Resolve At West Allis Respiratory And Rehab
Resolve at West Allis Respiratory and Rehab in WEST ALLIS, WI — inspection on April 29, 2026.
Found 3 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
limited to receiving treatment and supports for daily living safely.
homelike environment for 1 (R49) of 18 residents.*The facility experienced water damage to the
did not remediate the water damage to R49's ceiling in a timely manner.Findings include:On 04/26/2026, at 9:40 AM, Surveyor interviewed R49. R49 informed Surveyor that water has leaked from ceiling multiple times over last month causing water damage to the ceiling tiles.
Surveyor noted brown stained blotches on the ceiling above R49's bed, and above R49's doorway. R49 stated R49 mentioning the concerns to Director of Nursing (DON)-B multiple times but feels it has been shrugged off. R49 informed Surveyor that R49 has also talked to maintenance and they are having a hard time finding tiles. R49 is concerned for the integrity of the ceiling and would like the tiles taken down.On 04/27/2026, at 10:37 AM, Surveyor interviewed Maintenance Director-Q who indicated being newer to his role.
Maintenance Director-Q informed Surveyor there have been no leaking pipes over the last month but due to a toilet overflowing on occasions, the ceiling tiles need to be replaced in R49's room due to water damage.
Maintenance Director-Q indicated that today is the first Maintenance Director-Q knew of the concern.
Maintenance Director-Q stopped by R49's room about an hour ago to say hello, when R49 pointed out the ceiling tiles.
Maintenance Director-Q indicated that the facility should be getting replacement tiles for R49's room soon. On 04/27/2026, at 11:13 AM, Surveyor interviewed Maintenance-P who has worked at the facility for 12 years.
Maintenance-P indicated being aware of the water damage to the ceiling in R49's room, explaining that an overflowing toilet upstairs came down to R49's room which happened about 2 weeks ago.
Maintenance-P was notified by one of the maintenance technicians after the fact and indicated R49's ceilings would need new tiles.
Maintenance-P stated the facility now has tiles but Maintenance-P has not got to it yet and that caulk was used previously in some of the areas that had water damage from previous times.
Maintenance-P stated none of the new tiles have been taken down or replaced yet, and that Maintenance-P is just waiting for the time to get in there to do it. On 04/28/2026, at 9:13 AM, Surveyor went into R49's room and noted the water damaged ceiling tiles have been taken down. R49 was resting in bed and expressed being very happy that maintenance had now started working on the ceiling.On 04/28/2026, at 3:23 PM, Surveyor interviewed Nursing Home Administrator (NHA)-A and Director of Nursing (DON)-B and was informed that the water damage to the ceiling tiles in R49's room were from a recent leak and that the facility was waiting for it to dry out, before putting nails in to replace the tiles. No additional information was provided.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
525108 04/29/2026
Resolve at West Allis Respiratory and Rehab 9047 W Greenfield Ave West Allis, WI 53214
authorities.
reported immediately to the State Agency, but not later than 24 hours after the allegation was made
an allegation of neglect on 1/23/26 at 7:00 PM and did not report the allegation to the State Agency until 1/26/26 at 3:14 PM.
Findings include: The facility policy, entitled Abuse, Neglect and Exploitation, with no implemented or revised date documents: Policy: it is the policy of this facility to provide protections for the health, welfare and rights of each resident by developing and implementing written policies and procedures that prohibit and prevent abuse, neglect, exploitation and misappropriation of resident property. reporting of all alleged violations to the Administrator, state agency, adult protective services and to all other required agencies (e.g. law enforcement when applicable) within specified timeframes: . not later than 24 hours if the events that cause the allegation do not involve abuse and do not result in serious bodily injury.On 4/27/26, Surveyor reviewed the FRI (facility reported incident) with an initial submission date of 1/26/26 to the State Agency, which documents: On 1/26/26, an email was reviewed by the facility administrator containing an allegation of neglect.
The FRI investigation documents an investigation was initiated immediately upon review of the grievance.
After a thorough investigation of all potential witnesses, the facility was unable to substantiate the allegation of neglect.
The alleged staff member discontinued employment at the facility prior to the grievance being received. On 4/27/26 at 3:06 PM, Surveyor requested the email Nursing Home Administrator (NHA)-A received from R10 on 1/26/26. On 4/28/26 at 7:43 AM, NHA-A provided Surveyor with a copy of the email contents that R10 sent to NHA.
Surveyor noted there is no date provided on the email contents and NHA-A stated NHA-A was having issues printing the actual email and was only able to print the contents of the email for Surveyor to review.
Surveyor notes the email included a grievance form which documents date submitted as 1/14/26. On 4/29/26 at 8:41 AM, Surveyor asked NHA-A when NHA-A received the email from R10 with a grievance alleging neglect from a staff member. NHA-A stated NHA-A received the email from R10 on 1/23/26 at 7:00 PM. NHA-A stated R10 always emails any grievances to NHA-A because NHA-A is the grievance officer for the facility and R10 prefers to send the grievances in email form due to physical limitations limiting R10's ability to write. NHA-A stated NHA-A often receives emails from R10 with grievances on the weekends or overnight after NHA-A has left the facility for the day. NHA-A stated NHA-A was out of town the weekend NHA-A received the email from R10 on 1/23/26, so NHA-A did not check NHA-A's email until returning to work on 1/26/26. NHA-A stated once NHA-A read the email from R10 on 1/26/26, NHA-A realized R10 was making an allegation of neglect and reported the alleged neglect to the State Agency on 1/26/26.Surveyor shared the concern with NHA-A that R10 notified NHA-A of an allegation of neglect on 1/23/26, but it was not reported to the State Agency until 1/26/26, which is later than 24 hours of receiving the allegation.
NHA-A stated R10 should have called NHA-A with any concern about potential abuse or neglect, but R10 emailed NHA-A instead, and NHA-A does not check NHA-A's email 24 hours a day.No additional information was provided regarding why the facility did not report R10's allegation of neglect within 24 hours of receiving notification of the alleged violation.
525108 04/29/2026
Resolve at West Allis Respiratory and Rehab 9047 W Greenfield Ave West Allis, WI 53214
Director of Nursing (DON)-B what the process for trimming fingernails for diabetic residents. DON-B
resident fingernails need to be trimmed.
The nurse should also be doing the skin assessment after
PM Surveyor notified Nursing Home Administrator (NHA)-A and DON-B of concerns regarding observations of R5's fingernails long and dirty. LPN-L has since cut and cleaned nails.No additional information was provided.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.