2115 E Woodstock Pl, Milwaukee, WI 53202 · Milwaukee County · (414) 271-1020
145 certified beds, about 91 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1982
CMS Care Compare ratings, data as of September 1, 2026 · CCN 525319 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on April 7, 2026, inspectors cited 20 health deficiencies (the Wisconsin average is 9.5, the national average 9.2).
Of 43 health citations since September 2023, 5 were rated as actual harm or immediate jeopardy to residents (3 immediate jeopardy).
CMS lists 2 fines totaling $138,434 in the last three years; the largest was $78,621, and the latest is dated January 10, 2024.
Nurses and nurse aides worked 3.43 hours per resident per day, against 4.21 across Wisconsin and 3.86 nationally. Registered nurses accounted for 1.02 of those hours.
41.4% of nursing staff left within the year CMS measured (Wisconsin average 46.9%).
CMS links it to Eden Senior Care, an affiliated group of 21 nursing homes.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 43 health citations on file.
Inspectors wroteBased on observation, record review, and staff interviews, the facility did not ensure they provided an environment free from accident hazards for 2 of 4 residents (R) reviewed for accidents and supervision (R59 and R110.) Certified Nursing Assistant (CNA)-E rolled R59 away from them while providing care in bed and R59 rolled out of bed on to the floor. The facility's investigation into the fall identified R59's specialty air mattress was not appropriately attached to the bedframe allowing the mattress to flip upright when R59 was rolled onto their right side causing R59 to fall. R59 suffered a L2 lumbar fracture as a result of the fall from the bed to the floor. R110 has been assessed to need the assistance of 1 staff member and a gait belt for safety for transfers. Surveyor observed R110 being transferred by 1 staff member without the use of a gait belt for safety. Evidenced by: [...]
Inspectors wroteBased on observation, interview, and record review, the facility did not maintain an infection prevention and control program designed to reduce the transmission of disease and infection for 1 of 1 resident (R) on enhanced barrier precautions (R110.)On 6/2/26, Certified Nursing Assistant (CNA)-F and CNA-G did not wear appropriate personal protective equipment when providing morning cares and toileting with R110 who is on enhanced barrier precautions.
Inspectors wroteBased on observation, interview, and record review the facility did not ensure proper inspection of resident's beds for 2 (R110 & R59) of 5 beds. *A gap of approximately five inches was observed between R110's air mattress and foot board on 6/1/256 & 6/2/26. *On 4/17/26, staff reported R59's bed suddenly lifted on the window side causing R59 to fall on the floor. Post-incident inspections identified a broken clip securing the air mattress strap to R59's bed frame. There is no evidence that R59's bed was inspected after the air mattress was placed. On 6/1/26, surveyors observed approximately five inches of R59's mattress was not supported by the bed frame on the left side.
Inspectors wroteBased on observation, interview, and record review, the facility did not ensure residents with a pressure injury or at risk for pressure injuries received necessary treatment and services, consistent with professional standards of practice, to prevent the development of pressure injuries and to promote healing for 7 of 8 residents (R2, R11, R15, R47, R74, R85, and R105) reviewed for pressure injuries. *R2 was admitted to the facility without any pressure injuries (PIs) and was assessed to be at risk for PIs. R2 developed an unstageable PI to the sacrum. The facility failed to implement an air mattress and implement a turning and repositing program prior to sacrum pressure injury development. The sacrum PI became infected requiring intravenous antibiotics and a 2-week hospitalization. The sacrum PI is currently a stage 4. [...]
Inspectors wroteBased on interview and record review, the facility did not ensure that sufficient nursing staff was provided to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident. The facility did not designate a licensed nurse to serve as a charge nurse on each tour of duty. * The facility did not designate a charge nurse for each tour of duty on each daily nursing schedule.* The facility triggered for excessively low weekend staffing for the months of October through December in 2025. This deficient practice has the potential to affect 98 of 98 residents in the Facility.
Inspectors wroteBased on observation and interview, the facility did not ensure all drugs and biologicals were stored and labeled in accordance with currently accepted professional principles and did not ensure expired medications were removed from 2 of 3 medication carts.*An expired stock bottle of Acetaminophen 325 mg (milligrams) was observed in the first-floor south medication cart.*R95's Lispro insulin pen was not dated when opened & used.*2 blister packs of Hydralazine 100 mg (milligrams) containing 30 tablets each for R45 were expired on 8/31/25 and 9/30/25.*R59's Cyclobenzaprine 10 mg blister pack containing 22 tablets was expired on 2/28/26.
Inspectors wroteBased on record review and interviews, the facility did not ensure that residents received specialized respiratory therapy provided by and performed by qualified personnel for no less than three residents while Respiratory Therapist (RT)-L was employed at the facility.*Respiratory Therapist (RT)-L was hired [DATE]. RT-L's RT license expired on [DATE]. RT-L worked in the facility from [DATE] until [DATE] with an expired license.
Inspectors wroteBased on observation, interview, and record review the facility did not maintain an infection prevention and control program designed to reduce the transmission of disease and infection for 4 (R11, R15, R3, & R46) of 4 residents reviewed. *Appropriate hand hygiene was not observed during incontinent cares for R11.*Certified Nursing Assistant (CNA)-Y did not wear appropriate PPE (Personal Protective Equipment) while providing incontinence cares for R15 who is on enhanced barrier precautions.*Licensed Practical Nurse (LPN)-T touched R3's medication with her bare hands.*During G (gastrointestinal)-tube medication administration the syringe was observed to fall on the floor. Registered Nurse (RN)-U rinsed the syringe off and proceed to use the syringe to administer R46's medication.
Inspectors wroteBased on observation and interviews, the facility did not ensure each resident is treated with dignity and respect that promoted maintenance or enhancement of quality of life. This occurred for 2 (R77 & R105) of 22 residents reviewed for dignity.*R77 was observed to be in a gown during the survey process. R77 would prefer to wear clothes.*R105 was in the same soiled clothes during the survey process. R105 preferred to wear clean clothes.
Inspectors wroteBased on interview and record review the facility did not provide the opportunity for 2 (R77 and R105) of 2 residents reviewed to participate in the development and implementation of their person-centered plan of care by not facilitating the inclusion of R105 and R77 in the care planning process. *R77 was admitted on [DATE], and there is no documentation in R77's electronic medical record that R77 and/or representative participated in the development and implementation of R77's person-centered plan of care.*R105 was admitted on [DATE], and there is no documentation in R105's electronic medical record that R105 and/or representative participated in the development and implementation of R105's person-centered plan of care.
Inspectors wroteBased on observation, interview, and record review, the facility did not ensure 1 (R70) of 1 residents reviewed was clinically appropriate to self-administer medications.* R70 was observed with approximately 11 medication pills in a medication cup on the over bed table next to R70. R70 did not have a self administration assessment of medication completed.
Inspectors wroteBased on observation and interviews, the facility did not ensure 1 (R77) of 22 residents reviewed were provided with reasonable accommodations for resident needs and preferences. *R77 was provided an over toilet riser with bilateral handles by therapy, and the over toilet riser was removed without a medical or safety reason.
Inspectors wroteBased on interview and record review, the facility did not implement policy and procedures related to screening employees for a prior history of abuse, neglect, exploitation of residents, or misappropriation of resident property for 1 of 8 employees reviewed. The facility did not ensure their abuse policy was implemented when one employee's (Housekeeper-V) Integrated Background Information System (IBIS) background check was not obtained before the employee started working at the facility.
Inspectors wroteBased on interview and record review the facility did not ensure a comprehensive person-centered care plan was developed for 3 (R11, R77 & R85) of 22 residents reviewed. *R11 did not have an oxygen care plan. *R77 did not have a care plan for tubi grips. *R85 did not have a dehydration care plan.
Inspectors wroteBased on interview, and record review, the facility did not update the comprehensive person-centered care plan for 1 (R10) of 22 residents to meet a resident's medical, nursing and psychosocial needs that are identified in the comprehensive assessment. R10's care plan was not updated after R10 was removed from hospice services.
Inspectors wroteBased on interview and record review, the facility did not ensure that 1 (R105) of 4 residents reviewed for ADL (Activities of Daily Living) assistance received the necessary services to maintain ability to practice good grooming and personal hygiene.*R105, whom requires assistance from facility staff, did not receive any showers in the last 30 days and was observed in the same clothes during survey.
Inspectors wroteBased on interview and record review, the facility did not ensure that 2 (R5, R47 and R105) of 4 residents who are unable to carry out activities of daily living received the necessary services to maintain good grooming and personal hygiene.*R5, who is dependent on staff, only received 1 shower in 30 days, with no documented refusals. R5, who is also dependent on staff for toileting, was not checked or changed for incontinence and was observed with a saturated brief.*R47, who is dependent on staff, did not receive any showers in the last 30 days, with no documented refusals. R47, who is totally dependent on staff, was not checked or changed for incontinence per R47's care plan.
Inspectors wroteBased on observations, interviews, and record review, the facility did not ensure residents received necessary care and treatment in accordance with professional standards of practice for 1 (R77) of 22 residents reviewed for quality of care.*R77's physician orders document that R77 is to wear bilateral tubi-grips during the day and off at night. Surveyor observed R77 not wearing bilateral tubi-grips during the survey process.
Inspectors wroteBased on observation, interview, and record review, the facility did not ensure 2 (R74 & R2) of 6 residents with limited range of motion receive appropriate treatment and services to increase range of motion and/or to prevent further decrease in range of motion. *R74 was observed not wearing the right palm guard and left-hand carrot during the survey. *R2 was observed not wearing bilateral palm guards during the survey.
Inspectors wroteBased on observation, interview, and record review, the facility did not ensure the environment remained free of accident hazards with smoking materials for 1 (R82) of 2 residents reviewed for smoking and that residents received adequate supervision to prevent accidents for 2 (R22 and R106) of 3 residents reviewed for falls. * R82 was seen vaping in R82's room for the duration of the survey. * R22 was observed not to have fall interventions in place the duration of the survey. R22 also had multiple falls that were not thoroughly investigated. * R106 had multiple falls that were not thoroughly investigated. Findings Include: The facility's policy and procedure titled Smoking and E-Cigarettes revised on [DATE] documents: When the resident requests to smoke (includes smoking of any material, including but not limited to tobacco, marijuana, saliva (sage), etc). [...]
Inspectors wroteBased on observation, interview, and record review, the facility did not ensure 1 (R4) of 6 residents reviewed for nutrition received therapeutic diet when there is a nutritional problem and the health care provider orders a therapeutic diet.* R4 was not provided with a meal supplement per R4's plan of care.
Inspectors wroteBased on observation, interview, and record review, the facility did not ensure that 1 (R5) of 1 residents reviewed with a gastronomy tube (G-tube) received appropriate treatment and services. *R5 has a physician order to measure R5's G-tube to check for placement, indicating R5's tube length should be 16 inches plus or minus 1. This order was not transcribed into the R5's Medication Administration Record (MAR)/ Treatment Administration Record (TAR) so that nursing staff could accurately monitor placement of R5's G-tube.
Inspectors wroteBased on observation, interview, and record review, the facility did not provide the necessary respiratory care and services for 1 (R11) of 1 resident receiving oxygen therapy. R11's oxygen concentrator did not have a humidification bottle according to physician orders.
Inspectors wroteBased on record review and interview, the facility did not provide all the required transfer notice information for a resident transfer out of the facility. This was observed with 1 (R6) of 1 resident transfer reviews. * R6 was transferred to the hospital from the facility. There is not documentation they were provided the required transfer notice information.
Inspectors wroteBased on record review and interview, the facility did not permit a resident to be readmitted to the facility immediately following hospitalization. This was observed with 1 (R6) of 1 resident reviewed for readmission. * R6 was transferred from the facility to the hospital on [DATE]. On 12/13/24 R6 was transferred from the hospital back to the facility however the facility denied readmission. R6 was sent back to the hospital. R6 did not have a change in their clinical status to be denied readmission to the facility. R6 was readmitted to the facility on [DATE] from the hospital.
Inspectors wroteBased on observation, interview, and record review the facility did not ensure 2 (R82 and R31) of 18 residents reviewed had an individualized comprehensive plan of care. * R82 did not have a comprehensive care plan for R82's foley catheter that was inserted on 9/23/2024. * R31 was assessed to be incontinent of bowel and bladder and did not have a care plan in place with relevant interventions.
Inspectors wroteBased on observation, interview and record review the facility did not ensure 1 (R55) of 1 residents receiving medications through G (Gastronomy Tube ) tube received the care necessary to meet professional standards. * On 10/24/24, Surveyor observed LPN (Licensed Practical Nurse)-C administer medications to R55 via G tube. LPN-C did not check G tube placement prior to instilling medication.
Inspectors wroteBased on interview and record review, the facility did not ensure residents received post fall assessments as indicated in the Facility policy in order to guarantee a resident received treatment and care in accordance with professional standards of practice for 1 (R56) of 5 residents reviewed for falls. R56 did not have post fall assessments completed per policy of once per shift for 3 days for falls that occurred on June 6/29/24 and 8/30/2024.
Inspectors wroteBased on interview and record review, the Facility did not ensure that residents who require dialysis receive such services, consistent with professional standards of practice, including the ongoing communication with the dialysis center before and after dialysis treatments for 1 (R43) of 2 residents reviewed for dialysis. R43 has a physician order for dialysis at Fresenius on Capitol on Tuesday, Thursday and Saturday. Communication between the Facility and the dialysis center was not being shared with each visit.
Inspectors wroteBased on observation, interview, and record review the facility did not ensure its medication error rates are not 5 percent or greater. The facility medication error rate was 41.67%. On 10/24/24, R55 was administered medications via G (gastronomy) tube. LPN-C did not flush the G tube with water before or/and after instilling medications. R55 received 15 medications via G tube. Due to LPN-C not flushing with water after instilling medications, all 15 medications are medication errors which resulted in medication error rate of 41.67%.
Inspectors wroteBased on record review, interview, and facility policy review, the facility failed to ensure one (Resident (R)2) out of five reviewed for medications received ordered medications upon admission. This had the potential for the resident to have unmet care and health needs.
Inspectors wroteBased on record review, interview, and facility policy review, the facility failed to administer one (Resident (R) 1) out of five residents insulin in a timely manner, in accordance with the physician's order. This had the potential for the resident to have unmet health care needs.
Inspectors wroteBased on observations, interviews, and record review, the facility did not ensure 1 (R3) of 3 residents reviewed for pressure injuries received necessary treatment and services, consistent with professional standards of practice, to promote healing, prevent infection and prevent new injuries from developing. -R3 developed a facility-acquired, unstageable pressure injury to the sacrum on 10/28/23. The facility's wound Registered Nurse (RN)-D measured the wound but did not include a thorough initial assessment of the wound bed upon discovery. The facility's documentation of the Braden's score for predicting pressure injuries was inconsistent in the weeks preceding the development of the sacral pressure injury and continued to be inconsistent after the development of the pressure injury. The Braden score ranged from 8 to 15. [...]
Inspectors wroteBased on record review and interview, the facility did not ensure the physician wrote, signed, and dated progress notes at each visit for 4 (R1, R2, R3 and R4) of 4 residents reviewed for MD visit notes. Resident visit notes were not available in Electronic Medical Records (EMR) for R1, R2, R3 and R4 and when requested by Surveyor, were reviewed and signed by the Medical Director on the day requested instead of the visit day.
Inspectors wroteBased on observation, record review and interview, the facility did not ensure a resident with pressure injuries received the necessary treatment and services, consistent with professional standards of practice, to promote healing, prevent infection and prevent new pressure injuries from developing for 1 of 3 (R19) residents reviewed for pressure injuries.
Inspectors wroteBased on observation, interviews, and record review, the facility failed to ensure 1 of 1 resident (R16) reviewed for abuse was free from sexual abuse. The facility did not ensure R16 was free from sexual abuse by another resident (R17.) On 12/01/23, R17 was found in R16's room by a CNA. R17 was on top of R16; R16's gown was pulled up over her abdomen, R16's brief was torn, and R17's hand was observed moving back and forth on R16's vagina. R17 had also engaged in fondling R16's breasts and sucking on her nipples. R16 had activated her call light and shouted for assistance 16 minutes prior to staff responding and removing R17 from R16's room. The facility's failure to keep R16 safe from sexual abuse created a finding of immediate jeopardy that began on 12/1/23. Surveyor notified NHA (Nursing Home Administrator) A of the immediate jeopardy on 12/6/23 at 1:24 PM. [...]
Inspectors wroteBased on record review and interview, the facility failed to provide basic life support, including Cardiopulmonary Resuscitation (CPR) to a resident who required emergency care for 1 (R6) of 3 residents reviewed for CPR. The facility currently has 73 out of 98 residents who desire CPR (Full Code). R6 was a full code (wanted CPR) and was found pulseless and nonbreathing on [DATE]. An LPN (Licensed Practical Nurse) failed to initiate CPR when R6 was found to be pulseless and not breathing. The LPN checked the resident's code status (which was full code,) then called the on-call nurse, contacted the physician, contacted the Power of Attorney, went up 1 floor to get a nurse, returned to the 1st floor, called 911, and then after approximately 15 minutes of R6 first being found unresponsive, facility staff moved her to her room and CPR was initiated. [...]
Inspectors wroteBased on resident and staff interview and record review, the facility did not ensure grievances or recommendations from resident council meetings were investigated, considered and/or provide follow up for 4 (R70, R93, R88, R63) of 4 Resident in attendance for Resident Council. The facility did not investigate, consider suggestions and/or provide follow up to resident council participants' (R70, R93, R88, R63) grievances and/or concerns that staff were not wearing name tags, staff using personal cell phone in resident care areas, ramp to go outside is hard to get up and door to outside closes too quickly. These concerns were documented several months in a row in the Resident Council Meeting minutes without documented follow up. [...]
Inspectors wroteBased on interview and record review the facility did not ensure that 4 (R206, R13, R451 and R452) of 7 Residents reviewed for falls received treatment and care based upon assessment of individual needs. * R206 had a fall on 4/16/23 and post fall monitoring which included vital signs each shift for 72 hours was not always completed. * R13 had a falls on 2/28/23 and 5/9/2. Post fall monitoring which included a Registered Nurse assessment and/or vital signs each shift for 72 hours was not always completed. * R451 had a fall on 7/19/23 and post fall monitoring which included vital signs each shift for 72 hours was not always completed. A Registered Nurse assessment was not completed immediately after the fall. * R452 had a falls on 2/7/23, 2/17/23, 4/6/23, 4/7/23, 4/17/23, 4/23/23 and 4/26/23. [...]
Inspectors wroteBased on observation, record review, and interview, the facility did not store drugs and biologicals in locked compartments affecting three of three floors of the facility potentially affecting mobile residents. Observations on the first, second, and third floor during the survey process showed medication carts to be unlocked and unsupervised with other unauthorized staff and residents in the vicinity of the carts.
Inspectors wroteBased on observation, interview and record review, the facility did not develop a comprehensive resident centered care plan for 1 (R13) of 1 residents reviewed for elopement and the use of a wanderguard. The facility did not develop a plan of care related for elopement precautions and monitoring related to the use of a wanderguard for R13. Findings Include: The facility policy, entitled Elopement Risk and Prevention, dated 6/2022 states: It is the policy of this facility that all residents are afforded adequate supervision to provide the safest environment possible. All residents will be assessed for behaviors or conditions that put them at risk for wandering/elopement. All residents so identified will have these issues addressed in their individual care plan. [...]
Inspectors wroteBased on observation, interview and record review the facility did not ensure 1(15) of 7 residents with pressure injuries received the necessary services for healing. R15 was admitted to the facility on [DATE] with six pressure injuries. Four of the pressure injuries were assessed to be unstageable and the other 2 pressure injuries were assessed to be stage 4. The medical record indicates on 1/31/23 R15's pressure injuries were assessed by Wound Physician-M who wrote treatment orders for daily dressing changes. The medical record reveals the treatment orders were transcribed and completed on 2/2/23. R15 did not have treatments completed on 2/1/23. There is no evidence the pressure injuries worsened.
Inspectors wroteBased on interview and record review the Facility did not ensure the physician acted upon recommendations by the pharmacist for 2 (R40, R38) of 5 Residents reviewed for unnecessary medications. *On 7/19/23, Pharmacy recommendations were given for R40 and not followed up upon. *On 8/28/23, Pharmacy recommendations were given for R38 and not followed up upon in a timely fashion.
21 fire safety citations on file: 6 on April 7, 2026, 7 on October 24, 2024, 8 on September 19, 2023.
| Date | Penalty | Amount or length |
|---|---|---|
| January 10, 2024 | Fine | $59,813 |
| January 10, 2024 | Payment Denial | 11 days from February 23, 2024 |
| December 6, 2023 | Fine | $78,621 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Wisconsin | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.43 | 4.21 | 3.86 |
| Registered nurses | 1.02 | 0.99 | 0.69 |
| All nursing staff on weekends | 2.89 | 3.77 | 3.42 |
| Nurse aides | 2.02 | ||
| Licensed practical nurses | 0.38 | ||
| Nursing staff turnover (share who left in a year) | 41.4% | 46.9% | 45.8% |
| Registered nurse turnover | 10.0% | 39.7% | 42.9% |
| Administrators who left | 1 |
CMS expects 4.35 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.65 on weekdays and 2.89 on weekends, 21% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 1.6% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.63 in April to June 2025 to 3.43 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.43 | 1.02 | 3.65 | 2.89 | 1.6% | 0 of 90 | 91 |
| Oct to Dec 2025 | 3.44 | 1.03 | 3.66 | 2.90 | 1.9% | 0 of 92 | 90 |
| Jul to Sep 2025 | 3.59 | 1.07 | 3.80 | 3.05 | 2.0% | 0 of 92 | 86 |
| Apr to Jun 2025 | 3.63 | 1.02 | 3.82 | 3.16 | 1.4% | 0 of 91 | 84 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Wisconsin, Jan to Mar 2026 | 4.19 | 0.95 | 4.36 | 3.74 | 8.8% | 0.3% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Wisconsin, all employers | |||
| CNAs (nursing assistants) | $21.70 | $19.03 to $22.75 | 28,370 |
| LPNs and LVNs | $30.65 | $28.67 to $36.06 | 7,390 |
| Registered nurses | $45.93 | $39.39 to $49.33 | 68,060 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Wisconsin | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 6.7 | 16.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 2.1 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.9 | 2.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.6 | 3.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 13.3 | 18.4 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.2 | 5.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 11.4 | 15.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 28.2 | 23.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 10.9 | 15.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.3 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.9 | 2.3 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Edenbrook Lakeside's Medicare short-stay residents. On returning residents home or to the community, CMS rates it worse than the national rate (34.6% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
34.6% this home
Worse than the national rate
US median of homes 51.5% · Wisconsin: 52 better, 26 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 51 eligible stays.
11.6% this home
No different from the national rate
US median of homes 10.7% · Wisconsin: 0 better, 6 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 58 eligible stays.
7.3% this home
No different from the national rate
US median of homes 7.1% · Wisconsin: 0 better, 0 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 41 eligible stays.
50.0% this home
Median of homes: Wisconsin54.2% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 24 residents counted.
2.6% this home
Median of homes: Wisconsin0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 38 residents counted.
0.0% this home
Median of homes: Wisconsin2.2% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 38 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Wisconsin100.0% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 7 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: LAKE TERRACE NURSING AND REHAB LLC. CMS links this home to Eden Senior Care, a group of 21 nursing homes averaging 2.6 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Feinstein, Dan | 5% or greater direct ownership interest | Individual | 08/01/2018 | |
| Lifsics, Channie | 5% or greater direct ownership interest | Individual | 9% | 08/01/2018 |
| Polstein, Mordechai | 5% or greater direct ownership interest | Individual | 16% | 08/01/2018 |
| Stesel, Maxim | 5% or greater direct ownership interest | Individual | 45% | 08/01/2018 |
| Reynolds, Sandra | W-2 managing employee | Individual | 08/01/2018 | |
| Rice, Pamela | W-2 managing employee | Individual | 08/01/2018 | |
| Polstein, Mordechai | Corporate officer | Individual | 08/01/2018 | |
| Lifsics, Channie | Operational/managerial control | Individual | 08/01/2018 | |
| Mauer, Dovie | Operational/managerial control | Individual | 08/01/2018 | |
| Rice, Pamela | Operational/managerial control | Individual | 08/01/2018 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
These are the official offices in Wisconsin. NursingHomeClear cannot take or act on complaints.