Federal inspection record · CMS data as of October 1, 2026
Complete Care at Glendale West
6263 N Green Bay Ave, Glendale, WI · (414) 351-0543
- Certified beds
- 94
- Residents per day
- 77
- Ownership
- For-Profit
- Chain
- Complete Care
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- July 15, 1994
1
How this home got 3 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Wisconsin.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Wisconsin homes
Complete Care at Glendale West carries 79 inspection points. That is fewer than 40% of Wisconsin's 321 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Wisconsin: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–11 pts
- 4★ 11–37 pts
- 3★ 37–76 pts
- 2★ 76–130.75 pts
- 1★ over 130.75 pts
Bars show every rated home in Wisconsin by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
38 health citations on record since 2022. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (2)
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G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
J
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Everything else, by area of care
Quality of Life and Care9D
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Assist a resident in gaining access to vision and hearing services.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Ensure 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.
Resident Rights7E
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
Give residents a notice of rights, rules, services and charges.
- D
Honor 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.
- D
Reasonably accommodate the needs and preferences of each resident.
- C
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- C
Notify 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.
Pharmacy Service6E
- D
Ensure medication error rates are not 5 percent or greater.
- D
Ensure that residents are free from significant medication errors.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
Ensure 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.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
Implement 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.
Resident Assessment and Care Planning5E
- E
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Nutrition and Dietary5E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- D
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Infection Control3D
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Inspection history
2025-05-22
17 health deficiencies · 9 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (5 deficiencies)
2024-02-05
6 health deficiencies · 12 fire-safety deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
2022-10-24
15 health deficiencies · 6 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 33 min of nursing staff time a day, 43 min of it from a registered nurse.
This home
4 h 33 min
Wisconsin average
4 h 15 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 59% of nursing staff and 50% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$11,180 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2023-11-29 | Fine | $11,180 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine7.7 pts worse | 88.3% | 96.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.1 pts better | 98.7% | 95.6% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.8 pts better | 1.5% | 3.3% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms5 pts worse | 11.0% | 6.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight6.4 pts worse | 11.3% | 4.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication5.7 pts better | 11.1% | 16.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication6.7 pts better | 9.2% | 15.9% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened5.7 pts better | 11.3% | 17.0% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased5.9 pts better | 9.9% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.1 pts better | 0.8% | 1.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.6 pts better | 1.1% | 2.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.9 pts worse | 26.5% | 23.6% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.1 pts better | 3.8% | 4.9% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine19.5 pts worse | 67.4% | 86.9% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2.3 pts better | 13.3% | 15.6% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medicationAbout the same | 1.2% | 1.2% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine14.8 pts worse | 67.4% | 82.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission5.6 pts better | 16.9% | 22.5% | 23.4% |
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Who owns and runs it
26 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Pc Glendale Holdco LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| Sms 2021 Trust | 5% Or Greater Indirect Ownership Interest · Organization | 95% | 77 facilities |
| Bielinski, Renee | Operational/Managerial Control · Individual | 0% | 5 facilities |
| Bielinski, Renee | Adp Of The SNF · Individual | 0% | 5 facilities |
| Des Capital LLC | Adp Of The SNF · Organization | 0% | 28 facilities |
| Glendale Wi Propco LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Hayden, Lakisha | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Hayden, Lakisha | Adp Of The SNF · Individual | 0% | 1 facilities |
| Hellman, Yosef | Operational/Managerial Control · Individual | 0% | 19 facilities |
| Hellman, Yosef | Adp Of The SNF · Individual | 0% | 19 facilities |
| Jrk Investments LLC | Adp Of The SNF · Organization | 0% | 28 facilities |
| Kelly, Denise | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Kelly, Denise | Adp Of The SNF · Individual | 0% | 1 facilities |
| Klugman, Jacob | Adp Of The SNF · Individual | 0% | 30 facilities |
| Peace Capital Holdings Ii LLC | Adp Of The SNF · Organization | 0% | 20 facilities |
| Rosich, Aleksandar | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Rosich, Aleksandar | Adp Of The SNF · Individual | 0% | 1 facilities |
| Sms 2021 Trust | Adp Of The SNF · Organization | 0% | 77 facilities |
| Stein, Shalom | Indirect Ownership Interest · Individual | 0% | 87 facilities |
| Stein, Shalom | Managing Control - Governing Body · Individual | 0% | 87 facilities |
| Stein, Shalom | Corporate Officer · Individual | 0% | 87 facilities |
| Stein, Shalom | Trustee Of The SNF · Individual | 0% | 87 facilities |
| Stein, Shalom | Adp Of The SNF · Individual | 0% | 87 facilities |
| Sternbuch, Daniel | Adp Of The SNF · Individual | 0% | 31 facilities |
| Wi 6 Propco Holdco LLC | Adp Of The SNF · Organization | 0% | 6 facilities |
| Wi 6 Propco Topco LLC | Adp Of The SNF · Organization | 0% | 6 facilities |
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Fire safety
27 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke9F
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Install an approved automatic sprinkler system.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- E
Install corridor and hallway doors that block smoke.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems6F
- E
Have proper medical gas storage and administration areas.
- E
Ensure proper usage of power strips and extension cords.
- D
Have power receptacles that are properly grounded.
- F
Have a battery powered remote alarm panel in a location accessible by operating personnel.
- E
Ensure proper usage of power strips and extension cords.
- D
Meet requirements for the use of electrical equipment.
Miscellaneous5F
- E
Provide a written emergency evacuation plan.
- D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- C
Have simulated fire drills held at unexpected times.
- F
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- F
Have simulated fire drills held at unexpected times.
Emergency Preparedness3F
- F
Develop Emergency Preparedness policies and procedures.
- F
Conduct testing and exercise requirements.
- F
Conduct risk assessment and an All-Hazards approach.
Services2E
- D
Have properly installed electrical wiring and gas equipment.
- E
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Egress2E
- E
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- E
Install resident room doors of proper design and width.
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Other homes nearby
-
Bayshore Nursing & Rehab
Glendale, WI · Bedrock Healthcare · Special Focus · Abuse icon
★★★★★- Worst citation, 3 yrs
- L
- Nursing / resident / day
- —
- Fines
- $424,350
-
Bradley Estates Nursing and Rehab LLC
Milwaukee, WI · Shlomo Hoffman · Special Focus · Abuse icon
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 3 h 55 min
- Fines
- $305,374
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Amethyst Health of Brown Deer
Milwaukee, WI · Special Focus
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 4 h 31 min
- Fines
- $331,141