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Nursing HomeMedicaid Investigative

Complete Care at Christian Home LLC

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

452 Fox Lake Road, Waupun, WI 5396350 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.8/5

based on 55 Google reviews

5
4
3
2
1
Complete Care at Christian Home LLC Nursing Home in Waupun, WI — Street View
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1/ 10
low Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • High staff turnover (54%)

Above average in WI · Meets national RN staffing standard · Above recommended total nurse staffing · No penalties on record

Source: Medicare data

What this means for your family

The facility is highly regarded for its cleanliness and compassionate staff, making it a strong choice for rehabilitation. However, because multiple reviewers have raised concerns about medication management, we strongly advise families to discuss the facility's pharmacy delivery process and medication administration schedule during the initial intake meeting.

Google Reviews

Google Reviews

55 reviews on Google
Complete Care at Christian Home LLC receives overwhelmingly positive feedback for its cleanliness, home-like atmosphere, and friendly, attentive staff. While most families are highly satisfied with the care provided to their loved ones, there are specific concerns regarding the efficiency of medication management and distribution processes. Families considering this facility should feel confident in the environment and staff quality but may want to clarify medication protocols during the admission process.

Quality Themes

Tap a score for details
Food9.0Staff9.0Clean10.0ActivitiesN/AMeds3.0MemoryN/AComms8.0ValueN/A

Strengths

  • Consistently clean and well-maintained facility
  • Friendly, caring, and attentive nursing staff
  • Welcoming, home-like environment
  • Effective rehabilitation and recovery support

Concerns

  • Delays or issues with medication disbursement and availability (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2344.22017(5)4.72018(7)5.02019(1)4.82025(34)4.92026(8)

Distribution · 55 analyzed

5
47
4
4
3
3
2
1
1
0

How They Respond to Reviews

100%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed your team is very active in responding to feedback online; how do you use that family input to improve the daily experience for residents?
  • 2Since medication management is a top priority for our family, could you walk us through your current process for ensuring timely and accurate medication disbursement?
  • 3With a 4-star staffing rating, how do you ensure that the nursing team remains consistently available to assist residents with their daily needs throughout the shifts?
  • 4Given the recent health inspection reports, what specific steps has the facility taken to address those findings and enhance the quality of care?
  • 5We love the home-like atmosphere mentioned by so many families; what are some of the most popular daily activities or social programs that help residents feel connected here?
  • 6In the event of a medical concern or emergency, what is your protocol for communicating with family members and coordinating with local medical providers?

Personalized based on this facility's data


Key Review Excerpts

The staff are thorough and know their jobs. Facility is homey and always very clean/ well kept. My mom has stayed here twice for a month of recovery from medical procedures.

Rehab patient's family · 2026★★★★★

I give this place only a 2 star because of their medication disbursement. The day we brought my dad in from open heart surgery, they had no pain pills for him and had to wait because they needed to be delivered from Milwaukee.

Long-term resident's family · 2025★★☆☆☆

I feel my husband is well taken care of. The staff is friendly and caring. The food is delicious & he gets plenty.

Long-term resident's family · 2025★★★★★
Source: 55 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
1.20hrs
OK
Registered nurses for medical care
Total Nursing
4.69hrs
OK
All nurses + aides combined
Staff Turnover
69%
Lower is better (< 30% = good)
RN Turnover
63%
Lower is better (< 30% = good)

This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
3/ 5
Better Than Avg

6

measures

Worse Than Avg

9

measures

Mixed Results

2

measures

Long-Stay Residents
🚶

Residents whose walking got worse

↓ Lower is better
This Facility29.0%
Worse than Avg
Here
29.0%
US
15.3%
WI
19.9%
Dodge
18.7%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility32.3%
Worse than Avg
Here
32.3%
US
19.4%
WI
25.0%
Dodge
24.7%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility21.3%
Worse than Avg
Here
21.3%
US
19.5%
WI
16.8%
Dodge
13.4%
😔

Residents with depression symptoms

↓ Lower is better
This Facility5.4%
Mixed vs Avgs
Here
5.4%
US
12.1%
WI
5.2%
Dodge
6.2%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

⚖️

Residents who lost too much weight

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
5.3%
WI
5.1%
Dodge
4.9%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
WI
95.0%
Dodge
96.3%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility60.8%
Worse than Avg
Here
60.8%
US
81.8%
WI
86.6%
Dodge
87.6%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility82.5%
Mixed vs Avgs
Here
82.5%
US
79.8%
WI
82.2%
Dodge
85.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.1%
Better than Avg
Here
1.1%
US
1.6%
WI
1.3%
Dodge
1.4%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

9deficiencies
Near state avg (9.8)
4 complaint-triggered

Families have filed complaints triggering serious deficiencies including inadequate response to abuse allegations and failure to provide sufficient nutrition. The facility shows persistent problems with fire safety systems, electrical safety, and resident care across multiple surveys. While most issues are reported as corrected, the recurring pattern of safety violations and recent complaint-driven findings about fundamental care failures warrant careful consideration during your visit.

Apr 15, 2026Routine
9
0684Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0686Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0321Potential for harm · WidespreadCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0271Potential for harm · PatternCorrected

Egress Deficiencies

Have exits that are accessible at all times.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0923Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0345Minimal · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

Oct 14, 2025Complaint
4
0684Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Jan 30, 2025Routine
9
0006Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct risk assessment and an All-Hazards approach.

0321Potential for harm · WidespreadCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0271Potential for harm · PatternCorrected

Egress Deficiencies

Have exits that are accessible at all times.

0351Potential for harm · PatternCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0912Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have power receptacles that are properly grounded.

0923Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0757Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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

0911Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the installation and maintenance of electrical systems.

Nov 22, 2023Routine
6
0321Potential for harm · Widespread

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0006Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct risk assessment and an All-Hazards approach.

0914Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

0585Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0223Potential for harm · IsolatedCorrected

Egress Deficiencies

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Complete Care at Christian Home LLC

Organization Type

nonprofit

Chain Affiliation

Chain Name

Complete Care

Chain Size

85 facilities nationwide

Chain avg rating: 3.2/5 · Rank 38 of 85

Ownership & Management

Owners

Pc Wcm Opco Holdco LLC

Owner · Organization

100%

Pc Wcm Topco LLC

Owner (parent company) · Organization

Peace Capital Holdings II LLC

Owner (parent company) · Organization

Sms 2021 Trust

Owner (parent company) · Organization

Klugman, Jacob

Owner (parent company)

Stein, Shalom

Owner (parent company)

Key personnel

Hellman, YosefManaging Control - Governing BodyStein, ShalomManaging Control - Governing BodyStein, ShalomOfficer / DirectorFentrow, LaurenManagerHellman, YosefManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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