Complete Care at Southpointe
4500 W. Loomis Rd. · Greenfield, WI · 53220 · 4143255300
174 certified beds For profit - Limited Liability company Chain: Complete Care
- Inspection results have improved across recent cycles.
Red flags
2 immediate-jeopardy citations 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 | 3.58 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.73 | 0.55–0.75 |
| Weekend hours / resident-day | 3.23 | ≈ weekday level |
| Nursing turnover / year | 43% | median 45% |
| Fines (3-yr window) | 1 · $89,823 |
Inspection citations (17 in the current record)
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Actual harm · G March 12, 2026
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 5, 2026 · Quality of Life and Care
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Potential for harm · D March 12, 2026
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected April 5, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 12, 2026
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected April 5, 2026 · Quality of Life and Care
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Potential for harm · E March 12, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 5, 2026 · Nutrition and Dietary
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Potential for harm · F March 12, 2026
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected April 5, 2026 · Administration
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Potential for harm · E March 12, 2026 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected April 5, 2026 · Freedom from Abuse, Neglect, and Exploitation
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No harm found · C March 12, 2026
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected April 5, 2026 · Resident Rights
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Potential for harm · D October 17, 2024
Ensure each resident receives an accurate assessment.
Corrected November 6, 2024 · Resident Assessment and Care Planning
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Potential for harm · D October 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 October 18, 2024 · Resident Assessment and Care Planning
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Immediate jeopardy · J August 17, 2023 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected September 13, 2023 · Quality of Life and Care
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Immediate jeopardy · J August 17, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 13, 2023 · Quality of Life and Care
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Actual harm · G August 17, 2023 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Corrected September 13, 2023 · Quality of Life and Care
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Potential for harm · D August 17, 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 September 13, 2023 · Quality of Life and Care
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Potential for harm · D August 17, 2023
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected September 13, 2023 · Pharmacy Service
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Potential for harm · E August 17, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 13, 2023 · Nutrition and Dietary
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Potential for harm · F August 17, 2023
Provide and implement an infection prevention and control program.
Corrected September 13, 2023 · Infection Control
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No harm found · C August 17, 2023
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected September 13, 2023 · Resident Rights
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| August 17, 2023 | Fine | $89,823 |
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 525604 · certified since September 10, 1996. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.