Staffing
CMS publishes a 1-star staffing rating for this facility.
RN staffing was 0.58 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceAsk Trust Hub Network
Also known publicly as Complete Care at Kensington (Kensington Care and Rehab Center)
WAUKESHA, WI
CMS overview
No proprietary TrustHub score. These ratings are published separately by CMS.
Facility information
CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.
Decision guide
Factual evidence to examine before you decide. These summaries are not a score or recommendation.
CMS publishes a 1-star staffing rating for this facility.
RN staffing was 0.58 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceThe latest standard inspection on Apr 29, 2026 cited 4 deficiencies.
View inspection evidenceCMS-published records list 52 ownership or control parties.
View ownership evidenceCMS groups this facility with a chain covering 85 facilities across 8 states or territories.
View chain evidenceCMS records show a $66,632 fine in the loaded enforcement dataset.
View enforcement evidence →Ownership & operation
Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.
SeniorTrustHub found evidence connecting this facility to:
11 currently connected nursing homes share this CMS organization identity with PEACE CAPITAL LLC.
These figures summarize currently connected CMS-certified nursing homes. Some facilities have incomplete measures; missing values are omitted, not treated as zero. Ownership structures can change. State operator or licensee evidence may differ from CMS ownership disclosures.
Ownership
These are CMS-published ownership disclosures. Medicare enrollment ownership and managerial-control information is reported by enrolled providers through CMS forms; it is not an independent determination of beneficial ownership.
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: May 3, 2024
Other facilities connected through this exact CMS organization identity: 0 across WI.
Individual · ADP OF THE SNF
Association date reported to CMS: Feb 3, 2020
Organization · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2017
Other facilities connected through this exact CMS organization identity: 0 across WI.
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2017
Organization · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2017
Other facilities connected through this exact CMS organization identity: 0 across WI.
Individual · ADP OF THE SNF
Association date reported to CMS: Apr 13, 2020
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2017
Organization · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2017
Other facilities connected through this exact CMS organization identity: 0 across WI.
Individual · ADP OF THE SNF
Association date reported to CMS: Nov 20, 2022
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2017
Organization · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2017
Other facilities connected through this exact CMS organization identity: 0 across WI.
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2017
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2017
Organization · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2017
Other facilities connected through this exact CMS organization identity: 0 across WI.
Organization · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2017
Other facilities connected through this exact CMS organization identity: 0 across WI.
Organization · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2017
Other facilities connected through this exact CMS organization identity: 0 across WI.
Individual · CORPORATE OFFICER
Association date reported to CMS: Aug 1, 2017
Individual · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Aug 1, 2017
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Aug 1, 2017
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Feb 3, 2020
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 1, 2017
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Apr 13, 2020
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Nov 20, 2022
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jul 28, 2020
Individual · TRUSTEE OF THE SNF
Association date reported to CMS: Aug 1, 2017
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: May 3, 2024
CMS classifications: Parent company, Holding company
Other facilities connected through this exact CMS organization identity: 10 across NJ, WI.
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Aug 1, 2017
Individual · ADP OF THE SNF
Association date reported to CMS: Feb 3, 2020
Organization · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2017
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 23 across IL, MD, NJ, OH, WI.
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2017
Organization · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2017
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 23 across IL, MD, NJ, OH, WI.
Individual · ADP OF THE SNF
Association date reported to CMS: Apr 13, 2020
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2017
Organization · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2017
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 13 across OH, WI.
Individual · ADP OF THE SNF
Association date reported to CMS: Nov 20, 2022
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2017
Organization · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2017
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 59 across IL, MD, NJ, OH, PA, WI, WV.
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2017
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2017
Organization · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2017
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 0 across WI.
Organization · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2017
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 5 across WI.
Organization · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2017
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 5 across WI.
Individual · CORPORATE OFFICER
Association date reported to CMS: Aug 1, 2017
Individual · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 4.41%
Association date reported to CMS: Aug 1, 2017
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Aug 1, 2017
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Feb 3, 2020
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 1, 2017
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Apr 13, 2020
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Nov 20, 2022
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jul 28, 2020
Individual · TRUSTEE OF THE SNF
Association date reported to CMS: Aug 1, 2017
Organization · Medicare-enrolled legal organization
Other facilities connected through this exact CMS organization identity: 0 across WI.
Roles are shown as CMS publishes them. Different CMS sources can describe different enrollment, ownership, and control concepts, so TrustHub keeps each source-specific disclosure distinct.
Chain context
Chain-level values describe this CMS-defined group, not any one facility. CMS Chain ID 157 is a grouping identifier, not a legal organization.
| Month | Facilities | Overall rating | Staffing rating |
|---|---|---|---|
| Wed Jul | 85 | 3.1 | 2.3 |
| Mon Jun | 85 | 3.2 | 2.5 |
| Fri May | 85 | 3.2 | 2.5 |
| Wed Apr | 85 | 3.2 | 2.5 |
| Sun Mar | 85 | 3.2 | 2.5 |
| Sun Feb | 85 | 3.2 | 2.5 |
Nursing Home Chain Performance Measures, fixed version da2db00a-0f3d-40a9-a535-588ff1220c55. Membership comes separately from CMS Skilled Nursing Facility Enrollments.
View official CMS sourceInspections & deficiencies
Scope and severity terms below are CMS classifications. They are not a TrustHub score.
No health-deficiency rows were deterministically linked to this inspection.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 22, 2026)
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 22, 2026)
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 22, 2026)
Provide and implement an infection prevention and control program.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 22, 2026)
Provide and implement an infection prevention and control program.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 20, 2026)
No health-deficiency rows were deterministically linked to this inspection.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 12, 2025)
Respond appropriately to all alleged violations.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 12, 2025)
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 12, 2025)
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS scope/severity G: Isolated; Actual harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 12, 2025)
Provide appropriate foot care.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 12, 2025)
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 12, 2025)
Ensure medication error rates are not 5 percent or greater.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 12, 2025)
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
CMS scope/severity C: Widespread; No actual harm with potential for minimal harm.
Correction status: Deficient, Provider has date of correction (Jun 12, 2025)
Provide and implement an infection prevention and control program.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 12, 2025)
No health-deficiency rows were deterministically linked to this inspection.
No health-deficiency rows were deterministically linked to this inspection.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 15, 2024)
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 15, 2024)
Provide enough food/fluids to maintain a resident's health.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 15, 2024)
Ensure medication error rates are not 5 percent or greater.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 15, 2024)
Ensure that residents are free from significant medication errors.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 15, 2024)
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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 15, 2024)
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
CMS scope/severity C: Widespread; No actual harm with potential for minimal harm.
Correction status: Deficient, Provider has date of correction (Mar 15, 2024)
Provide and implement an infection prevention and control program.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 15, 2024)
Implement a program that monitors antibiotic use.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 15, 2024)
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS scope/severity J: Isolated; Immediate jeopardy to resident health or safety.
Correction status: Past Non-Compliance (Jan 15, 2024)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity J: Isolated; Immediate jeopardy to resident health or safety.
Correction status: Deficient, Provider has date of correction (Jan 31, 2024)
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 13, 2024)
Provide training in compliance and ethics.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 13, 2024)
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 13, 2024)
Reasonably accommodate the needs and preferences of each resident.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 17, 2023)
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 17, 2023)
Penalties & enforcement
Published fine amount: $66,632.00
Questions to ask
Facility history
10 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
4 deficiencies were recorded.
CMS · Recorded event date · View related evidence
RN staffing increased from 0.46 to 0.58 hours per resident day between 2025Q4 and 2026Q1. Staffing improved across those reported periods.
0.46 → 0.58
CMS · Reported in a source release · View related evidence
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
RN staffing decreased from 0.57 to 0.46 hours per resident day between 2025Q3 and 2025Q4. Staffing declined across those reported periods.
0.57 → 0.46
CMS · Reported in a source release · View related evidence
9 deficiencies were recorded. That includes 1 higher-severity deficiency.
CMS · Recorded event date · View related evidence
No linked health-deficiency findings were recorded for this survey.
CMS · Recorded event date · View related evidence
9 deficiencies were recorded.
CMS · Recorded event date · View related evidence
5 deficiencies were recorded. That includes 2 higher-severity deficiencies.
CMS · Recorded event date · View related evidence
CMS recorded a $66,632 civil monetary penalty.
CMS · Recorded event date · View related evidence
2 deficiencies were recorded.
CMS · Recorded event date · View related evidence
Staffing
CMS staffing rating: 1 of 5 stars. CMS calculates that rating separately using its published methodology. The values below are calculations from daily PBJ records for 2026Q1 (current source quarter).
| Measure | Monday–Friday | Saturday–Sunday |
|---|---|---|
| Total nursing | 3.69 | 3.139 |
| RN categories | 0.666 | 0.356 |
Contract staff accounted for 7.6% of reported nursing hours included in this quarter calculation.
Reported RN-category hours per resident day were 0.116 higher than the prior loaded quarter.
Solid bar: Total nursing · Outlined bar: RN categories
| Quarter | Total nursing | RN categories | LPN/LVN | CNA | Contract share | Days |
|---|---|---|---|---|---|---|
| 2025Q2 | 3.809 | 0.556 | 1.08 | 2.104 | 4.5% | 91 |
| 2025Q3 | 3.647 | 0.571 | 1.13 | 1.879 | 2.1% | 92 |
| 2025Q4 | 3.472 | 0.461 | 1.085 | 1.908 | 0% | 92 |
| 2026Q1 | 3.531 | 0.577 | 1.118 | 1.836 | 7.6% | 90 |
Hours-per-resident-day values are calculated by this platform from CMS-published daily PBJ hours and MDS census. For each displayed period, included hours are summed and divided by the summed census for days with a positive census. They are not CMS case-mix-adjusted staffing measures or a staffing rating.
View official CMS PBJ sourceWhat we can verify today
These measures come from the current successfully ingested CMS Nursing Home Provider Information release.
Planned evidence layers
These areas require separate authoritative CMS datasets. No findings are shown until those sources are ingested and reviewed.
Trust participation
Claims, corrections, and factual context are free. Submissions never replace CMS evidence or affect ranking.
Source register
No paid placements. Facilities cannot pay to rank higher. We cite. You decide.