BEDROCK HCS AT GREENDALE LLC

📍 5404 W LOOMIS RD, greendale, WI 53129 📞 4144210088 🛏️ 105 beds

Overall Rating

⭐⭐⭐⭐⭐
5/5

Health Inspection

⭐⭐⭐⭐
4/5

Staffing

⭐⭐⭐⭐
4/5

Quality Measures

⭐⭐⭐⭐⭐
5/5

Inspection History Overview

74
Total Violations
8 years of data
$93,138
Total Fines
5 penalties
9
Inspections
Since 2014
21
Quality Metrics
Tracked measures

Health Violations by Year

2025 6 violations

Tag 0684 D Mar 19, 2025

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Apr 11, 2025
Tag 0686 G Mar 19, 2025

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Apr 11, 2025
Tag 0690 D Mar 19, 2025

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: Apr 11, 2025
Tag 0686 G Jan 8, 2025

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Feb 13, 2025
Tag 0689 D Jan 8, 2025

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Feb 13, 2025
Tag 0700 D Jan 8, 2025

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

✓ Corrected: Feb 13, 2025

2024 22 violations

Tag 0837 F Jul 25, 2024

Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.

Tag 0554 D Jul 18, 2024

Allow residents to self-administer drugs if determined clinically appropriate.

✓ Corrected: Aug 30, 2024
Tag 0576 D Jul 18, 2024

Ensure residents have reasonable access to and privacy in their use of communication methods.

✓ Corrected: Aug 30, 2024
Tag 0585 D Jul 18, 2024

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

✓ Corrected: Aug 30, 2024
Tag 0600 K Jul 18, 2024

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Aug 30, 2024
Tag 0609 D Jul 18, 2024

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Aug 30, 2024
Tag 0610 D Jul 18, 2024

Respond appropriately to all alleged violations.

✓ Corrected: Aug 30, 2024
Tag 0676 D Jul 18, 2024

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

✓ Corrected: Aug 30, 2024
Tag 0684 G Jul 18, 2024

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Aug 30, 2024
Tag 0686 G Jul 18, 2024

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Aug 30, 2024
Tag 0689 D Jul 18, 2024

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Aug 30, 2024
Tag 0695 D Jul 18, 2024

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Aug 30, 2024
Tag 0760 D Jul 18, 2024

Ensure that residents are free from significant medication errors.

✓ Corrected: Aug 30, 2024
Tag 0842 D Jul 18, 2024

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: Aug 30, 2024
Tag 0944 F Jul 18, 2024

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

✓ Corrected: Aug 30, 2024
Tag 0684 D Apr 9, 2024

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: May 3, 2024
Tag 0757 D Apr 9, 2024

Ensure each resident’s drug regimen must be free from unnecessary drugs.

✓ Corrected: May 3, 2024
Tag 0656 D Jan 17, 2024

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Jan 31, 2024
Tag 0684 D Jan 17, 2024

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Jan 31, 2024
Tag 0690 D Jan 17, 2024

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: Jan 31, 2024

2023 20 violations

Tag 0578 D Jun 19, 2023

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

✓ Corrected: Jul 20, 2023
Tag 0580 D Jun 19, 2023

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Jul 20, 2023
Tag 0623 D Jun 19, 2023

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

✓ Corrected: Jul 20, 2023
Tag 0644 D Jun 19, 2023

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

✓ Corrected: Jul 20, 2023
Tag 0655 D Jun 19, 2023

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

✓ Corrected: Jul 20, 2023
Tag 0656 D Jun 19, 2023

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Jul 20, 2023
Tag 0660 D Jun 19, 2023

Plan the resident's discharge to meet the resident's goals and needs.

✓ Corrected: Jul 20, 2023
Tag 0677 D Jun 19, 2023

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Jul 20, 2023
Tag 0684 G Jun 19, 2023

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Jul 20, 2023
Tag 0686 G Jun 19, 2023

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Jul 20, 2023
Tag 0689 G Jun 19, 2023

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Aug 29, 2023
Tag 0690 D Jun 19, 2023

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: Jul 20, 2023
Tag 0695 D Jun 19, 2023

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Jul 20, 2023
Tag 0697 D Jun 19, 2023

Provide safe, appropriate pain management for a resident who requires such services.

✓ Corrected: Jul 20, 2023
Tag 0698 D Jun 19, 2023

Provide safe, appropriate dialysis care/services for a resident who requires such services.

✓ Corrected: Jul 20, 2023
Tag 0700 D Jun 19, 2023

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

✓ Corrected: Jul 20, 2023
Tag 0745 G Jun 19, 2023

Provide medically-related social services to help each resident achieve the highest possible quality of life.

✓ Corrected: Jul 20, 2023
Tag 0755 D Jun 19, 2023

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Jul 20, 2023
Tag 0758 D Jun 19, 2023

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

✓ Corrected: Jul 20, 2023
Tag 0880 F Jun 19, 2023

Provide and implement an infection prevention and control program.

✓ Corrected: Jul 20, 2023

2022 8 violations

Tag 0582 D Mar 16, 2022

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

✓ Corrected: Apr 14, 2022
Tag 0640 C Mar 16, 2022

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

✓ Corrected: Apr 14, 2022
Tag 0656 D Mar 16, 2022

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Apr 14, 2022
Tag 0694 D Mar 16, 2022

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

✓ Corrected: Apr 14, 2022
Tag 0726 D Mar 16, 2022

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

✓ Corrected: Apr 14, 2022
Tag 0755 D Mar 16, 2022

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Apr 14, 2022
Tag 0761 E Mar 16, 2022

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

✓ Corrected: Apr 14, 2022
Tag 0812 F Mar 16, 2022

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Apr 14, 2022

2021 9 violations

Tag 0558 D Oct 27, 2021

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: Nov 24, 2021
Tag 0580 D Oct 27, 2021

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Nov 24, 2021
Tag 0583 D Oct 27, 2021

Keep residents' personal and medical records private and confidential.

✓ Corrected: Nov 24, 2021
Tag 0660 D Oct 27, 2021

Plan the resident's discharge to meet the resident's goals and needs.

✓ Corrected: Nov 24, 2021
Tag 0684 D Oct 27, 2021

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Nov 24, 2021
Tag 0686 G Oct 27, 2021

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Dec 18, 2021
Tag 0695 D Oct 27, 2021

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Nov 24, 2021
Tag 0757 D Oct 27, 2021

Ensure each resident’s drug regimen must be free from unnecessary drugs.

✓ Corrected: Nov 24, 2021
Tag 0755 D May 5, 2021

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Jun 5, 2021

2020 2 violations

Tag 0684 D Oct 6, 2020

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Oct 16, 2020
Tag 0686 D Oct 6, 2020

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Oct 16, 2020

2018 4 violations

Tag 0636 D Sep 24, 2018

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

✓ Corrected: Oct 12, 2018
Tag 0656 D Sep 24, 2018

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Oct 12, 2018
Tag 0690 D Sep 24, 2018

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: Oct 12, 2018
Tag 0812 E Sep 24, 2018

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Oct 12, 2018

2017 3 violations

Tag 0309 D Jul 19, 2017

Provide necessary care and services to maintain or improve the highest well being of each resident .

✓ Corrected: Aug 8, 2017
Tag 0323 D Jul 19, 2017

Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

✓ Corrected: Aug 8, 2017
Tag 0441 D Jul 19, 2017

Have a program that investigates, controls and keeps infection from spreading.

✓ Corrected: Aug 8, 2017

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2021 3 penalties totaling $91,500

$55,320
Fine
October 27, 2021
$36,180
Fine
October 27, 2021
$0
Payment Denial
October 27, 2021
Average: $30,500 | Range: $0 - $55,320

2020 2 penalties totaling $1,638

$983
Fine
July 6, 2020
$655
Fine
June 15, 2020
Average: $819 | Range: $655 - $983

Fire Safety Deficiencies

Unknown Date

No description available

Inspection Survey Reports

Health

July 25, 2024
0.00

Health

July 18, 2024
0.00

Health

April 9, 2024
0.00

Health

January 17, 2024
0.00

Health

January 6, 2024
0.00

Health

June 19, 2023
0.00

Health

March 16, 2022
0.00

Health

October 27, 2021
0.00

Health

May 5, 2021
0.00

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Ownership Information

For profit - Corporation
Independent (Not part of a chain)
525549
525549
4144210088
Milwaukee

Historical Ownership Records

August 25, 2025
Organization
August 25, 2025
Organization
August 25, 2025
Organization