Wisconsin › Milwaukee County › Milwaukee
Bradley Estates Nursing and Rehab LLC
6735 W Bradley Rd, Milwaukee, WI 53223
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 198 beds, Bradley Estates Nursing and Rehab LLC serves Milwaukee in Milwaukee County, Wisconsin and has taken Medicare and Medicaid residents since 1983.
CMS gives it 1 of 5 stars overall, below the Wisconsin median of 3; the health inspection rating is 1, staffing 2 and quality measures 2.
Inspectors recorded 155 health deficiencies across the three most recent survey cycles (22, 56, 77 by cycle, most recent first), 14 of them at the actual-harm or immediate-jeopardy level. That is 78.3 per 100 beds, more than the state median of 31.8.
CMS lists 7 penalties in the period covered: fines totalling $305K and 3 payment denials.
Reported nurse staffing is 3.8 hours per resident per day (0.7 RN), close to the Wisconsin median of 4.0; nursing staff turnover is 70.1%.
CMS flags that the facility carries the CMS abuse icon and is a Special Focus Facility candidate.
155health deficiencies, 3 survey cycles14 at actual harm or worse
$305Kfines listed by CMS7 penalties in period
3.8nurse hours per resident per daystate median 4.0
65%occupancy (residents ÷ beds)128 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 | 155 | 38 | 21 | 28.7 |
| Citations per 100 beds | 78.3 | 44.1 | 31.8 | 26.8 |
| Total nurse hours per resident day | 3.8 | 4.0 | 4.0 | 3.9 |
| RN hours per resident day | 0.7 | 0.7 | 0.9 | 0.7 |
| Nursing staff turnover | 70.1% | 52.4% | 46.2% | 45.8% |
| Fines listed | $305,374 | $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: 17 Sep 2025, 1 Jul 2024.
Severity mix: J ×2 K ×1 G ×11 D ×95 E ×37 F ×9
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 Dec 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. | E | Complaint investigation | 28 Jan 2026 |
| 30 Dec 2025 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | D | Complaint investigation | 28 Jan 2026 |
| 30 Dec 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 | 28 Jan 2026 |
| 30 Dec 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 28 Jan 2026 |
| 17 Sep 2025 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | E | Standard survey | 16 Oct 2025 |
| 17 Sep 2025 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 16 Oct 2025 |
| 17 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 | 16 Oct 2025 |
| 17 Sep 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 16 Oct 2025 |
| 17 Sep 2025 | F0551 | Give the resident's representative the ability to exercise the resident's rights. | D | Standard survey | 16 Oct 2025 |
| 17 Sep 2025 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 16 Oct 2025 |
| 17 Sep 2025 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 16 Oct 2025 |
| 17 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. | D | Standard survey | 16 Oct 2025 |
| 17 Sep 2025 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Standard survey | 16 Oct 2025 |
| 17 Sep 2025 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 16 Oct 2025 |
| 17 Sep 2025 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 16 Oct 2025 |
| 17 Sep 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 16 Oct 2025 |
| 17 Sep 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 16 Oct 2025 |
| 17 Sep 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 16 Oct 2025 |
| 17 Sep 2025 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 16 Oct 2025 |
| 20 Aug 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 | 14 Sep 2025 |
| 20 Aug 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 14 Sep 2025 |
| 20 Aug 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 14 Sep 2025 |
| 11 Jul 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. | E | Complaint investigation | 8 Aug 2025 |
| 11 Jul 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 8 Aug 2025 |
| 11 Jul 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 8 Aug 2025 |
| 10 Jun 2025 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Complaint investigation | 4 Jul 2025 |
| 10 Jun 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 | 4 Jul 2025 |
| 10 Jun 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. | D | Complaint investigation | 4 Jul 2025 |
| 10 Jun 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 4 Jul 2025 |
| 1 Apr 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 | 10 Apr 2025 |
| 1 Apr 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint investigation | 10 Apr 2025 |
| 1 Apr 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 | Complaint investigation | 10 Apr 2025 |
| 1 Apr 2025 | F0803 | 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. | E | Complaint investigation | 10 Apr 2025 |
| 1 Apr 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 10 Apr 2025 |
| 1 Apr 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 | 10 Apr 2025 |
| 1 Apr 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 10 Apr 2025 |
| 1 Apr 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 10 Apr 2025 |
| 6 Feb 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | Complaint investigation | 7 Feb 2025 |
| 6 Feb 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 | 7 Feb 2025 |
| 6 Feb 2025 | 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. | D | Complaint investigation | 7 Feb 2025 |
| 6 Feb 2025 | F0626 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | D | Complaint investigation | 7 Feb 2025 |
| 7 Jan 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. | G | Complaint investigation | 4 Feb 2025 |
| 7 Jan 2025 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Complaint investigation | 21 Jan 2025 |
| 7 Jan 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 | 21 Jan 2025 |
| 7 Jan 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 7 Feb 2025 |
| 28 Oct 2024 | F0622 | 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. | D | Complaint investigation | 29 Oct 2024 |
| 28 Oct 2024 | F0685 | Assist a resident in gaining access to vision and hearing services. | D | Complaint investigation | 31 Oct 2024 |
| 28 Oct 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 19 Nov 2024 |
| 19 Sep 2024 | F0760 | Ensure that residents are free from significant medication errors. | G | Complaint investigation | 5 Dec 2024 |
| 19 Sep 2024 | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | Complaint investigation | 14 Oct 2024 |
| 19 Sep 2024 | 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 | 14 Oct 2024 |
| 19 Sep 2024 | 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 | 17 Oct 2024 |
| 19 Sep 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 14 Oct 2024 |
| 19 Sep 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 14 Oct 2024 |
| 19 Sep 2024 | 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 | 5 Dec 2024 |
| 19 Sep 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Complaint investigation | 16 Oct 2024 |
| 19 Sep 2024 | 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 | Complaint investigation | 14 Oct 2024 |
| 19 Sep 2024 | F0917 | 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. | D | Complaint investigation | 17 Oct 2024 |
| 1 Jul 2024 | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | J | Complaint investigation | 17 Jul 2024 |
| 1 Jul 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard survey | 5 Dec 2024 |
| 1 Jul 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 17 Jul 2024 |
| 1 Jul 2024 | F0908 | Keep all essential equipment working safely. | F | Standard survey | 17 Jul 2024 |
| 1 Jul 2024 | F0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | F | Standard survey | 17 Jul 2024 |
| 1 Jul 2024 | F0946 | Provide training in compliance and ethics. | F | Standard survey | 17 Jul 2024 |
| 1 Jul 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Complaint investigation | 17 Jul 2024 |
| 1 Jul 2024 | F0610 | Respond appropriately to all alleged violations. | E | Standard survey | 17 Jul 2024 |
| 1 Jul 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | Complaint investigation | 17 Jul 2024 |
| 1 Jul 2024 | 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 | Complaint investigation | 17 Jul 2024 |
| 1 Jul 2024 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | E | Standard survey | 17 Jul 2024 |
| 1 Jul 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Complaint investigation | 17 Jul 2024 |
| 1 Jul 2024 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 17 Jul 2024 |
| 1 Jul 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 17 Jul 2024 |
| 1 Jul 2024 | F0622 | 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. | D | Complaint investigation | 17 Jul 2024 |
| 1 Jul 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 | 17 Jul 2024 |
| 1 Jul 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 17 Jul 2024 |
| 1 Jul 2024 | 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 | 17 Jul 2024 |
| 1 Jul 2024 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 17 Jul 2024 |
| 1 Jul 2024 | F0849 | 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. | D | Standard survey | 17 Jul 2024 |
| 1 Jul 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 17 Jul 2024 |
| 7 Mar 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | 5 Apr 2024 |
| 7 Mar 2024 | F0688 | 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. | G | Complaint investigation | 5 Apr 2024 |
| 7 Mar 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 5 Apr 2024 |
| 7 Mar 2024 | F0760 | Ensure that residents are free from significant medication errors. | G | Complaint investigation | 5 Apr 2024 |
| 7 Mar 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Complaint investigation | 5 Apr 2024 |
| 7 Mar 2024 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Complaint investigation | 5 Apr 2024 |
| 7 Mar 2024 | 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 | 5 Apr 2024 |
| 7 Mar 2024 | 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 | 5 Apr 2024 |
| 7 Mar 2024 | F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | Complaint investigation | 5 Apr 2024 |
| 7 Mar 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 5 Apr 2024 |
| 7 Mar 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 5 Apr 2024 |
| 7 Mar 2024 | 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 | 5 Apr 2024 |
| 7 Mar 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Complaint investigation | 5 Apr 2024 |
| 7 Mar 2024 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Complaint investigation | 5 Apr 2024 |
| 7 Mar 2024 | F0711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | D | Complaint investigation | 5 Apr 2024 |
| 7 Mar 2024 | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | Complaint investigation | 5 Apr 2024 |
| 7 Mar 2024 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Complaint investigation | 5 Apr 2024 |
| 7 Mar 2024 | 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 | Complaint investigation | 5 Apr 2024 |
| 7 Mar 2024 | F0825 | Provide or get specialized rehabilitative services as required for a resident. | D | Complaint investigation | 5 Apr 2024 |
| 7 Mar 2024 | F0881 | Implement a program that monitors antibiotic use. | D | Complaint investigation | 5 Apr 2024 |
| 17 Jan 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 5 Apr 2024 |
| 17 Jan 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | 5 Apr 2024 |
| 17 Jan 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint investigation | 5 Apr 2024 |
| 17 Jan 2024 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | Complaint investigation | 9 Feb 2024 |
| 17 Jan 2024 | 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 | Complaint investigation | 5 Apr 2024 |
| 17 Jan 2024 | F0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | E | Complaint investigation | 9 Feb 2024 |
| 17 Jan 2024 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E | Complaint investigation | 9 Feb 2024 |
| 17 Jan 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 9 Feb 2024 |
| 17 Jan 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 9 Feb 2024 |
| 17 Jan 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 5 Apr 2024 |
| 1 Nov 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. | F | Complaint investigation | 1 Dec 2023 |
| 1 Nov 2023 | F0809 | 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. | F | Complaint investigation | 1 Dec 2023 |
| 1 Nov 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Complaint investigation | 1 Dec 2023 |
| 1 Nov 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. | E | Complaint investigation | 1 Dec 2023 |
| 1 Nov 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint investigation | 1 Dec 2023 |
| 1 Nov 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint investigation | 1 Dec 2023 |
| 1 Nov 2023 | 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. | E | Complaint investigation | 1 Dec 2023 |
| 1 Nov 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint investigation | 1 Dec 2023 |
| 1 Nov 2023 | F0803 | 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. | E | Complaint investigation | 1 Dec 2023 |
| 1 Nov 2023 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint investigation | 1 Dec 2023 |
| 1 Nov 2023 | F0807 | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | E | Complaint investigation | 1 Dec 2023 |
| 1 Nov 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 1 Dec 2023 |
| 1 Nov 2023 | F0551 | Give the resident's representative the ability to exercise the resident's rights. | D | Complaint investigation | 1 Dec 2023 |
| 1 Nov 2023 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Complaint investigation | 1 Dec 2023 |
| 1 Nov 2023 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint investigation | 1 Dec 2023 |
| 1 Nov 2023 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 1 Dec 2023 |
| 1 Nov 2023 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 1 Dec 2023 |
| 1 Nov 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. | D | Complaint investigation | 1 Dec 2023 |
| 1 Nov 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 | Complaint investigation | 1 Dec 2023 |
| 1 Nov 2023 | 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 | 1 Dec 2023 |
| 1 Nov 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 1 Dec 2023 |
| 1 Nov 2023 | F0691 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | D | Complaint investigation | 1 Dec 2023 |
| 1 Nov 2023 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Complaint investigation | 1 Dec 2023 |
| 1 Nov 2023 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Complaint investigation | 1 Dec 2023 |
| 26 Apr 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard survey | 19 May 2023 |
| 26 Apr 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 19 May 2023 |
| 26 Apr 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 | 19 May 2023 |
| 26 Apr 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 | 19 May 2023 |
| 26 Apr 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 19 May 2023 |
| 26 Apr 2023 | F0692 | Provide enough food/fluids to maintain a resident's health. | E | Standard survey | 19 May 2023 |
| 26 Apr 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. | E | Standard survey | 19 May 2023 |
| 26 Apr 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 19 May 2023 |
| 26 Apr 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 19 May 2023 |
| 26 Apr 2023 | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | Standard survey | 19 May 2023 |
| 26 Apr 2023 | 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 | 19 May 2023 |
| 26 Apr 2023 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard survey | 19 May 2023 |
| 26 Apr 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 19 May 2023 |
| 26 Apr 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 19 May 2023 |
| 26 Apr 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 19 May 2023 |
| 26 Apr 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 19 May 2023 |
| 26 Apr 2023 | F0688 | 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. | D | Standard survey | 19 May 2023 |
| 26 Apr 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 | 19 May 2023 |
| 26 Apr 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 | 19 May 2023 |
| 26 Apr 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 19 May 2023 |
| 26 Apr 2023 | F0849 | 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. | D | Standard survey | 19 May 2023 |
| 26 Apr 2023 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 19 May 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 7 Jan 2025 | Payment denial | — | 1 days |
| 7 Jan 2025 | Fine | $79,372 | |
| 1 Jul 2024 | Payment denial | — | 117 days |
| 1 Jul 2024 | Fine | $167,635 | |
| 17 Jan 2024 | Payment denial | — | 49 days |
| 17 Jan 2024 | Fine | $41,266 | |
| 17 Jan 2024 | Fine | $17,101 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Wisconsin average. Turnover: nursing staff 70.1%, RNs 50.0%; 2 administrators 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 | 1.7% | 1.5% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.6% | 2.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.3% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 17.4% | 16.8% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 7.1% | 4.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 28.9% | 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, corporation. CMS groups this facility with 10 facilities under an individual owner's name; this site does not publish people's names, so no chain page is linked. Legal business name: Bradley Estates Nursing And Rehab Llc.
No organisations are listed in the CMS ownership record for this facility.
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 Bradley Estates Nursing and Rehab LLC been cited for?
155 health deficiencies across the three most recent survey cycles, 14 at the actual-harm or immediate-jeopardy level. The Wisconsin median is 21 per facility.
Has Bradley Estates Nursing and Rehab LLC been fined?
Yes. CMS lists fines totalling $305K in the period covered, plus 3 payment denials.
How does staffing at Bradley Estates Nursing and Rehab LLC compare?
Reported total nurse staffing is 3.8 hours per resident per day against a Wisconsin median of 4.0 and a national average of 3.9.
Who operates Bradley Estates Nursing and Rehab LLC?
CMS groups it with other facilities under an individual owner, whose name this site does not publish. Ownership type is for-profit, corporation. Individual owners and managers are not listed on this site.
When was Bradley Estates Nursing and Rehab LLC last inspected?
The most recent survey or investigation in the CMS record is dated 30 Dec 2025; the most recent standard health survey was 17 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.