Starfile

Starfile / Wisconsin

BRADLEY ESTATES NURSING AND REHAB LLC

6735 W BRADLEY RD, MILWAUKEE, WI 53223 · CCN 525325

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Ratings

Overall
★☆☆☆☆ 1
Health inspection
★☆☆☆☆ 1
Quality measures
★★☆☆☆ 2
Staffing
★★☆☆☆ 2

Facility

Ownership type
For profit - Corporation
Certified beds
198
Avg residents/day
141.5
Phone
4143543300

Inspection history vs Wisconsin & national averages

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

CycleInspection dateThis facilityWisconsin avgNational avgvs state
12025-09-17379.89.5+27.2 worse
22024-07-01629.29.8+52.8 worse
32023-04-26608.39.3+51.7 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation7
Quality of life and care5
Resident assessment and care planning4
Resident rights9
Nutrition and dietary3
Pharmacy service6
Infection control3

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)3.6574.7%
RN staffing (reported)0.5262.5%
Total nurse staffing (adjusted)3.58—

Fines & penalties

Total fines
$387,126
Number of fines
5
Number of penalties
9
Payment denials
4

Chain

Chain
SHLOMO HOFFMAN
Facilities in chain
9
Chain avg overall
2.40 / 5

Inspection citations (159)3 immediate jeopardy11 actual harm

  1. DF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2025-12-30 · Health · corrected 2026-01-28

    Potential for more than minimal harm

  2. EF0584Honor 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.2025-12-30 · Health · corrected 2026-01-28

    Potential for more than minimal harm

  3. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-12-30 · Health · corrected 2026-01-28

    Potential for more than minimal harm

  4. DF0610Respond appropriately to all alleged violations.2025-12-30 · Health · corrected 2026-01-28

    Potential for more than minimal harm

  5. DF0551Give the resident's representative the ability to exercise the resident's rights.2025-09-17 · Health · corrected 2025-10-16

    Potential for more than minimal harm

  6. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2025-09-17 · Health · corrected 2025-10-16

    Potential for more than minimal harm

  7. DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2025-09-17 · Health · corrected 2025-10-16

    Potential for more than minimal harm

  8. 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.2025-09-17 · Health · corrected 2025-10-16

    Potential for more than minimal harm

  9. EF0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.2025-09-17 · Health · corrected 2025-10-16

    Potential for more than minimal harm

  10. DF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2025-09-17 · Health · corrected 2025-10-16

    Potential for more than minimal harm

  11. EF0641Ensure each resident receives an accurate assessment.2025-09-17 · Health · corrected 2025-10-16

    Potential for more than minimal harm

  12. DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2025-09-17 · Health · corrected 2025-10-16

    Potential for more than minimal harm

  13. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2025-09-17 · Health · corrected 2025-10-16

    Potential for more than minimal harm

  14. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-09-17 · Health · corrected 2025-10-16

    Potential for more than minimal harm

  15. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-09-17 · Health · corrected 2025-10-16

    Potential for more than minimal harm

  16. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-09-17 · Health · corrected 2025-10-16

    Potential for more than minimal harm

  17. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2025-09-17 · Health · corrected 2025-10-16

    Potential for more than minimal harm

  18. 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.2025-09-17 · Health · corrected 2025-10-16

    Potential for more than minimal harm

  19. EF0880Provide and implement an infection prevention and control program.2025-09-17 · Health · corrected 2025-10-16

    Potential for more than minimal harm

  20. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-08-20 · Health · corrected 2025-09-14

    Potential for more than minimal harm

  21. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-08-20 · Health · corrected 2025-09-14

    Potential for more than minimal harm

  22. DF0610Respond appropriately to all alleged violations.2025-08-20 · Health · corrected 2025-09-14

    Potential for more than minimal harm

  23. EF0584Honor 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.2025-07-11 · Health · corrected 2025-08-08

    Potential for more than minimal harm

  24. DF0610Respond appropriately to all alleged violations.2025-07-11 · Health · corrected 2025-08-08

    Potential for more than minimal harm

  25. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-07-11 · Health · corrected 2025-08-08

    Potential for more than minimal harm

  26. EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2025-06-10 · Health · corrected 2025-07-04

    Potential for more than minimal harm

  27. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-06-10 · Health · corrected 2025-07-04

    Potential for more than minimal harm

  28. 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.2025-06-10 · Health · corrected 2025-07-04

    Potential for more than minimal harm

  29. DF0880Provide and implement an infection prevention and control program.2025-06-10 · Health · corrected 2025-07-04

    Potential for more than minimal harm

  30. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-04-01 · Health · corrected 2025-04-10

    Potential for more than minimal harm

  31. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-04-01 · Health · corrected 2025-04-10

    Potential for more than minimal harm

  32. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-04-01 · Health · corrected 2025-04-10

    Potential for more than minimal harm

  33. 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.2025-04-01 · Health · corrected 2025-04-10

    Potential for more than minimal harm

  34. FF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2025-04-01 · Health · corrected 2025-04-10

    Potential for more than minimal harm

  35. EF0803Ensure 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.2025-04-01 · Health · corrected 2025-04-10

    Potential for more than minimal harm

  36. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-04-01 · Health · corrected 2025-04-10

    Potential for more than minimal harm

  37. DF0880Provide and implement an infection prevention and control program.2025-04-01 · Health · corrected 2025-04-10

    Potential for more than minimal harm

  38. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-02-06 · Health · corrected 2025-02-07

    Potential for more than minimal harm

  39. DF0625Notify 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.2025-02-06 · Health · corrected 2025-02-07

    Potential for more than minimal harm

  40. DF0626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.2025-02-06 · Health · corrected 2025-02-07

    Potential for more than minimal harm

  41. KF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-02-06 · Health · corrected 2025-02-07

    Immediate jeopardy

  42. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-01-07 · Health · corrected 2025-01-21

    Potential for more than minimal harm

  43. EF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2025-01-07 · Health · corrected 2025-01-21

    Potential for more than minimal harm

  44. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-01-07 · Health · corrected 2025-02-07

    Potential for more than minimal harm

  45. GF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-01-07 · Health · corrected 2025-02-04

    Actual harm

  46. DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2024-10-28 · Health · corrected 2024-10-29

    Potential for more than minimal harm

  47. DF0685Assist a resident in gaining access to vision and hearing services.2024-10-28 · Health · corrected 2024-10-31

    Potential for more than minimal harm

  48. DF0880Provide and implement an infection prevention and control program.2024-10-28 · Health · corrected 2024-11-19

    Potential for more than minimal harm

  49. DF0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.2024-09-19 · Health · corrected 2024-10-14

    Potential for more than minimal harm

  50. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-09-19 · Health · corrected 2024-10-14

    Potential for more than minimal harm

  51. 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.2024-09-19 · Health · corrected 2024-10-17

    Potential for more than minimal harm

  52. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-09-19 · Health · corrected 2024-10-14

    Potential for more than minimal harm

  53. DF0610Respond appropriately to all alleged violations.2024-09-19 · Health · corrected 2024-10-14

    Potential for more than minimal harm

  54. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-09-19 · Health · corrected 2024-12-05

    Potential for more than minimal harm

  55. DF0692Provide enough food/fluids to maintain a resident's health.2024-09-19 · Health · corrected 2024-10-16

    Potential for more than minimal harm

  56. 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.2024-09-19 · Health · corrected 2024-10-14

    Potential for more than minimal harm

  57. GF0760Ensure that residents are free from significant medication errors.2024-09-19 · Health · corrected 2024-12-05

    Actual harm

  58. DF0917Make 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.2024-09-19 · Health · corrected 2024-10-17

    Potential for more than minimal harm

  59. DF0602Protect each resident from the wrongful use of the resident's belongings or money.2024-07-01 · Health · corrected 2024-07-17

    Potential for more than minimal harm

  60. EF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-07-01 · Health · corrected 2024-07-17

    Potential for more than minimal harm

  61. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-07-01 · Health · corrected 2024-07-17

    Potential for more than minimal harm

  62. EF0610Respond appropriately to all alleged violations.2024-07-01 · Health · corrected 2024-07-17

    Potential for more than minimal harm

  63. DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2024-07-01 · Health · corrected 2024-07-17

    Potential for more than minimal harm

  64. EF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-07-01 · Health · corrected 2024-07-17

    Potential for more than minimal harm

  65. EF0625Notify 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.2024-07-01 · Health · corrected 2024-07-17

    Potential for more than minimal harm

  66. EF0645PASARR screening for Mental disorders or Intellectual Disabilities2024-07-01 · Health · corrected 2024-07-17

    Potential for more than minimal harm

  67. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-07-01 · Health · corrected 2024-07-17

    Potential for more than minimal harm

  68. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-07-01 · Health · corrected 2024-07-17

    Potential for more than minimal harm

  69. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-07-01 · Health · corrected 2024-07-17

    Potential for more than minimal harm

  70. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-07-01 · Health · corrected 2024-07-17

    Potential for more than minimal harm

  71. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-07-01 · Health · corrected 2024-12-05

    Actual harm

  72. DF0700Try 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.2024-07-01 · Health · corrected 2024-07-17

    Potential for more than minimal harm

  73. JF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.2024-07-01 · Health · corrected 2024-07-17

    Immediate jeopardy

  74. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-07-01 · Health · corrected 2024-07-17

    Potential for more than minimal harm

  75. 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.2024-07-01 · Health · corrected 2024-07-17

    Potential for more than minimal harm

  76. FF0880Provide and implement an infection prevention and control program.2024-07-01 · Health · corrected 2024-07-17

    Potential for more than minimal harm

  77. FF0908Keep all essential equipment working safely.2024-07-01 · Health · corrected 2024-07-17

    Potential for more than minimal harm

  78. FF0944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.2024-07-01 · Health · corrected 2024-07-17

    Potential for more than minimal harm

  79. FF0946Provide training in compliance and ethics.2024-07-01 · Health · corrected 2024-07-17

    Potential for more than minimal harm

  80. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2024-03-07 · Health · corrected 2024-04-05

    Potential for more than minimal harm

  81. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-03-07 · Health · corrected 2024-04-05

    Potential for more than minimal harm

  82. 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.2024-03-07 · Health · corrected 2024-04-05

    Potential for more than minimal harm

  83. DF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.2024-03-07 · Health · corrected 2024-04-05

    Potential for more than minimal harm

  84. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-03-07 · Health · corrected 2024-04-05

    Potential for more than minimal harm

  85. GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-03-07 · Health · corrected 2024-04-05

    Actual harm

  86. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-03-07 · Health · corrected 2024-04-05

    Potential for more than minimal harm

  87. GF0688Provide 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.2024-03-07 · Health · corrected 2024-04-05

    Actual harm

  88. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-03-07 · Health · corrected 2024-04-05

    Actual harm

  89. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-03-07 · Health · corrected 2024-04-05

    Potential for more than minimal harm

  90. DF0692Provide enough food/fluids to maintain a resident's health.2024-03-07 · Health · corrected 2024-04-05

    Potential for more than minimal harm

  91. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2024-03-07 · Health · corrected 2024-04-05

    Potential for more than minimal harm

  92. DF0711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.2024-03-07 · Health · corrected 2024-04-05

    Potential for more than minimal harm

  93. DF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.2024-03-07 · Health · corrected 2024-04-05

    Potential for more than minimal harm

  94. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-03-07 · Health · corrected 2024-04-05

    Potential for more than minimal harm

  95. 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.2024-03-07 · Health · corrected 2024-04-05

    Potential for more than minimal harm

  96. GF0760Ensure that residents are free from significant medication errors.2024-03-07 · Health · corrected 2024-04-05

    Actual harm

  97. DF0825Provide or get specialized rehabilitative services as required for a resident.2024-03-07 · Health · corrected 2024-04-05

    Potential for more than minimal harm

  98. FF0880Provide and implement an infection prevention and control program.2024-03-07 · Health · corrected 2024-04-05

    Potential for more than minimal harm

  99. DF0881Implement a program that monitors antibiotic use.2024-03-07 · Health · corrected 2024-04-05

    Potential for more than minimal harm

  100. EF0585Honor 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.2024-01-17 · Health · corrected 2024-04-05

    Potential for more than minimal harm

  101. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-01-17 · Health · corrected 2024-02-09

    Potential for more than minimal harm

  102. DF0610Respond appropriately to all alleged violations.2024-01-17 · Health · corrected 2024-02-09

    Potential for more than minimal harm

  103. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-01-17 · Health · corrected 2024-04-05

    Potential for more than minimal harm

  104. GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-01-17 · Health · corrected 2024-04-05

    Actual harm

  105. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-01-17 · Health · corrected 2024-04-05

    Actual harm

  106. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-01-17 · Health · corrected 2024-04-05

    Immediate jeopardy

  107. GF0697Provide safe, appropriate pain management for a resident who requires such services.2024-01-17 · Health · corrected 2024-02-09

    Actual harm

  108. EF0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.2024-01-17 · Health · corrected 2024-02-09

    Potential for more than minimal harm

  109. EF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2024-01-17 · Health · corrected 2024-02-09

    Potential for more than minimal harm

  110. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-11-01 · Health · corrected 2023-12-01

    Potential for more than minimal harm

  111. DF0551Give the resident's representative the ability to exercise the resident's rights.2023-11-01 · Health · corrected 2023-12-01

    Potential for more than minimal harm

  112. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2023-11-01 · Health · corrected 2023-12-01

    Potential for more than minimal harm

  113. DF0558Reasonably accommodate the needs and preferences of each resident.2023-11-01 · Health · corrected 2023-12-01

    Potential for more than minimal harm

  114. FF0584Honor 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.2023-11-01 · Health · corrected 2023-12-01

    Potential for more than minimal harm

  115. EF0585Honor 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.2023-11-01 · Health · corrected 2023-12-01

    Potential for more than minimal harm

  116. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2023-11-01 · Health · corrected 2023-12-01

    Potential for more than minimal harm

  117. DF0610Respond appropriately to all alleged violations.2023-11-01 · Health · corrected 2023-12-01

    Potential for more than minimal harm

  118. DF0625Notify 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.2023-11-01 · Health · corrected 2023-12-01

    Potential for more than minimal harm

  119. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-11-01 · Health · corrected 2023-12-01

    Potential for more than minimal harm

  120. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-11-01 · Health · corrected 2023-12-01

    Potential for more than minimal harm

  121. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-11-01 · Health · corrected 2023-12-01

    Potential for more than minimal harm

  122. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-11-01 · Health · corrected 2023-12-01

    Potential for more than minimal harm

  123. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-11-01 · Health · corrected 2023-12-01

    Potential for more than minimal harm

  124. EF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-11-01 · Health · corrected 2023-12-01

    Potential for more than minimal harm

  125. DF0691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.2023-11-01 · Health · corrected 2023-12-01

    Potential for more than minimal harm

  126. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-11-01 · Health · corrected 2023-12-01

    Potential for more than minimal harm

  127. DF0759Ensure medication error rates are not 5 percent or greater.2023-11-01 · Health · corrected 2023-12-01

    Potential for more than minimal harm

  128. EF0803Ensure 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.2023-11-01 · Health · corrected 2023-12-01

    Potential for more than minimal harm

  129. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2023-11-01 · Health · corrected 2023-12-01

    Potential for more than minimal harm

  130. EF0807Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.2023-11-01 · Health · corrected 2023-12-01

    Potential for more than minimal harm

  131. FF0809Ensure 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.2023-11-01 · Health · corrected 2023-12-01

    Potential for more than minimal harm

  132. EF0880Provide and implement an infection prevention and control program.2023-11-01 · Health · corrected 2023-12-01

    Potential for more than minimal harm

  133. DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2023-11-01 · Health · corrected 2023-12-01

    Potential for more than minimal harm

  134. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-04-26 · Health · corrected 2023-05-19

    Potential for more than minimal harm

  135. DF0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.2023-04-26 · Health · corrected 2023-05-19

    Potential for more than minimal harm

  136. 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.2023-04-26 · Health · corrected 2023-05-19

    Potential for more than minimal harm

  137. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2023-04-26 · Health · corrected 2023-05-19

    Potential for more than minimal harm

  138. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-04-26 · Health · corrected 2023-05-19

    Potential for more than minimal harm

  139. EF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2023-04-26 · Health · corrected 2023-05-19

    Potential for more than minimal harm

  140. EF0625Notify 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.2023-04-26 · Health · corrected 2023-05-19

    Potential for more than minimal harm

  141. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-04-26 · Health · corrected 2023-05-19

    Potential for more than minimal harm

  142. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-04-26 · Health · corrected 2023-05-19

    Potential for more than minimal harm

  143. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-04-26 · Health · corrected 2023-05-19

    Potential for more than minimal harm

  144. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-04-26 · Health · corrected 2023-05-19

    Potential for more than minimal harm

  145. 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.2023-04-26 · Health · corrected 2023-05-19

    Potential for more than minimal harm

  146. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-04-26 · Health · corrected 2023-05-19

    Actual harm

  147. EF0692Provide enough food/fluids to maintain a resident's health.2023-04-26 · Health · corrected 2023-05-19

    Potential for more than minimal harm

  148. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-04-26 · Health · corrected 2023-05-19

    Potential for more than minimal harm

  149. 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.2023-04-26 · Health · corrected 2023-05-19

    Potential for more than minimal harm

  150. 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.2023-04-26 · Health · corrected 2023-05-19

    Potential for more than minimal harm

  151. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-04-26 · Health · corrected 2023-05-19

    Potential for more than minimal harm

  152. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-04-26 · Health · corrected 2023-05-19

    Potential for more than minimal harm

  153. 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.2023-04-26 · Health · corrected 2023-05-19

    Potential for more than minimal harm

  154. EF0880Provide and implement an infection prevention and control program.2023-04-26 · Health · corrected 2023-05-19

    Potential for more than minimal harm

  155. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2023-04-26 · Health · corrected 2023-05-19

    Potential for more than minimal harm

  156. DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2023-03-02 · Health · corrected 2023-03-07

    Potential for more than minimal harm

  157. 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.2023-03-02 · Health · corrected 2023-03-07

    Potential for more than minimal harm

  158. EF0759Ensure medication error rates are not 5 percent or greater.2023-03-02 · Health · corrected 2023-03-07

    Potential for more than minimal harm

  159. DF0760Ensure that residents are free from significant medication errors.2023-03-02 · Health · corrected 2023-03-07

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
JEIDEL, JACOBIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST60%2023-01-01
HOFFMAN, SHLOMOIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST20%2023-01-01
SHKOP, BENJAMINIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST20%2023-01-01
JEIDEL, JACOBIndividualCORPORATE OFFICER—2023-01-01
KLEKAMP, STEVEIndividualW-2 MANAGING EMPLOYEE—2023-01-01

Other facilities in MILWAUKEE

NameOverallBeds
MILWAUKEE CATHOLIC HOME★★★★★107
EASTCASTLE PL BRADFORD TER CONV CTR★★★★★40
JEWISH HOME AND CARE CENTER★★★★☆102
Milwaukee Health and Rehab★★★★☆95
SAINT JOHNS ON THE LAKE★★★★☆27

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