Complete Care at Glendale West
6263 N Green Bay Ave · Glendale, WI · 53209 · 4143510543
94 certified beds For profit - Limited Liability company Chain: Complete Care
The composite number cleared 70 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 4.21 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.68 | 0.55–0.75 |
| Weekend hours / resident-day | 3.97 | ≈ weekday level |
| Nursing turnover / year | 48% | median 45% |
| Fines (3-yr window) | 1 · $11,180 |
Inspection citations (38 in the current record)
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Potential for harm · D November 12, 2025 · found via complaint
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected December 5, 2025 · Resident Rights
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Potential for harm · D November 12, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected December 5, 2025 · Quality of Life and Care
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Potential for harm · D November 12, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 5, 2025 · Quality of Life and Care
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Potential for harm · D November 12, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected December 5, 2025 · Infection Control
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Potential for harm · D May 22, 2025
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected June 22, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 22, 2025
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected June 22, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 22, 2025
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected June 22, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 22, 2025
Assist a resident in gaining access to vision and hearing services.
Corrected June 22, 2025 · Quality of Life and Care
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Potential for harm · D May 22, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 22, 2025 · Quality of Life and Care
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Potential for harm · D May 22, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected June 22, 2025 · Pharmacy Service
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Potential for harm · D May 22, 2025
Provide and implement an infection prevention and control program.
Corrected June 22, 2025 · Infection Control
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Potential for harm · E May 22, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected June 22, 2025 · Resident Rights
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Potential for harm · E May 22, 2025 · found via complaint
Give residents a notice of rights, rules, services and charges.
Corrected June 22, 2025 · Resident Rights
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Potential for harm · E May 22, 2025 · found via complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected June 22, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 22, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected June 22, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 22, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected June 22, 2025 · Pharmacy Service
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Potential for harm · D May 22, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected June 22, 2025 · Resident Assessment and Care Planning
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Potential for harm · D November 26, 2024 · found via complaint
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 December 17, 2024 · Resident Rights
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Potential for harm · E November 26, 2024 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 17, 2024 · Nutrition and Dietary
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Potential for harm · D September 26, 2024 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected October 15, 2024 · Nutrition and Dietary
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Potential for harm · D June 7, 2024 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected July 5, 2024 · Pharmacy Service
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Potential for harm · D June 7, 2024 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected July 5, 2024 · Nutrition and Dietary
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Potential for harm · D February 5, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 24, 2024 · Quality of Life and Care
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Potential for harm · E February 5, 2024
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 February 24, 2024 · Pharmacy Service
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Potential for harm · E February 5, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 24, 2024 · Nutrition and Dietary
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| November 29, 2023 | Fine | $11,180 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 525547 · certified since July 15, 1994. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.