Bayshore Nursing & Rehab
1300 West Silver Spring Dr, Glendale, WI 53209
Bayshore Nursing & Rehab, a 112-bed for profit - limited liability company nursing facility in Glendale, WI, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #303 of 321 rated homes in WI on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. 6 inspection findings reached the actual-harm or immediate-jeopardy level.
CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.
Phone: 4142288120
Build a private shortlist as you compare, saved on this device, no account needed.
Subscribe to CMS updates for this home (RSS) for inspection findings and Care Compare snapshot refreshes, no email.
- 1 / 5
- Much below average · CMS overall · nat'l 3.0
- #303 of 321
- In-state rank among rated WI homes
- 3.96
- About average · nurse hrs/day · nat'l 3.86
- 50
- Inspection findings · 6 serious
If a nursing-home resident is in immediate danger, call 911.
For elder abuse or neglect concerns, contact your state's Adult Protective Services (search "APS" + your state) or call the Eldercare Locator at 1-800-677-1116. For facility advocacy, reach your Long-Term Care Ombudsman. CMS ratings and inspection data below are a research screen, not an emergency channel.
The verdict
Bayshore Nursing & Rehab, a 112-bed for profit - limited liability company nursing facility in Glendale, WI, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #303 of 321 rated homes in WI on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. 6 inspection findings reached the actual-harm or immediate-jeopardy level.
- 1 / 5
- CMS overall · national 3.0
- #303 of 321
- In-state rank among rated WI homes
- 3.96
- Nurse hrs/resident-day · national 3.86
- 50
- Inspection findings · 6 serious
CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.
In-state ownership mix · peer inventory
How 323 WI nursing homes split by ownership sector
This facility is recorded as For profit - Limited Liability company. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 525371
- Ownership
- For profit - Limited Liability company
- Provider Type
- Medicare and Medicaid
- Beds
- 112
- Residents
- 80
- In Hospital
- No
- County
- Milwaukee
- Last Inspection
- Sep 30, 2025
- Special Focus
- SFF Candidate
Staffing Data
How the 3.96 total nursing hours per resident-day are staffed:
- RN Hours
- 0.67 (nat'l avg: 0.69)
- LPN Hours
- 0.88
- CNA Hours
- 2.41
- Total Nursing Hours
- 3.96 (nat'l avg: 3.86)
- PT Hours
- 0.00
- Nursing Turnover
- 56.4%
- RN Turnover
- 76.9%
What the CMS Record Reveals About Bayshore Nursing & Rehab
According to CMS Nursing Home Compare, Bayshore Nursing & Rehab ranks #303 of 321 rated nursing homes in WI on overall stars (tie-broken by health+staffing+quality, then fewer fines). Bayshore Nursing & Rehab operates 112 certified beds in Glendale, WI with approximately 80 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars (health inspection 1★ · staffing 3★ · quality 1★).
The inspection file contains 50 deficiency records from recent surveys, of which 6 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. This provider's enforcement record shows no fines or payment denials to date. Staffing is reported at 3.96 total nursing hours per resident day (national average 3.86), with RN coverage at 0.67 per resident day. This facility is flagged as an SFF Candidate, a larger pool of providers eligible for the Special Focus Facility program but not currently selected (states have a limited number of active SFF slots); it remains under normal, not enhanced, oversight.
Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Bayshore Nursing & Rehab falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 56.4% (CMS payroll-based measure).
Why sub-scores and the CMS methodology matter
The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.
For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.
Deficiency History (50 most recent)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: May 22, 2026
Ensure services provided by the nursing facility meet professional standards of quality.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: May 22, 2026
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: May 22, 2026
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: May 22, 2026
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Category: Resident Rights Deficiencies
Corrected: Nov 12, 2025
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Category: Nursing and Physician Services Deficiencies
Corrected: Nov 12, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Nov 12, 2025
Provide routine and 24-hour emergency dental care for each resident.
Category: Quality of Life and Care Deficiencies
Corrected: Nov 12, 2025
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.
Category: Quality of Life and Care Deficiencies
Corrected: Nov 12, 2025
Provide care or services that was trauma informed and/or culturally competent.
Category: Quality of Life and Care Deficiencies
Corrected: Nov 12, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Category: Quality of Life and Care Deficiencies
Corrected: Nov 12, 2025
PASARR screening for Mental disorders or Intellectual Disabilities
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Nov 12, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Category: Resident Rights Deficiencies
Corrected: Nov 12, 2025
Respond appropriately to all alleged violations.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Nov 12, 2025
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Nov 12, 2025
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Nov 12, 2025
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Category: Resident Rights Deficiencies
Corrected: Nov 12, 2025
Ensure residents have reasonable access to and privacy in their use of communication methods.
Category: Resident Rights Deficiencies
Corrected: Nov 12, 2025
Ensure that residents are fully informed and understand their health status, care and treatments.
Category: Resident Rights Deficiencies
Corrected: Nov 12, 2025
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Category: Infection Control Deficiencies
Corrected: Nov 12, 2025
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.
Category: Pharmacy Service Deficiencies
Corrected: Nov 12, 2025
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Category: Pharmacy Service Deficiencies
Corrected: Nov 12, 2025
Observe each nurse aide's job performance and give regular training.
Category: Nursing and Physician Services Deficiencies
Corrected: Nov 12, 2025
Provide activities to meet all resident's needs.
Category: Quality of Life and Care Deficiencies
Corrected: Nov 12, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Nov 12, 2025
Ensure each resident receives an accurate assessment.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Nov 12, 2025
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.
Category: Resident Rights Deficiencies
Corrected: Nov 12, 2025
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Category: Resident Rights Deficiencies
Corrected: Nov 12, 2025
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Category: Administration Deficiencies
Corrected: Nov 12, 2025
Provide training in compliance and ethics.
Category: Administration Deficiencies
Corrected: Nov 12, 2025
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Category: Environmental Deficiencies
Corrected: Nov 12, 2025
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Category: Infection Control Deficiencies
Corrected: Nov 12, 2025
Implement a program that monitors antibiotic use.
Category: Infection Control Deficiencies
Corrected: Nov 12, 2025
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Nov 12, 2025
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Category: Administration Deficiencies
Corrected: Nov 12, 2025
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Category: Administration Deficiencies
Corrected: Nov 12, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: Nov 12, 2025
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Category: Nursing and Physician Services Deficiencies
Corrected: Nov 12, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Nov 12, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Category: Quality of Life and Care Deficiencies
Corrected: Nov 12, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Category: Quality of Life and Care Deficiencies
Corrected: Nov 12, 2025
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
Category: Nursing and Physician Services Deficiencies
Corrected: Nov 12, 2025
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Category: Administration Deficiencies
Corrected: Nov 12, 2025
Reasonably accommodate the needs and preferences of each resident.
Category: Resident Rights Deficiencies
Corrected: Aug 26, 2025
Post nurse staffing information every day.
Category: Nursing and Physician Services Deficiencies
Corrected: Aug 26, 2025
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Aug 26, 2025
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Aug 26, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Nov 14, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Category: Pharmacy Service Deficiencies
Corrected: Aug 25, 2025
Provide safe, appropriate pain management for a resident who requires such services.
Category: Quality of Life and Care Deficiencies
Corrected: Aug 25, 2025
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 20.0% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.0% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.3% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.1% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 16.2% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 6.2% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 25.2% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.6% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 8.8% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 0.4% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.3% | No |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 70.4% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 19.9% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 73.0% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 23.9% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 34.5% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 17.9% | No |
Penalty History
| Date | Type | Amount |
|---|---|---|
| Oct 30, 2024 | Payment Denial | - |
Nationwide facilities with similar scale or staffing
Two data-derived peer sets for Bayshore Nursing & Rehab, both outside WI so the neighborhoods are not the same-state geography list below.
Similar bed count
Nearest CMS certified bed counts outside WI (112 beds here).
Similar staffing hours
Nearest CMS adjusted total nurse hours per resident day outside WI (4.17 here).
Nearby Nursing Homes in WI
322 other nursing homes are on record in WI; 6 are shown here.
Abbotsford Health Care Center
Abbotsford, WI
Alden Estates of Countryside, Inc
Jefferson, WI
Alden Meadow Park Hcc
Clinton, WI
American Lutheran Home-Menomonie
Menomonie, WI
American Lutheran Home-Mondovi
Mondovi, WI
Amethyst Health of Algoma
Algoma, WI
Understanding Nursing Home Data
What the CMS records show for Bayshore Nursing & Rehab
The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.
- The WI registry aggregates state averages and the highest-rated homes in this cohort. View WI registry
- Peer homes near 112 beds show how CMS stars vary at a similar scale in WI. Compare a similar-size peer
- CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work
CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.
Frequently Asked Questions
What is the overall CMS rating for Bayshore Nursing & Rehab?
Where does Bayshore Nursing & Rehab rank among nursing homes in WI?
What are the staffing levels at Bayshore Nursing & Rehab?
How many beds does Bayshore Nursing & Rehab have?
Does Bayshore Nursing & Rehab have any deficiencies on record?
Has Bayshore Nursing & Rehab received any fines or penalties?
Who owns Bayshore Nursing & Rehab?
When was Bayshore Nursing & Rehab last inspected?
What quality measures are tracked for Bayshore Nursing & Rehab?
Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.
Read our methodology - how this data is sourced, computed, and verified.
