B

Complete Care at Germantown

W173 N10915 Bernies Way, Germantown, WI 53022
Score: 72 / 100

With a score of 72/100 and a B grade, Complete Care At Germantown is a well-regarded option in Germantown, Wisconsin. The facility performs above average in most CMS categories, placing it in the 64th percentile statewide.

Staffing at Complete Care At Germantown is near the national average, with 3.60 total nursing hours per resident per day (national average: 3.8 hours).

Recent inspections identified 29 deficiencies at Complete Care At Germantown. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 32 / 40 pts
4 ★ CMS rating
Health Inspections 20 / 25 pts
4 ★ inspection rating
Staffing 8 / 20 pts
2 ★ staffing rating
Quality Measures 12 / 15 pts
4 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.60 3.8 Average
Registered Nurses (RN) 0.91 0.7 Above Average
Licensed Practical Nurses (LPN) 0.58 0.7 Below Average
Certified Nursing Assistants (CNA) 2.10 2.4 Below Average
Weekend Total Nursing 3.16 3.8 Below Average
Weekend RN Hours 0.70 0.7 Average

🔍 Inspection & Deficiency History

29
Total Deficiencies
Mar 4, 2025
Most Recent Inspection
🟠 29 Moderate
View recent deficiencies (5 shown)
  • Tag 0812 Severity E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    Mar 4, 2025 · Nutrition and Dietary Deficiencies
  • Tag 0551 Severity D
    Give the resident's representative the ability to exercise the resident's rights.
    Mar 4, 2025 · Resident Rights Deficiencies
  • Tag 0623 Severity D
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including a
    Mar 4, 2025 · Resident Rights Deficiencies
  • Tag 0645 Severity D
    PASARR screening for Mental disorders or Intellectual Disabilities
    Mar 4, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0755 Severity E
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    Jan 29, 2025 · Pharmacy Service 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 5.7% 4.5% Worse
Falls with major injury 4.2% 3.0% Worse
On antipsychotic medication 14.0% 14.5% Average
Urinary tract infections 1.8% 2.5% Better
ADL decline (daily activities) 11.6% 14.0% Better
Excessive weight loss 6.8% 7.5% Average
New/worsened incontinence 23.7% 45.0% Better

How This Grade Was Calculated

This facility's grade of B is based on a score of 72 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 4★ → 32 pts (max 40)
  • Health Inspection Rating: 4★ → 20 pts (max 25)
  • Staffing Rating: 2★ → 8 pts (max 20)
  • Quality Measures Rating: 4★ → 12 pts (max 15)

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

Facility Details

Ownership
For profit - Limited Liability company
Certified Beds
121
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Mar 4, 2025
Deficiencies (Cycle 1)
4