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Complete Care At Germantown

W173 N10915 Bernies Way, Germantown, WI 53022
2625093300
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Overall CMS Rating

4.0/5

vs State Average: 3.0 stars

4.0/5

Health Inspections

vs State Average: 2.8/5

2.0/5

Staffing Level

vs State Average: 3.7/5

4.0/5

Quality Measures

vs State Average: 3.1/5

0 penalties in last 3 years
Penalties
vs State Average: 1.2 penalties

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Ratings Deep Dive

Score
4.0
State Average
2.8
National Average
2.8
5 Deficiencies found in last inspections
0 Penalties in last 3 years
0 Fines issued
Citation Date Description Severity
Mar 5, 2025 Give the resident's representative the ability to exercise the resident's rights. D
Mar 5, 2025 PASARR screening for Mental disorders or Intellectual Disabilities D
Mar 5, 2025 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E
Mar 5, 2025 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. D
Jan 30, 2025 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. E
Score
2.0
State Average
3.7
National Average
2.9
0.9 RN Hours / Resident / Day
3.6 Total Nurse Hours / Resident / Day
40.0% RN Turnover Rate
Score
4.0
State Average
3.1
National Average
3.6
4.0 Long-Stay QM Rating
4.0 Short-Stay QM Rating
52.0 Avg Residents Per Day
Measure Score Type
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay
Percentage of long-stay residents who lose too much weight Long Stay
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay
Percentage of long-stay residents with a urinary tract infection Long Stay
Percentage of long-stay residents who have depressive symptoms Long Stay
Percentage of long-stay residents who were physically restrained Long Stay
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay

Ownership & Compliance

Ownership Info
5% OR GREATER DIRECT OWNERSHIP INTEREST PC SWI HOLDCO LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST PC SWI TOPCO LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST PEACE CAPITAL HOLDINGS LLC (DE)
5% OR GREATER INDIRECT OWNERSHIP INTEREST SMS 2021 TRUST
OPERATIONAL/MANAGERIAL CONTROL BIELINSKI, RENEE
OPERATIONAL/MANAGERIAL CONTROL HALE, CASSANDRA
OPERATIONAL/MANAGERIAL CONTROL HELMAN, YOSEF
OPERATIONAL/MANAGERIAL CONTROL SIDHU, SARFRAZ
OPERATIONAL/MANAGERIAL CONTROL SPITZER, MICHAEL
CORPORATE OFFICER STEIN, SHALOM
Recent Penalties

No penalty records found.

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