Starfile / Wisconsin

Complete Care at Southpointe

4500 W. Loomis Rd., Greenfield, WI 53220 · CCN 525604

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

$89,823

Number of fines

1

Number of penalties

1

Payment denials

0

Chain

Chain

COMPLETE CARE

Facilities in chain

85

Chain avg overall

3.20 / 5

Inspection citations (40)4 immediate jeopardy3 actual harm

1. DF0641Ensure each resident receives an accurate assessment.2024-10-17 · Health · corrected 2024-11-06

   Potential for more than minimal harm

2. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-10-17 · Health · corrected 2024-10-18

   Potential for more than minimal harm

3. CF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2023-08-17 · Health · corrected 2023-09-13

   Potential for minimal harm

4. JF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-08-17 · Health · corrected 2023-09-13

   Immediate jeopardy

5. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-08-17 · Health · corrected 2023-09-13

   Immediate jeopardy

6. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-08-17 · Health · corrected 2023-09-13

   Potential for more than minimal harm

7. GF0692Provide enough food/fluids to maintain a resident's health.2023-08-17 · Health · corrected 2023-09-13

   Actual harm

8. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2023-08-17 · Health · corrected 2023-09-13

   Potential for more than minimal harm

9. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-08-17 · Health · corrected 2023-09-13

   Potential for more than minimal harm

10. FF0880Provide and implement an infection prevention and control program.2023-08-17 · Health · corrected 2023-09-13

    Potential for more than minimal harm

11. 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.2022-04-07 · Health · corrected 2022-06-30

    Potential for more than minimal harm

12. GF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2022-04-07 · Health · corrected 2022-07-30

    Actual harm

13. FF0583Keep residents' personal and medical records private and confidential.2022-04-07 · Health · corrected 2022-06-30

    Potential for more than minimal harm

14. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2022-04-07 · Health · corrected 2022-07-30

    Potential for more than minimal harm

15. DF0610Respond appropriately to all alleged violations.2022-04-07 · Health · corrected 2022-06-30

    Potential for more than minimal harm

16. EF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2022-04-07 · Health · corrected 2022-06-30

    Potential for more than minimal harm

17. 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.2022-04-07 · Health · corrected 2022-06-30

    Potential for more than minimal harm

18. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-04-07 · Health · corrected 2022-07-30

    Potential for more than minimal harm

19. KF0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.2022-04-07 · Health · corrected 2022-06-30

    Immediate jeopardy

20. JF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-04-07 · Health · corrected 2022-06-30

    Immediate jeopardy

21. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-04-07 · Health · corrected 2022-06-30

    Actual harm

22. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2022-04-07 · Health · corrected 2022-06-30

    Potential for more than minimal harm

23. DF0692Provide enough food/fluids to maintain a resident's health.2022-04-07 · Health · corrected 2022-06-30

    Potential for more than minimal harm

24. EF0695Provide safe and appropriate respiratory care for a resident when needed.2022-04-07 · Health · corrected 2022-06-30

    Potential for more than minimal harm

25. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2022-04-07 · Health · corrected 2022-06-30

    Potential for more than minimal harm

26. 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.2022-04-07 · Health · corrected 2022-06-30

    Potential for more than minimal harm

27. DF0730Observe each nurse aide's job performance and give regular training.2022-04-07 · Health · corrected 2022-06-30

    Potential for more than minimal harm

28. DF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.2022-04-07 · Health · corrected 2022-06-30

    Potential for more than minimal harm

29. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2022-04-07 · Health · corrected 2022-06-30

    Potential for more than minimal harm

30. 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.2022-04-07 · Health · corrected 2022-06-30

    Potential for more than minimal harm

31. DF0759Ensure medication error rates are not 5 percent or greater.2022-04-07 · Health · corrected 2022-06-30

    Potential for more than minimal harm

32. DF0760Ensure that residents are free from significant medication errors.2022-04-07 · Health · corrected 2022-06-30

    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.2022-04-07 · Health · corrected 2022-06-30

    Potential for more than minimal harm

34. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2022-04-07 · Health · corrected 2022-06-30

    Potential for more than minimal harm

35. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2022-04-07 · Health · corrected 2022-06-30

    Potential for more than minimal harm

36. FF0880Provide and implement an infection prevention and control program.2022-04-07 · Health · corrected 2022-06-30

    Potential for more than minimal harm

37. DF0881Implement a program that monitors antibiotic use.2022-04-07 · Health · corrected 2022-06-30

    Potential for more than minimal harm

38. CF0886Perform COVID19 testing on residents and staff.2022-04-07 · Health · corrected 2022-06-30

    Potential for minimal harm

39. DF0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.2022-04-07 · Health · corrected 2022-06-30

    Potential for more than minimal harm

40. EF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2022-04-07 · Health · corrected 2022-06-30

    Potential for more than minimal harm

Ownership

Other facilities in Greenfield

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