Bayshore Nursing & Rehab: Elopement Supervision Failure - WI
The staff member, identified in inspection records only as Staff A, told investigators during an interview that evening that he accompanied the resident, identified as R6, to the food pantry every Monday, Wednesday, and Friday. He said he stayed with her during the visit and walked her back to the facility each time.
The inspection was filed as a complaint. The level of harm was listed as minimal harm or potential for actual harm, and few residents were identified as affected.
What drew scrutiny was the gap between what the facility's own elopement policy required and what the records showed was actually happening. The facility's policy, which carried no date, stated that residents at risk for elopement must receive adequate supervision based on a person-centered care plan. It also specified that door alarms are not a substitute for supervision, that an interdisciplinary team must evaluate each resident's individual risk factors, and that charge nurses and unit managers are responsible for monitoring whether interventions are working and documenting that monitoring.
The policy further outlined what staff are supposed to do when a resident goes missing, including triggering an internal alert and searching the facility, and what must happen afterward, including updating the resident's care plan with input from family or an authorized representative.
Whether R6 had a care plan that accounted for her regular trips off the grounds, and whether those trips had been evaluated by the interdisciplinary team the policy described, the inspection record does not say. What it does say is that a resident was leaving the building three times a week with a single staff member, and that inspectors found it worth documenting.
R6's name, her diagnosis, and whether her family knew about the food pantry visits do not appear anywhere in the report.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Bayshore Nursing & Rehab from 2026-04-30 including all violations, facility responses, and corrective action plans.
Download the official CMS inspection PDF from Medicare.gov
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 6, 2026 · Our methodology
Bayshore Nursing & Rehab in GLENDALE, WI was cited for violations during a health inspection on April 30, 2026.
He said he stayed with her during the visit and walked her back to the facility each time.
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.