Bayshore Nursing & Rehab: 39 Deficiencies Found - WI
The inspection was conducted on September 30, 2025. The mental health screening deficiency, catalogued under a category that covers resident assessment and care planning, was classified as isolated in scope. Inspectors noted no actual harm had occurred, but determined there was potential for more than minimal harm to the residents affected.
That distinction matters. The screening process at issue, known as a PASARR evaluation, exists specifically to catch what nursing homes might otherwise miss. When a resident has a mental illness or an intellectual disability, a proper PASARR screening is supposed to trigger a determination of whether that person's needs can actually be met in a nursing facility setting, and whether they require specialized services beyond what the facility offers. Skip the screening, or conduct it inadequately, and a resident with serious psychiatric needs can end up in a placement that was never appropriate for them, receiving care that was never designed for them, for months or years.
Bayshore reported the deficiency corrected as of November 12, 2025, six weeks after inspectors left.
The PASARR finding was one deficiency among 39. The inspection report does not detail the other 38 deficiencies, but 39 citations at a single inspection is a substantial number. For context, a facility that receives five or six deficiencies in a given inspection cycle is not unusual. Thirty-nine is a different category of finding altogether.
The complaint-driven inspection, rather than a routine survey cycle, suggests that someone, a resident, a family member, a staff member, raised a concern serious enough to bring inspectors through the door. What they found when they arrived extended well beyond whatever prompted the initial complaint.
Bayshore Nursing & Rehab serves residents who, by definition, cannot simply leave when care falls short. Many depend on staff for basic daily functions. Those with mental illness or intellectual disabilities carry an additional layer of vulnerability: their conditions can complicate communication, make it harder to advocate for themselves, and in some cases make it harder for outside observers to recognize when something has gone wrong. The PASARR process is one of the few structural safeguards built specifically around that vulnerability. When a facility fails to execute it properly, the people most at risk of being misplaced or underserved are the ones least equipped to say so.
The facility's reported correction date of November 12 means that, by the facility's own account, the screening failures persisted for at least six weeks after inspectors identified them. Whether the correction involved updating screening procedures, completing evaluations for residents who had been missed, or both, the inspection report does not say.
What the report does say is that 39 things were wrong on September 30, 2025, at a nursing home in Glendale, Wisconsin. One of them involved the process meant to protect some of the most vulnerable people inside it.
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 14, 2026 · Our methodology
Bayshore Nursing & Rehab in GLENDALE, WI was cited for violations during a health inspection on September 30, 2025.
The inspection was conducted on September 30, 2025.
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.