Federal inspection record · CMS data as of October 1, 2026
Complete Care at Germantown
W173 N10915 Bernies Way, Germantown, WI · (262) 509-3300
- Certified beds
- 121
- Residents per day
- 51
- Ownership
- For-Profit
- Chain
- Complete Care
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- October 14, 1999
1
How this home got 4 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Wisconsin.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Wisconsin homes
Complete Care at Germantown carries 18 inspection points. That is fewer than 83% of Wisconsin's 321 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Wisconsin: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–11 pts
- 4★ 11–37 pts
- 3★ 37–76 pts
- 2★ 76–130.75 pts
- 1★ over 130.75 pts
Bars show every rated home in Wisconsin by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
18 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Rights6D
- D
Give the resident's representative the ability to exercise the resident's rights.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- D
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
- D
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Freedom from Abuse, Neglect, and Exploitation5D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Quality of Life and Care3E
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Assessment and Care Planning2D
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Nutrition and Dietary1E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Pharmacy Service1E
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspection history
2026-05-29
0 health deficiencies · 1 fire-safety deficiencies
No concentrated health issue counts in this cycle.
2025-03-05
5 health deficiencies · 10 fire-safety deficiencies
Top issue: Resident Rights (2 deficiencies)
2024-01-24
13 health deficiencies · 6 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (5 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 46 min of nursing staff time a day, 54 min of it from a registered nurse.
This home
3 h 46 min
Wisconsin average
4 h 15 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 56% of nursing staff and 40% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine2.8 pts better | 98.8% | 96.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.1 pts better | 97.7% | 95.6% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.5 pts better | 1.8% | 3.3% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms14.7 pts worse | 20.7% | 6.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight4.6 pts worse | 9.5% | 4.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication7.4 pts better | 9.4% | 16.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication4.2 pts better | 11.7% | 15.9% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened10.8 pts better | 6.2% | 17.0% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased9.6 pts better | 6.2% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 1.6% | 1.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.5 pts better | 1.2% | 2.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.4 pts better | 18.2% | 23.6% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.7 pts worse | 5.6% | 4.9% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine1.2 pts worse | 85.7% | 86.9% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.4 pts better | 15.2% | 15.6% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.2 pts better | 0.0% | 1.2% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine8.5 pts better | 90.7% | 82.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission7 pts worse | 29.5% | 22.5% | 23.4% |
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Who owns and runs it
26 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Pc Swi Holdco LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 3 facilities |
| Bielinski, Renee | Operational/Managerial Control · Individual | 0% | 5 facilities |
| Bielinski, Renee | Adp Of The SNF · Individual | 0% | 5 facilities |
| Des Capital LLC | Adp Of The SNF · Organization | 0% | 28 facilities |
| Hale, Cassandra | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Hale, Cassandra | Adp Of The SNF · Individual | 0% | 1 facilities |
| Hellman, Yosef | Operational/Managerial Control · Individual | 0% | 19 facilities |
| Hellman, Yosef | Adp Of The SNF · Individual | 0% | 19 facilities |
| Jrk Investments LLC | Adp Of The SNF · Organization | 0% | 28 facilities |
| Klugman, Jacob | Adp Of The SNF · Individual | 0% | 30 facilities |
| Pc Swi Topco LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 3 facilities |
| Peace Capital Holdings Ii LLC | Adp Of The SNF · Organization | 0% | 20 facilities |
| Sidhu, Sarfraz | Operational/Managerial Control · Individual | 0% | 28 facilities |
| Sidhu, Sarfraz | Adp Of The SNF · Individual | 0% | 28 facilities |
| Sms 2021 Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 77 facilities |
| Sms 2021 Trust | Adp Of The SNF · Organization | 0% | 77 facilities |
| Spitzer, Michael | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Spitzer, Michael | Adp Of The SNF · Individual | 0% | 2 facilities |
| Stein, Shalom | Indirect Ownership Interest · Individual | 0% | 87 facilities |
| Stein, Shalom | Managing Control - Governing Body · Individual | 0% | 87 facilities |
| Stein, Shalom | Corporate Officer · Individual | 0% | 87 facilities |
| Stein, Shalom | Trustee Of The SNF · Individual | 0% | 87 facilities |
| Sternbuch, Daniel | Adp Of The SNF · Individual | 0% | 31 facilities |
| Virginia Highlands Propco LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Wi 6 Propco Holdco LLC | Adp Of The SNF · Organization | 0% | 6 facilities |
| Wi 6 Propco Topco LLC | Adp Of The SNF · Organization | 0% | 6 facilities |
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Fire safety
17 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke6F
- F
Provide properly protected cooking facilities.
- F
Install an approved automatic sprinkler system.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Install a fire alarm system that can be heard throughout the facility.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- C
Inspect, test, and maintain automatic sprinkler systems.
Miscellaneous4F
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- E
Provide a written emergency evacuation plan.
- D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- D
Have restrictions on the use of portable space heaters.
Gas, Vacuum, and Electrical Systems3F
- F
Have a battery powered remote alarm panel in a location accessible by operating personnel.
- D
Ensure that sources of ignition are removed from patients receiving respiratory therapy.
- D
Ensure proper usage of power strips and extension cords.
Egress3D
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- D
Have exits that are accessible at all times.
Emergency Preparedness1F
- F
List the names and contact information of those in the facility.
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Other homes nearby
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Lindengrove Menomonee Falls
Menomonee Falls, WI
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 49 min
- Fines
- $193,798
-
Menomonee Falls Health Services
Menomonee Falls, WI · North Shore Healthcare
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 47 min
- Fines
- $214,308
-
Avina of Milwaukee
Milwaukee, WI · Avina Healthcare · Abuse icon
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 4 h 2 min
- Fines
- $142,071