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B
Good

Complete Care at Kensington

1810 KENSINGTON DR · WAUKESHA, WI 53188

2625481400 · For profit - Limited Liability company

150 beds65.7 residents102 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
B
Good
RN Staff
B
Good
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Complete Care at Kensington receives an overall staffing grade of B (Good). With 3.6543 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.5709 HPRD, below the recommended 0.75. It is 0.24 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 19.19% compared to weekdays. The facility has low agency staff usage (2.1% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (2)

⚠️Had 2 days with zero registered nurse hours this quarter. While below the 4-day threshold for an auto 1-star rating, any zero-RN day is a concern.
⚠️RN staffing (0.5709 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (2)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅Low agency staff usage (2.1%) — mostly permanent, familiar staff
Total Nurse HPRD
3.6543hrs/resident/day▼ 0.24
CMS benchmark: 3.48
RN HPRD
0.5709hrs/resident/day▼ 0.11
Recommended: 0.75
Weekend Drop-off
19.19%
3.8639 weekday → 3.1224 weekend
Agency Staff
2.1%
13.43% of RN hours from contractors
Days with Zero RN
2days this quarter
4+ days = auto 1-star
CNA HPRD
1.884hrs/resident/day
Direct care aides
LPN HPRD
1.1305hrs/resident/day
Licensed practical nurses
Consistency
0.4486std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Waukesha County Average-0.52 HPRD
4.18
03.65 HPRD
vs. Wisconsin State Average-0.54 HPRD
4.20
03.65 HPRD
vs. National Average-0.24 HPRD
3.90
03.65 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Complete Care at Kensington ★
WAUKESHA · This facility
—
B
3.65430.5709★☆☆☆☆
LINDENGROVE WAUKESHA
WAUKESHA
1.4 mi
A
4.14890.8967★☆☆☆☆
ARIA OF WAUKESHA
WAUKESHA
2.5 mi
C
3.38520.5166★☆☆☆☆
Complete Care at Care Age
Brookfield
5.8 mi
B
4.08230.6175★★☆☆☆
ARIA OF BROOKFIELD
BROOKFIELD
6.3 mi
C
3.52380.4381★☆☆☆☆
FRANCISCAN WOODS
BROOKFIELD
6.5 mi
A
4.46640.7806★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

5
Inspections
39
Total Deficiencies
$66,632
Fines Assessed
May 21, 2025Health
9 deficiencies cited· Includes actual harm
▼
Feb 22, 2024Health
11 deficiencies cited
▼
Jan 30, 2024Health
5 deficiencies cited· Includes actual harm
▼
Oct 6, 2023Health
2 deficiencies cited
▼
Nov 10, 2022Health
12 deficiencies cited
▼

Penalty History

Jan 30, 2024Fine
$66,632
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.