Wisconsin › Milwaukee County › Glendale
Bayshore Nursing & Rehab
1300 West Silver Spring Dr, Glendale, WI 53209
CMS abuse iconSpecial Focus Facility candidate
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.
Certified for 112 beds, Bayshore Nursing & Rehab serves Glendale in Milwaukee County, Wisconsin and has taken Medicare and Medicaid residents since 1984.
CMS gives it 1 of 5 stars overall, below the Wisconsin median of 3; the health inspection rating is 1, staffing 3 and quality measures 1.
Inspectors recorded 128 health deficiencies across the three most recent survey cycles (43, 51, 34 by cycle, most recent first), 10 of them at the actual-harm or immediate-jeopardy level. That is 114.3 per 100 beds, more than the state median of 31.8.
CMS lists 1 penalty in the period covered: no fines and 1 payment denial.
Reported nurse staffing is 4.0 hours per resident per day (0.7 RN), close to the Wisconsin median of 4.0; nursing staff turnover is 56.4%.
CMS flags that the facility carries the CMS abuse icon and is a Special Focus Facility candidate.
128health deficiencies, 3 survey cycles10 at actual harm or worse
$0fines listed by CMS1 penalty in period
4.0nurse hours per resident per daystate median 4.0
71%occupancy (residents ÷ beds)80 residents a day
Compared with county, state and nation
| Measure | This facility | Milwaukee Co. median | Wisconsin median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 128 | 38 | 21 | 28.7 |
| Citations per 100 beds | 114.3 | 44.1 | 31.8 | 26.8 |
| Total nurse hours per resident day | 4.0 | 4.0 | 4.0 | 3.9 |
| RN hours per resident day | 0.7 | 0.7 | 0.9 | 0.7 |
| Nursing staff turnover | 56.4% | 52.4% | 46.2% | 45.8% |
| Fines listed | $0 | $65,881 | $0 | — |
County and state figures are medians across facilities (32 in the county, 323 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Wisconsin average per facility for the same cycle, as published by CMS. Standard health survey dates: 30 Sep 2025, 20 Jun 2024.
Severity mix: J ×4 L ×3 G ×3 D ×67 E ×19 F ×29 C ×3
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
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 date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 30 Apr 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 22 May 2026 |
| 30 Apr 2026 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 22 May 2026 |
| 30 Apr 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 22 May 2026 |
| 30 Apr 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 22 May 2026 |
| 30 Sep 2025 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | L | Standard survey | 12 Nov 2025 |
| 30 Sep 2025 | F0841 | Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. | L | Standard survey | 12 Nov 2025 |
| 30 Sep 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Standard survey | 12 Nov 2025 |
| 30 Sep 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | J | Standard survey | 12 Nov 2025 |
| 30 Sep 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 12 Nov 2025 |
| 30 Sep 2025 | F0727 | 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. | F | Standard survey | 12 Nov 2025 |
| 30 Sep 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 12 Nov 2025 |
| 30 Sep 2025 | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | Standard survey | 12 Nov 2025 |
| 30 Sep 2025 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Standard survey | 12 Nov 2025 |
| 30 Sep 2025 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 12 Nov 2025 |
| 30 Sep 2025 | F0881 | Implement a program that monitors antibiotic use. | F | Standard survey | 12 Nov 2025 |
| 30 Sep 2025 | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | F | Standard survey | 12 Nov 2025 |
| 30 Sep 2025 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | Standard survey | 12 Nov 2025 |
| 30 Sep 2025 | F0946 | Provide training in compliance and ethics. | F | Standard survey | 12 Nov 2025 |
| 30 Sep 2025 | F0949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | F | Standard survey | 12 Nov 2025 |
| 30 Sep 2025 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | E | Standard survey | 12 Nov 2025 |
| 30 Sep 2025 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | E | Standard survey | 12 Nov 2025 |
| 30 Sep 2025 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 12 Nov 2025 |
| 30 Sep 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Complaint investigation | 12 Nov 2025 |
| 30 Sep 2025 | F0679 | Provide activities to meet all resident's needs. | E | Standard survey | 12 Nov 2025 |
| 30 Sep 2025 | F0730 | Observe each nurse aide's job performance and give regular training. | E | Standard survey | 12 Nov 2025 |
| 30 Sep 2025 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard survey | 12 Nov 2025 |
| 30 Sep 2025 | F0761 | 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. | E | Standard survey | 12 Nov 2025 |
| 30 Sep 2025 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard survey | 12 Nov 2025 |
| 30 Sep 2025 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 12 Nov 2025 |
| 30 Sep 2025 | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | D | Standard survey | 12 Nov 2025 |
| 30 Sep 2025 | F0584 | 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. | D | Standard survey | 12 Nov 2025 |
| 30 Sep 2025 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Standard survey | 12 Nov 2025 |
| 30 Sep 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 12 Nov 2025 |
| 30 Sep 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 12 Nov 2025 |
| 30 Sep 2025 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Standard survey | 12 Nov 2025 |
| 30 Sep 2025 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 12 Nov 2025 |
| 30 Sep 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 12 Nov 2025 |
| 30 Sep 2025 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard survey | 12 Nov 2025 |
| 30 Sep 2025 | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | Standard survey | 12 Nov 2025 |
| 30 Sep 2025 | F0790 | Provide routine and 24-hour emergency dental care for each resident. | D | Standard survey | 12 Nov 2025 |
| 30 Sep 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 12 Nov 2025 |
| 30 Sep 2025 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | Standard survey | 12 Nov 2025 |
| 30 Sep 2025 | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C | Standard survey | 12 Nov 2025 |
| 30 Jul 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint investigation | 26 Aug 2025 |
| 28 Jul 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 14 Nov 2025 |
| 28 Jul 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 26 Aug 2025 |
| 28 Jul 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 26 Aug 2025 |
| 28 Jul 2025 | F0732 | Post nurse staffing information every day. | C | Complaint investigation | 26 Aug 2025 |
| 3 Jul 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | J | Complaint investigation | 14 Nov 2025 |
| 3 Jul 2025 | F0801 | 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. | F | Complaint investigation | 25 Aug 2025 |
| 3 Jul 2025 | F0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | F | Complaint investigation | 25 Aug 2025 |
| 3 Jul 2025 | F0941 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | F | Complaint investigation | 25 Aug 2025 |
| 3 Jul 2025 | F0942 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | F | Complaint investigation | 25 Aug 2025 |
| 3 Jul 2025 | F0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | F | Complaint investigation | 25 Aug 2025 |
| 3 Jul 2025 | F0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | F | Complaint investigation | 25 Aug 2025 |
| 3 Jul 2025 | F0945 | Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | F | Complaint investigation | 25 Aug 2025 |
| 3 Jul 2025 | F0946 | Provide training in compliance and ethics. | F | Complaint investigation | 25 Aug 2025 |
| 3 Jul 2025 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | F | Complaint investigation | 25 Aug 2025 |
| 3 Jul 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 25 Aug 2025 |
| 3 Jul 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 25 Aug 2025 |
| 3 Jul 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 29 Sep 2025 |
| 3 Jul 2025 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Complaint investigation | 25 Aug 2025 |
| 3 Jul 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 25 Aug 2025 |
| 29 May 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 27 Jun 2025 |
| 29 May 2025 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Complaint investigation | 27 Jun 2025 |
| 29 May 2025 | F0584 | 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. | D | Complaint investigation | 27 Jun 2025 |
| 29 May 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Complaint investigation | 27 Jun 2025 |
| 29 May 2025 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Complaint investigation | 27 Jun 2025 |
| 29 May 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 27 Jun 2025 |
| 29 May 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 27 Jun 2025 |
| 29 May 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint investigation | 27 Jun 2025 |
| 29 May 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 27 Jun 2025 |
| 29 Jan 2025 | F0584 | 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. | F | Complaint investigation | 27 Feb 2025 |
| 29 Jan 2025 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Complaint investigation | 27 Feb 2025 |
| 29 Jan 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 27 Feb 2025 |
| 29 Jan 2025 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Complaint investigation | 27 Feb 2025 |
| 29 Jan 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 27 Feb 2025 |
| 29 Jan 2025 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Complaint investigation | 27 Feb 2025 |
| 30 Oct 2024 | F0584 | 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. | F | Complaint investigation | 27 Feb 2025 |
| 30 Oct 2024 | F0814 | Dispose of garbage and refuse properly. | F | Complaint investigation | 2 Dec 2024 |
| 30 Oct 2024 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | Complaint investigation | 2 Dec 2024 |
| 30 Oct 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 2 Dec 2024 |
| 24 Jul 2024 | F0837 | Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | F | Complaint investigation | 15 Aug 2024 |
| 20 Jun 2024 | F0814 | Dispose of garbage and refuse properly. | F | Standard survey | 25 Jul 2024 |
| 20 Jun 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 25 Jul 2024 |
| 20 Jun 2024 | F0908 | Keep all essential equipment working safely. | F | Standard survey | 25 Jul 2024 |
| 20 Jun 2024 | F0584 | 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. | E | Complaint investigation | 25 Jul 2024 |
| 20 Jun 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 25 Jul 2024 |
| 20 Jun 2024 | F0578 | 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. | D | Standard survey | 25 Jul 2024 |
| 20 Jun 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard survey | 25 Jul 2024 |
| 20 Jun 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 25 Jul 2024 |
| 20 Jun 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 25 Jul 2024 |
| 20 Jun 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 25 Jul 2024 |
| 20 Jun 2024 | F0761 | 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. | D | Standard survey | 25 Jul 2024 |
| 20 Jun 2024 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Standard survey | 25 Jul 2024 |
| 30 May 2024 | F0584 | 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. | E | Complaint investigation | 16 Jun 2024 |
| 30 May 2024 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | Complaint investigation | 16 Jun 2024 |
| 30 May 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 16 Jun 2024 |
| 10 Oct 2023 | F0801 | 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. | F | Complaint investigation | 7 Nov 2023 |
| 10 Oct 2023 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | Complaint investigation | 7 Nov 2023 |
| 10 Oct 2023 | F0584 | 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. | D | Complaint investigation | 7 Nov 2023 |
| 10 Oct 2023 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Complaint investigation | 7 Nov 2023 |
| 10 Oct 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 7 Nov 2023 |
| 10 Oct 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 7 Nov 2023 |
| 10 Oct 2023 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Complaint investigation | 7 Nov 2023 |
| 10 Oct 2023 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Complaint investigation | 7 Nov 2023 |
| 21 Mar 2023 | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | L | Standard survey | 17 May 2023 |
| 21 Mar 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard survey | 24 Jul 2023 |
| 21 Mar 2023 | F0760 | Ensure that residents are free from significant medication errors. | G | Standard survey | 13 Jun 2023 |
| 21 Mar 2023 | F0584 | 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. | E | Standard survey | 17 May 2023 |
| 21 Mar 2023 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | Standard survey | 17 May 2023 |
| 21 Mar 2023 | F0625 | 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. | E | Standard survey | 17 May 2023 |
| 21 Mar 2023 | F0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | E | Standard survey | 17 May 2023 |
| 21 Mar 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 17 May 2023 |
| 21 Mar 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 17 May 2023 |
| 21 Mar 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 17 May 2023 |
| 21 Mar 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 17 May 2023 |
| 21 Mar 2023 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 17 May 2023 |
| 21 Mar 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 17 May 2023 |
| 21 Mar 2023 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 13 Jun 2023 |
| 21 Mar 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 17 May 2023 |
| 21 Mar 2023 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 17 May 2023 |
| 21 Mar 2023 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 13 Jun 2023 |
| 21 Mar 2023 | F0758 | 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. | D | Standard survey | 17 May 2023 |
| 21 Mar 2023 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 17 May 2023 |
| 21 Mar 2023 | F0761 | 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. | D | Standard survey | 17 May 2023 |
| 21 Mar 2023 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Standard survey | 17 May 2023 |
| 21 Mar 2023 | F0814 | Dispose of garbage and refuse properly. | C | Standard survey | 17 May 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 30 Oct 2024 | Payment denial | — | 36 days |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Wisconsin average. Turnover: nursing staff 56.4%, RNs 76.9%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | Wisconsin median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 20.0% | 15.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.0% | 1.5% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.3% | 2.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.1% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.6% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 16.2% | 16.8% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 6.2% | 4.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 25.2% | 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: Bedrock Hcs At Glendale Llc. Chain: Bedrock Healthcare (9 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Opal Healthcare Nj LLC | Operational/managerial control | NOT APPLICABLE | 10/01/2019 |
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 Milwaukee County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Eastcastle Pl Bradford Ter Conv Ctr | Milwaukee | 40 | 5 | 3 | 5 | 16 | 40.0 | $90K | 18 Feb 2026 |
| Lutheran Home | Wauwatosa | 160 | 4 | 3 | 5 | 20 | 12.5 | — | 10 Jun 2025 |
| Milwaukee Catholic Home | Milwaukee | 107 | 4 | 5 | 1 | 13 | 12.1 | — | 20 May 2026 |
| Milwaukee Health and Rehab | Milwaukee | 95 | 4 | 4 | 2 | 21 | 22.1 | — | 8 Dec 2025 |
| Saint Johns On the Lake | Milwaukee | 27 | 4 | 3 | 5 | 14 | 51.9 | — | 1 Apr 2026 |
| St Ann Health and Rehabilitation Center | Milwaukee | 50 | 4 | 4 | 2 | 21 | 42.0 | — | 5 Mar 2026 |
| Aria At Mitchell Manor | West Allis | 50 | 3 | 3 | 3 | 23 | 46.0 | $16K | 1 Jul 2026 |
| Complete Care At Glendale West | Glendale | 94 | 3 | 2 | 3 | 38 | 40.4 | $11K | 12 Nov 2025 |
All 32 facilities in Milwaukee County
Questions and answers
How many deficiencies has Bayshore Nursing & Rehab been cited for?
128 health deficiencies across the three most recent survey cycles, 10 at the actual-harm or immediate-jeopardy level. The Wisconsin median is 21 per facility.
Has Bayshore Nursing & Rehab been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Bayshore Nursing & Rehab compare?
Reported total nurse staffing is 4.0 hours per resident per day against a Wisconsin median of 4.0 and a national average of 3.9.
Who operates Bayshore Nursing & Rehab?
It is part of the Bedrock Healthcare chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Opal Healthcare Nj LLC. Individual owners and managers are not listed on this site.
When was Bayshore Nursing & Rehab last inspected?
The most recent survey or investigation in the CMS record is dated 30 Apr 2026; the most recent standard health survey was 30 Sep 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.