01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-05-22 | 17 | 2025-05-22 | 9 |
| Cycle 2 | 2024-02-05 | 7 | 2024-02-05 | 12 |
| Cycle 3 | 2022-10-24 | 14 | 2022-10-24 | 6 |
CMS CCN 5255472026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Complete Care At Glendale West
6263 N Green Bay Ave · Glendale, WI 53209 · Milwaukee County
Certified beds94CMS provider file
Recent citation rows65current CMS citation release
Penalty rows1current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
65 rows in the current release
2 rows carry G–L scope/severity codes; 1 carry J–L. 9 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-11-12 · HEALTHF0554Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Correction field: Deficient, Provider has date of correction · 2025-12-05 · complaint2025-11-12 · HEALTHF0677Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2025-12-05 · complaint2025-11-12 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2025-12-05 · complaint2025-11-12 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2025-12-05 · complaint2025-05-22 · FIREE0006Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Conduct risk assessment and an All-Hazards approach.
Correction field: Deficient, Provider has date of correction · 2025-06-192025-05-22 · FIREE0013Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Develop Emergency Preparedness policies and procedures.
Correction field: Deficient, Provider has date of correction · 2025-06-192025-05-22 · FIREE0039Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Correction field: Deficient, Provider has date of correction · 2025-06-252025-05-22 · HEALTHF0550Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2025-06-22 · complaint2025-05-22 · HEALTHF0572Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Give residents a notice of rights, rules, services and charges.
Correction field: Deficient, Provider has date of correction · 2025-06-22 · complaint2025-05-22 · HEALTHF0605Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Correction field: Deficient, Provider has date of correction · 2025-06-222025-05-22 · HEALTHF0636Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Correction field: Deficient, Provider has date of correction · 2025-06-222025-05-22 · HEALTHF0645Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Correction field: Deficient, Provider has date of correction · 2025-06-222025-05-22 · HEALTHF0655Severity E · pattern; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Correction field: Deficient, Provider has date of correction · 2025-06-22 · complaint2025-05-22 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2025-06-22 · complaint2025-05-22 · HEALTHF0685Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Assist a resident in gaining access to vision and hearing services.
Correction field: Deficient, Provider has date of correction · 2025-06-222025-05-22 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2025-06-222025-05-22 · HEALTHF0759Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Correction field: Deficient, Provider has date of correction · 2025-06-222025-05-22 · HEALTHF0760Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Correction field: Deficient, Provider has date of correction · 2025-06-22 · complaint2025-05-22 · HEALTHF0842Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Correction field: Deficient, Provider has date of correction · 2025-06-22 · complaint2025-05-22 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2025-06-222025-05-22 · FIREK0353Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2025-06-302025-05-22 · FIREK0511Severity D · isolated; potential for more than minimal harm
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Correction field: Deficient, Provider has date of correction · 2025-06-202025-05-22 · FIREK0711Severity E · pattern; potential for more than minimal harm
Miscellaneous Deficiencies
Provide a written emergency evacuation plan.
Correction field: Deficient, Provider has date of correction · 2025-06-202025-05-22 · FIREK0712Severity C · widespread; potential for minimal harm
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Correction field: Deficient, Provider has date of correction · 2025-06-2003 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2023-11-29 | Fine | $11,180 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- PC GLENDALE HOLDCO LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 05/02/2024
- SMS 2021 TRUSTOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST95% · since 04/30/2021
- STEIN, SHALOMIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 04/30/2021
- STEIN, SHALOMIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 04/30/2021
- STEIN, SHALOMIndividual · CORPORATE OFFICERNOT APPLICABLE · since 04/30/2021
- BIELINSKI, RENEEIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 07/11/2022
- HAYDEN, LAKISHAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 04/30/2021
- HELLMAN, YOSEFIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 04/30/2021
- KELLY, DENISEIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 04/30/2021
- ROSICH, ALEKSANDARIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 04/30/2021
- STEIN, SHALOMIndividual · TRUSTEE OF THE SNFNOT APPLICABLE · since 04/30/2021
- DES CAPITAL LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 04/30/2021
- GLENDALE WI PROPCO LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 04/30/2021
- JRK INVESTMENTS LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 04/30/2021
- PEACE CAPITAL HOLDINGS II LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 04/30/2021
- SMS 2021 TRUSTOrganization · ADP OF THE SNFNOT APPLICABLE · since 04/30/2021
- WI 6 PROPCO HOLDCO LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 04/30/2021
- WI 6 PROPCO TOPCO LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 04/30/2021
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours4.38per resident day
RN hours0.70per resident day
Weekend nurse hours4.01per resident day
Staff turnover62.9%CMS reported field
06 / LOCAL RECORDS
Open the Glendale ledger →