Complete Care at Glendale West
6263 N Green Bay Ave, Glendale, WI 53209 · Milwaukee County · 94 certified beds · avg 78 residents/day · certified since Jul 15, 1994
Part of chain: COMPLETE CARE (85 facilities, chain avg rating 3.1★)
2/5
Health inspection rating (on-site)
2
Serious findings on record
$11,180
Fines, last 3 years
3.81
Nurse hours/resident/day (adjusted)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 3/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Oct 24, 2022 · F-0686
The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Nov 18, 2022 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Nov 29, 2023 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Dec 26, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (38)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Nov 12, 2025 | D · Potential for harm, one-off | The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. · from a complaint |
| Nov 12, 2025 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint |
| Nov 12, 2025 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Nov 12, 2025 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint |
| May 22, 2025 | E · Potential for harm, repeated | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint |
| May 22, 2025 | E · Potential for harm, repeated | The facility did not give residents the required written notice of their rights, the facility's rules, the services offered, and what those services cost. · from a complaint |
| May 22, 2025 | E · Potential for harm, repeated | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. · from a complaint |
| May 22, 2025 | D · Potential for harm, one-off | The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function. |
| May 22, 2025 | D · Potential for harm, one-off | The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that. |
| May 22, 2025 | D · Potential for harm, one-off | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. |
| May 22, 2025 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint |
| May 22, 2025 | D · Potential for harm, one-off | The facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids. |
| May 22, 2025 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| May 22, 2025 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| May 22, 2025 | D · Potential for harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint |
| May 22, 2025 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint |
| May 22, 2025 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Nov 26, 2024 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint |
| Nov 26, 2024 | D · Potential for harm, one-off | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. · from a complaint |
| Sep 26, 2024 | D · Potential for harm, one-off | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · from a complaint |
| Jun 7, 2024 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint |
| Jun 7, 2024 | D · Potential for harm, one-off | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · from a complaint |
| Feb 5, 2024 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Feb 5, 2024 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Feb 5, 2024 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Feb 5, 2024 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Nov 29, 2023 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Nov 29, 2023 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · from a complaint |
| Oct 24, 2022 | ▲ J · Immediate jeopardy, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Oct 24, 2022 | D · Potential for harm, one-off | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. |
| Oct 24, 2022 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Oct 24, 2022 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Oct 24, 2022 | D · Potential for harm, one-off | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. |
| Oct 24, 2022 | D · Potential for harm, one-off | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. |
| Oct 24, 2022 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Oct 24, 2022 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Oct 24, 2022 | C · Minimal risk, facility-wide | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. |
| Oct 24, 2022 | C · Minimal risk, facility-wide | The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (4 → 13).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 10 | 1 | J ▲ |
| 2023 | 2 | 1 | G ▲ |
| 2024 | 9 | 0 | E |
| 2025 | 17 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $11,180.
| Date | Type | Amount / length |
|---|---|---|
| Nov 29, 2023 | Fine | $11,180 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Wisconsin avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.81 | 4.29 | 3.95 | bottom 39% in Wisconsin; top 48% in the U.S. |
| Registered Nurse hours | 0.61 | 1.01 | 0.69 | bottom 13% in Wisconsin; top 46% in the U.S. |
| Weekend total nurse staffing | 3.49 | 3.84 | 3.50 | bottom 41% in Wisconsin; top 43% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.44 | 0.68 | 0.48 | bottom 24% in Wisconsin; top 41% in the U.S. |
| Total nursing staff turnover (%) | 62.9 | 46.9 | 45.8 | bottom 15% in Wisconsin; bottom 12% in the U.S. |
| RN turnover (%) | 54.5 | 39.7 | 42.9 | bottom 28% in Wisconsin; bottom 29% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.38, RN 0.70, weekend 4.01. Staffing rating: 3/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| PC Glendale Holdco LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 05/02/2024 |
| SMS 2021 Trust | Organization | 5% or Greater Indirect Ownership Interest | 95% | 04/30/2021 |
| Stein, Shalom | Individual | Indirect Ownership Interest | NOT APPLICABLE | 04/30/2021 |
| Bielinski, Renee | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/11/2022 |
| Bielinski, Renee | Individual | ADP of the SNF | NOT APPLICABLE | 07/11/2022 |
| Des Capital LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/30/2021 |
| Glendale Wi Propco LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/30/2021 |
| Hayden, Lakisha | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/30/2021 |
| Hayden, Lakisha | Individual | ADP of the SNF | NOT APPLICABLE | 04/30/2021 |
| Hellman, Yosef | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/30/2021 |
| Hellman, Yosef | Individual | ADP of the SNF | NOT APPLICABLE | 04/30/2021 |
| JRK Investments LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/30/2021 |
| Kelly, Denise | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/30/2021 |
| Kelly, Denise | Individual | ADP of the SNF | NOT APPLICABLE | 04/30/2021 |
| Klugman, Jacob | Individual | ADP of the SNF | NOT APPLICABLE | 04/30/2021 |
| Peace Capital Holdings II LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/30/2021 |
| Rosich, Aleksandar | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/30/2021 |
| Rosich, Aleksandar | Individual | ADP of the SNF | NOT APPLICABLE | 04/30/2021 |
| SMS 2021 Trust | Organization | ADP of the SNF | NOT APPLICABLE | 04/30/2021 |
| Stein, Shalom | Individual | Managing Control - Governing Body | NOT APPLICABLE | 04/30/2021 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "Can I get a written copy of resident rights, house rules, and a full list of services and charges today?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Bayshore Nursing & Rehab | 0.9 mi | Glendale, WI | ★☆☆☆☆ | 1/5 | abuseSFF |
| Bradley Estates Nursing and Rehab LLC | 3.8 mi | Milwaukee, WI | ★☆☆☆☆ | 1/5 | abuseSFF |
| Amethyst Health of Brown Deer | 4.5 mi | Milwaukee, WI | ★☆☆☆☆ | 1/5 | SFF |
| Luther Manor | 5.3 mi | Milwaukee, WI | ★☆☆☆☆ | 1/5 | |
| Avina of Milwaukee | 5.3 mi | Milwaukee, WI | ★☆☆☆☆ | 1/5 | abuse |
| Eastcastle PL Bradford Ter Conv Ctr | 5.4 mi | Milwaukee, WI | ★★★★★ | 3/5 | |
| Milwaukee Catholic Home | 5.4 mi | Milwaukee, WI | ★★★★☆ | 5/5 | |
| Edenbrook Lakeside | 5.6 mi | Milwaukee, WI | ★☆☆☆☆ | 1/5 | |
| Saint Johns on the Lake | 5.7 mi | Milwaukee, WI | ★★★★☆ | 3/5 | |
| St. Anne's Salvatorian Campus | 5.8 mi | Milwaukee, WI | ★☆☆☆☆ | 1/5 | |
| Jewish Home and Care Center | 6.0 mi | Milwaukee, WI | ★☆☆☆☆ | 1/5 | SFF |
| Milwaukee Health and Rehab | 6.1 mi | Milwaukee, WI | ★★★★☆ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 525547.