Greendale Park Nursing: Transfer Notice Failures - WI
Nobody got one. Not the residents. Not the family members or legal representatives responsible for making decisions on their behalf.
Inspectors from the Centers for Medicare and Medicaid Services documented the failure during a complaint inspection completed August 12, 2025, at the facility located at 5404 W. Loomis Road. The deficiency was cited under F0628, which covers transfer and discharge rights, specifically the requirement that residents and their representatives receive written notice each time a transfer to a hospital occurs.
The Director of Nursing, identified in the inspection report only as DON-B, acknowledged the problem when inspectors raised it. The report notes she "understood the concern." It does not describe what she said beyond that, or whether she offered an explanation for why the notices had not been provided.
The bed hold and transfer notice is not a formality. For a resident with dementia, or one whose family lives out of state, or one who has no one checking in regularly, that document can be the only timely, written record that a transfer happened at all. It tells the resident or their representative how many days the facility will hold the bed under Medicaid, what the resident must do to return, and what happens if the bed is not held. Without it, a family can arrive to visit and find an empty room, with no written record of where their relative went or what their rights are.
The inspection report does not specify how many residents were affected, describing the population only as "few." It rates the level of harm as "minimal harm or potential for actual harm," the lower end of CMS's harm scale. That classification reflects what inspectors could document, not necessarily what residents or families experienced in the gap between a hospitalization and any notification that followed.
Greendale Park Nursing and Rehab is a 120-bed skilled nursing facility. The August inspection was triggered by a complaint, meaning someone, a resident, a family member, or a staff member, contacted regulators before inspectors arrived. The report does not identify who filed the complaint or what specifically prompted it.
The facility's plan of correction is not included in the publicly available inspection document. Facilities are required to submit a plan, but CMS directs anyone seeking that information to contact the nursing home or the state survey agency directly.
What the inspection establishes is this: across multiple hospitalizations, the facility sent residents out the door without the written notice they were entitled to receive. DON-B, when confronted with that fact, did not dispute it.
For a resident being wheeled into an ambulance, already frightened, already disoriented, the transfer notice is one of the few concrete pieces of information they or their family can hold onto. Greendale Park wasn't providing it.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Greendale Park Nursing and Rehab from 2025-08-12 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Corrections: We strive for accuracy in everything we publish. If you believe any fact in this article is incorrect, please contact us with details, and we will review and correct it promptly.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: October 26, 2026 · Our methodology
Greendale Park Nursing and Rehab in Greendale, WI was cited for violations during a health inspection on August 12, 2025.
Not the family members or legal representatives responsible for making decisions on their behalf.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.