Loading facility…
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D13 | E7 | F12 |
| Minimal | A· | B· | C2 |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Apr 1, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 3, 2025 | Fire safety | Fire Safety Standard | 8 | Potential harm | — | Open → |
| Jun 3, 2025 | Health | Health Standard | 6 | Potential harm | — | Open → |
| Apr 24, 2024 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| Apr 24, 2024 | Health | Health Standard | 1 | Potential harm | — | Open → |
| Feb 21, 2023 | Fire safety | Fire Safety Standard | 8 | Potential harm | — | Open → |
| Feb 21, 2023 | Health | Health Standard | 6 | Actual harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D13 | E7 | F12 |
| Minimal | A· | B· | C2 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Apr 1, 2026 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 30, 2026 | Complaint |
| Jun 3, 2025 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jul 25, 2025 | |
| Jun 3, 2025 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
Not part of a CMS-reported chain.
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Saint John's Communities, Inc | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Jul 1, 1994 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Saint John's Communities, Inc | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Jul 1, 1994 |
| Saint John's Communities, Inc | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 1994 |
| The Medical College of Wisconsin Inc | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 1, 2024 |
| Matthew Loyd | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 16, 2021 |
| Dorothy Petitt | Individual | Operational / managerial control |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Edenbrook Lakeside 2115 E Woodstock Pl, Milwaukee, WI 53202 CCN 525319 | 0.5 km | 145 | Aug 19, 2026 | 663 IJ3 harm2 open | $238k | |
| Jewish Home and Care Center 1414 N Prospect Ave, Milwaukee, WI 53202 CCN 525172SFF Candidate | 0.8 km | 102 | Jul 24, 2026 | 523 IJ4 harm3 open | $322k | |
| Milwaukee Catholic Home 2330 N Prospect Ave, Milwaukee, WI 53211 CCN 525635 | 1.1 km | 107 | Aug 25, 2026 | 28 | — | |
| Eastcastle Pl Bradford Ter Conv Ctr 2505 E Bradford Ave, Milwaukee, WI 53211 CCN 525085 | 1.4 km | 40 | Feb 18, 2026 | 221 harm | $75k | |
| Milwaukee Health and Rehab 3216 W Highland Blvd, Milwaukee, WI 53208 CCN 525417 | 5.3 km | 95 | Dec 8, 2025 | 60 | — | |
| Mercy Health Services 2727 W Mitchell St, Milwaukee, WI 53215 CCN 525414 | 6.6 km | 60 | Aug 17, 2026 | 582 harm7 open | $48k | |
| St Ann Health and Rehabilitation Center 2020 S Muskego Ave, Milwaukee, WI 53204 CCN 525731 | 6.6 km | 50 | Mar 5, 2026 | 41 | — | |
| Bayshore Nursing & Rehab 1300 West Silver Spring Dr, Glendale, WI 53209 CCN 525371SFF CandidateAbuse icon | 7.8 km | 112 | Apr 30, 2026 | 1797 IJ3 harm1 open | $424k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 525539 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 525539 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| K-0321 |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety |
| E · Potential harm Pattern |
| Corrected Jul 2, 2025 |
| Jun 3, 2025 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 2, 2025 |
| Jun 3, 2025 | K-0541 | Install properly constructed and protected linen or trash chutes. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 25, 2025 |
| Jun 3, 2025 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 9, 2025 |
| Jun 3, 2025 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 9, 2025 |
| Jun 3, 2025 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 25, 2025 |
| Jun 3, 2025 | F-0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 7, 2025 |
| Jun 3, 2025 | F-0645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 7, 2025 |
| Jun 3, 2025 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Aug 29, 2025 |
| Jun 3, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Aug 29, 2025 |
| Jun 3, 2025 | F-0881 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jul 3, 2025 |
| Jun 3, 2025 | F-0908 | Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 29, 2025 |
| Jun 3, 2025 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Jun 26, 2025 |
| Apr 24, 2024 | K-0132 | Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction. Construction Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 24, 2024 |
| Apr 24, 2024 | K-0341 | Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 24, 2024 |
| Apr 24, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 14, 2024 |
| Apr 24, 2024 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 24, 2024 |
| Apr 24, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected May 24, 2024 |
| Apr 24, 2024 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected May 24, 2024 |
| Feb 21, 2023 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Apr 17, 2023 |
| Feb 21, 2023 | K-0132 | Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction. Construction Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 22, 2023 |
| Feb 21, 2023 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 22, 2023 |
| Feb 21, 2023 | K-0311 | Have an enclosure around a vertical opening shaft. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 22, 2023 |
| Feb 21, 2023 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 22, 2023 |
| Feb 21, 2023 | K-0341 | Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 22, 2023 |
| Feb 21, 2023 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 22, 2023 |
| Feb 21, 2023 | K-0781 | Have restrictions on the use of portable space heaters. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 22, 2023 |
| Feb 21, 2023 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 22, 2023 |
| Feb 21, 2023 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 27, 2023 |
| Feb 21, 2023 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Mar 27, 2023 |
| Feb 21, 2023 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Mar 27, 2023 |
| Feb 21, 2023 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Mar 27, 2023 |
| Feb 21, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Mar 27, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 5.82 (case-mix index 1.32).
| OPERATIONAL/MANAGERIAL CONTROL |
| not provided |
| Oct 18, 2021 |
| Rachel Saltness | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 1, 2024 |
| Renee Anderson | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jul 1, 2011 |
| Dan Lemminger | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Oct 3, 2011 |
| US Bank, N.a | Organization | Mortgage / security interest | 5% OR GREATER MORTGAGE INTEREST | not provided | Dec 9, 2015 |
| Behavioral Solutions Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2024 |
| Brighton Hospice Wisconsin LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Aug 7, 2023 |
| Community Foot and Ankle Clinic Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Feb 26, 2019 |
| Davis Clinical Consulting | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Dec 30, 2024 |
| Dietitians on Demand Corporate Solutions, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jan 31, 2022 |
| Guardian Pharmacy of Madison, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Aug 1, 2023 |
| Hearing Care at Home LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Dec 8, 2022 |
| Hometown Hospice & Homecare Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Sep 17, 2014 |
| Integrated Therapy Managment Partners, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Feb 1, 2024 |
| Kare Technologies LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2023 |
| Legacy Hospice Cares LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 13, 2022 |
| Madison Medical Affiliates Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Dec 5, 2013 |
| Preferred Dentistry Associates, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2024 |
| Saint John's Communities, Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 1994 |
| The Medical College of Wisconsin Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jun 23, 2025 |
| Cassandra Anderson | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 14, 2022 |
| Renee Anderson | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2011 |
| Kathy Armbruster | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2016 |
| Betty Arndt | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2022 |
| Polly Beal | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 2, 2014 |
| Diane Beckley Milner | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2018 |
| Erin Burke | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Nov 4, 2019 |
| Helene Butler | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 24, 1999 |
| Matthew Coburn | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2021 |
| Lee Coppernoll | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2018 |
| David Eager | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2023 |
| Lakeshia Exum-Pryor | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 23, 2018 |
| William Fry | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2024 |
| Melissa Geszvain | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 3, 2019 |
| Matthew Gunter | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 1, 2024 |
| Antonio Henderson | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 22, 2020 |
| Kirsten Hildebrand | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2023 |
| Alan Kelnhofer | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 12, 2025 |
| Dan Lemminger | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 3, 2011 |
| Matthew Loyd | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 18, 2021 |
| Anne Luther | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 29, 2007 |
| Omar Mass | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 14, 2022 |
| Judith Moon | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 2, 2015 |
| Daniel Patrinos | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2023 |
| Dorothy Petitt | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 18, 2021 |
| Rachel Saltness | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2024 |
| Richard Schreiner | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2024 |
| Cazmer Whiteside | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 13, 2024 |