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Bayshore Nursing & Rehab: Psychiatric Care Gap Found - WI

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

The Director of Nursing, identified in inspection records as DON-B, acknowledged it on the spot. There were no physician orders for psychiatric care. The surveyor had notified both DON-B and the nursing home administrator, identified as NHA-A, of the concern that same morning at 8:30.

The resident, identified only as R65, needed monitoring for mood and behavior. None had been ordered. None had been documented. None had been put into a care plan.

The inspection was a complaint survey, meaning someone had raised concerns before inspectors ever arrived. The deficiency was classified as causing minimal harm or the potential for actual harm, and as affecting some residents.

What the record does not show is how long R65 had gone without those orders, who had noticed before the complaint was filed, or what, if anything, had been done in the weeks or months before the surveyor arrived.

The Director of Nursing's acknowledgment settled one question. It left open the more uncomfortable one: if the gap was that easy to confirm on the first morning of an inspection, it had been there to see before that morning too.

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.

The Director of Nursing, identified in inspection records as DON-B, acknowledged it on the spot.

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?
The Director of Nursing, identified in inspection records as DON-B, acknowledged it on the spot.
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.