Wisconsin › Dodge County › Waupun
Complete Care At Christian Home LLC
452 Fox Lake Road, Waupun, WI 53963
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Complete Care At Christian Home LLC is a For-profit, limited liability company nursing home in Waupun, Wisconsin, certified for 50 beds and caring for about 37 residents a day.
CMS gives it 2 of 5 stars overall, below the Wisconsin median of 3; the health inspection rating is 2, staffing 4 and quality measures 3.
Inspectors recorded 12 health deficiencies across the three most recent survey cycles (9, 2, 1 by cycle, most recent first), 4 of them at the actual-harm or immediate-jeopardy level. That is 24.0 per 100 beds, fewer than the state median of 31.8.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 4.7 hours per resident per day (1.3 RN), close to the Wisconsin median of 4.0; nursing staff turnover is 66.1%.
Compared with county, state and nation
| Measure | This facility | Dodge Co. median | Wisconsin median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 12 | 27 | 21 | 28.7 |
| Citations per 100 beds | 24.0 | 32.9 | 31.8 | 26.8 |
| Total nurse hours per resident day | 4.7 | 3.9 | 4.0 | 3.9 |
| RN hours per resident day | 1.3 | 1.1 | 0.9 | 0.7 |
| Nursing staff turnover | 66.1% | 45.2% | 46.2% | 45.8% |
| Fines listed | $0 | $26,706 | $0 | — |
County and state figures are medians across facilities (10 in the county, 323 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Wisconsin average per facility for the same cycle, as published by CMS. Standard health survey dates: 15 Apr 2026, 30 Jan 2025.
Severity mix: G ×4 D ×7 F ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 15 Apr 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Standard survey | 8 May 2026 |
| 15 Apr 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard survey | 8 May 2026 |
| 15 Apr 2026 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 8 May 2026 |
| 15 Apr 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 8 May 2026 |
| 15 Apr 2026 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 8 May 2026 |
| 14 Oct 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | 7 Nov 2025 |
| 14 Oct 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 7 Nov 2025 |
| 14 Oct 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 7 Nov 2025 |
| 14 Oct 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Complaint investigation | 7 Nov 2025 |
| 30 Jan 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 21 Feb 2025 |
| 30 Jan 2025 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 21 Feb 2025 |
| 22 Nov 2023 | F0585 | 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. | D | Standard survey | 21 Dec 2023 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Wisconsin average. Turnover: nursing staff 66.1%, RNs 66.7%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Wisconsin median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 7.1% | 15.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 1.5% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 2.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.8% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.1% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 11.5% | 16.8% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 9.4% | 4.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 11.3% | 14.4% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Christian Home Care And Rehab Center Llc. Chain: Complete Care (85 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Pc Wcm Opco Holdco LLC | 5% or greater direct ownership interest | 100% | 02/28/2025 |
| Pc Wcm Topco LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 02/28/2025 |
| Christian Home Propco LLC | Adp of the snf | NOT APPLICABLE | 02/28/2025 |
| Des Capital LLC | Adp of the snf | NOT APPLICABLE | 02/28/2025 |
| Jrk Investments LLC | Adp of the snf | NOT APPLICABLE | 02/28/2025 |
| Pc Wcm Propco Holdco LLC | Adp of the snf | NOT APPLICABLE | 02/28/2025 |
| Pc Wcm Topco LLC | Adp of the snf | NOT APPLICABLE | 02/28/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Dodge County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Clearview | Juneau | 40 | 5 | 4 | 5 | 9 | 22.5 | $9K | 7 Aug 2025 |
| Clearview Brain Injury Center | Juneau | 30 | 5 | 5 | 5 | 1 | 3.3 | — | 8 May 2024 |
| Hope Health and Rehab | Lomira | 38 | 5 | 4 | 5 | 14 | 36.8 | — | 18 Jun 2026 |
| Avina of Mayville | Mayville | 80 | 3 | 3 | 3 | 27 | 33.8 | $19K | 17 Jun 2026 |
| Randolph Health Services | Randolph | 84 | 3 | 3 | 4 | 13 | 15.5 | $50K | 12 Mar 2026 |
| Hillside Manor | Beaver Dam | 115 | 2 | 2 | 4 | 29 | 25.2 | $193K | 12 Mar 2026 |
| Marquardt Memorial Manor | Watertown | 140 | 2 | 2 | 2 | 46 | 32.9 | $27K | 1 Jul 2026 |
| Beaver Dam Health Care Centerabuse iconSFF Candidate | Beaver Dam | 90 | 1 | 1 | 3 | 110 | 122.2 | $96K | 19 May 2026 |
All 10 facilities in Dodge County
Questions and answers
How many deficiencies has Complete Care At Christian Home LLC been cited for?
12 health deficiencies across the three most recent survey cycles, 4 at the actual-harm or immediate-jeopardy level. The Wisconsin median is 21 per facility.
Has Complete Care At Christian Home LLC been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Complete Care At Christian Home LLC compare?
Reported total nurse staffing is 4.7 hours per resident per day against a Wisconsin median of 4.0 and a national average of 3.9.
Who operates Complete Care At Christian Home LLC?
It is part of the Complete Care chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Pc Wcm Opco Holdco LLC and Pc Wcm Topco LLC. Individual owners and managers are not listed on this site.
When was Complete Care At Christian Home LLC last inspected?
The most recent survey or investigation in the CMS record is dated 15 Apr 2026; the most recent standard health survey was 15 Apr 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.