Complete Care at Southpointe
4500 W. Loomis Rd., Greenfield, WI 53220 · Milwaukee County · 174 certified beds · avg 98 residents/day · certified since Sep 10, 1996
Part of chain: COMPLETE CARE (85 facilities, chain avg rating 3.1★)
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 · Aug 17, 2023 · F-0686 · triggered by a complaint
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: Sep 13, 2023 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Aug 17, 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 (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: Sep 13, 2023 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Mar 12, 2026 · 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 (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Apr 5, 2026 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Aug 17, 2023 · F-0692 · triggered by a complaint
The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Why it matters: Malnutrition and dehydration can quickly weaken a resident and lead to serious complications.
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: Sep 13, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (17)
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 |
|---|---|---|
| Mar 12, 2026 | ▲ G · Actual harm, 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. |
| Mar 12, 2026 | F · Potential for harm, facility-wide | The facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records. |
| Mar 12, 2026 | E · Potential for harm, repeated | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint |
| Mar 12, 2026 | 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. |
| Mar 12, 2026 | D · Potential for harm, one-off | The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. |
| Mar 12, 2026 | D · Potential for harm, one-off | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. |
| Mar 12, 2026 | C · Minimal risk, facility-wide | The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). |
| Oct 17, 2024 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Oct 17, 2024 | 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. |
| Aug 17, 2023 | ▲ 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. · from a complaint |
| Aug 17, 2023 | ▲ J · Immediate jeopardy, 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 |
| Aug 17, 2023 | ▲ G · Actual harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · from a complaint |
| Aug 17, 2023 | F · Potential for harm, facility-wide | 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. |
| Aug 17, 2023 | 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. |
| Aug 17, 2023 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Aug 17, 2023 | 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. |
| Aug 17, 2023 | 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (2 → 7).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 8 | 3 | J ▲ |
| 2024 | 2 | 0 | D |
| 2026 | 7 | 1 | G ▲ |
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)
No fines or payment denials in the published 3-year window.
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) | 3.13 | 4.29 | 3.95 | bottom 9% in Wisconsin; bottom 19% in the U.S. |
| Registered Nurse hours | 0.60 | 1.01 | 0.69 | bottom 10% in Wisconsin; top 48% in the U.S. |
| Weekend total nurse staffing | 2.85 | 3.84 | 3.50 | bottom 12% in Wisconsin; bottom 23% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.50 | 0.68 | 0.48 | bottom 34% in Wisconsin; top 32% in the U.S. |
| Total nursing staff turnover (%) | 47.4 | 46.9 | 45.8 | bottom 47% in Wisconsin; bottom 43% in the U.S. |
| RN turnover (%) | 25.0 | 39.7 | 42.9 | top 24% in Wisconsin; top 20% 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 3.70, RN 0.71, weekend 3.36. 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: 3/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| PC Swi Holdco LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 06/01/2022 |
| PC Swi Topco LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 06/01/2022 |
| SMS 2021 Trust | Organization | 5% or Greater Indirect Ownership Interest | — | 06/01/2022 |
| Stein, Shalom | Individual | Indirect Ownership Interest | NOT APPLICABLE | 06/01/2022 |
| Bielinski, Renee | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/11/2025 |
| Bielinski, Renee | Individual | ADP of the SNF | NOT APPLICABLE | 07/11/2025 |
| Des Capital LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/01/2022 |
| Hellman, Yosef | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2022 |
| Hellman, Yosef | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2022 |
| JRK Investments LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/01/2022 |
| Kasombo, Esther | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/11/2022 |
| Kasombo, Esther | Individual | ADP of the SNF | NOT APPLICABLE | 07/11/2022 |
| Klugman, Jacob | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2022 |
| Patel, Surendra | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/07/2024 |
| Patel, Surendra | Individual | ADP of the SNF | NOT APPLICABLE | 08/07/2024 |
| Peace Capital Holdings II LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/01/2022 |
| Rieber, Rebecca | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/25/2022 |
| Rieber, Rebecca | Individual | ADP of the SNF | NOT APPLICABLE | 07/25/2022 |
| SMS 2021 Trust | Organization | ADP of the SNF | NOT APPLICABLE | 06/01/2022 |
| Southpointe Propco LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/01/2022 |
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?"
- "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
- "How do your actual daily staffing levels compare to what's reported on Medicare's Care Compare website?"
- "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
- "What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
- "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 |
|---|---|---|---|---|---|
| Greendale Park Nursing and Rehab | 0.8 mi | Greendale, WI | ★☆☆☆☆ | 1/5 | |
| Sunrise Health Services | 1.6 mi | Milwaukee, WI | ★★☆☆☆ | 2/5 | |
| Autumn Lake Healthcare at Greenfield | 1.7 mi | Milwaukee, WI | ★☆☆☆☆ | 1/5 | abuse |
| Maple Ridge Health Services | 1.8 mi | Milwaukee, WI | ★★☆☆☆ | 3/5 | |
| Wheaton Franciscan HC - Terrace at St Francis | 2.6 mi | Milwaukee, WI | ★☆☆☆☆ | 1/5 | |
| Clement Manor Health Care Center | 3.1 mi | Greenfield, WI | ★☆☆☆☆ | 1/5 | |
| Aria at Mitchell Manor | 3.1 mi | West Allis, WI | ★★★☆☆ | 3/5 | |
| Complete Care at Hales Corners | 3.2 mi | Hales Corners, WI | ★★★☆☆ | 3/5 | |
| Maplewood Center | 3.4 mi | West Allis, WI | ★☆☆☆☆ | 1/5 | |
| St Ann Health and Rehabilitation Center | 3.8 mi | Milwaukee, WI | ★★★★☆ | 4/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 525604.