Starfile / Wisconsin

AUTUMN LAKE HEALTHCARE AT GREENFIELD

5790 S 27TH ST, MILWAUKEE, WI 53221 · CCN 525504

Abuse icon

Inspection history vs Wisconsin & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$176,440

Number of fines

2

Number of penalties

4

Payment denials

2

Chain

Chain

AUTUMN LAKE HEALTHCARE

Facilities in chain

60

Chain avg overall

2.80 / 5

Inspection citations (76)1 immediate jeopardy7 actual harm

1. JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-12-13 · Health · corrected 2025-12-14

   Immediate jeopardy

2. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-12-13 · Health · corrected 2025-12-14

   Potential for more than minimal harm

3. DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-12-13 · Health · corrected 2026-01-15

   Potential for more than minimal harm

4. DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2025-12-13 · Health · corrected 2026-01-15

   Potential for more than minimal harm

5. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-12-13 · Health · corrected 2025-12-15

   Potential for more than minimal harm

6. DF0585Honor 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.2025-07-08 · Health · corrected 2025-07-29

   Potential for more than minimal harm

7. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-03-26 · Health · corrected 2025-04-24

   Potential for more than minimal harm

8. DF0610Respond appropriately to all alleged violations.2025-03-26 · Health · corrected 2025-04-24

   Potential for more than minimal harm

9. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-03-26 · Health · corrected 2025-04-24

   Potential for more than minimal harm

10. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-03-26 · Health · corrected 2025-04-24

    Potential for more than minimal harm

11. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-03-26 · Health · corrected 2025-04-24

    Potential for more than minimal harm

12. DF0692Provide enough food/fluids to maintain a resident's health.2025-03-26 · Health · corrected 2025-04-24

    Potential for more than minimal harm

13. CF0732Post nurse staffing information every day.2025-03-26 · Health · corrected 2025-04-24

    Potential for minimal harm

14. DF0760Ensure that residents are free from significant medication errors.2025-03-26 · Health · corrected 2025-04-24

    Potential for more than minimal harm

15. DF0773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.2025-03-26 · Health · corrected 2025-04-24

    Potential for more than minimal harm

16. DF0880Provide and implement an infection prevention and control program.2025-03-26 · Health · corrected 2025-04-24

    Potential for more than minimal harm

17. DF0578Honor 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.2024-12-12 · Health · corrected 2025-01-19

    Potential for more than minimal harm

18. EF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-12-12 · Health · corrected 2025-01-19

    Potential for more than minimal harm

19. DF0638Assure that each resident’s assessment is updated at least once every 3 months.2024-12-12 · Health · corrected 2025-01-19

    Potential for more than minimal harm

20. DF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2024-12-12 · Health · corrected 2025-01-19

    Potential for more than minimal harm

21. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2024-12-12 · Health · corrected 2025-01-19

    Potential for more than minimal harm

22. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-12-12 · Health · corrected 2025-01-19

    Potential for more than minimal harm

23. DF0688Provide 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.2024-12-12 · Health · corrected 2025-01-19

    Potential for more than minimal harm

24. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-12-12 · Health · corrected 2025-01-19

    Potential for more than minimal harm

25. DF0697Provide safe, appropriate pain management for a resident who requires such services.2024-12-12 · Health · corrected 2025-01-19

    Potential for more than minimal harm

26. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-12-12 · Health · corrected 2025-01-19

    Potential for more than minimal harm

27. DF0758Implement 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.2024-12-12 · Health · corrected 2025-01-19

    Potential for more than minimal harm

28. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-12-12 · Health · corrected 2025-01-19

    Potential for more than minimal harm

29. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-09-25 · Health · corrected 2024-09-26

    Potential for more than minimal harm

30. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-09-25 · Health · corrected 2024-11-05

    Potential for more than minimal harm

31. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-09-25 · Health · corrected 2024-09-26

    Potential for more than minimal harm

32. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2024-08-13 · Health · corrected 2024-09-09

    Potential for more than minimal harm

33. DF0585Honor 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.2024-08-13 · Health · corrected 2024-09-09

    Potential for more than minimal harm

34. DF0610Respond appropriately to all alleged violations.2024-08-13 · Health · corrected 2024-09-09

    Potential for more than minimal harm

35. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-08-13 · Health · corrected 2024-09-09

    Potential for more than minimal harm

36. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-08-13 · Health · corrected 2024-09-26

    Actual harm

37. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-08-13 · Health · corrected 2024-11-05

    Actual harm

38. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-08-13 · Health · corrected 2024-09-09

    Potential for more than minimal harm

39. DF0880Provide and implement an infection prevention and control program.2024-08-13 · Health · corrected 2024-09-09

    Potential for more than minimal harm

40. EF0759Ensure medication error rates are not 5 percent or greater.2024-02-14 · Health · corrected 2024-03-06

    Potential for more than minimal harm

41. EF0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.2024-02-14 · Health · corrected 2024-03-01

    Potential for more than minimal harm

42. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-11-21 · Health · corrected 2023-12-08

    Potential for more than minimal harm

43. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-09-11 · Health · corrected 2023-09-30

    Potential for more than minimal harm

44. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-09-11 · Health · corrected 2023-09-30

    Potential for more than minimal harm

45. DF0692Provide enough food/fluids to maintain a resident's health.2023-09-11 · Health · corrected 2023-09-30

    Potential for more than minimal harm

46. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2023-09-11 · Health · corrected 2023-09-30

    Potential for more than minimal harm

47. DF0759Ensure medication error rates are not 5 percent or greater.2023-09-11 · Health · corrected 2023-09-30

    Potential for more than minimal harm

48. EF0761Ensure 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.2023-09-11 · Health · corrected 2023-09-30

    Potential for more than minimal harm

49. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-09-11 · Health · corrected 2023-09-30

    Potential for more than minimal harm

50. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-06-13 · Health · corrected 2023-06-14

    Potential for more than minimal harm

51. DF0610Respond appropriately to all alleged violations.2023-05-10 · Health · corrected 2023-05-31

    Potential for more than minimal harm

52. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-05-10 · Health · corrected 2023-05-31

    Potential for more than minimal harm

53. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-05-10 · Health · corrected 2023-06-14

    Potential for more than minimal harm

54. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-05-10 · Health · corrected 2023-05-31

    Potential for more than minimal harm

55. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-05-10 · Health · corrected 2023-05-11

    Actual harm

56. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-05-10 · Health · corrected 2023-05-30

    Potential for more than minimal harm

57. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-05-10 · Health · corrected 2023-05-31

    Potential for more than minimal harm

58. DF0759Ensure medication error rates are not 5 percent or greater.2023-05-10 · Health · corrected 2023-06-01

    Potential for more than minimal harm

59. DF0761Ensure 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.2023-05-10 · Health · corrected 2023-05-30

    Potential for more than minimal harm

60. DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2023-05-10 · Health · corrected 2023-05-31

    Potential for more than minimal harm

61. DF0880Provide and implement an infection prevention and control program.2023-05-10 · Health · corrected 2023-05-31

    Potential for more than minimal harm

62. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-05-16 · Health · corrected 2022-09-24

    Potential for more than minimal harm

63. DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2022-05-16 · Health · corrected 2022-09-24

    Potential for more than minimal harm

64. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-05-16 · Health · corrected 2022-09-24

    Potential for more than minimal harm

65. GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-05-16 · Health · corrected 2022-09-26

    Actual harm

66. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2022-05-16 · Health · corrected 2022-09-24

    Actual harm

67. DF0688Provide 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.2022-05-16 · Health · corrected 2022-09-24

    Potential for more than minimal harm

68. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-05-16 · Health · corrected 2022-09-26

    Actual harm

69. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2022-05-16 · Health · corrected 2022-09-24

    Potential for more than minimal harm

70. DF0692Provide enough food/fluids to maintain a resident's health.2022-05-16 · Health · corrected 2022-09-24

    Potential for more than minimal harm

71. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2022-05-16 · Health · corrected 2022-09-24

    Potential for more than minimal harm

72. DF0758Implement 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.2022-05-16 · Health · corrected 2022-09-24

    Potential for more than minimal harm

73. DF0759Ensure medication error rates are not 5 percent or greater.2022-05-16 · Health · corrected 2022-09-24

    Potential for more than minimal harm

74. DF0761Ensure 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.2022-05-16 · Health · corrected 2022-09-24

    Potential for more than minimal harm

75. GF0770Provide timely, quality laboratory services/tests to meet the needs of residents.2022-05-16 · Health · corrected 2022-09-24

    Actual harm

76. EF0880Provide and implement an infection prevention and control program.2022-05-16 · Health · corrected 2022-09-24

    Potential for more than minimal harm

Ownership

Other facilities in MILWAUKEE

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.