With a score of 61 out of 100, Complete Care At Southpointe earns a C grade — placing it near the middle of Wisconsin nursing facilities. Families should review the detailed metrics below when considering this Greenfield location.
Staffing at Complete Care At Southpointe is near the national average, with 3.53 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 40 deficiencies at Complete Care At Southpointe, including 4 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure each resident receives an accurate assessment..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.53 | 3.8 | Average |
| Registered Nurses (RN) | 0.80 | 0.7 | Above Average |
| Licensed Practical Nurses (LPN) | 0.69 | 0.7 | Average |
| Certified Nursing Assistants (CNA) | 2.04 | 2.4 | Below Average |
| Weekend Total Nursing | 3.16 | 3.8 | Below Average |
| Weekend RN Hours | 0.59 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0641 Severity DEnsure each resident receives an accurate assessment.Oct 16, 2024 · Resident Assessment and Care Planning Deficiencies
- Tag 0656 Severity DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Oct 16, 2024 · Resident Assessment and Care Planning Deficiencies
- Tag 0686 Severity JProvide appropriate pressure ulcer care and prevent new ulcers from developing.Aug 16, 2023 · Quality of Life and Care Deficiencies
- Tag 0689 Severity JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Aug 16, 2023 · Quality of Life and Care Deficiencies
- Tag 0692 Severity GProvide enough food/fluids to maintain a resident's health.Aug 16, 2023 · Quality of Life and Care 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 | 2.1% | 4.5% | Better |
| Falls with major injury | 0.0% | 3.0% | Better |
| On antipsychotic medication | 5.8% | 14.5% | Better |
| Urinary tract infections | 5.8% | 2.5% | Worse |
| ADL decline (daily activities) | 10.7% | 14.0% | Better |
| Excessive weight loss | 3.5% | 7.5% | Better |
| New/worsened incontinence | 29.9% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $89,823
How This Grade Was Calculated
This facility's grade of C is based on a score of 61 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 4★ → 32 pts (max 40)
- Health Inspection Rating: 3★ → 15 pts (max 25)
- Staffing Rating: 3★ → 12 pts (max 20)
- Quality Measures Rating: 5★ → 15 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -8 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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