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Complete Care at Christian Home LLC

Open-data reference.

Complete Care at Christian Home LLC is a non profit - corporation facility in Waupun, WI with 50 certified beds and a 3-star overall CMS rating. The facility has 13 deficiency records on file.

452 Fox Lake Road, Waupun, WI 53963

Phone: 9203249051

Overall Rating

3/5

Health Inspection

3/5

Staffing

4/5

Quality Measures

2/5

Long-Stay Quality

1/5

Facility Information

Provider Number
525531
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
Beds
50
Residents
32
In Hospital
No
County
Dodge
Last Inspection
Jan 30, 2025

Staffing Data

RN Hours
1.33 (nat'l avg: 0.68)
LPN Hours
1.03
CNA Hours
2.66
Total Nursing Hours
5.02 (nat'l avg: 3.89)
PT Hours
0.15
Nursing Turnover
54.3%
RN Turnover
45.5%

What the CMS Record Reveals About Complete Care at Christian Home LLC

Complete Care at Christian Home LLC operates 50 certified beds in Waupun, WI with approximately 32 residents currently in care, and carries a CMS overall rating of 3 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (3★), staffing levels (4★), and quality measures (2★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 13 deficiency records from recent surveys, of which 2 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues — if any — did not rise to the enforcement threshold. Staffing is reported at 5.02 total nursing hours per resident day (national average 3.89), with RN coverage at 1.33 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "Non profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Complete Care at Christian Home LLC falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 54.3%, above the level where continuity of care typically begins to suffer. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (13 most recent)

D — Isolated - Minimal harm Oct 14, 2025 Tag: 0692

Provide enough food/fluids to maintain a resident's health.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 7, 2025

G — Isolated - Actual harm Oct 14, 2025 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 7, 2025

G — Isolated - Actual harm Oct 14, 2025 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 7, 2025

D — Isolated - Minimal harm Oct 14, 2025 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Nov 7, 2025

D — Isolated - Minimal harm Jan 30, 2025 Tag: 0757

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Category: Pharmacy Service Deficiencies

Corrected: Feb 21, 2025

D — Isolated - Minimal harm Jan 30, 2025 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: Feb 21, 2025

D — Isolated - Minimal harm Nov 22, 2023 Tag: 0585

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.

Category: Resident Rights Deficiencies

Corrected: Dec 21, 2023

D — Isolated - Minimal harm Feb 28, 2023 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Mar 26, 2023

D — Isolated - Minimal harm Feb 28, 2023 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Mar 26, 2023

D — Isolated - Minimal harm Feb 28, 2023 Tag: 0607

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Mar 26, 2023

D — Isolated - Minimal harm Feb 28, 2023 Tag: 0585

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.

Category: Resident Rights Deficiencies

Corrected: Mar 26, 2023

D — Isolated - Minimal harm Oct 19, 2022 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 14, 2022

E — Pattern - Minimal harm Oct 19, 2022 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Nov 14, 2022

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 23.1% Yes
Percentage of long-stay residents who lose too much weight Long Stay 0.0% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.0% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 1.4% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 6.5% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 93.5% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 72.1% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.6% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 39.5% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 22.6% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 82.5% No
Percentage of long-stay residents with pressure ulcers Long Stay 8.2% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 33.6% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 23.1% Yes

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for Complete Care at Christian Home LLC?
Complete Care at Christian Home LLC has an overall CMS rating of 3 out of 5 stars. This rating combines health inspection results (3★), staffing levels (4★), and quality measures (2★).
What are the staffing levels at Complete Care at Christian Home LLC?
Complete Care at Christian Home LLC reports 5.02 total nursing hours per resident day (national average: 3.89). RN hours are 1.33 per resident day (national average: 0.68). Nursing staff turnover is 54.3%.
How many beds does Complete Care at Christian Home LLC have?
Complete Care at Christian Home LLC has 50 certified beds with approximately 32 residents. The facility is located at 452 Fox Lake Road, Waupun, WI 53963.
Does Complete Care at Christian Home LLC have any deficiencies on record?
Yes, Complete Care at Christian Home LLC has 13 deficiencies on record from recent inspections. Of these, 2 are classified as causing actual harm or jeopardy.
Has Complete Care at Christian Home LLC received any fines or penalties?
No, Complete Care at Christian Home LLC has no fines or penalties on record.
Who owns Complete Care at Christian Home LLC?
Complete Care at Christian Home LLC is classified as "Non profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was Complete Care at Christian Home LLC last inspected?
The most recent health inspection for Complete Care at Christian Home LLC was on Jan 30, 2025. The facility received a health inspection rating of 3 out of 5 stars.
What quality measures are tracked for Complete Care at Christian Home LLC?
Complete Care at Christian Home LLC is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial