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Bayshore Nursing & Rehab: 39 Deficiencies Found - WI

Healthcare Facility
Bayshore Nursing & Rehab
Glendale, WI  ·  1/5 stars

One of those citations involved something that nursing home residents depend on more than most people realize: the ability to communicate privately. Inspectors found the facility was not ensuring residents had reasonable access to, and privacy in, their use of communication methods. That could mean a phone call a family member never received. A message that sat undelivered. A resident who wanted to reach someone and couldn't.

The inspection was triggered by a complaint.

The communication deficiency was classified at Scope/Severity Level D, meaning inspectors identified it as an isolated problem with no documented actual harm, but with the potential for more than minimal harm. That distinction matters. Level D is the lowest rung on the federal severity scale, but it does not mean nothing happened. It means inspectors determined that whatever they found had not yet resulted in documented injury. The potential was there.

For a nursing home resident, private communication is not a convenience. It is often the primary way a person confined to a care facility maintains any connection to the outside world, to family, to lawyers, to ombudsmen, to anyone who might advocate on their behalf. When that access is restricted or compromised, the consequences can extend far beyond a missed phone call.

Bayshore reported the deficiency corrected as of November 12, 2025, six weeks after the inspection.

The communication citation was one of 39 deficiencies inspectors recorded that day. Thirty-nine. That number places Bayshore well above what most residents or families would consider acceptable for a single inspection cycle. The deficiencies spanned resident rights violations alongside whatever else inspectors catalogued across the facility's operations.

Federal inspection reports categorize deficiencies by the type of harm they cause or risk. Resident rights deficiencies, like the communication citation at Bayshore, occupy a category that is sometimes treated as administrative or secondary compared to clinical violations involving medication errors or physical injuries. That framing understates what these violations mean in practice. Nursing home residents already surrender a significant degree of autonomy when they enter a facility. Their right to communicate privately, to make phone calls without staff listening, to send and receive mail without interference, to use whatever communication tools they have access to, is one of the few areas where the law explicitly preserves their independence. A citation in this category means that protection broke down.

The inspection was a complaint inspection, which means someone, a resident, a family member, a staff member, or another party, contacted regulators with concerns before inspectors arrived. Complaint inspections are not routine sweeps. They are initiated because someone believed something was wrong and said so.

Bayshore Nursing & Rehab is licensed to operate in Glendale, a suburb north of Milwaukee. The September 2025 inspection represents one documented moment in the facility's regulatory history.

Thirty-nine deficiencies in a single inspection is a significant number by any measure. For context, the national average for nursing home deficiencies per inspection has hovered in the range of seven to eight in recent years. Facilities with counts this high often appear repeatedly on state and federal watch lists. Whether Bayshore has appeared on such lists before, and what its deficiency history looks like across prior inspection cycles, is part of the public record available through the CMS Care Compare database.

What the inspection report captures is a single day's findings. Inspectors arrived, reviewed records, interviewed staff and residents, observed the facility, and wrote down what they found. Thirty-nine times, they found something that did not meet federal standards.

The communication deficiency, catalogued under regulatory tag F0576, sits among those 39 findings as one data point. But for the resident who wanted to make a call and couldn't, or whose message didn't get through, it was not a data point. It was their day.

Bayshore reported the correction date as November 12, 2025. What changed between September 30 and November 12, and whether the change holds, is the kind of question that only follow-up inspections and continued oversight can answer.

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

Editorial Standards & Data Disclosure

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 12, 2026  ·  Our methodology

Quick Answer

Bayshore Nursing & Rehab in GLENDALE, WI was cited for violations during a health inspection on September 30, 2025.

One of those citations involved something that nursing home residents depend on more than most people realize: the ability to communicate privately.

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.

Frequently Asked Questions

What happened at Bayshore Nursing & Rehab?
One of those citations involved something that nursing home residents depend on more than most people realize: the ability to communicate privately.
How serious are these violations?
Violation severity varies from minor documentation issues to serious safety concerns. Review the inspection report for specific deficiency codes and scope. All violations must be corrected within required timeframes and are subject to follow-up verification inspections.
What should families do?
Families should: (1) Ask facility administration about specific corrective actions taken, (2) Request to see the follow-up inspection report verifying corrections, (3) Check if this represents a pattern by reviewing prior inspection reports, (4) Compare this facility's ratings with other nursing homes in GLENDALE, WI, (5) Report any new concerns directly to state authorities.
Where can I see the full inspection report?
The complete inspection report is available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request a copy directly from Bayshore Nursing & Rehab or from the state Department of Health. The report includes specific deficiency codes, facility responses, and correction timelines. This facility's federal provider number is 525371.
Has this facility had violations before?
To check Bayshore Nursing & Rehab's history, visit Medicare.gov's Care Compare and review their inspection history, quality ratings, and staffing levels. Look for patterns of repeated violations, especially in critical areas like abuse prevention, medication management, infection control, and resident safety.