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
May 21, 2025Ensure medication error rates are not 5 percent or greater.
Pharmacy Service
D
Potential for more than minimal harm, isolated
May 21, 2025Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights
E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 32. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $66,632 in the last three years.

Jan 30, 2024Fine: $66,632

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.53 hours
Registered nurse (RN) time per resident per day
0.58 hours
Nurse aide time per resident per day
1.84 hours
Total nurse staffing on weekends
3.14 hours
Nursing staff turnover (yearly)
56%
RN turnover (yearly)
50%
Administrators who left in the past year
1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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