ElderGrade
F

35/100

Poor

Bayshore Nursing & Rehab

1300 West Silver Spring Dr, Glendale, WI 53209

CMS 1/5 stars #23 of 32 in Milwaukee County (414) 228-8120
Certified beds
112
Occupancy
71%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • Abuse icon on record

    CMS flags this facility for citations of abuse that caused harm, or potential for harm, to residents.

  • Special Focus Facility

    CMS has placed this home in its Special Focus Facility program for a persistent pattern of poor care. These homes get inspected twice as often.

  • 14 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

0/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -20 for 6 immediate-jeopardy citation(s) in the last 3 years
  • -4 for 1 actual-harm citation(s) in the last 3 years
  • -10 for 106 total citations against a national median of 17

Staffing

20/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 4.17 total nurse hours per resident per day (national median 3.77)
  • 0.67 RN hours per resident per day
  • Weekend staffing drops 10% against weekdays

Staff stability

5/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 56% of nursing staff left in the last year

Resident outcomes

2/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 1 of 5 stars on the CMS quality-measure rating

Enforcement history

8/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • No federal fines on record
  • -2 for 1 denial(s) of Medicare payment for new admissions

Grade ceiling applied

  • Capped at 54 (grade D) — CMS Special Focus Facility
  • Capped at 64 (grade C) — CMS abuse icon on record
  • Capped at 64 (grade C) — immediate-jeopardy citation in the last 3 years

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.96 hrs
National average 3.86 hrs Better than average
Registered nurse (RN) hours 0.67 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 3.57 hrs
National average 3.42 hrs Better than average

The shift most families visit, and the one thinned first.

Nursing staff turnover 56.40%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

All 140 citations

Last standard health inspection: September 30, 2025 (10 months ago).

D Apr 30, 2026 F0600 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

No actual harm, potential for more than minimal harm

D Apr 30, 2026 F0657 From a complaint

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

No actual harm, potential for more than minimal harm

D Apr 30, 2026 F0658 From a complaint

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

No actual harm, potential for more than minimal harm

D Apr 30, 2026 F0689 From a complaint

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

No actual harm, potential for more than minimal harm

L Sep 30, 2025 F0835

Administration Deficiencies

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Immediate jeopardy to resident health or safety

L Sep 30, 2025 F0841

Nursing and Physician Services Deficiencies

Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.

Immediate jeopardy to resident health or safety

J Sep 30, 2025 F0684

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Immediate jeopardy to resident health or safety

J Sep 30, 2025 F0686

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Immediate jeopardy to resident health or safety

Who owns this home

Full record

Part of BEDROCK HEALTHCARE, which operates 9 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
NICHOLS, KENNETH Individual CONTRACTED MANAGING EMPLOYEE
NICHOLS, KENNETH Individual CORPORATE OFFICER
OPAL HEALTHCARE NJ LLC Organization OPERATIONAL/MANAGERIAL CONTROL
NICHOLS, KENNETH Individual OPERATIONAL/MANAGERIAL CONTROL
CHOPP, RACHEL Individual 5% OR GREATER INDIRECT OWNERSHIP INTEREST
CHOPP, SARAH Individual 5% OR GREATER INDIRECT OWNERSHIP INTEREST
CHOPP, MARTIN Individual 5% OR GREATER INDIRECT OWNERSHIP INTEREST
CHOPP, PNINA Individual 5% OR GREATER INDIRECT OWNERSHIP INTEREST
CHOPP, LYNN Individual 5% OR GREATER INDIRECT OWNERSHIP INTEREST
PRAGER, AVROHOM Individual 5% OR GREATER INDIRECT OWNERSHIP INTEREST
PRAGER, SHULAMIT Individual 5% OR GREATER INDIRECT OWNERSHIP INTEREST
CHOPP, SOLOMON Individual 5% OR GREATER INDIRECT OWNERSHIP INTEREST

What families say

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Common questions about Bayshore Nursing & Rehab

What is the ElderGrade for Bayshore Nursing & Rehab? +

Bayshore Nursing & Rehab holds an ElderGrade of F (35 out of 100), which we describe as "poor". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Bayshore Nursing & Rehab? +

Residents receive an average of 3.96 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Bayshore Nursing & Rehab been cited for harming residents? +

Yes. 14 of the 140 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Bayshore Nursing & Rehab accept Medicaid? +

Yes, Bayshore Nursing & Rehab is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.