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Memory care

Complete Care at Germantown

0.00 reviews · 0 verifiedGermantown, WILic. 525653
Signals
VBP-SLow SNF VBP readmission measure score (0.0)Source: CMS SNF VBP (PDC)
VBP-RElevated VBP readmission rate (23.4%)Source: CMS SNF VBP (PDC)
VBPLower SNF VBP program ranking (#13,298)Source: CMS SNF VBP (PDC)
VBP-THigh nursing staff turnover in VBP period (61%)Source: CMS SNF VBP (PDC)
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About

Complete Care at Germantown offers tailored services and support to ensure a comfortable, enriching, and engaging experience for residents. Recognized for excellence in care, the facility focuses on creating a fulfilling environment for every resident. With a commitment to enhancing recovery journeys, they provide programs designed to support patients in achieving rehabilitation goals and transitioning home successfully.

Amenities
TherapiesOn-Site Rehabilitation Services
CMS Care CompareView on Medicare.gov →
Medicare overall
4/5Medicare.gov Care Compare stars are shown for context only. They are never part of the Unbeatable composite score.
Staffing (PBJ)
3.45 total HPRDRN 0.95 · weekend 92%Oct 2025 – Dec 2025
Survey history
11 inspections48 deficiencies on record
Federal IDs
CCN 525653

Overall: 4/5 · Health: 4/5 · Staffing: 3/5 · QM: 4/5

Unbeatable ratings come only from verified family, staff, and professional reviews on this site. CMS stars, staffing, and citations are public regulatory signals — useful for context, not blended into our score.

Recent inspections
Health surveyMar 2025 · CMS4 deficiencies
  • F-551SS DGive the resident's representative the ability to exercise the resident's rights.
  • F-623SS DProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
  • F-645SS DPASARR screening for Mental disorders or Intellectual Disabilities
  • F-812SS EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Fire safetyMar 2025 · STATE FIRE MARSHAL10 deficiencies
  • E-30SS FList the names and contact information of those in the facility.
  • K-211SS DKeep aisles, corridors, and exits free of obstruction in case of emergency.
  • K-222SS DAdd 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.
  • K-321SS DEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
  • K-351SS FInstall an approved automatic sprinkler system.
  • K-711SS EProvide a written emergency evacuation plan.
  • K-741SS DHave posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
  • K-761SS FTo conduct inspection, testing and maintenance of fire doors by qualified individuals.
  • K-916SS FHave a battery powered remote alarm panel in a location accessible by operating personnel.
  • K-925SS DEnsure that sources of ignition are removed from patients receiving respiratory therapy.
Health surveyJan 2025 · CMS1 deficiencies
  • F-755SS EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Health surveyJul 2024 · CMS2 deficiencies
  • F-609SS DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  • F-610SS DRespond appropriately to all alleged violations.
Health surveyMay 2024 · CMS2 deficiencies
  • F-609SS DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  • F-610SS DRespond appropriately to all alleged violations.
Health surveyJan 2024 · CMS3 deficiencies
  • F-585SS DHonor 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.
  • F-677SS EProvide care and assistance to perform activities of daily living for any resident who is unable.
  • F-700SS DTry 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.
Fire safetyJan 2024 · STATE FIRE MARSHAL6 deficiencies
  • K-271SS DHave exits that are accessible at all times.
  • K-321SS EEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
  • K-341SS FInstall a fire alarm system that can be heard throughout the facility.
  • K-353SS CInspect, test, and maintain automatic sprinkler systems.
  • K-781SS DHave restrictions on the use of portable space heaters.
  • K-920SS DEnsure proper usage of power strips and extension cords.
Health surveyNov 2023 · CMS2 deficiencies
  • F-585SS DHonor 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.
  • F-657SS DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Health surveyOct 2023 · CMS4 deficiencies
  • F-580SS DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  • F-585SS DHonor 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.
  • F-607SS DDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
  • F-689SS DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Health surveyNov 2022 · CMS11 deficiencies
  • F-582SS DGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
  • F-660SS DPlan the resident's discharge to meet the resident's goals and needs.
  • F-677SS DProvide care and assistance to perform activities of daily living for any resident who is unable.
  • F-689SS DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-692SS DProvide enough food/fluids to maintain a resident's health.
  • F-695SS DProvide safe and appropriate respiratory care for a resident when needed.
  • F-759SS EEnsure medication error rates are not 5 percent or greater.
  • F-761SS EEnsure 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.
  • F-849SS DArrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
  • F-880SS EProvide and implement an infection prevention and control program.
  • F-908SS FKeep all essential equipment working safely.
Fire safetyNov 2022 · STATE FIRE MARSHAL3 deficiencies
  • K-353SS EInspect, test, and maintain automatic sprinkler systems.
  • K-374SS EInstall smoke barrier doors that can resist smoke for at least 20 minutes.
  • K-918SS FHave generator or other power source capable of supplying service within 10 seconds.
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Ownership

Operated by COMPLETE CARE (privately held) since 1999.

  1. Jun 2022
    operator transition — STEIN, SHALOM
    INDIRECT OWNERSHIP INTEREST (NOT APPLICABLE) — STEIN, SHALOM
  2. Jun 2022
    operator transition — PC SWI HOLDCO LLC
    5% OR GREATER DIRECT OWNERSHIP INTEREST (100%) — PC SWI HOLDCO LLC
  3. Jun 2022
    operator transition — SMS 2021 TRUST
    5% OR GREATER INDIRECT OWNERSHIP INTEREST (NO PERCENTAGE PROVIDED) — SMS 2021 TRUST
  4. Jun 2022
    operator transition — PC SWI TOPCO LLC
    5% OR GREATER INDIRECT OWNERSHIP INTEREST (NO PERCENTAGE PROVIDED) — PC SWI TOPCO LLC
Contact

W173 N10915 Bernies Way
Germantown, WI 53022

2625093300ccgermantown.com
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