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Complete Care at Southpointe in Greenfield, WI

4500 W. Loomis Rd., Greenfield, WI 53220
4143255300
Hours not listed yet
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Overall CMS Rating

3.0/5

vs State Average: 3.0 stars

2.0/5

Health Inspections

vs State Average: 2.8/5

3.0/5

Staffing Level

vs State Average: 3.6/5

5.0/5

Quality Measures

vs State Average: 3/5

0 penaltiesin last 3 years
Penalties
vs State Average: 1.2 penalties

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Ratings Deep Dive

Score
2.0
State Average
2.8
National Average
2.8
5Deficiencies found in last inspections
0Penalties in last 3 years
0Fines issued
CitationDateDescriptionSeverity
F0851Mar 12, 2026Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.F
F0607Mar 12, 2026Develop and implement policies and procedures to prevent abuse, neglect, and theft.E
F0812Mar 12, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
F0602Mar 12, 2026Protect each resident from the wrongful use of the resident's belongings or money.D
F0686Mar 12, 2026Provide appropriate pressure ulcer care and prevent new ulcers from developing.G
Score
3.0
State Average
3.6
National Average
2.9
0.7RN Hours / Resident / Day
3.7Total Nurse Hours / Resident / Day
25.0%RN Turnover Rate
Score
5.0
State Average
3.0
National Average
3.6
5.0Long-Stay QM Rating
3.0Short-Stay QM Rating
98.2Avg Residents Per Day
MeasureScoreType
Percentage of long-stay residents whose need for help with daily activities has increased4.911%Long Stay
Percentage of long-stay residents who lose too much weight4.641%Long Stay
Percentage of long-stay residents with a catheter inserted and left in their bladder0.000%Long Stay
Percentage of long-stay residents with a urinary tract infection4.487%Long Stay
Percentage of long-stay residents who have depressive symptoms47.440%Long Stay
Percentage of long-stay residents who were physically restrained0.000%Long Stay
Percentage of long-stay residents experiencing one or more falls with major injury0.321%Long Stay
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine95.513%Long Stay
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine68.516%Short Stay
Percentage of short-stay residents who newly received an antipsychotic medication0.187%Short Stay

Ownership & Compliance

Ownership Info

Ownership information has not been added yet.

Ownership Info CMS
OPERATIONAL/MANAGERIAL CONTROLBIELINSKI, RENEE
ADP OF THE SNFBIELINSKI, RENEE
OPERATIONAL/MANAGERIAL CONTROLPATEL, SURENDRA
ADP OF THE SNFPATEL, SURENDRA
OPERATIONAL/MANAGERIAL CONTROLRIEBER, REBECCA
ADP OF THE SNFRIEBER, REBECCA
OPERATIONAL/MANAGERIAL CONTROLKASOMBO, ESTHER
ADP OF THE SNFKASOMBO, ESTHER
TRUSTEE OF THE SNFSTEIN, SHALOM
ADP OF THE SNFDES CAPITAL LLC
Recent Penalties

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