Elder Care Record

Wisconsin › Milwaukee County › Greenfield

Complete Care At Southpointe

4500 W. Loomis Rd., Greenfield, WI 53220

CCN 525604 · For-profit, limited liability company · 174 certified beds · chain Complete Care

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.

Complete Care At Southpointe is a For-profit, limited liability company nursing home in Greenfield, Wisconsin, certified for 174 beds and caring for about 98 residents a day.

CMS gives it 3 of 5 stars overall, equal to the Wisconsin median; the health inspection rating is 2, staffing 3 and quality measures 5.

Inspectors recorded 17 health deficiencies across the three most recent survey cycles (7, 2, 8 by cycle, most recent first), 4 of them at the actual-harm or immediate-jeopardy level. That is 9.8 per 100 beds, fewer than the state median of 31.8.

CMS lists no fines or payment denials against the facility in the period covered.

Reported nurse staffing is 3.7 hours per resident per day (0.7 RN), close to the Wisconsin median of 4.0; nursing staff turnover is 47.4%.

17health deficiencies, 3 survey cycles4 at actual harm or worse
$0fines listed by CMS0 penalties in period
3.7nurse hours per resident per daystate median 4.0
56%occupancy (residents ÷ beds)98 residents a day

Compared with county, state and nation

MeasureThis facilityMilwaukee Co. medianWisconsin medianUS average
Overall star rating3233.0
Health citations, 3 cycles17382128.7
Citations per 100 beds9.844.131.826.8
Total nurse hours per resident day3.74.04.03.9
RN hours per resident day0.70.70.90.7
Nursing staff turnover47.4%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

Cycle 1 (latest)7
Cycle 22
Cycle 38

Dark bar: this facility. Grey bar: Wisconsin average per facility for the same cycle, as published by CMS. Standard health survey dates: 12 Mar 2026, 17 Oct 2024.

Severity mix: J ×2 G ×2 D ×6 E ×3 F ×2 C ×2

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 dateTagWhat the tag requiresSeverityTypeCorrected
12 Mar 2026F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GStandard survey5 Apr 2026
12 Mar 2026F0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.FStandard survey5 Apr 2026
12 Mar 2026F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.EComplaint investigation5 Apr 2026
12 Mar 2026F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey5 Apr 2026
12 Mar 2026F0602Protect each resident from the wrongful use of the resident's belongings or money.DStandard survey5 Apr 2026
12 Mar 2026F0688Provide 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.DStandard survey5 Apr 2026
12 Mar 2026F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.CStandard survey5 Apr 2026
17 Oct 2024F0641Ensure each resident receives an accurate assessment.DStandard survey6 Nov 2024
17 Oct 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey18 Oct 2024
17 Aug 2023F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.JComplaint investigation13 Sep 2023
17 Aug 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint investigation13 Sep 2023
17 Aug 2023F0692Provide enough food/fluids to maintain a resident's health.GComplaint investigation13 Sep 2023
17 Aug 2023F0880Provide and implement an infection prevention and control program.FStandard survey13 Sep 2023
17 Aug 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey13 Sep 2023
17 Aug 2023F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey13 Sep 2023
17 Aug 2023F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard survey13 Sep 2023
17 Aug 2023F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.CStandard survey13 Sep 2023

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing3.7 h
Nurse aides2.15 h
LPN0.84 h
RN0.71 h
Weekend total3.36 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Wisconsin average. Turnover: nursing staff 47.4%, RNs 25.0%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityWisconsin medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay4.9%15.4%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%1.5%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay4.5%2.3%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay0.3%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.2%0.9%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay23.2%16.8%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay2.4%4.4%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay4.3%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: Southpointe Care And Rehab Center Llc. Chain: Complete Care (85 facilities).

OrganisationRole in the CMS recordInterestSince
Pc Swi Holdco LLC5% or greater direct ownership interest100%06/01/2022
Pc Swi Topco LLC5% or greater indirect ownership interestNO PERCENTAGE PROVIDED06/01/2022
Des Capital LLCAdp of the snfNOT APPLICABLE06/01/2022
Jrk Investments LLCAdp of the snfNOT APPLICABLE06/01/2022
Southpointe Propco LLCAdp of the snfNOT APPLICABLE06/01/2022
Wi 6 Propco Holdco LLCAdp of the snfNOT APPLICABLE06/01/2022
Wi 6 Propco Topco LLCAdp of the snfNOT APPLICABLE06/01/2022

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

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Eastcastle Pl Bradford Ter Conv CtrMilwaukee405351640.0$90K18 Feb 2026
Lutheran HomeWauwatosa1604352012.5—10 Jun 2025
Milwaukee Catholic HomeMilwaukee1074511312.1—20 May 2026
Milwaukee Health and RehabMilwaukee954422122.1—8 Dec 2025
Saint Johns On the LakeMilwaukee274351451.9—1 Apr 2026
St Ann Health and Rehabilitation CenterMilwaukee504422142.0—5 Mar 2026
Aria At Mitchell ManorWest Allis503332346.0$16K1 Jul 2026
Complete Care At Glendale WestGlendale943233840.4$11K12 Nov 2025

All 32 facilities in Milwaukee County

Questions and answers

How many deficiencies has Complete Care At Southpointe been cited for?

17 health deficiencies across the three most recent survey cycles, 4 at the actual-harm or immediate-jeopardy level. The Wisconsin median is 21 per facility.

Has Complete Care At Southpointe been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at Complete Care At Southpointe compare?

Reported total nurse staffing is 3.7 hours per resident per day against a Wisconsin median of 4.0 and a national average of 3.9.

Who operates Complete Care At Southpointe?

It is part of the Complete Care chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Pc Swi Holdco LLC and Pc Swi Topco LLC. Individual owners and managers are not listed on this site.

When was Complete Care At Southpointe last inspected?

The most recent survey or investigation in the CMS record is dated 12 Mar 2026; the most recent standard health survey was 12 Mar 2026.

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.