With a score of 20/100, Complete Care At Kensington ranks in the bottom tier of Wisconsin nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.
Staffing at Complete Care At Kensington is near the national average, with 3.65 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 39 deficiencies at Complete Care At Kensington, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: provide appropriate pressure ulcer care and prevent new ulcers from developing..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.65 | 3.8 | Average |
| Registered Nurses (RN) | 0.57 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 1.13 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 1.95 | 2.4 | Below Average |
| Weekend Total Nursing | 3.12 | 3.8 | Below Average |
| Weekend RN Hours | 0.21 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0686 Severity GProvide appropriate pressure ulcer care and prevent new ulcers from developing.May 20, 2025 · Quality of Life and Care Deficiencies
- Tag 0628 Severity EProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.May 20, 2025 · Resident Rights Deficiencies
- Tag 0880 Severity EProvide and implement an infection prevention and control program.May 20, 2025 · Infection Control Deficiencies
- Tag 0609 Severity DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.May 20, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0610 Severity DRespond appropriately to all alleged violations.May 20, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 5.5% | 4.5% | Worse |
| Falls with major injury | 1.2% | 3.0% | Better |
| On antipsychotic medication | 19.2% | 14.5% | Worse |
| Urinary tract infections | 2.7% | 2.5% | Average |
| ADL decline (daily activities) | 9.8% | 14.0% | Better |
| Excessive weight loss | 15.9% | 7.5% | Worse |
| New/worsened incontinence | 24.8% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $66,632
How This Grade Was Calculated
This facility's grade of F is based on a score of 20 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 1★ → 4 pts (max 20)
- Quality Measures Rating: 3★ → 9 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -6 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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