Wisconsin › Washington County › Germantown
Complete Care At Germantown
W173 N10915 Bernies Way, Germantown, WI 53022
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.
Certified for 121 beds, Complete Care At Germantown serves Germantown in Washington County, Wisconsin and has taken Medicare and Medicaid residents since 1999.
CMS gives it 4 of 5 stars overall, above the Wisconsin median of 3; the health inspection rating is 4, staffing 2 and quality measures 4.
Inspectors recorded 18 health deficiencies across the three most recent survey cycles (0, 5, 13 by cycle, most recent first), none at the actual-harm level. That is 14.9 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 3.7 hours per resident per day (0.9 RN), close to the Wisconsin median of 4.0; nursing staff turnover is 57.1%.
Compared with county, state and nation
| Measure | This facility | Washington Co. median | Wisconsin median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 18 | 46 | 21 | 28.7 |
| Citations per 100 beds | 14.9 | 43.4 | 31.8 | 26.8 |
| Total nurse hours per resident day | 3.7 | 4.9 | 4.0 | 3.9 |
| RN hours per resident day | 0.9 | 1.3 | 0.9 | 0.7 |
| Nursing staff turnover | 57.1% | 57.1% | 46.2% | 45.8% |
| Fines listed | $0 | $0 | $0 | — |
County and state figures are medians across facilities (4 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: 29 May 2026, 5 Mar 2025.
Severity mix: D ×15 E ×3
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 |
|---|---|---|---|---|---|
| 5 Mar 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 25 Mar 2025 |
| 5 Mar 2025 | F0551 | Give the resident's representative the ability to exercise the resident's rights. | D | Standard survey | 21 Mar 2025 |
| 5 Mar 2025 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 24 Mar 2025 |
| 5 Mar 2025 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 25 Mar 2025 |
| 30 Jan 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint investigation | 1 Mar 2025 |
| 17 Jul 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 16 Aug 2024 |
| 17 Jul 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 16 Aug 2024 |
| 8 May 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 8 Jun 2024 |
| 8 May 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 8 Jun 2024 |
| 24 Jan 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 23 Feb 2024 |
| 24 Jan 2024 | 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 | Complaint investigation | 23 Feb 2024 |
| 24 Jan 2024 | F0700 | Try 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. | D | Standard survey | 23 Feb 2024 |
| 7 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 | Complaint investigation | 23 Nov 2023 |
| 7 Nov 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 1 Dec 2023 |
| 25 Oct 2023 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 23 Nov 2023 |
| 25 Oct 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 | Complaint investigation | 23 Nov 2023 |
| 25 Oct 2023 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 23 Nov 2023 |
| 25 Oct 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 23 Nov 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 57.1%, RNs 60.0%; 2 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 | 8.3% | 15.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.9% | 1.5% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.2% | 2.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.8% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 3.7% | 16.8% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.3% | 4.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 12.4% | 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, corporation. Legal business name: Virginia Highlands Care And Rehab Center Llc. Chain: Complete Care (85 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Pc Swi Holdco LLC | 5% or greater direct ownership interest | 100% | 06/01/2022 |
| Pc Swi Topco LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 06/01/2022 |
| Des Capital LLC | Adp of the snf | NOT APPLICABLE | 06/01/2022 |
| Jrk Investments LLC | Adp of the snf | NOT APPLICABLE | 06/01/2022 |
| Virginia Highlands Propco LLC | Adp of the snf | NOT APPLICABLE | 06/01/2022 |
| Wi 6 Propco Holdco LLC | Adp of the snf | NOT APPLICABLE | 06/01/2022 |
| Wi 6 Propco Topco LLC | Adp of the snf | NOT APPLICABLE | 06/01/2022 |
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 Washington County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Cedar Lake Health and Rehab Center | West Bend | 75 | 5 | 4 | 5 | 14 | 18.7 | — | 24 Jun 2026 |
| Pavilion At Glacier Valley | Slinger | 106 | 2 | 2 | 3 | 46 | 43.4 | — | 11 Jun 2026 |
| Samaritan Nursing and Rehababuse icon | West Bend | 131 | 1 | 1 | 4 | 65 | 49.6 | $210K | 18 May 2026 |
All 4 facilities in Washington County
Questions and answers
How many deficiencies has Complete Care At Germantown been cited for?
18 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Wisconsin median is 21 per facility.
Has Complete Care At Germantown been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Complete Care At Germantown compare?
Reported total nurse staffing is 3.7 hours per resident per day against a Wisconsin median of 4.0 and a national average of 3.9.
Who operates Complete Care At Germantown?
It is part of the Complete Care chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Pc Swi Holdco LLC and Pc Swi Topco LLC. Individual owners and managers are not listed on this site.
When was Complete Care At Germantown last inspected?
The most recent survey or investigation in the CMS record is dated 5 Mar 2025; the most recent standard health survey was 29 May 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.