Public Record
Complete Care at Christian Home LLC
From CMS
Facility profile
- CMS overall rating
- 3 / 5
- Certified beds
- 50
- Avg. residents per day
- 33.6
*CMS Five-Star
*CMS
*CMS
Inspection record
On record from CMS
- Citations on record
- 28
- Inspections on file
- 7
- Last inspection
- 2025-10-14
*CMS
*CMS
*CMS
Citations
28 citations on record
Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
- 0684Seriousactual harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 0689Seriousactual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0610Generalpotential for harm
Respond appropriately to all alleged violations.
- 0692Generalpotential for harm
Provide enough food/fluids to maintain a resident's health.
- 0912Generalpotential for harm
Have power receptacles that are properly grounded.
- 0580Generalpotential for harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- 0757Generalpotential for harm
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- 0006Generalpotential for harm
Conduct risk assessment and an All-Hazards approach.
- 0271Generalpotential for harm
Have exits that are accessible at all times.
- 0321Generalpotential for harm
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- 0351Generalpotential for harm
Install an approved automatic sprinkler system.
- 0911Generalpotential for harm
Meet requirements for the installation and maintenance of electrical systems.
- 0923Generalpotential for harm
Have proper medical gas storage and administration areas.
- 0006Generalpotential for harm
Conduct risk assessment and an All-Hazards approach.
- 0223Generalpotential for harm
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- 0321Generalpotential for harm
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- 0914Generalpotential for harm
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- 0920Generalpotential for harm
Ensure proper usage of power strips and extension cords.
- 0585Generalpotential for harm
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.
- 0321Generalpotential for harm
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- 0346Generalpotential for harm
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- 0372Generalpotential for harm
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- 0353Generalpotential for harm
Inspect, test, and maintain automatic sprinkler systems.
- 0511Generalpotential for harm
Have properly installed electrical wiring and gas equipment.
- 0131Generalpotential for harm
Meet requirements for sections of health care facilities separated by fire resistive construction.
- 0641Generalpotential for harm
Ensure each resident receives an accurate assessment.
- 0689Generalpotential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0223Generalpotential for harm
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Inspection history
Every health inspection on record
Each CMS health inspection of this facility, and the deficiencies the surveyors cited. Where the verbatim Form 2567 statement of deficiencies is on file, it links to the full report.
- View inspection reportInspection4 deficiencies
- View inspection reportInspection9 deficiencies
- View inspection reportInspection9 deficiencies
- View inspection reportInspection6 deficiencies
- View inspection reportInspection6 deficiencies
- View inspection reportInspection9 deficiencies
- View inspection reportInspection9 deficiencies
FAQ
Questions and answers
- What is Complete Care at Christian Home LLC?
- Complete Care at Christian Home LLC is a Medicare- and Medicaid-certified nursing home in Waupun, WI, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 525531.
- What is the CMS rating for Complete Care at Christian Home LLC?
- Complete Care at Christian Home LLC has a CMS overall rating of 3 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
- How many beds does Complete Care at Christian Home LLC have?
- Complete Care at Christian Home LLC is certified for 50 beds. It serves an average of 33.6 residents per day.
- How many citations does Complete Care at Christian Home LLC have?
- Complete Care at Christian Home LLC has 28 citations on record from CMS health inspections, each tied to a federal deficiency tag.
- When was Complete Care at Christian Home LLC last inspected?
- Complete Care at Christian Home LLC was last inspected on October 14, 2025. CMS surveys nursing homes about once a year and after complaints.
- What can I do if I have concerns about care at this facility?
- Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.
*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.
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