Nursing homes › Wisconsin › Bayshore Nursing & Rehab
1300 West Silver Spring Dr, Glendale, WI 53209 · (414) 228-8120 · 112 certified beds
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Open your comparisonCMS overall star rating: this provider 1/5; median among 321 providers with a published value in the same state and provider category: 3/5.
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Per CMS filings, this facility is affiliated with Bedrock Healthcare, a group operating 9 facilities in 3 states. Group record: average rating 1.4/5, 2 abuse citation icons, 3 facilities on the Special Focus list, $1,140,328 in federal fines. This facility rates below its group average (1.4/5).
Total nurse staffing: 3.96 (Wisconsin median: 4.02). RN hours: 0.67. Weekend total: 3.57. Nursing staff turnover: 56%.
In the downloaded CMS dataset: 128 deficiency citations, including 7 at immediate-jeopardy level. Below: up to 40 most recent citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-04-30 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2026-05-22 |
| 2026-04-30 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | complaint | corrected 2026-05-22 |
| 2026-04-30 | Ensure services provided by the nursing facility meet professional standards of quality. | D | complaint | corrected 2026-05-22 |
| 2026-04-30 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2026-05-22 |
| 2025-09-30 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | L | Health | corrected 2025-11-12 |
| 2025-09-30 | Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. | L | Health | corrected 2025-11-12 |
| 2025-09-30 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Health | corrected 2025-11-12 |
| 2025-09-30 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | J | Health | corrected 2025-11-12 |
| 2025-09-30 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | complaint | corrected 2025-11-12 |
| 2025-09-30 | 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. | F | Health | corrected 2025-11-12 |
| 2025-09-30 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2025-11-12 |
| 2025-09-30 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | Health | corrected 2025-11-12 |
| 2025-09-30 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Health | corrected 2025-11-12 |
| 2025-09-30 | Provide and implement an infection prevention and control program. | F | Health | corrected 2025-11-12 |
| 2025-09-30 | Implement a program that monitors antibiotic use. | F | Health | corrected 2025-11-12 |
| 2025-09-30 | 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. | F | Health | corrected 2025-11-12 |
| 2025-09-30 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | Health | corrected 2025-11-12 |
| 2025-09-30 | Provide training in compliance and ethics. | F | Health | corrected 2025-11-12 |
| 2025-09-30 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | F | Health | corrected 2025-11-12 |
| 2025-09-30 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | E | Health | corrected 2025-11-12 |
| 2025-09-30 | 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. | E | Health | corrected 2025-11-12 |
| 2025-09-30 | Ensure each resident receives an accurate assessment. | E | Health | corrected 2025-11-12 |
| 2025-09-30 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | complaint | corrected 2025-11-12 |
| 2025-09-30 | Provide activities to meet all resident's needs. | E | Health | corrected 2025-11-12 |
| 2025-09-30 | Observe each nurse aide's job performance and give regular training. | E | Health | corrected 2025-11-12 |
| 2025-09-30 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Health | corrected 2025-11-12 |
| 2025-09-30 | 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. | E | Health | corrected 2025-11-12 |
| 2025-09-30 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Health | corrected 2025-11-12 |
| 2025-09-30 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Health | corrected 2025-11-12 |
| 2025-09-30 | Ensure residents have reasonable access to and privacy in their use of communication methods. | D | Health | corrected 2025-11-12 |
| 2025-09-30 | 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. | D | Health | corrected 2025-11-12 |
| 2025-09-30 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Health | corrected 2025-11-12 |
| 2025-09-30 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2025-11-12 |
| 2025-09-30 | Respond appropriately to all alleged violations. | D | complaint | corrected 2025-11-12 |
| 2025-09-30 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Health | corrected 2025-11-12 |
| 2025-09-30 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Health | corrected 2025-11-12 |
| 2025-09-30 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2025-11-12 |
| 2025-09-30 | Provide care or services that was trauma informed and/or culturally competent. | D | Health | corrected 2025-11-12 |
| 2025-09-30 | 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. | D | Health | corrected 2025-11-12 |
| 2025-09-30 | Provide routine and 24-hour emergency dental care for each resident. | D | Health | corrected 2025-11-12 |
| Date | Type | Amount |
|---|---|---|
| 2024-10-30 | Payment Denial | 36 days payment denial |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| CHOPP, LYNN | 5% Or Greater Indirect Ownership Interest | Individual | 17% | since 10/01/2019 |
| CHOPP, MARTIN | 5% Or Greater Indirect Ownership Interest | Individual | 18% | since 10/01/2019 |
| CHOPP, PNINA | 5% Or Greater Indirect Ownership Interest | Individual | 18% | since 10/01/2019 |
| CHOPP, RACHEL | 5% Or Greater Indirect Ownership Interest | Individual | 7% | since 10/01/2019 |
| CHOPP, SARAH | 5% Or Greater Indirect Ownership Interest | Individual | 5% | since 10/01/2019 |
| CHOPP, SOLOMON | 5% Or Greater Indirect Ownership Interest | Individual | 10% | since 10/01/2019 |
| PRAGER, AVROHOM | 5% Or Greater Indirect Ownership Interest | Individual | 13% | since 10/01/2019 |
| PRAGER, SHULAMIT | 5% Or Greater Indirect Ownership Interest | Individual | 13% | since 10/01/2019 |
| NICHOLS, KENNETH | Corporate Officer | Individual | NOT APPLICABLE | since 10/01/2019 |
| OPAL HEALTHCARE NJ LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 10/01/2019 |
| NICHOLS, KENNETH | Operational/Managerial Control | Individual | NOT APPLICABLE | since 10/01/2019 |
How to cite this page: CareRecords, “Bayshore Nursing & Rehab — compliance, penalty and ownership record” (CCN 525371), compiled from the CMS Provider Data Catalog, August 2026 release. https://carerecords.org/nursing-home/bayshore-nursing-rehab-glendale-wi/
Source: CMS Provider Data Catalog (August 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 525371. Corrections: data@carerecords.org.