Bayshore Nursing & Rehab: 39 Deficiencies Cited - WI
That finding was one of 39 deficiencies cited during the September 30 inspection of the facility. Thirty-nine is not a rounding error. It is a number that describes a building where inspectors found something wrong, on average, in nearly every category they checked.
The deficiency involving survey results and advocacy access falls under a category regulators call Resident Rights. The classification matters because what it describes is not a medication error or a missed wound dressing. It is a facility making it harder for residents to know what inspectors have already found wrong with their care, and harder for them to reach anyone on the outside who might help.
Inspectors characterized the problem as a pattern, meaning it was not an isolated instance caught in a single room or on a single shift. A pattern finding means inspectors observed the same failure repeating across the facility. No resident was documented as suffering actual harm from this specific violation, though inspectors noted the potential for more than minimal harm.
That distinction is worth sitting with. The residents living at Bayshore are, by definition, people who depend on others for their daily needs. Many will have limited mobility, limited visitors, and limited ability to independently seek out information or advocacy. When the mechanism a facility is supposed to provide for residents to understand their rights and raise concerns is not functioning, the people most affected are those least able to work around it.
Survey results, in this context, means inspection reports, the same documents that form the basis of articles like this one. When a nursing home posts its most recent inspection results in a visible, accessible location, residents and their families can see what inspectors found, ask questions about it, and decide whether they want to contact a state ombudsman or another advocacy organization. When a facility makes that information hard to find, residents may not know that 39 things were flagged during a recent visit. They may not know inspectors were there at all.
The inspection was triggered by a complaint, not a routine scheduled visit. Complaint inspections are initiated when someone, a resident, a family member, a staff member, or an outside party, contacts regulators with a concern serious enough to prompt a response. The inspection that followed that complaint produced nearly four dozen findings.
Bayshore reported to regulators that it had corrected the survey access deficiency as of November 12, 2025, six weeks after the inspection closed. Whether the other 38 deficiencies have been addressed, and on what timeline, was not detailed in the inspection record reviewed for this article.
What the record does make clear is the scope of what inspectors encountered when they walked through the door. Thirty-nine deficiencies across a single inspection cycle is a significant count for any long-term care facility. The specific violations beyond the survey access finding were not detailed in the narrative available for this report, but the number alone signals that inspectors were not finding a facility operating close to the line. They were finding one operating well below it.
For the residents who live at Bayshore, the inspection results that they were reportedly not being shown in an accessible way are, in a sense, a document about their own lives. The deficiencies cited describe conditions in the building where they eat, sleep, receive medication, and spend their days. The right to see that document, and to know who to call if something is wrong, is not a procedural technicality. It is the difference between a resident who knows they have options and one who does not.
Bayshore Nursing & Rehab has a date of correction on file. The inspection that produced 39 deficiencies is now part of its public record.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Bayshore Nursing & Rehab from 2025-09-30 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.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 11, 2026 · Our methodology
Bayshore Nursing & Rehab in GLENDALE, WI was cited for violations during a health inspection on September 30, 2025.
That finding was one of 39 deficiencies cited during the September 30 inspection of the facility.
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.