Starfile

Starfile / Wisconsin

Greendale Park Nursing and Rehab

5404 W LOOMIS RD, Greendale, WI 53129 · CCN 525549

Ratings

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

Facility

Ownership type
For profit - Limited Liability company
Certified beds
105
Avg residents/day
67.3
Phone
4144210088

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
12024-10-08199.89.5+9.2 worse
22023-06-19419.29.8+31.8 worse
32022-03-16138.39.3+4.7 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation2
Quality of life and care6
Resident assessment and care planning2
Nursing and physician services2
Resident rights4
Pharmacy service2
Infection control1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)3.6473.1%
RN staffing (reported)0.6655.6%
Total nurse staffing (adjusted)3.56—

Fines & penalties

Total fines
$271,160
Number of fines
3
Number of penalties
5
Payment denials
2

Chain

Chain
BEDROCK HEALTHCARE
Facilities in chain
9
Chain avg overall
1.30 / 5

Inspection citations (73)1 immediate jeopardy8 actual harm

  1. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-12-03 · Health · corrected 2025-12-04

    Potential for more than minimal harm

  2. DF0610Respond appropriately to all alleged violations.2025-12-03 · Health · corrected 2025-12-04

    Potential for more than minimal harm

  3. DF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2025-12-03 · Health · corrected 2025-12-04

    Potential for more than minimal harm

  4. DF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.2025-12-03 · Health · corrected 2025-12-04

    Potential for more than minimal harm

  5. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2025-08-12 · Health · corrected 2025-09-10

    Potential for more than minimal harm

  6. DF0627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.2025-08-12 · Health · corrected 2025-09-10

    Potential for more than minimal harm

  7. DF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2025-08-12 · Health · corrected 2025-09-10

    Potential for more than minimal harm

  8. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-08-12 · Health · corrected 2025-09-10

    Potential for more than minimal harm

  9. DF0759Ensure medication error rates are not 5 percent or greater.2025-08-12 · Health · corrected 2025-09-10

    Potential for more than minimal harm

  10. DF0760Ensure that residents are free from significant medication errors.2025-08-12 · Health · corrected 2025-09-10

    Potential for more than minimal harm

  11. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-03-19 · Health · corrected 2025-04-11

    Potential for more than minimal harm

  12. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-03-19 · Health · corrected 2025-04-11

    Actual harm

  13. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-03-19 · Health · corrected 2025-04-11

    Potential for more than minimal harm

  14. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-01-08 · Health · corrected 2025-02-13

    Actual harm

  15. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-01-08 · Health · corrected 2025-02-13

    Potential for more than minimal harm

  16. 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.2025-01-08 · Health · corrected 2025-02-13

    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.2024-10-08 · Health · corrected 2024-11-07

    Potential for more than minimal harm

  18. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2024-10-08 · Health · corrected 2024-11-07

    Potential for more than minimal harm

  19. 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.2024-10-08 · Health · corrected 2024-11-07

    Potential for more than minimal harm

  20. FF0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.2024-10-08 · Health · corrected 2024-11-07

    Potential for more than minimal harm

  21. FF0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.2024-10-08 · Health · corrected 2024-11-07

    Potential for more than minimal harm

  22. FF0880Provide and implement an infection prevention and control program.2024-10-08 · Health · corrected 2024-12-13

    Potential for more than minimal harm

  23. EF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2024-10-08 · Health · corrected 2024-11-07

    Potential for more than minimal harm

  24. FF0837Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.2024-07-25 · Health · corrected 2024-08-06

    Potential for more than minimal harm

  25. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2024-07-18 · Health · corrected 2024-08-30

    Potential for more than minimal harm

  26. DF0576Ensure residents have reasonable access to and privacy in their use of communication methods.2024-07-18 · Health · corrected 2024-08-30

    Potential for more than minimal harm

  27. 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.2024-07-18 · Health · corrected 2024-08-30

    Potential for more than minimal harm

  28. KF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-07-18 · Health · corrected 2024-08-30

    Immediate jeopardy

  29. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-07-18 · Health · corrected 2024-08-30

    Potential for more than minimal harm

  30. DF0610Respond appropriately to all alleged violations.2024-07-18 · Health · corrected 2024-08-30

    Potential for more than minimal harm

  31. DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2024-07-18 · Health · corrected 2024-08-30

    Potential for more than minimal harm

  32. GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-07-18 · Health · corrected 2024-08-30

    Actual harm

  33. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-07-18 · Health · corrected 2024-08-30

    Actual harm

  34. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-07-18 · Health · corrected 2024-08-30

    Potential for more than minimal harm

  35. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-07-18 · Health · corrected 2024-08-30

    Potential for more than minimal harm

  36. DF0760Ensure that residents are free from significant medication errors.2024-07-18 · Health · corrected 2024-08-30

    Potential for more than minimal harm

  37. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-07-18 · Health · corrected 2024-08-30

    Potential for more than minimal harm

  38. FF0944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.2024-07-18 · Health · corrected 2024-08-30

    Potential for more than minimal harm

  39. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-04-09 · Health · corrected 2024-05-03

    Potential for more than minimal harm

  40. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-04-09 · Health · corrected 2024-05-03

    Potential for more than minimal harm

  41. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-01-17 · Health · corrected 2024-01-31

    Potential for more than minimal harm

  42. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-01-17 · Health · corrected 2024-01-31

    Potential for more than minimal harm

  43. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-01-17 · Health · corrected 2024-01-31

    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.2024-01-06 · Health · corrected 2024-01-31

    Potential for more than minimal harm

  45. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-01-06 · Health · corrected 2024-01-31

    Potential for more than minimal harm

  46. 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.2023-06-19 · Health · corrected 2023-07-20

    Potential for more than minimal harm

  47. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-06-19 · Health · corrected 2023-07-20

    Potential for more than minimal harm

  48. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2023-06-19 · Health · corrected 2023-07-20

    Potential for more than minimal harm

  49. DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2023-06-19 · Health · corrected 2023-07-20

    Potential for more than minimal harm

  50. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2023-06-19 · Health · corrected 2023-07-20

    Potential for more than minimal harm

  51. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-06-19 · Health · corrected 2023-07-20

    Potential for more than minimal harm

  52. DF0660Plan the resident's discharge to meet the resident's goals and needs.2023-06-19 · Health · corrected 2023-07-20

    Potential for more than minimal harm

  53. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-06-19 · Health · corrected 2023-07-20

    Potential for more than minimal harm

  54. GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-06-19 · Health · corrected 2023-07-20

    Actual harm

  55. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-06-19 · Health · corrected 2023-07-20

    Actual harm

  56. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-06-19 · Health · corrected 2023-08-29

    Actual harm

  57. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-06-19 · Health · corrected 2023-07-20

    Potential for more than minimal harm

  58. DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-06-19 · Health · corrected 2023-07-20

    Potential for more than minimal harm

  59. DF0697Provide safe, appropriate pain management for a resident who requires such services.2023-06-19 · Health · corrected 2023-07-20

    Potential for more than minimal harm

  60. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2023-06-19 · Health · corrected 2023-07-20

    Potential for more than minimal harm

  61. 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.2023-06-19 · Health · corrected 2023-07-20

    Potential for more than minimal harm

  62. GF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.2023-06-19 · Health · corrected 2023-07-20

    Actual harm

  63. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-06-19 · Health · corrected 2023-07-20

    Potential for more than minimal harm

  64. 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.2023-06-19 · Health · corrected 2023-07-20

    Potential for more than minimal harm

  65. FF0880Provide and implement an infection prevention and control program.2023-06-19 · Health · corrected 2023-07-20

    Potential for more than minimal harm

  66. DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2022-03-16 · Health · corrected 2022-04-14

    Potential for more than minimal harm

  67. CF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2022-03-16 · Health · corrected 2022-04-14

    Potential for minimal harm

  68. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-03-16 · Health · corrected 2022-04-14

    Potential for more than minimal harm

  69. DF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2022-03-16 · Health · corrected 2022-04-14

    Potential for more than minimal harm

  70. DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2022-03-16 · Health · corrected 2022-04-14

    Potential for more than minimal harm

  71. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2022-03-16 · Health · corrected 2022-04-14

    Potential for more than minimal harm

  72. 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.2022-03-16 · Health · corrected 2022-04-14

    Potential for more than minimal harm

  73. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-03-16 · Health · corrected 2022-04-14

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
BEDROCK HC WI LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST—2019-10-01
BEDROCK HCS AT GREENDALE LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST—2019-10-01
BEDROCK HC WI LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST—2019-10-01
CHOPP, LYNNIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST—2019-10-01
CHOPP, MARTINIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST—2019-10-01
CHOPP, PNINAIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST—2019-10-01
CHOPP, RACHELIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST—2019-10-01
CHOPP, SARAHIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST—2019-10-01
CHOPP, SOLOMONIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST—2019-10-01
PRAGER, AVROHOMIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST—2019-10-01
PRAGER, SHULAMITIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST—2019-10-01
OPAL HEALTHCARE NJ LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL—2019-10-01
OPAL HEALTHCARE WI LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL—2019-10-01
NICHOLS, KENNETHIndividualOPERATIONAL/MANAGERIAL CONTROL—2019-10-01
NICHOLS, KENNETHIndividualCORPORATE OFFICER—2019-10-01
NICHOLS, KENNETHIndividualCONTRACTED MANAGING EMPLOYEE—2019-10-01

Other facilities in Greendale

NameOverallBeds

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