Bayshore Nursing & Rehab
1300 West Silver Spring Dr · Glendale, WI · 53209 · 4142288120
112 certified beds For profit - Limited Liability company Chain: Bedrock Healthcare
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (6 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
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Red flags
Special Focus Facility candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
6 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
61% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 4.01 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.51 | 0.55–0.75 |
| Weekend hours / resident-day | 3.85 | ≈ weekday level |
| Nursing turnover / year | 61% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (140 in the current record)
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Potential for harm · D April 30, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected May 22, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 30, 2026 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected May 22, 2026 · Resident Assessment and Care Planning
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Potential for harm · D April 30, 2026 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected May 22, 2026 · Resident Assessment and Care Planning
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Potential for harm · D April 30, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 22, 2026 · Quality of Life and Care
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Immediate jeopardy · J September 30, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected November 12, 2025 · Quality of Life and Care
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Immediate jeopardy · J September 30, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected November 12, 2025 · Quality of Life and Care
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Immediate jeopardy · L September 30, 2025
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected November 12, 2025 · Administration
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Immediate jeopardy · L September 30, 2025
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
Corrected November 12, 2025 · Nursing and Physician Services
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Actual harm · G September 30, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 12, 2025 · Quality of Life and Care
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Potential for harm · D September 30, 2025
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected November 12, 2025 · Resident Rights
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Potential for harm · D September 30, 2025
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected November 12, 2025 · Resident Rights
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Potential for harm · E September 30, 2025
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected November 12, 2025 · Resident Rights
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Potential for harm · D September 30, 2025
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.
Corrected November 12, 2025 · Resident Rights
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Potential for harm · E September 30, 2025
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.
Corrected November 12, 2025 · Resident Rights
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Potential for harm · D September 30, 2025
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected November 12, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 30, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected November 12, 2025 · Resident Rights
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Potential for harm · E September 30, 2025
Ensure each resident receives an accurate assessment.
Corrected November 12, 2025 · Resident Assessment and Care Planning
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Potential for harm · D September 30, 2025
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected November 12, 2025 · Resident Assessment and Care Planning
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Potential for harm · D September 30, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected November 12, 2025 · Quality of Life and Care
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Potential for harm · E September 30, 2025
Provide activities to meet all resident's needs.
Corrected November 12, 2025 · Quality of Life and Care
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Potential for harm · D September 30, 2025
Provide care or services that was trauma informed and/or culturally competent.
Corrected November 12, 2025 · Quality of Life and Care
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Potential for harm · D September 30, 2025
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.
Corrected November 12, 2025 · Quality of Life and Care
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Potential for harm · F September 30, 2025
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected November 12, 2025 · Nursing and Physician Services
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Potential for harm · E September 30, 2025
Observe each nurse aide's job performance and give regular training.
Corrected November 12, 2025 · Nursing and Physician Services
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Potential for harm · E September 30, 2025
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected November 12, 2025 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| October 30, 2024 | Payment Denial | 36 days |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 525371 · certified since October 1, 1984. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.