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Bradley Estates Nursing and Rehab LLC

6735 W Bradley Rd, Milwaukee, WI 53223Map

(414) 354-3300

Medicare/Medicaid certified198 certified beds~136 residents/dayFor profit - Corporation

CMS abuse icon — this facility was cited for abuse
What the abuse icon means more

CMS flags a facility with its abuse icon when inspectors cited it for abuse that harmed a resident within the past year, or for abuse that could have harmed a resident in each of the last two years. CMS shows this same icon on its own Care Compare site, and caps the facility's ratings while it's flagged. The icon is removed when newer inspections come back clean. The deficiency list below will contain the underlying citations — read them.

What to do with this: read the abuse-related citations below, and ask the facility directly what happened and what changed. Verify the current status at medicare.gov/care-compare.

Special Focus Facility candidate — qualifies for enhanced CMS oversight
What Special Focus status means more

CMS keeps a short national list of nursing homes with the most persistent serious problems — the Special Focus Facility (SFF) program. SFF homes get inspected about twice as often and must improve or face termination from Medicare/Medicaid. 'SFF candidate' means the home qualifies for the list but isn't on it yet (the list has limited slots per state). Some SFF homes do graduate and improve; the designation means CMS is watching closely right now.

What to do with this: ask the administrator where the home is in the SFF process and what the improvement plan is. Verify status at medicare.gov/care-compare.

Last standard health inspection: September 17, 2025

Bradley Estates Nursing and Rehab LLC is a 198-bed for-profit, corporation-owned nursing home in Milwaukee, Milwaukee County, Wisconsin, serving an average of 136 residents per day. As of CMS data processed June 1, 2026, its overall rating is 1 of 5 stars.

CMS star ratings

CMS scores every nursing home 1–5 stars overall, built from three sub-ratings. more

Medicare inspects and measures every certified nursing home, then rolls the results into a 1–5 star overall rating. It combines three parts: health inspections, staffing, and quality measures. Five stars means much better than average — it does not mean perfect. One star means much worse than average — it does not mean every shift is bad. Stars are a screening tool, not a verdict. They can lag reality by months, and they can't see things like how kind the aides are or how the building smells at 7am.

What to do with this: use stars to build a shortlist, then visit in person. Nothing on this site replaces walking the halls.

Overall
WI median: 3★
Health inspectionsmost objective — on-site surveyors
WI median: 3★
Staffingpayroll-audited
WI median: 4★
Quality measurespartly self-reported by the facility
WI median: 3★
Health-inspection stars are graded on a curve within each state — never compare stars across state lines. more

CMS sets health-inspection star cutoffs separately for each state: roughly the top 10% of homes in a state get 5 stars, the bottom 20% get 1 star, no matter how the state compares to others. That means a 4-star home in one state and a 4-star home in another state may have very different inspection records. The stars tell you how a home compares to its neighbors, not to the whole country. That's why this site shows your state's median next to each star rating — and never a national star comparison.

What to do with this: compare stars only between homes in the same state. To compare across states, use staffing hours — those are real numbers, not curves.

Not all three sub-ratings are equally hard to game: inspections are the most objective, quality measures the least. more

The three sub-ratings come from different sources. Health inspections are done on-site by trained state surveyors who show up mostly unannounced — the most objective signal. Staffing comes from payroll records that facilities must submit and CMS audits — quite reliable. Quality measures are partly self-reported by the facility from its own resident assessments — useful, but the facility grades some of its own homework.

What to do with this: when sub-ratings disagree, weigh the inspection star most and the quality-measure star least.

Staffing

Reported hours per resident per day, from payroll records. Hours, unlike stars, can be compared across states.

Hours per resident per day: total staff hours worked, divided by the number of residents. more

If a home reports 3.5 total nursing hours per resident per day, that's all nursing staff time across 24 hours — roughly one caregiver-hour every 7 hours per resident, spread across day, evening, and night shifts. On a real floor it decides whether call lights get answered in 5 minutes or 25, whether someone has time to help with dinner, and whether night shift is one aide for a hall or two. Unlike star ratings, hours are actual numbers, so they CAN be compared across state lines.

What to do with this: compare a home's hours to the state and national medians shown, and ask the facility how the hours split across day, evening, and night shifts.

RN (registered nurse) hours

This facility0.66
WI median0.92
US median0.58

LPN (licensed practical nurse) hours

This facility0.83
WI median0.63
US median0.85

Nurse aide hours

This facility2.16
WI median2.48
US median2.23

Total nursing hours

This facility3.65
WI median4.08
US median3.69

CMS also adjusts these numbers for how sick each home’s residents are — a home with sicker residents needs more staff for the same star. This home’s case-mix-adjusted total: 3.67 (US median, adjusted: 3.78).

CMS also adjusts staffing numbers for how sick each home's residents are. more

A home full of short-term rehab patients needs different staffing than a home caring for people with advanced dementia or ventilators. Case-mix adjustment estimates how many hours a home's particular residents need, then scales the reported hours so homes can be compared fairly. A home with sicker residents needs more staff for the same star. This page shows reported (raw payroll) numbers and compares them only to other reported numbers — like with like.

What to do with this: if a home's reported hours look low, check whether its residents may simply need less care — and ask the facility directly.

Staff turnover

Total nursing staff turnover: 70.8% · WI median: 46.3% · RN turnover: 60% (WI median: 36.4%)

The share of nursing staff who left within the year. Lower is steadier. more

Total nursing staff turnover is the percentage of the home's nurses and aides who stopped working there during the year. Around half of nursing-home staff leaving annually is sadly common in this industry. High turnover means residents are cared for by people who don't know them — which matters enormously for dementia care, pain management, and noticing the small changes that catch problems early. Low turnover usually means staff are treated well enough to stay.

What to do with this: when you visit, ask aides how long they've worked there. Long-tenured aides are the best sign a building has.

Inspections & deficiencies

The last 3 inspection cycles, from CMS’s federal health-survey file. State-only citations and fire-safety surveys are not included — an empty list means nothing federal is in this file, not that nothing ever happened.

Each deficiency gets a letter A–L: how severe it was × how widespread it was. more

Surveyors grade every deficiency on a grid. Severity runs from 'potential for minimal harm' up to 'immediate jeopardy to resident health or safety.' Scope runs from isolated (one or a few residents) to pattern to widespread. A and B are paperwork-level; D–F caused no actual harm but had the potential; G–I caused actual harm; J, K, and L mean immediate jeopardy — the most serious finding a surveyor can make. Most citations nationally are D–E.

What to do with this: scan for G or higher. One J/K/L tells you more than ten D's.

Standard surveys are routine; complaint surveys happen because someone reported a problem. more

A standard survey is the routine top-to-bottom inspection every home gets on a recurring cycle. A complaint survey happens because a resident, family member, or staff member reported something to the state — surveyors come specifically to investigate it. Infection-control surveys focus on practices like hand hygiene and isolation procedures. A deficiency found during a complaint survey means someone cared enough to report it and a surveyor confirmed enough to cite it.

What to do with this: note which deficiencies came from complaints — they show you what residents and families actually experienced.

The F-number on each deficiency is CMS's code for which federal requirement was violated. more

Every federal nursing-home requirement has a tag number. F0686, for example, is the pressure-ulcer requirement; F0600 is freedom from abuse. The tag tells you exactly which rule was broken, and the description next to it is CMS's own plain-language summary of that rule. The same tag appearing across multiple inspections is a pattern worth noticing.

What to do with this: if the same tag repeats across surveys, ask the facility what changed since the last citation.

This data shows federal health surveys only — state-only citations and fire-safety surveys aren't included. more

CMS's public deficiency file contains federal health-survey citations. It does not include citations issued under state-only rules, fire-safety (Life Safety Code) surveys, or anything older than three inspection cycles. A facility with no rows here may still have state citations or fire-safety findings. 'No deficiencies in this file' never means 'no violations ever.'

What to do with this: for the full picture, check your state health department's site and medicare.gov/care-compare, which shows fire-safety results separately.

155 deficiencies across the last 3 inspection cycles, in CMS’s federal health-survey file:

  • Quality of Life and Care: 41
  • Resident Rights: 35
  • Freedom from Abuse, Neglect, and Exploitation: 22
  • Pharmacy Service: 17
  • Resident Assessment and Care Planning: 13
  • Infection Control: 10
  • Nutrition and Dietary: 8
  • Administration: 4
  • Environmental: 3
  • Nursing and Physician Services: 2
  • December 30, 2025Complaint surveyTag F0565Dno actual harm, potential for more than minimal harm, isolated

    Honor the resident's right to organize and participate in resident/family groups in the facility.

    Deficient, Provider has date of correction · corrected January 28, 2026

  • December 30, 2025Complaint surveyTag F0584Eno actual harm, potential for more than minimal harm, pattern

    Honor 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.

    Deficient, Provider has date of correction · corrected January 28, 2026

  • December 30, 2025Complaint surveyTag F0600Dno actual harm, potential for more than minimal harm, isolated

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Deficient, Provider has date of correction · corrected January 28, 2026

  • December 30, 2025Complaint surveyTag F0610Dno actual harm, potential for more than minimal harm, isolated

    Respond appropriately to all alleged violations.

    Deficient, Provider has date of correction · corrected January 28, 2026

  • September 17, 2025Standard surveyTag F0551Dno actual harm, potential for more than minimal harm, isolated

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

    Deficient, Provider has date of correction · corrected October 16, 2025

  • September 17, 2025Standard surveyTag F0552Dno actual harm, potential for more than minimal harm, isolated

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Deficient, Provider has date of correction · corrected October 16, 2025

  • September 17, 2025Standard surveyTag F0582Dno actual harm, potential for more than minimal harm, isolated

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

    Deficient, Provider has date of correction · corrected October 16, 2025

  • September 17, 2025Standard surveyTag F0585Dno actual harm, potential for more than minimal harm, isolated

    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.

    Deficient, Provider has date of correction · corrected October 16, 2025

  • September 17, 2025Standard surveyTag F0605Eno actual harm, potential for more than minimal harm, pattern

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    Deficient, Provider has date of correction · corrected October 16, 2025

  • September 17, 2025Standard surveyTag F0640Dno actual harm, potential for more than minimal harm, isolated

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    Deficient, Provider has date of correction · corrected October 16, 2025

Show 145 more deficiencies
  • September 17, 2025Standard surveyTag F0641Eno actual harm, potential for more than minimal harm, pattern

    Ensure each resident receives an accurate assessment.

    Deficient, Provider has date of correction · corrected October 16, 2025

  • September 17, 2025Standard surveyTag F0644Dno actual harm, potential for more than minimal harm, isolated

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Deficient, Provider has date of correction · corrected October 16, 2025

  • September 17, 2025Standard surveyTag F0645Dno actual harm, potential for more than minimal harm, isolated

    PASARR screening for Mental disorders or Intellectual Disabilities

    Deficient, Provider has date of correction · corrected October 16, 2025

  • September 17, 2025Standard surveyTag F0677Dno actual harm, potential for more than minimal harm, isolated

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

    Deficient, Provider has date of correction · corrected October 16, 2025

  • September 17, 2025Standard surveyTag F0686Dno actual harm, potential for more than minimal harm, isolated

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Deficient, Provider has date of correction · corrected October 16, 2025

  • September 17, 2025Standard surveyTag F0689Dno actual harm, potential for more than minimal harm, isolated

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

    Deficient, Provider has date of correction · corrected October 16, 2025

  • September 17, 2025Standard surveyTag F0757Dno actual harm, potential for more than minimal harm, isolated

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Deficient, Provider has date of correction · corrected October 16, 2025

  • September 17, 2025Standard surveyTag F0761Eno actual harm, potential for more than minimal harm, pattern

    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.

    Deficient, Provider has date of correction · corrected October 16, 2025

  • September 17, 2025Standard surveyTag F0880Eno actual harm, potential for more than minimal harm, pattern

    Provide and implement an infection prevention and control program.

    Deficient, Provider has date of correction · corrected October 16, 2025

  • August 20, 2025Complaint surveyTag F0600Dno actual harm, potential for more than minimal harm, isolated

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Deficient, Provider has date of correction · corrected September 14, 2025

  • August 20, 2025Complaint surveyTag F0609Dno actual harm, potential for more than minimal harm, isolated

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

    Deficient, Provider has date of correction · corrected September 14, 2025

  • August 20, 2025Complaint surveyTag F0610Dno actual harm, potential for more than minimal harm, isolated

    Respond appropriately to all alleged violations.

    Deficient, Provider has date of correction · corrected September 14, 2025

  • July 11, 2025Complaint surveyTag F0584Eno actual harm, potential for more than minimal harm, pattern

    Honor 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.

    Deficient, Provider has date of correction · corrected August 8, 2025

  • July 11, 2025Complaint surveyTag F0610Dno actual harm, potential for more than minimal harm, isolated

    Respond appropriately to all alleged violations.

    Deficient, Provider has date of correction · corrected August 8, 2025

  • July 11, 2025Complaint surveyTag F0689Dno actual harm, potential for more than minimal harm, isolated

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

    Deficient, Provider has date of correction · corrected August 8, 2025

  • June 10, 2025Complaint surveyTag F0565Eno actual harm, potential for more than minimal harm, pattern

    Honor the resident's right to organize and participate in resident/family groups in the facility.

    Deficient, Provider has date of correction · corrected July 4, 2025

  • June 10, 2025Complaint surveyTag F0755Dno actual harm, potential for more than minimal harm, isolated

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

    Deficient, Provider has date of correction · corrected July 4, 2025

  • June 10, 2025Complaint surveyTag F0761Dno actual harm, potential for more than minimal harm, isolated

    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.

    Deficient, Provider has date of correction · corrected July 4, 2025

  • June 10, 2025Complaint surveyTag F0880Dno actual harm, potential for more than minimal harm, isolated

    Provide and implement an infection prevention and control program.

    Deficient, Provider has date of correction · corrected July 4, 2025

  • April 1, 2025Complaint surveyTag F0580Dno actual harm, potential for more than minimal harm, isolated

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

    Deficient, Provider has date of correction · corrected April 10, 2025

  • April 1, 2025Complaint surveyTag F0677Dno actual harm, potential for more than minimal harm, isolated

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

    Deficient, Provider has date of correction · corrected April 10, 2025

  • April 1, 2025Complaint surveyTag F0755Eno actual harm, potential for more than minimal harm, pattern

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

    Deficient, Provider has date of correction · corrected April 10, 2025

  • April 1, 2025Complaint surveyTag F0761Eno actual harm, potential for more than minimal harm, pattern

    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.

    Deficient, Provider has date of correction · corrected April 10, 2025

  • April 1, 2025Complaint surveyTag F0801Fno actual harm, potential for more than minimal harm, widespread

    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

    Deficient, Provider has date of correction · corrected April 10, 2025

  • April 1, 2025Complaint surveyTag F0803Eno actual harm, potential for more than minimal harm, pattern

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

    Deficient, Provider has date of correction · corrected April 10, 2025

  • April 1, 2025Complaint surveyTag F0812Eno actual harm, potential for more than minimal harm, pattern

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

    Deficient, Provider has date of correction · corrected April 10, 2025

  • April 1, 2025Complaint surveyTag F0880Dno actual harm, potential for more than minimal harm, isolated

    Provide and implement an infection prevention and control program.

    Deficient, Provider has date of correction · corrected April 10, 2025

  • February 6, 2025Complaint surveyTag F0580Dno actual harm, potential for more than minimal harm, isolated

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

    Deficient, Provider has date of correction · corrected February 7, 2025

  • February 6, 2025Complaint surveyTag F0625Dno actual harm, potential for more than minimal harm, isolated

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

    Deficient, Provider has date of correction · corrected February 7, 2025

  • February 6, 2025Complaint surveyTag F0626Dno actual harm, potential for more than minimal harm, isolated

    Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

    Deficient, Provider has date of correction · corrected February 7, 2025

  • February 6, 2025Complaint surveyTag F0689Kimmediate jeopardy to resident health or safety, pattern

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

    Deficient, Provider has date of correction · corrected February 7, 2025

  • January 7, 2025Complaint surveyTag F0600Dno actual harm, potential for more than minimal harm, isolated

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Deficient, Provider has date of correction · corrected January 21, 2025

  • January 7, 2025Complaint surveyTag F0607Eno actual harm, potential for more than minimal harm, pattern

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

    Deficient, Provider has date of correction · corrected January 21, 2025

  • January 7, 2025Complaint surveyTag F0689Dno actual harm, potential for more than minimal harm, isolated

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

    Deficient, Provider has date of correction · corrected February 7, 2025

  • January 7, 2025Complaint surveyTag F0690Gactual harm, isolated

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Deficient, Provider has date of correction · corrected February 4, 2025

  • October 28, 2024Complaint surveyTag F0622Dno actual harm, potential for more than minimal harm, isolated

    Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

    Deficient, Provider has date of correction · corrected October 29, 2024

  • October 28, 2024Complaint surveyTag F0685Dno actual harm, potential for more than minimal harm, isolated

    Assist a resident in gaining access to vision and hearing services.

    Deficient, Provider has date of correction · corrected October 31, 2024

  • October 28, 2024Complaint surveyTag F0880Dno actual harm, potential for more than minimal harm, isolated

    Provide and implement an infection prevention and control program.

    Deficient, Provider has date of correction · corrected November 19, 2024

  • September 19, 2024Complaint surveyTag F0553Dno actual harm, potential for more than minimal harm, isolated

    Allow resident to participate in the development and implementation of his or her person-centered plan of care.

    Deficient, Provider has date of correction · corrected October 14, 2024

  • September 19, 2024Complaint surveyTag F0580Dno actual harm, potential for more than minimal harm, isolated

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

    Deficient, Provider has date of correction · corrected October 14, 2024

  • September 19, 2024Complaint surveyTag F0585Dno actual harm, potential for more than minimal harm, isolated

    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.

    Deficient, Provider has date of correction · corrected October 17, 2024

  • September 19, 2024Complaint surveyTag F0609Dno actual harm, potential for more than minimal harm, isolated

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

    Deficient, Provider has date of correction · corrected October 14, 2024

  • September 19, 2024Complaint surveyTag F0610Dno actual harm, potential for more than minimal harm, isolated

    Respond appropriately to all alleged violations.

    Deficient, Provider has date of correction · corrected October 14, 2024

  • September 19, 2024Complaint surveyTag F0657Dno actual harm, potential for more than minimal harm, isolated

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

    Deficient, Provider has date of correction · corrected December 5, 2024

  • September 19, 2024Complaint surveyTag F0692Dno actual harm, potential for more than minimal harm, isolated

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

    Deficient, Provider has date of correction · corrected October 16, 2024

  • September 19, 2024Complaint surveyTag F0758Dno actual harm, potential for more than minimal harm, isolated

    Implement 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.

    Deficient, Provider has date of correction · corrected October 14, 2024

  • September 19, 2024Complaint surveyTag F0760Gactual harm, isolated

    Ensure that residents are free from significant medication errors.

    Deficient, Provider has date of correction · corrected December 5, 2024

  • September 19, 2024Complaint surveyTag F0917Dno actual harm, potential for more than minimal harm, isolated

    Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space.

    Deficient, Provider has date of correction · corrected October 17, 2024

  • July 1, 2024Standard + Complaint surveyTag F0602Dno actual harm, potential for more than minimal harm, isolated

    Protect each resident from the wrongful use of the resident's belongings or money.

    Deficient, Provider has date of correction · corrected July 17, 2024

  • July 1, 2024Standard + Complaint surveyTag F0607Eno actual harm, potential for more than minimal harm, pattern

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

    Deficient, Provider has date of correction · corrected July 17, 2024

  • July 1, 2024Standard + Complaint surveyTag F0609Dno actual harm, potential for more than minimal harm, isolated

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

    Deficient, Provider has date of correction · corrected July 17, 2024

  • July 1, 2024Standard surveyTag F0610Eno actual harm, potential for more than minimal harm, pattern

    Respond appropriately to all alleged violations.

    Deficient, Provider has date of correction · corrected July 17, 2024

  • July 1, 2024Standard + Complaint surveyTag F0622Dno actual harm, potential for more than minimal harm, isolated

    Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

    Deficient, Provider has date of correction · corrected July 17, 2024

  • July 1, 2024Standard + Complaint surveyTag F0623Eno actual harm, potential for more than minimal harm, pattern

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

    Deficient, Provider has date of correction · corrected July 17, 2024

  • July 1, 2024Standard + Complaint surveyTag F0625Eno actual harm, potential for more than minimal harm, pattern

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

    Deficient, Provider has date of correction · corrected July 17, 2024

  • July 1, 2024Standard surveyTag F0645Eno actual harm, potential for more than minimal harm, pattern

    PASARR screening for Mental disorders or Intellectual Disabilities

    Deficient, Provider has date of correction · corrected July 17, 2024

  • July 1, 2024Standard surveyTag F0656Dno actual harm, potential for more than minimal harm, isolated

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Deficient, Provider has date of correction · corrected July 17, 2024

  • July 1, 2024Standard + Complaint surveyTag F0657Eno actual harm, potential for more than minimal harm, pattern

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

    Deficient, Provider has date of correction · corrected July 17, 2024

  • July 1, 2024Standard surveyTag F0677Dno actual harm, potential for more than minimal harm, isolated

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

    Deficient, Provider has date of correction · corrected July 17, 2024

  • July 1, 2024Complaint surveyTag F0684Dno actual harm, potential for more than minimal harm, isolated

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Deficient, Provider has date of correction · corrected July 17, 2024

  • July 1, 2024Standard surveyTag F0686Gactual harm, isolated

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Deficient, Provider has date of correction · corrected December 5, 2024

  • July 1, 2024Standard surveyTag F0700Dno actual harm, potential for more than minimal harm, isolated

    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.

    Deficient, Provider has date of correction · corrected July 17, 2024

  • July 1, 2024Standard + Complaint surveyTag F0745Jimmediate jeopardy to resident health or safety, isolated

    Provide medically-related social services to help each resident achieve the highest possible quality of life.

    Deficient, Provider has date of correction · corrected July 17, 2024

  • July 1, 2024Standard surveyTag F0757Dno actual harm, potential for more than minimal harm, isolated

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Deficient, Provider has date of correction · corrected July 17, 2024

  • July 1, 2024Standard surveyTag F0849Dno actual harm, potential for more than minimal harm, isolated

    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.

    Deficient, Provider has date of correction · corrected July 17, 2024

  • July 1, 2024Standard surveyTag F0880Fno actual harm, potential for more than minimal harm, widespread

    Provide and implement an infection prevention and control program.

    Deficient, Provider has date of correction · corrected July 17, 2024

  • July 1, 2024Standard surveyTag F0908Fno actual harm, potential for more than minimal harm, widespread

    Keep all essential equipment working safely.

    Deficient, Provider has date of correction · corrected July 17, 2024

  • July 1, 2024Standard surveyTag F0944Fno actual harm, potential for more than minimal harm, widespread

    Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

    Deficient, Provider has date of correction · corrected July 17, 2024

  • July 1, 2024Standard surveyTag F0946Fno actual harm, potential for more than minimal harm, widespread

    Provide training in compliance and ethics.

    Deficient, Provider has date of correction · corrected July 17, 2024

  • March 7, 2024Complaint surveyTag F0552Dno actual harm, potential for more than minimal harm, isolated

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Deficient, Provider has date of correction · corrected April 5, 2024

  • March 7, 2024Complaint surveyTag F0580Dno actual harm, potential for more than minimal harm, isolated

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

    Deficient, Provider has date of correction · corrected April 5, 2024

  • March 7, 2024Complaint surveyTag F0585Dno actual harm, potential for more than minimal harm, isolated

    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.

    Deficient, Provider has date of correction · corrected April 5, 2024

  • March 7, 2024Complaint surveyTag F0661Dno actual harm, potential for more than minimal harm, isolated

    Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

    Deficient, Provider has date of correction · corrected April 5, 2024

  • March 7, 2024Complaint surveyTag F0677Dno actual harm, potential for more than minimal harm, isolated

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

    Deficient, Provider has date of correction · corrected April 5, 2024

  • March 7, 2024Complaint surveyTag F0684Gactual harm, isolated

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Deficient, Provider has date of correction · corrected April 5, 2024

  • March 7, 2024Complaint surveyTag F0686Dno actual harm, potential for more than minimal harm, isolated

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Deficient, Provider has date of correction · corrected April 5, 2024

  • March 7, 2024Complaint surveyTag F0688Gactual harm, isolated

    Provide 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.

    Deficient, Provider has date of correction · corrected April 5, 2024

  • March 7, 2024Complaint surveyTag F0689Gactual harm, isolated

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

    Deficient, Provider has date of correction · corrected April 5, 2024

  • March 7, 2024Complaint surveyTag F0690Dno actual harm, potential for more than minimal harm, isolated

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Deficient, Provider has date of correction · corrected April 5, 2024

  • March 7, 2024Complaint surveyTag F0692Dno actual harm, potential for more than minimal harm, isolated

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

    Deficient, Provider has date of correction · corrected April 5, 2024

  • March 7, 2024Complaint surveyTag F0698Dno actual harm, potential for more than minimal harm, isolated

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Deficient, Provider has date of correction · corrected April 5, 2024

  • March 7, 2024Complaint surveyTag F0711Dno actual harm, potential for more than minimal harm, isolated

    Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

    Deficient, Provider has date of correction · corrected April 5, 2024

  • March 7, 2024Complaint surveyTag F0745Dno actual harm, potential for more than minimal harm, isolated

    Provide medically-related social services to help each resident achieve the highest possible quality of life.

    Deficient, Provider has date of correction · corrected April 5, 2024

  • March 7, 2024Complaint surveyTag F0757Dno actual harm, potential for more than minimal harm, isolated

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Deficient, Provider has date of correction · corrected April 5, 2024

  • March 7, 2024Complaint surveyTag F0758Dno actual harm, potential for more than minimal harm, isolated

    Implement 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.

    Deficient, Provider has date of correction · corrected April 5, 2024

  • March 7, 2024Complaint surveyTag F0760Gactual harm, isolated

    Ensure that residents are free from significant medication errors.

    Deficient, Provider has date of correction · corrected April 5, 2024

  • March 7, 2024Complaint surveyTag F0825Dno actual harm, potential for more than minimal harm, isolated

    Provide or get specialized rehabilitative services as required for a resident.

    Deficient, Provider has date of correction · corrected April 5, 2024

  • March 7, 2024Complaint surveyTag F0880Fno actual harm, potential for more than minimal harm, widespread

    Provide and implement an infection prevention and control program.

    Deficient, Provider has date of correction · corrected April 5, 2024

  • March 7, 2024Complaint surveyTag F0881Dno actual harm, potential for more than minimal harm, isolated

    Implement a program that monitors antibiotic use.

    Deficient, Provider has date of correction · corrected April 5, 2024

  • January 17, 2024Complaint surveyTag F0585Eno actual harm, potential for more than minimal harm, pattern

    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.

    Deficient, Provider has date of correction · corrected April 5, 2024

  • January 17, 2024Complaint surveyTag F0609Dno actual harm, potential for more than minimal harm, isolated

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

    Deficient, Provider has date of correction · corrected February 9, 2024

  • January 17, 2024Complaint surveyTag F0610Dno actual harm, potential for more than minimal harm, isolated

    Respond appropriately to all alleged violations.

    Deficient, Provider has date of correction · corrected February 9, 2024

  • January 17, 2024Complaint surveyTag F0677Dno actual harm, potential for more than minimal harm, isolated

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

    Deficient, Provider has date of correction · corrected April 5, 2024

  • January 17, 2024Complaint surveyTag F0684Gactual harm, isolated

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Deficient, Provider has date of correction · corrected April 5, 2024

  • January 17, 2024Complaint surveyTag F0686Gactual harm, isolated

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Deficient, Provider has date of correction · corrected April 5, 2024

  • January 17, 2024Complaint surveyTag F0689Jimmediate jeopardy to resident health or safety, isolated

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

    Deficient, Provider has date of correction · corrected April 5, 2024

  • January 17, 2024Complaint surveyTag F0697Gactual harm, isolated

    Provide safe, appropriate pain management for a resident who requires such services.

    Deficient, Provider has date of correction · corrected February 9, 2024

  • January 17, 2024Complaint surveyTag F0943Eno actual harm, potential for more than minimal harm, pattern

    Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

    Deficient, Provider has date of correction · corrected February 9, 2024

  • January 17, 2024Complaint surveyTag F0947Eno actual harm, potential for more than minimal harm, pattern

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    Deficient, Provider has date of correction · corrected February 9, 2024

  • November 1, 2023Complaint surveyTag F0550Eno actual harm, potential for more than minimal harm, pattern

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Deficient, Provider has date of correction · corrected December 1, 2023

  • November 1, 2023Complaint surveyTag F0551Dno actual harm, potential for more than minimal harm, isolated

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

    Deficient, Provider has date of correction · corrected December 1, 2023

  • November 1, 2023Complaint surveyTag F0554Dno actual harm, potential for more than minimal harm, isolated

    Allow residents to self-administer drugs if determined clinically appropriate.

    Deficient, Provider has date of correction · corrected December 1, 2023

  • November 1, 2023Complaint surveyTag F0558Dno actual harm, potential for more than minimal harm, isolated

    Reasonably accommodate the needs and preferences of each resident.

    Deficient, Provider has date of correction · corrected December 1, 2023

  • November 1, 2023Complaint surveyTag F0584Fno actual harm, potential for more than minimal harm, widespread

    Honor 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.

    Deficient, Provider has date of correction · corrected December 1, 2023

  • November 1, 2023Complaint surveyTag F0585Eno actual harm, potential for more than minimal harm, pattern

    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.

    Deficient, Provider has date of correction · corrected December 1, 2023

  • November 1, 2023Complaint surveyTag F0607Dno actual harm, potential for more than minimal harm, isolated

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

    Deficient, Provider has date of correction · corrected December 1, 2023

  • November 1, 2023Complaint surveyTag F0610Dno actual harm, potential for more than minimal harm, isolated

    Respond appropriately to all alleged violations.

    Deficient, Provider has date of correction · corrected December 1, 2023

  • November 1, 2023Complaint surveyTag F0625Dno actual harm, potential for more than minimal harm, isolated

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

    Deficient, Provider has date of correction · corrected December 1, 2023

  • November 1, 2023Complaint surveyTag F0656Dno actual harm, potential for more than minimal harm, isolated

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Deficient, Provider has date of correction · corrected December 1, 2023

  • November 1, 2023Complaint surveyTag F0657Dno actual harm, potential for more than minimal harm, isolated

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

    Deficient, Provider has date of correction · corrected December 1, 2023

  • November 1, 2023Complaint surveyTag F0677Dno actual harm, potential for more than minimal harm, isolated

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

    Deficient, Provider has date of correction · corrected December 1, 2023

  • November 1, 2023Complaint surveyTag F0684Eno actual harm, potential for more than minimal harm, pattern

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Deficient, Provider has date of correction · corrected December 1, 2023

  • November 1, 2023Complaint surveyTag F0689Eno actual harm, potential for more than minimal harm, pattern

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

    Deficient, Provider has date of correction · corrected December 1, 2023

  • November 1, 2023Complaint surveyTag F0690Eno actual harm, potential for more than minimal harm, pattern

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Deficient, Provider has date of correction · corrected December 1, 2023

  • November 1, 2023Complaint surveyTag F0691Dno actual harm, potential for more than minimal harm, isolated

    Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

    Deficient, Provider has date of correction · corrected December 1, 2023

  • November 1, 2023Complaint surveyTag F0755Eno actual harm, potential for more than minimal harm, pattern

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

    Deficient, Provider has date of correction · corrected December 1, 2023

  • November 1, 2023Complaint surveyTag F0759Dno actual harm, potential for more than minimal harm, isolated

    Ensure medication error rates are not 5 percent or greater.

    Deficient, Provider has date of correction · corrected December 1, 2023

  • November 1, 2023Complaint surveyTag F0803Eno actual harm, potential for more than minimal harm, pattern

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

    Deficient, Provider has date of correction · corrected December 1, 2023

  • November 1, 2023Complaint surveyTag F0804Eno actual harm, potential for more than minimal harm, pattern

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Deficient, Provider has date of correction · corrected December 1, 2023

  • November 1, 2023Complaint surveyTag F0807Eno actual harm, potential for more than minimal harm, pattern

    Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.

    Deficient, Provider has date of correction · corrected December 1, 2023

  • November 1, 2023Complaint surveyTag F0809Fno actual harm, potential for more than minimal harm, widespread

    Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

    Deficient, Provider has date of correction · corrected December 1, 2023

  • November 1, 2023Complaint surveyTag F0880Eno actual harm, potential for more than minimal harm, pattern

    Provide and implement an infection prevention and control program.

    Deficient, Provider has date of correction · corrected December 1, 2023

  • November 1, 2023Complaint surveyTag F0921Dno actual harm, potential for more than minimal harm, isolated

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Deficient, Provider has date of correction · corrected December 1, 2023

  • April 26, 2023Standard surveyTag F0550Dno actual harm, potential for more than minimal harm, isolated

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Deficient, Provider has date of correction · corrected May 19, 2023

  • April 26, 2023Standard surveyTag F0553Dno actual harm, potential for more than minimal harm, isolated

    Allow resident to participate in the development and implementation of his or her person-centered plan of care.

    Deficient, Provider has date of correction · corrected May 19, 2023

  • April 26, 2023Standard surveyTag F0578Dno actual harm, potential for more than minimal harm, isolated

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    Deficient, Provider has date of correction · corrected May 19, 2023

  • April 26, 2023Standard surveyTag F0607Dno actual harm, potential for more than minimal harm, isolated

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

    Deficient, Provider has date of correction · corrected May 19, 2023

  • April 26, 2023Standard surveyTag F0609Dno actual harm, potential for more than minimal harm, isolated

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

    Deficient, Provider has date of correction · corrected May 19, 2023

  • April 26, 2023Standard surveyTag F0623Eno actual harm, potential for more than minimal harm, pattern

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

    Deficient, Provider has date of correction · corrected May 19, 2023

  • April 26, 2023Standard surveyTag F0625Eno actual harm, potential for more than minimal harm, pattern

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

    Deficient, Provider has date of correction · corrected May 19, 2023

  • April 26, 2023Standard surveyTag F0656Eno actual harm, potential for more than minimal harm, pattern

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Deficient, Provider has date of correction · corrected May 19, 2023

  • April 26, 2023Standard surveyTag F0677Dno actual harm, potential for more than minimal harm, isolated

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

    Deficient, Provider has date of correction · corrected May 19, 2023

  • April 26, 2023Standard surveyTag F0684Dno actual harm, potential for more than minimal harm, isolated

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Deficient, Provider has date of correction · corrected May 19, 2023

  • April 26, 2023Standard surveyTag F0686Dno actual harm, potential for more than minimal harm, isolated

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Deficient, Provider has date of correction · corrected May 19, 2023

  • April 26, 2023Standard surveyTag F0688Dno actual harm, potential for more than minimal harm, isolated

    Provide 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.

    Deficient, Provider has date of correction · corrected May 19, 2023

  • April 26, 2023Standard surveyTag F0689Gactual harm, isolated

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

    Deficient, Provider has date of correction · corrected May 19, 2023

  • April 26, 2023Standard surveyTag F0692Eno actual harm, potential for more than minimal harm, pattern

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

    Deficient, Provider has date of correction · corrected May 19, 2023

  • April 26, 2023Standard surveyTag F0755Dno actual harm, potential for more than minimal harm, isolated

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

    Deficient, Provider has date of correction · corrected May 19, 2023

  • April 26, 2023Standard surveyTag F0758Dno actual harm, potential for more than minimal harm, isolated

    Implement 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.

    Deficient, Provider has date of correction · corrected May 19, 2023

  • April 26, 2023Standard surveyTag F0761Eno actual harm, potential for more than minimal harm, pattern

    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.

    Deficient, Provider has date of correction · corrected May 19, 2023

  • April 26, 2023Standard surveyTag F0812Fno actual harm, potential for more than minimal harm, widespread

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

    Deficient, Provider has date of correction · corrected May 19, 2023

  • April 26, 2023Standard surveyTag F0842Dno actual harm, potential for more than minimal harm, isolated

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Deficient, Provider has date of correction · corrected May 19, 2023

  • April 26, 2023Standard surveyTag F0849Dno actual harm, potential for more than minimal harm, isolated

    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.

    Deficient, Provider has date of correction · corrected May 19, 2023

  • April 26, 2023Standard surveyTag F0880Eno actual harm, potential for more than minimal harm, pattern

    Provide and implement an infection prevention and control program.

    Deficient, Provider has date of correction · corrected May 19, 2023

  • April 26, 2023Standard surveyTag F0883Dno actual harm, potential for more than minimal harm, isolated

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Deficient, Provider has date of correction · corrected May 19, 2023

Fines & penalties

CMS can fine a home or stop paying for new admissions. Shown per CMS's current data window (~3 years) — not all-time. more

When deficiencies are serious or aren't fixed, CMS can impose a fine (a civil money penalty) or a payment denial — refusing to pay for new Medicare/Medicaid admissions until the home fixes the problem. Payment denials hit harder than most fines because they stop revenue. CMS's public dataset covers a rolling window of roughly the last three years, so the totals here are recent history, not an all-time record. Many facilities have no penalties in the window — that's common, not remarkable.

What to do with this: a recent large fine deserves a direct question on your visit — what happened, and what changed?

Fines: 4 totaling $305,374 · Payment denials: 3 — per CMS data (rolling ~3-year window).

DateTypeAmount / length
January 7, 2025Fine$79,372
January 7, 2025Payment Denial1 days, from February 6, 2025
July 1, 2024Fine$167,635
July 1, 2024Payment Denial117 days, from August 10, 2024
January 17, 2024Fine$17,101
January 17, 2024Fine$41,266
January 17, 2024Payment Denial49 days, from February 16, 2024

Ownership & chain

Who actually owns and controls the facility — individuals, companies, and their stakes. more

Nursing homes are often owned through layers: an operating company, a property company, management companies, and individual investors with percentage stakes. CMS publishes who holds 5%-or-greater interests and who has operational control. Ownership matters because it sets the budget: research has linked some ownership structures, especially certain chains and investment vehicles, to lower staffing. That's a pattern across the industry, not a verdict on any one building.

What to do with this: know who owns the home before you sign anything, and ask the administrator who actually sets the staffing budget.

Part of Shlomo Hoffman (10 facilities). Chain average overall rating: 2.4 — this facility: 1.

Most US nursing homes belong to a chain. The chain's average rating is context for this home's rating. more

A chain is a group of facilities sharing an owner or operator. Chains share budgets, policies, and management practices, so a chain's average rating tells you something about the company behind the building. A home rating well above its chain's average may have an unusually strong local team; one below it may be the chain's neglected building. Either way, the chain sets the constraints the local staff work within.

What to do with this: if the chain average is low, ask the administrator what this building does differently.

Owner / managerRoleStakeSince
Jeidel, Jacob (Individual)5% or greater direct ownership interest60%01/01/2023
Shkop, Benjamin (Individual)5% or greater direct ownership interest20%01/01/2023
Jeidel, Jacob (Individual)Corporate officerNOT APPLICABLE01/01/2023
Klekamp, Steve (Individual)W-2 managing employeeNOT APPLICABLE01/01/2023

Nearby facilities in Milwaukee County

Most families compare 2–3 homes. Same county, sorted by overall rating:

Clement Manor Health Care Center★★★★★Greenfield
Milwaukee Catholic Home★★★★★Milwaukee
Eastcastle Pl Bradford Ter Conv Ctr★★★★Milwaukee
Lutheran Home★★★★Wauwatosa
Milwaukee Health and Rehab★★★★Milwaukee

All nursing homes in Milwaukee County

Visiting? Go in with questions.

Built from this facility’s own CMS data — bring them on the tour.

  • CMS has applied its abuse icon to this facility — ask what happened, what the corrective plan was, and how staff are trained now.
  • CMS lists this facility as a Special Focus Facility candidate — ask where the home is in the program and what the improvement plan is.
  • Their reported RN hours (0.66/resident/day) are below the WI median (0.92) — ask how nights and weekends are staffed.
  • Their total nursing staff turnover (70.8%) is above the WI median (46.3%) — ask how long the aides on your person's unit have worked there.
  • CMS data shows 4 fines totaling $305,374 in its current data window — ask what the citations were for and what changed afterward.
  • Their weekend total nurse staffing (3.06/resident/day) is lower than their overall figure (3.65) — ask who covers weekends and how shifts are filled when someone calls out.
  • Their last standard health inspection was September 17, 2025 — ask what's improved since then.

Data: Centers for Medicare & Medicaid Services (data.cms.gov), processing date June 1, 2026. This site is not affiliated with CMS or any government agency.