Elder Care Record

Wisconsin › Racine County › Racine

Complete Care At Ridgewood LLC

3205 Wood Rd, Racine, WI 53406

CCN 525608 · For-profit, limited liability company · 200 certified beds · chain Complete Care

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

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 Ridgewood LLC is a For-profit, limited liability company nursing home in Racine, Wisconsin, certified for 200 beds and caring for about 104 residents a day.

CMS gives it 3 of 5 stars overall, equal to the Wisconsin median; the health inspection rating is 3, staffing 2 and quality measures 4.

Inspectors recorded 35 health deficiencies across the three most recent survey cycles (8, 15, 12 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 17.5 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 (0.8 RN), close to the Wisconsin median of 4.0; nursing staff turnover is 60.3%.

35health deficiencies, 3 survey cycles1 at actual harm or worse
$0fines listed by CMS0 penalties in period
3.7nurse hours per resident per daystate median 4.0
52%occupancy (residents ÷ beds)104 residents a day

Compared with county, state and nation

MeasureThis facilityRacine Co. medianWisconsin medianUS average
Overall star rating3133.0
Health citations, 3 cycles35542128.7
Citations per 100 beds17.544.331.826.8
Total nurse hours per resident day3.74.74.03.9
RN hours per resident day0.80.90.90.7
Nursing staff turnover60.3%60.3%46.2%45.8%
Fines listed$0$182,618$0—

County and state figures are medians across facilities (6 in the county, 323 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)8
Cycle 215
Cycle 312

Dark bar: this facility. Grey bar: Wisconsin average per facility for the same cycle, as published by CMS. Standard health survey dates: 12 Aug 2025, 6 May 2024.

Severity mix: G ×1 D ×29 E ×4 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)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
7 Apr 2026F0646Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.DComplaint investigation6 May 2026
7 Apr 2026F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation6 May 2026
7 Apr 2026F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint investigation6 May 2026
7 Apr 2026F0745Provide medically-related social services to help each resident achieve the highest possible quality of life.DComplaint investigation6 May 2026
7 Apr 2026F0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.DComplaint investigation6 May 2026
4 Dec 2025F0692Provide enough food/fluids to maintain a resident's health.DComplaint investigation5 Dec 2025
12 Aug 2025F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey21 Sep 2025
12 Aug 2025F0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.DStandard survey21 Sep 2025
19 Feb 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation19 Mar 2025
19 Feb 2025F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint investigation19 Mar 2025
19 Feb 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation19 Mar 2025
19 Feb 2025F0880Provide and implement an infection prevention and control program.DComplaint investigation19 Mar 2025
6 Dec 2024F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DComplaint investigation26 Dec 2024
23 Oct 2024F0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DComplaint investigation22 Nov 2024
23 Oct 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation22 Nov 2024
23 Oct 2024F0880Provide and implement an infection prevention and control program.DComplaint investigation22 Nov 2024
6 May 2024F0880Provide and implement an infection prevention and control program.FStandard survey29 May 2024
6 May 2024F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey29 May 2024
6 May 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey29 May 2024
6 May 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint investigation29 May 2024
6 May 2024F0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DStandard survey29 May 2024
6 May 2024F0692Provide enough food/fluids to maintain a resident's health.DComplaint investigation29 May 2024
6 May 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey29 May 2024
26 Jan 2023F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GStandard survey24 Feb 2023
26 Jan 2023F0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.EStandard survey24 Feb 2023
26 Jan 2023F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.EStandard survey24 Feb 2023
26 Jan 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard survey24 Feb 2023
26 Jan 2023F0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.EStandard survey24 Feb 2023
26 Jan 2023F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey24 Feb 2023
26 Jan 2023F0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DStandard survey24 Feb 2023
26 Jan 2023F0692Provide enough food/fluids to maintain a resident's health.DStandard survey24 Feb 2023
26 Jan 2023F0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DStandard survey24 Feb 2023
26 Jan 2023F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard survey24 Feb 2023
26 Jan 2023F0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DStandard survey24 Feb 2023
26 Jan 2023F0880Provide and implement an infection prevention and control program.DStandard survey24 Feb 2023

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing3.71 h
Nurse aides2.18 h
LPN0.74 h
RN0.78 h
Weekend total3.34 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Wisconsin average. Turnover: nursing staff 60.3%, RNs 60.9%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityWisconsin medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay2.9%15.4%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay2.7%1.5%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay3.5%2.3%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay4.8%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay1.1%0.9%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay5.2%16.8%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay7.3%4.4%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay15.2%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: Complete Care At Ridgewood Llc. Chain: Complete Care (85 facilities).

OrganisationRole in the CMS recordInterestSince
Peace Capital LLC5% or greater direct ownership interest100%09/01/2017
Des Capital LLCAdp of the snfNOT APPLICABLE09/01/2017
Jrk Investments LLCAdp of the snfNOT APPLICABLE09/01/2017
Pc Ridgewood Propco LLCAdp of the snfNOT APPLICABLE09/01/2017
Wi 6 Propco Holdco LLCAdp of the snfNOT APPLICABLE09/01/2017
Wi 6 Propco Topco LLCAdp of the snfNOT APPLICABLE09/01/2017

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 Racine County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Oak Ridge Care CenterUnion Grove743251723.0$119K28 Oct 2025
Ascension Living - Lakeshore At SienaRacine601135795.0—9 Feb 2026
Burlington Health and Rehabilitation CenterBurlington1231139778.9$372K18 Jun 2026
Lincoln Park Nursing and Rehab LLCRacine1221135444.3$183K22 Apr 2026
Wi Veterans Home-Boland Hallabuse iconSFF CandidateUnion Grove1581154427.8$281K22 Apr 2026

All 6 facilities in Racine County

Questions and answers

How many deficiencies has Complete Care At Ridgewood LLC been cited for?

35 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Wisconsin median is 21 per facility.

Has Complete Care At Ridgewood LLC been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at Complete Care At Ridgewood LLC 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 Ridgewood LLC?

It is part of the Complete Care chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Peace Capital LLC. Individual owners and managers are not listed on this site.

When was Complete Care At Ridgewood LLC last inspected?

The most recent survey or investigation in the CMS record is dated 7 Apr 2026; the most recent standard health survey was 12 Aug 2025.

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.