Milwaukee, WI

Eastcastle Pl Bradford Ter Conv Ctr

5-star overall rating with 5-star inspections with $99,452 in total fines with 3 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

2505 E Bradford Ave, Milwaukee, WI

(414) 963-6151

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

40

Certified beds

Average residents

40

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1967-01-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.95

Registered nurse staffing

LPN hours / resident day

0.99

Licensed practical nurse staffing

Aide hours / resident day

3.22

Nurse aide staffing

Weekend hours

4.59

Weekend nurse staffing

RN turnover

13%

Annual RN turnover

Total nurse turnover

50%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.9%
95.7%
3.2 pts better
93.4%
5.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
95.0%
5 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 0.0%
3.2%
3.2 pts better
3.3%
3.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 2.6%
5.0%
2.4 pts better
11.4%
8.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 0.0%
4.9%
4.9 pts better
5.4%
5.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 22.4%
16.6%
5.8 pts worse
19.6%
2.8 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 4.2%
16.7%
12.5 pts better
16.7%
12.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained 0.0%
0.1%
0.1 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 6.9%
17.3%
10.4 pts better
14.9%
8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.6%
2.3%
0.7 pts better
1.0%
0.6 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 0.0%
3.0%
3 pts better
1.7%
1.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 31.9%
25.5%
6.4 pts worse
19.8%
12.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 11.6%
5.5%
6.1 pts worse
5.1%
6.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
86.8%
13.2 pts better
81.7%
18.3 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 24.1%
15.0%
9.1 pts worse
12.0%
12.1 pts worse
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 0.2%
1.3%
1.1 pts better
1.6%
1.4 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 100.0%
82.2%
17.8 pts better
79.7%
20.3 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 19.0%
22.7%
3.7 pts better
23.9%
4.9 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-11-27 · Fire 2024-11-27

3 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

3 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Cycle 2 Health 2023-08-31 · Fire 2023-08-31

0 health deficiencies

No concentrated health issue counts in this cycle.

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2022-05-19 · Fire 2022-05-19

14 health deficiencies

Top issue: Quality of Life and Care (6 deficiencies)

5 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-11-27

E13 · Emergency Preparedness Deficiencies

Fire Safety

Develop Emergency Preparedness policies and procedures.

Corrected 2024-11-27

D · Potential for more than minimal harm 2024-11-27

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-12-30

C · Minimal harm 2024-11-27

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-12-30

F · Potential for more than minimal harm 2022-05-19

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2022-06-10

F · Potential for more than minimal harm 2022-05-19

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2022-06-24

E · Potential for more than minimal harm 2022-05-19

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2022-06-14

E · Potential for more than minimal harm 2022-05-19

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2022-06-17

E · Potential for more than minimal harm 2022-05-19

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2022-06-17

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-07-15

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-08-14

D · Potential for more than minimal harm 2024-11-27

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2024-12-27

D · Potential for more than minimal harm 2024-11-27

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-12-27

G · Actual harm 2022-05-19

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2022-06-17

F · Potential for more than minimal harm 2022-05-19

F886 · Infection Control Deficiencies

Health

Perform COVID19 testing on residents and staff.

Corrected 2022-06-17

E · Potential for more than minimal harm 2022-05-19

F700 · Quality of Life and Care Deficiencies

Health

Try 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.

Corrected 2022-06-17

D · Potential for more than minimal harm 2022-05-19

F578 · Resident Rights Deficiencies

Health

Honor 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.

Corrected 2022-06-17

D · Potential for more than minimal harm 2022-05-19

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2022-06-17

D · Potential for more than minimal harm 2022-05-19

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2022-06-17

D · Potential for more than minimal harm 2022-05-19

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2022-06-17

D · Potential for more than minimal harm 2022-05-19

F625 · Resident Rights Deficiencies

Health

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.

Corrected 2022-06-17

D · Potential for more than minimal harm 2022-05-19

F660 · Resident Assessment and Care Planning Deficiencies

Health

Plan the resident's discharge to meet the resident's goals and needs.

Corrected 2022-06-17

D · Potential for more than minimal harm 2022-05-19

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2022-06-17

D · Potential for more than minimal harm 2022-05-19

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2022-06-17

D · Potential for more than minimal harm 2022-05-19

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2022-06-17

D · Potential for more than minimal harm 2022-05-19

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2022-06-17

D · Potential for more than minimal harm 2022-05-19

F849 · Administration Deficiencies

Health

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Corrected 2022-06-17

Penalties and ownership

What sits behind the stars

$4,938 2024-02-20

Fine

Fine · fine $4,938

Fine

$4,938 2024-02-12

Fine

Fine · fine $4,938

Fine

$14,814 2024-01-22

Fine

Fine · fine $14,814

Fine

$4,938 2024-01-08

Fine

Fine · fine $4,938

Fine

$4,587 2024-01-02

Fine

Fine · fine $4,587

Fine

$13,762 2023-12-11

Fine

Fine · fine $13,762

Fine

$4,587 2023-11-20

Fine

Fine · fine $4,587

Fine

$4,587 2023-11-13

Fine

Fine · fine $4,587

Fine

$4,587 2023-11-06

Fine

Fine · fine $4,587

Fine

$4,587 2023-10-30

Fine

Fine · fine $4,587

Fine

$4,545 2023-10-23

Fine

Fine · fine $4,545

Fine

$4,587 2023-10-17

Fine

Fine · fine $4,587

Fine

$4,235 2023-10-10

Fine

Fine · fine $4,235

Fine

$10,586 2023-09-18

Fine

Fine · fine $10,586

Fine

$2,823 2023-08-14

Fine

Fine · fine $2,823

Fine

$6,351 2023-07-24

Fine

Fine · fine $6,351

Fine

Ownership

Becker, Laurie

Corporate Director · Individual

0% 1 facilities 2024-06-28
Becker, Laurie

Corporate Officer · Individual

0% 1 facilities 2024-10-22
Beer, Alexander

Corporate Director · Individual

0% 1 facilities 2025-01-28
Bissonnette, Julie

Corporate Director · Individual

0% 1 facilities 2021-10-26
Bissonnette, Julie

Corporate Officer · Individual

0% 1 facilities 2025-01-01
Bremer Bank National Association

5% Or Greater Security Interest · Organization

0% 6 facilities 2022-05-05
Bremer Bank National Association

5% Or Greater Mortgage Interest · Organization

0% 6 facilities 2022-05-05
Harris, Brooke

Operational/Managerial Control · Individual

0% 2 facilities 2025-11-16
Jeglum, Bonnie

Corporate Officer · Individual

0% 1 facilities 2023-01-01
Lange, George

Corporate Director · Individual

0% 1 facilities 2015-03-24
Life Care Services LLC

Operational/Managerial Control · Organization

0% 61 facilities 2012-11-01
Marek, George

Corporate Director · Individual

0% 1 facilities 2016-10-25
Marek, George

Corporate Officer · Individual

0% 1 facilities 2021-06-22
Normington, Havilah

Corporate Director · Individual

0% 1 facilities 2018-06-26
O'donnell, Nancy

Corporate Director · Individual

0% 1 facilities 2022-11-18
O'donnell, Nancy

Corporate Officer · Individual

0% 1 facilities 2016-10-25
Old National Bank

5% Or Greater Security Interest · Organization

0% 3 facilities 2022-05-01
Old National Bank

5% Or Greater Mortgage Interest · Organization

0% 3 facilities 2022-05-01
Ramanujam, Sandeep

Operational/Managerial Control · Individual

0% 4 facilities 2022-01-01
Reilly, Dennis

Corporate Director · Individual

0% 1 facilities 2024-10-22
Rodgers, Karen

Corporate Director · Individual

0% 1 facilities 2024-10-22
Sitzberger, Bradley

Operational/Managerial Control · Individual

0% 1 facilities 2006-03-13
Tice, Barbara

Corporate Director · Individual

0% 1 facilities 2013-04-01
Tillmar, Katherine

Corporate Director · Individual

0% 1 facilities 2022-10-25
Williamson, Joanne

Corporate Director · Individual

0% 1 facilities 2023-06-28
Williamson, Joanne

Corporate Officer · Individual

0% 1 facilities 2024-10-22

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Health
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Staffing
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Fines
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#3

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Overall
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Health
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Staffing
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Fines
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