Federal inspection record · CMS data as of October 1, 2026
Complete Care at Ridgewood LLC
3205 Wood Rd, Racine, WI · (262) 554-6440
- Certified beds
- 200
- Residents per day
- 103
- Ownership
- For-Profit
- Chain
- Complete Care
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 1, 1997
1
How this home got 3 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.
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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.
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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
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Wisconsin homes
Complete Care at Ridgewood LLC carries 42 inspection points. That is fewer than 63% 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
35 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.
Harm and immediate-jeopardy citations (1)
-
G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Everything else, by area of care
Quality of Life and Care16E
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide medically-related social services to help each resident achieve the highest possible quality of life.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
- D
Provide enough food/fluids to maintain a resident's health.
- E
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Resident Rights6E
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Pharmacy Service4E
- D
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- D
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Infection Control4F
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Resident Assessment and Care Planning3D
- D
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Nutrition and Dietary1D
- D
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Inspection history
2025-08-12
8 health deficiencies · 14 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2024-05-06
15 health deficiencies · 7 fire-safety deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
2023-01-26
12 health deficiencies · 11 fire-safety deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 54 min of nursing staff time a day, 47 min of it from a registered nurse.
This home
3 h 54 min
Wisconsin average
4 h 15 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 61% of nursing staff and 50% of registered nurses left in the past year.
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. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.8 pts better | 0.8 | 1.6 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.2 pts better | 1.0 | 2.2 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.3 pts better | 97.3% | 96.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.4 pts worse | 95.2% | 95.6% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.4 pts worse | 4.7% | 3.3% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms43.6 pts worse | 49.6% | 6.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.3 pts worse | 5.2% | 4.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication4.8 pts better | 12.0% | 16.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication1.4 pts better | 14.5% | 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 worsened13.4 pts better | 3.6% | 17.0% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased12.5 pts better | 3.3% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.2 pts worse | 2.1% | 1.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.4 pts worse | 3.1% | 2.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence10.6 pts worse | 34.2% | 23.6% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2 pts worse | 6.9% | 4.9% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine7.7 pts better | 94.6% | 86.9% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit3.2 pts worse | 18.8% | 15.6% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.2 pts better | 1.0% | 1.2% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine7.3 pts better | 89.5% | 82.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1.8 pts better | 20.7% | 22.5% | 23.4% |
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Who owns and runs it
24 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 |
|---|---|---|---|
| Peace Capital LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 11 facilities |
| Baker, Amanda | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Baker, Amanda | Adp Of The SNF · Individual | 0% | 1 facilities |
| Culp, Karen | Operational/Managerial Control · Individual | 0% | 5 facilities |
| Culp, Karen | Adp Of The SNF · Individual | 0% | 5 facilities |
| Des Capital LLC | Adp Of The SNF · Organization | 0% | 28 facilities |
| Gierahn, James | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Gierahn, James | 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 |
| Myers, Scott | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Myers, Scott | Adp Of The SNF · Individual | 0% | 1 facilities |
| Pc Ridgewood Propco LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Peace Capital Holdings Ii LLC | Adp Of The SNF · Organization | 0% | 20 facilities |
| Sms 2021 Trust | Adp Of The SNF · Organization | 0% | 77 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 |
| Stein, Shalom | Adp Of The SNF · Individual | 0% | 87 facilities |
| Sternbuch, Daniel | Adp Of The SNF · Individual | 0% | 31 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
32 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke16F
- E
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Install corridor and hallway doors that block smoke.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Provide properly protected cooking facilities.
- D
Properly provide smoke detection systems in areas open to corridors.
- D
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
- F
Install a fire alarm system that can be heard throughout the facility.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- D
Install an approved automatic sprinkler system.
Services4E
- D
Have properly installed electrical wiring and gas equipment.
- D
Install properly constructed and protected linen or trash chutes.
- E
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- E
Install properly constructed and protected linen or trash chutes.
Miscellaneous4D
- D
Have restrictions on the use of portable space heaters.
- C
Have simulated fire drills held at unexpected times.
- 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.
Egress3E
- E
Have exits that are accessible at all times.
- E
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.
- E
Install resident room doors of proper design and width.
Gas, Vacuum, and Electrical Systems3E
- E
Meet requirements for the installation and maintenance of electrical systems.
- D
Ensure proper usage of power strips and extension cords.
- D
Have proper medical gas storage and administration areas.
Emergency Preparedness2F
- F
Conduct risk assessment and an All-Hazards approach.
- F
Provide family notifications of emergency plan.
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Other homes nearby
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Lincoln Park Nursing and Rehab LLC
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★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 4 h 2 min
- Fines
- $182,618
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Waters Edge Health and Rehabilitation Center
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- K
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-
Brookside Care Center
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- Nursing / resident / day
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