Bayshore Nursing & Rehab

Nursing Home · Glendale, WI

CMS overall rating 1/5 SFF candidate Abuse citation For profit - Limited Liability company

CMS certification number525371
CMS lists this nursing home as a Special Focus Facility candidate – one of the lowest-performing nursing homes in its state based on inspection history.
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).

Contact & location

1300 West Silver Spring DR
Glendale, WI 53209
Milwaukee County
Phone
(414) 228-8120
ZIP code
53209 – all care providers

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Facility details

Certified beds
112
Residents per day
79.5 (71% occupied)
Ownership
For profit - Limited Liability company
Legal name
Bedrock HCS at Glendale LLC
Chain
Bedrock Healthcare (9 facilities, avg 1.4★)
Medicare certified since
October 1, 1984
Participates in
Medicare and Medicaid
Council
Both council

CMS star ratings

Overall★★★★★ 1/5
State avg 3.0
Health inspections★★★★★ 1/5
State avg 2.8
Staffing★★★★★ 3/5
State avg 3.6
Quality measures★★★★★ 1/5
State avg 3.0
Long-stay quality★★★★★ 1/5
Short-stay qualityNot rated

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.96 (state 4.21 · U.S. 3.86)
Registered nurses (RN)
0.67 (state 0.99 · U.S. 0.69)
Licensed practical nurses
0.88 (state 0.64 · U.S. 0.86)
Nurse aides
2.41 (state 2.58 · U.S. 2.32)
Weekend total
3.57 (state 3.77 · U.S. 3.42)
Nursing staff turnover
56.4 (state 46.9 · U.S. 45.8)%
RN turnover
76.9 (state 39.7 · U.S. 42.9)%
Administrators who left
1 in the last year

Inspections

Last standard inspection
September 30, 2025
Health deficiencies (last cycle)
43.0 (state 9.5 · U.S. 9.3)
From complaints
8
Citations on record (3 years)
60 health · 20 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-04-30 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
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.
F0657 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-05-22
2026-04-30 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
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.
F0689 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-05-22
2025-09-30 Administer the facility in a manner that enables it to use its resources effectively and efficiently.
F0835 · Administration Deficiencies
L
Immediate jeopardy to resident health or safety
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.
F0841 · Nursing and Physician Services Deficiencies
L
Immediate jeopardy to resident health or safety
Corrected 2025-11-12
2025-09-30 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies
J
Immediate jeopardy to resident health or safety
Corrected 2025-11-12
2025-09-30 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies
J
Immediate jeopardy to resident health or safety
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.
F0689 · Quality of Life and Care Deficiencies · complaint inspection
G
Actual harm
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.
F0727 · Nursing and Physician Services Deficiencies
F
No actual harm, potential for more than minimal harm
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.
F0812 · Nutrition and Dietary Deficiencies
F
No actual harm, potential for more than minimal harm
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.
F0851 · Administration Deficiencies
F
No actual harm, potential for more than minimal harm
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.
F0867 · Administration Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2025-11-12
2025-09-30 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2025-11-12
2025-09-30 Implement a program that monitors antibiotic use.
F0881 · Infection Control Deficiencies
F
No actual harm, potential for more than minimal harm
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.
F0887 · Infection Control Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2025-11-12
2025-09-30 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
F0925 · Environmental Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2025-11-12
2025-09-30 Provide training in compliance and ethics.
F0946 · Administration Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2025-11-12
2025-09-30 Provide behavior health training consistent with the requirements and as determined by a facility assessment.
F0949 · Administration Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2025-11-12
2025-09-30 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
F0582 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
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.
F0585 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-11-12
2025-09-30 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies
E
No actual harm, potential for more than minimal harm
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.
F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2025-11-12
2025-09-30 Provide activities to meet all resident's needs.
F0679 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-11-12
2025-09-30 Observe each nurse aide's job performance and give regular training.
F0730 · Nursing and Physician Services Deficiencies
E
No actual harm, potential for more than minimal harm
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.
F0756 · Pharmacy Service Deficiencies
E
No actual harm, potential for more than minimal harm
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.
F0761 · Pharmacy Service Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-11-12
2025-09-30 Develop and implement policies and procedures for flu and pneumonia vaccinations.
F0883 · Infection Control Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-11-12
2025-09-30 Ensure that residents are fully informed and understand their health status, care and treatments.
F0552 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-11-12
2025-09-30 Ensure residents have reasonable access to and privacy in their use of communication methods.
F0576 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
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.
F0584 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
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.
F0605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-11-12
2025-09-30 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-11-12
2025-09-30 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
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.
F0628 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-11-12
2025-09-30 PASARR screening for Mental disorders or Intellectual Disabilities
F0645 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-11-12
2025-09-30 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-11-12
2025-09-30 Provide care or services that was trauma informed and/or culturally competent.
F0699 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
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.
F0700 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-11-12
2025-09-30 Provide routine and 24-hour emergency dental care for each resident.
F0790 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-11-12
2025-09-30 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-11-12
2025-09-30 Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
F0947 · Nursing and Physician Services Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-11-12
2025-09-30 Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
F0577 · Resident Rights Deficiencies
C
No actual harm, potential for minimal harm
Corrected 2025-11-12
2025-07-30 Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-08-26
2025-07-28 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection
J
Immediate jeopardy to resident health or safety
Corrected 2025-11-14
2025-07-28 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-08-26
2025-07-28 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-08-26
2025-07-28 Post nurse staffing information every day.
F0732 · Nursing and Physician Services Deficiencies · complaint inspection
C
No actual harm, potential for minimal harm
Corrected 2025-08-26
2025-07-03 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies · complaint inspection
J
Immediate jeopardy to resident health or safety
Corrected 2025-11-14
2025-07-03 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.
F0801 · Nutrition and Dietary Deficiencies · complaint inspection
F
No actual harm, potential for more than minimal harm
Corrected 2025-08-25

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

1 penalty in the last three years.

DateTypeAmount
2024-10-30Payment Denial36 days payment denial

Ownership & management

NameRoleSince
Chopp, Lynn (individual)5%+ Indirect Ownership Interest · 17%
Chopp, Martin (individual)5%+ Indirect Ownership Interest · 18%
Chopp, Pnina (individual)5%+ Indirect Ownership Interest · 18%
Chopp, Rachel (individual)5%+ Indirect Ownership Interest · 7%
Chopp, Sarah (individual)5%+ Indirect Ownership Interest · 5%
Chopp, Solomon (individual)5%+ Indirect Ownership Interest · 10%
Prager, Avrohom (individual)5%+ Indirect Ownership Interest · 13%
Prager, Shulamit (individual)5%+ Indirect Ownership Interest · 13%
Nichols, Kenneth (individual)Contracted Managing Employee · NOT APPLICABLE
Nichols, Kenneth (individual)Corporate Officer · NOT APPLICABLE
Nichols, Kenneth (individual)Operational/managerial Control · NOT APPLICABLE
Opal Healthcare NJ LLC (organization)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Bayshore Nursing & Rehab?

Bayshore Nursing & Rehab has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.0-star average in Wisconsin.

How many beds does Bayshore Nursing & Rehab have?

It has 112 certified beds and cares for about 80 residents per day.

Has Bayshore Nursing & Rehab been fined?

Yes. CMS lists 1 penalty in the last three years.

Who owns Bayshore Nursing & Rehab?

It is part of Bedrock Healthcare and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Bayshore Nursing & Rehab?

(414) 228-8120. The facility is located at 1300 West Silver Spring DR, Glendale, WI 53209.

Other nursing homes in Glendale

Compare all nursing homes in Glendale, WI →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.