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Bayshore Nursing & Rehab: Infection Control Failures - WI

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

One of those citations involved infection control. Inspectors found the facility had failed to provide and implement an infection prevention and control program across a widespread scope, meaning the breakdown wasn't isolated to a single hallway, a single unit, or a single staff member. It touched enough of the facility that inspectors classified it at the broadest possible reach.

No resident was documented as harmed. That distinction matters in how federal regulators categorize violations, but it doesn't mean the risk wasn't real. The citation carried a finding of potential for more than minimal harm — the threshold that separates a paperwork problem from a genuine threat to the people living there.

Infection control failures in nursing homes carry consequences that are well understood. Elderly residents, many of whom have compromised immune systems, suppressed by age or chronic illness or the medications they take to manage both, are among the most vulnerable people in any healthcare setting. A lapse that might cause a healthy adult a brief illness can send a nursing home resident to the hospital. In the worst cases, it doesn't end there.

The September inspection was a complaint inspection, meaning someone — a resident, a family member, a staff member, or a member of the public — contacted regulators with concerns serious enough to prompt a visit. Complaint inspections are not routine. They are triggered. What triggered this one, the inspection record does not say.

What it does say is that inspectors found 39 separate deficiencies before they left.

Thirty-nine is not a rounding error. It is not the kind of number that accumulates from a few unlucky paperwork gaps or a single bad week. It represents inspectors moving through a facility and finding, repeatedly, across multiple regulatory categories, that care and practice fell short of what residents are entitled to expect.

The infection control citation was classified under scope and severity level F. In the federal grading system, that means widespread reach and no actual harm documented, but with potential for more than minimal harm. It sits in the middle of the severity scale — serious enough to require a correction plan, not serious enough to trigger immediate jeopardy, the designation reserved for situations where inspectors believe a resident is in immediate danger.

Bayshore submitted a correction date of November 12, 2025, roughly six weeks after the inspection. Whether the underlying conditions that produced 39 deficiencies in a single visit have been addressed in full is a question the correction date alone cannot answer.

Facilities that receive a high number of deficiencies in one inspection are not automatically subject to additional federal scrutiny beyond what the standard correction and verification process requires. Inspectors will return. Whether they find the same problems, or new ones, or a facility that has genuinely changed course, is something that only the next inspection will show.

For the people who live at Bayshore, the gap between an inspection date and a correction date is not an abstraction. It is the weeks they spent in a facility where inspectors had already documented that the infection prevention program was not being properly run. The correction date of November 12 means that, by the facility's own account, the problem persisted for at least 43 days after inspectors walked out the door.

Bayshore Nursing & Rehab sits in Glendale, a suburb just north of Milwaukee. It serves residents who are there for short-term rehabilitation, long-term care, or both. The inspection record does not describe the individuals living there during the September visit, does not name them, does not say how many were at elevated risk from the infection control gaps inspectors found.

What it records is a facility with 39 deficiencies, a widespread infection control breakdown, and a correction date six weeks out.

That is where the public record ends.

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 13, 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 infection control.

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 infection control.
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.