CMS data shows Complete Care At Glendale West earning a D grade with a score of 44/100, placing it below most facilities in Wisconsin. Prospective residents and families should carefully review the specific areas of concern detailed below.
Staffing at Complete Care At Glendale West is near the national average, with 4.08 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 38 deficiencies at Complete Care At Glendale West, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: allow residents to self-administer drugs if determined clinically appropriate..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 4.08 | 3.8 | Average |
| Registered Nurses (RN) | 0.66 | 0.7 | Average |
| Licensed Practical Nurses (LPN) | 0.71 | 0.7 | Average |
| Certified Nursing Assistants (CNA) | 2.72 | 2.4 | Above Average |
| Weekend Total Nursing | 3.64 | 3.8 | Average |
| Weekend RN Hours | 0.29 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0554 Severity DAllow residents to self-administer drugs if determined clinically appropriate.Nov 11, 2025 · Resident Rights Deficiencies
- Tag 0677 Severity DProvide care and assistance to perform activities of daily living for any resident who is unable.Nov 11, 2025 · Quality of Life and Care Deficiencies
- Tag 0684 Severity DProvide appropriate treatment and care according to orders, resident’s preferences and goals.Nov 11, 2025 · Quality of Life and Care Deficiencies
- Tag 0880 Severity DProvide and implement an infection prevention and control program.Nov 11, 2025 · Infection Control Deficiencies
- Tag 0550 Severity EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.May 21, 2025 · Resident Rights Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 3.3% | 4.5% | Better |
| Falls with major injury | 2.3% | 3.0% | Better |
| On antipsychotic medication | 10.5% | 14.5% | Better |
| Urinary tract infections | 1.6% | 2.5% | Better |
| ADL decline (daily activities) | 8.8% | 14.0% | Better |
| Excessive weight loss | 9.2% | 7.5% | Worse |
| New/worsened incontinence | 24.5% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $11,180
How This Grade Was Calculated
This facility's grade of D is based on a score of 44 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 2★ → 16 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 3★ → 12 pts (max 20)
- Quality Measures Rating: 4★ → 12 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -1 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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