C

Complete Care at Christian Home LLC

452 Fox Lake Road, Waupun, WI 53963
Score: 61 / 100

With a score of 61 out of 100, Complete Care At Christian Home Llc earns a C grade — placing it near the middle of Wisconsin nursing facilities. Families should review the detailed metrics below when considering this Waupun location.

Staffing levels at Complete Care At Christian Home Llc exceed national averages, with 5.02 total nursing hours per resident per day — compared to the national average of 3.8 hours. RN coverage of 1.33 hours per resident per day also exceeds the national average of 0.7 hours.

Recent inspections identified 9 deficiencies at Complete Care At Christian Home Llc. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 24 / 40 pts
3 ★ CMS rating
Health Inspections 15 / 25 pts
3 ★ inspection rating
Staffing 16 / 20 pts
4 ★ staffing rating
Quality Measures 6 / 15 pts
2 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 5.02 3.8 Above Average
Registered Nurses (RN) 1.33 0.7 Above Average
Licensed Practical Nurses (LPN) 1.03 0.7 Above Average
Certified Nursing Assistants (CNA) 2.66 2.4 Above Average
Weekend Total Nursing 4.47 3.8 Above Average
Weekend RN Hours 1.06 0.7 Above Average

🔍 Inspection & Deficiency History

9
Total Deficiencies
Oct 13, 2025
Most Recent Inspection
🟠 9 Moderate
View recent deficiencies (5 shown)
  • Tag 0684 Severity G
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    Oct 13, 2025 · Quality of Life and Care Deficiencies
  • Tag 0689 Severity G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Oct 13, 2025 · Quality of Life and Care Deficiencies
  • Tag 0610 Severity D
    Respond appropriately to all alleged violations.
    Oct 13, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0692 Severity D
    Provide enough food/fluids to maintain a resident's health.
    Oct 13, 2025 · Quality of Life and Care Deficiencies
  • Tag 0580 Severity D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    Jan 29, 2025 · Resident Rights 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 8.2% 4.5% Worse
Falls with major injury 6.5% 3.0% Worse
On antipsychotic medication 23.1% 14.5% Worse
Urinary tract infections 0.0% 2.5% Better
ADL decline (daily activities) 23.1% 14.0% Worse
Excessive weight loss 0.0% 7.5% Better
New/worsened incontinence 33.6% 45.0% Better

How This Grade Was Calculated

This facility's grade of C is based on a score of 61 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 3★ → 24 pts (max 40)
  • Health Inspection Rating: 3★ → 15 pts (max 25)
  • Staffing Rating: 4★ → 16 pts (max 20)
  • Quality Measures Rating: 2★ → 6 pts (max 15)

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
Non profit - Corporation
Certified Beds
50
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Jan 29, 2025
Deficiencies (Cycle 1)
6