Complete Care At Germantown

• To conduct inspection, testing and maintenance of fire doors by qualified individuals.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 25, 2025

• Install an approved automatic sprinkler system.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 25, 2025

• List the names and contact information of those in the facility.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 6, 2025

• Have a battery powered remote alarm panel in a location accessible by operating personnel.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadWaiver has been granted

• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 25, 2025

• Provide a written emergency evacuation plan.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 8, 2025

• Keep aisles, corridors, and exits free of obstruction in case of emergency.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 8, 2025

• Give the resident's representative the ability to exercise the resident's rights.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 21, 2025

• Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 24, 2025

• Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 25, 2025

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 6, 2025

• Ensure that sources of ignition are removed from patients receiving respiratory therapy.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 25, 2025

• Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 8, 2025

• PASARR screening for Mental disorders or Intellectual Disabilities

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 25, 2025

• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Mar 1, 2025

• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Aug 16, 2024

• Respond appropriately to all alleged violations.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Aug 16, 2024

• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jun 8, 2024

• Respond appropriately to all alleged violations.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jun 8, 2024

• Install a fire alarm system that can be heard throughout the facility.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Sep 6, 2024

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 23, 2024

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 23, 2024

• Have exits that are accessible at all times.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 23, 2024

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Feb 23, 2024

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 23, 2024

• Have restrictions on the use of portable space heaters.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 23, 2024

• Ensure proper usage of power strips and extension cords.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 23, 2024

• Inspect, test, and maintain automatic sprinkler systems.

  Severity C of L: potential for minimal harm, widespreadCorrected Feb 23, 2024

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Nov 23, 2023

• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Dec 1, 2023

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Nov 23, 2023

• Develop and implement policies and procedures to prevent abuse, neglect, and theft.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Nov 23, 2023

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Nov 23, 2023

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Nov 23, 2023

• Have generator or other power source capable of supplying service within 10 seconds.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Dec 8, 2022

• Keep all essential equipment working safely.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Dec 8, 2022

• Install smoke barrier doors that can resist smoke for at least 20 minutes.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 8, 2022

• Provide and implement an infection prevention and control program.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 8, 2022

• Ensure 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 8, 2022

• Ensure medication error rates are not 5 percent or greater.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 8, 2022

• Inspect, test, and maintain automatic sprinkler systems.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 8, 2022

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 8, 2022

• Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 8, 2022

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 8, 2022

• Plan the resident's discharge to meet the resident's goals and needs.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 8, 2022

• Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 8, 2022

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 8, 2022

• Provide safe and appropriate respiratory care for a resident when needed.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 8, 2022

Complete Care At Germantown offers Skilled Nursing / Long Term Care.

Complete Care At Germantown is located at W173 N10915 Bernies Way in Germantown, Wisconsin.

Complete Care At Germantown had 8 government inspection visits in the last three years, with 48 citations on file according to CMS Care Compare data. The full history, including what each citation was for and whether it was corrected, is in the inspection section on this page.

Submit the Request Information form on this page to connect with Complete Care At Germantown and arrange a tour. Sharing your timeline and care needs up front helps the community prepare for your visit.