Nursing homes › Wisconsin › Autumn Lake Healthcare at Greenfield
5790 S 27Th St, Milwaukee, WI 53221 · 4142821300 · 112 certified beds
Per CMS filings, this facility is affiliated with Autumn Lake Healthcare, a group operating 60 facilities in 5 states. Group record: average rating 2.9/5, 6 abuse citation icons, 0 facilities on the Special Focus list, $1,113,839 in federal fines. This facility rates below its group average (2.9/5).
Total nurse staffing: 4.41 (Wisconsin median: 4.06). RN hours: 0.85. Weekend total: 3.97. Nursing staff turnover: 76%.
All-time on record: 64 deficiency citations, including 1 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-12-13 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | complaint | corrected 2025-12-14 |
| 2025-12-13 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2025-12-14 |
| 2025-12-13 | Provide safe and appropriate respiratory care for a resident when needed. | D | complaint | corrected 2026-01-15 |
| 2025-12-13 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | complaint | corrected 2026-01-15 |
| 2025-12-13 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | complaint | corrected 2025-12-15 |
| 2025-07-08 | 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 | complaint | corrected 2025-07-29 |
| 2025-03-26 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2025-04-24 |
| 2025-03-26 | Respond appropriately to all alleged violations. | D | complaint | corrected 2025-04-24 |
| 2025-03-26 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2025-04-24 |
| 2025-03-26 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | complaint | corrected 2025-04-24 |
| 2025-03-26 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2025-04-24 |
| 2025-03-26 | Provide enough food/fluids to maintain a resident's health. | D | complaint | corrected 2025-04-24 |
| 2025-03-26 | Ensure that residents are free from significant medication errors. | D | complaint | corrected 2025-04-24 |
| 2025-03-26 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D | complaint | corrected 2025-04-24 |
| 2025-03-26 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2025-04-24 |
| 2025-03-26 | Post nurse staffing information every day. | C | complaint | corrected 2025-04-24 |
| 2024-12-12 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2025-01-19 |
| 2024-12-12 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Health | corrected 2025-01-19 |
| 2024-12-12 | 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. | D | Health | corrected 2025-01-19 |
| 2024-12-12 | Assure that each resident’s assessment is updated at least once every 3 months. | D | Health | corrected 2025-01-19 |
| 2024-12-12 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Health | corrected 2025-01-19 |
| 2024-12-12 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Health | corrected 2025-01-19 |
| 2024-12-12 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2025-01-19 |
| 2024-12-12 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Health | corrected 2025-01-19 |
| 2024-12-12 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2025-01-19 |
| 2024-12-12 | Provide safe, appropriate pain management for a resident who requires such services. | D | complaint | corrected 2025-01-19 |
| 2024-12-12 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Health | corrected 2025-01-19 |
| 2024-12-12 | 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. | D | Health | corrected 2025-01-19 |
| 2024-09-25 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | complaint | corrected 2024-09-26 |
| 2024-09-25 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2024-11-05 |
| 2024-09-25 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | complaint | corrected 2024-09-26 |
| 2024-08-13 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | complaint | corrected 2024-09-26 |
| 2024-08-13 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | complaint | corrected 2024-11-05 |
| 2024-08-13 | Allow residents to self-administer drugs if determined clinically appropriate. | D | complaint | corrected 2024-09-09 |
| 2024-08-13 | 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 | complaint | corrected 2024-09-09 |
| 2024-08-13 | Respond appropriately to all alleged violations. | D | complaint | corrected 2024-09-09 |
| 2024-08-13 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2024-09-09 |
| 2024-08-13 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | complaint | corrected 2024-09-09 |
| 2024-08-13 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2024-09-09 |
| 2024-02-14 | Ensure medication error rates are not 5 percent or greater. | E | complaint | corrected 2024-03-06 |
| Date | Type | Amount |
|---|---|---|
| 2025-12-13 | Fine | $26,925 |
| 2024-08-13 | Fine | $125,694 |
| 2024-08-13 | Payment Denial | 54 days payment denial |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| AL THREE LLC | 5% Or Greater Direct Ownership Interest | Organization | 25% | since 08/01/2019 |
| DAVIS, YEHOSHUA | 5% Or Greater Direct Ownership Interest | Individual | 15% | since 02/22/2018 |
| WISCONSIN ACQUISITIONS LLC | Direct Ownership Interest | Organization | NOT APPLICABLE | since 08/01/2018 |
| MARKSTEIN, ISAAC | Direct Ownership Interest | Individual | NOT APPLICABLE | since 08/01/2018 |
| SCHWARTZ, MARK | Corporate Officer | Individual | NOT APPLICABLE | since 02/01/2023 |
| BOHMAN, ANNETTE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/01/2018 |
| RAMNANAN, KESHNI | Operational/Managerial Control | Individual | NOT APPLICABLE | since 07/01/2024 |
| SCHWARTZ, MARK | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/01/2023 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 525504. Corrections: data@carerecords.org.