About Bayshore Nursing and Rehab
Bayshore Nursing And Rehab, located in GLENDALE, WI, is a for-profit organization that accepts Medicare and Medicaid.
Why Families Choose Bayshore Nursing and Rehab
- More Nursing Time: Staff spends 4.01 hours per resident daily (National Avg: 3.87).
Key Performance Indicators
- CMS Overall Rating 1 Stars
- Nursing Hours 4.01 hrs
- Safety Record Issues
Chain Affiliations & Network
This facility is part of the BEDROCK HEALTHCARE network. This chain operates 9 facilities.
Chain Performance Overview
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Nursing Staff Analysis
Staffing levels are a critical indicator of quality care. We analyze the daily hours of care provided by Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Certified Nursing Assistants (CNAs).
Mixed Staffing Levels
Bayshore Nursing and Rehab provides less care hours than the state average and more than the national average.
Registered Nurses (RN)
Licensed Practical Nurses
Certified Assistants
CMS Quality Ratings
| Category | Rating | Stars |
|---|---|---|
| Overall Rating | 1 |
|
| Health Inspection | 1 |
|
| Quality Measures | 2 |
|
| Staffing | 3 |
|
Health Inspection History
| Inspection Cycle | Score | Date |
|---|---|---|
| Cycle 1 (Most Recent) | 1686 | Sep 30, 2025 |
| Weighted Average | 1,387 | Combined Score |
Detailed Quality Measures
Rates are from CMS quality measures (claims-based and MDS-based) for the reporting period ending May 01, 2026. Some measures may be omitted when CMS does not report a numeric rate for this facility.
Medicare claims-based measures
Typically includes short-stay outcomes, hospitalizations, and ED use from Medicare claims.
| Measure | Rate |
|---|---|
| Percentage of short-stay residents who were rehospitalized after a nursi... (QM521) | 56.7% |
| Percentage of short-stay residents who had an outpatient emergency depar... (QM522) | 8.8% |
| Number of hospitalizations per 1000 long-stay resident days (QM551) | 3.9% |
| Number of outpatient emergency department visits per 1000 long-stay resi... (QM552) | 3.2% |
MDS-based measures
Resident assessment data; often used for long-stay care quality.
| Measure | Rate |
|---|---|
| Percentage of long-stay residents whose need for help with daily activit... (QM401) | 19.6% |
| Percentage of long-stay residents who lose too much weight (QM404) | 8.0% |
| Percentage of long-stay residents with a catheter inserted and left in t... (QM406) | 1.0% |
| Percentage of long-stay residents with a urinary tract infection (QM407) | 1.2% |
| Percentage of long-stay residents who have depressive symptoms (QM408) | 0.0% |
| Percentage of long-stay residents who were physically restrained (QM409) | 0.3% |
| Percentage of long-stay residents experiencing one or more falls with ma... (QM410) | 5.5% |
| Percentage of long-stay residents assessed and appropriately given the p... (QM415) | 67.9% |
| Percentage of short-stay residents assessed and appropriately given the... (QM430) | 23.5% |
| Percentage of short-stay residents who newly received an antipsychotic m... (QM434) | 1.8% |
| Percentage of long-stay residents whose ability to walk independently wo... (QM451) | 12.5% |
| Percentage of long-stay residents who received an antianxiety or hypnoti... (QM452) | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the s... (QM454) | 73.0% |
| Percentage of short-stay residents who were assessed and appropriately g... (QM472) | 17.9% |
| Percentage of long-stay residents with pressure ulcers (QM479) | 7.7% |
| Percentage of long-stay residents with new or worsened bowel or bladder... (QM480) | 24.6% |
| Percentage of long-stay residents who received an antipsychotic medicati... (QM481) | 26.6% |
Complaints & Deficiencies
Complaint History by Year
This chart shows the number of complaints filed each year.
Summary:
- 2023: 23 complaints
- 2024: 8 complaints
- 2025: 40 complaints
- Total: 71 complaints on record
Recent Complaints (Since Jan 2023)
| Date | Description |
|---|---|
| Nov 14, 2025 | Provide enough food/fluids to maintain a resident's health. |
| Nov 14, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Nov 12, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| 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. |
| Nov 12, 2025 | Respond appropriately to all alleged violations. |
| Nov 12, 2025 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. |
| Sep 29, 2025 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| Aug 26, 2025 | Post nurse staffing information every day. |
| Aug 26, 2025 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. |
| Aug 26, 2025 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| Aug 26, 2025 | Reasonably accommodate the needs and preferences of each resident. |
| Aug 25, 2025 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. |
| Aug 25, 2025 | Provide safe, appropriate pain management for a resident who requires such services. |
| Aug 25, 2025 | Respond appropriately to all alleged violations. |
| Aug 25, 2025 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. |
| Aug 25, 2025 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. |
| Aug 25, 2025 | Provide training in compliance and ethics. |
| Aug 25, 2025 | Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. |
| Aug 25, 2025 | Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. |
| Aug 25, 2025 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. |
| Aug 25, 2025 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. |
| Aug 25, 2025 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. |
| Aug 25, 2025 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. |
| Aug 25, 2025 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. |
| Jun 27, 2025 | Provide safe and appropriate respiratory care for a resident when needed. |
| Jun 27, 2025 | Provide and implement an infection prevention and control program. |
| Jun 27, 2025 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. |
| Jun 27, 2025 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| Jun 27, 2025 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. |
| Jun 27, 2025 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted |
| Jun 27, 2025 | Ensure each resident receives an accurate assessment. |
| Jun 27, 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. |
| Jun 27, 2025 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. |
| Feb 27, 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. |
| Feb 27, 2025 | Ensure medication error rates are not 5 percent or greater. |
| Feb 27, 2025 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. |
| Feb 27, 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. |
| Feb 27, 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. |
| Feb 27, 2025 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. |
| Feb 27, 2025 | Allow residents to self-administer drugs if determined clinically appropriate. |
| Dec 02, 2024 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. |
| Dec 02, 2024 | Dispose of garbage and refuse properly. |
| Dec 02, 2024 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| Aug 15, 2024 | Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. |
| Jul 25, 2024 | 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. |
| Jun 16, 2024 | Provide and implement an infection prevention and control program. |
| Jun 16, 2024 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted |
| Jun 16, 2024 | 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. |
| Nov 07, 2023 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. |
| Nov 07, 2023 | 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. |
| Nov 07, 2023 | 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. |
| Nov 07, 2023 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. |
| Nov 07, 2023 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Nov 07, 2023 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. |
| Nov 07, 2023 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. |
| Nov 07, 2023 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. |
| Aug 22, 2023 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| Aug 22, 2023 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| Aug 22, 2023 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. |
| Aug 22, 2023 | Respond appropriately to all alleged violations. |
| Aug 22, 2023 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. |
| Aug 22, 2023 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. |
| Aug 22, 2023 | Provide activities to meet all resident's needs. |
| Aug 22, 2023 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Aug 22, 2023 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. |
| Aug 22, 2023 | Provide medically-related social services to help each resident achieve the highest possible quality of life. |
| Aug 22, 2023 | 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. |
| Aug 22, 2023 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. |
| Aug 22, 2023 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. |
| Aug 22, 2023 | Respond appropriately to all alleged violations. |
| Aug 22, 2023 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
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Owner & Operator Information
Business Entity
BEDROCK HCS AT GLENDALE LLC
Ownership Structure
- LYNN CHOPP Indirect
- MARTIN CHOPP Indirect
- PNINA CHOPP Indirect
- RACHEL CHOPP Indirect
- SARAH CHOPP Indirect
- SOLOMON CHOPP Indirect
- AVROHOM PRAGER Indirect
- SHULAMIT PRAGER Indirect
Management & Direction
- KENNETH NICHOLS CONTRACTED MANAGING EMPLOYEE
- KENNETH NICHOLS CORPORATE OFFICER
- KENNETH NICHOLS OPERATIONAL/MANAGERIAL CONTROL
- OPAL HEALTHCARE NJ LLC OPERATIONAL/MANAGERIAL CONTROL
Associated Doctors
Local Comparison
| Facility | Distance | Rating |
|---|---|---|
| Clement Manor Health Care Center | N/A | 5 |
| Lasata Care Center | N/A | 5 |
| Milwaukee Catholic Home | N/A | 5 |
| Milwaukee Health and Rehab | N/A | 4 |
| Complete Care at Germantown | N/A | 4 |
| Cedarburg Health Services | N/A | 3 |
| St Ann Health and Rehabilitation Center | N/A | 4 |
| Complete Care at Hales Corners | N/A | 3 |
| Cedar Lake Health and Rehab Center | N/A | 4 |
| Mercy Health Services | N/A | 3 |
Related Analysis
Best Nursing Homes in GLENDALE, WI
Compare Bayshore Nursing and Rehab to the top-rated facilities in the area.
Ownership Details
Complete list of registered owners, including direct and indirect ownership.
Noted Deficiencies
Detailed history of deficiencies with descriptions and correction dates.
Nursing Hours Analysis
Detailed breakdown of staffing hours per resident by role.
Frequently Asked Questions
- Skilled Nursing Care: 24/7 medical supervision and complex medical treatments
- Long-term Residential Care: Assistance with daily living activities for extended stays
- Short-term Rehabilitation: Recovery services after hospital stays or surgeries
- Memory Care: Specialized programs for residents with dementia and Alzheimer's disease
- Level of care needed (skilled nursing vs. long-term care)
- Room type (private vs. semi-private)
- Insurance coverage (Medicare, Medicaid, private insurance)
- Length of stay and specific services required
For current rates and to discuss payment options, contact Bayshore Nursing and Rehab directly at 4142288120. Their admissions team can help determine coverage and out-of-pocket expenses.
Environment & Cleanliness
- Overall cleanliness and odors
- Resident room conditions
- Common area maintenance
- Safety features and accessibility
Staff & Care Quality
- Staff-to-resident ratios
- How staff interact with residents
- Response time to resident needs
- Staff knowledge and professionalism
Ask to speak with current residents and their families, tour at different times of day, and review the facility's most recent inspection reports.