Public Record
Complete Care at Glendale West
Operated by Complete Care
From CMS
Facility profile
- CMS overall rating
- 3 / 5
- Certified beds
- 94
- Avg. residents per day
- 72.2
*CMS Five-Star
*CMS
*CMS
Inspection record
On record from CMS
- Health citations
- 38
- Fire safety findings
- 27
- Inspections on file
- 11
- Last inspection
- 2025-11-12
*CMS
*CMS
*CMS
*CMS
Citations
38 citations on record
Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
- 0677Generalpotential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
- 0554Generalpotential for harm
Allow residents to self-administer drugs if determined clinically appropriate.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0684Generalpotential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0550Generalpotential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- 0605Generalpotential for harm
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- 0636Generalpotential for harm
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- 0645Generalpotential for harm
PASARR screening for Mental disorders or Intellectual Disabilities
- 0685Generalpotential for harm
Assist a resident in gaining access to vision and hearing services.
- 0689Generalpotential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0759Generalpotential for harm
Ensure medication error rates are not 5 percent or greater.
- 0655Generalpotential for harm
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- 0656Generalpotential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- 0760Generalpotential for harm
Ensure that residents are free from significant medication errors.
- 0842Generalpotential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- 0572Generalpotential for harm
Give residents a notice of rights, rules, services and charges.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0585Generalpotential for harm
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.
- 0804Generalpotential for harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- 0755Generalpotential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- 0804Generalpotential for harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0761Generalpotential for harm
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.
- 0684Generalpotential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 0689Generalpotential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0804Generalpotential for harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- 0689Seriousactual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0757Generalpotential for harm
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- 0558Generalpotential for harm
Reasonably accommodate the needs and preferences of each resident.
- 0758Generalpotential for harm
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0623Generalno actual harm
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- 0625Generalno actual harm
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
- 0684Generalpotential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 0686Seriousimmediate jeopardy
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- 0689Generalpotential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0693Generalpotential for harm
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Inspection history
Every health inspection on record
Each CMS health inspection of this facility, and the deficiencies the surveyors cited. Where the verbatim Form 2567 statement of deficiencies is on file, it links to the full report.
- View inspection reportInspection4 deficiencies
- View inspection reportInspection13 deficiencies
- View inspection reportInspectionFire Safety9 deficiencies
- View inspection reportInspection2 deficiencies
- View inspection reportInspection1 deficiency
- View inspection reportInspection2 deficiencies
- View inspection reportInspection4 deficiencies
- View inspection reportInspectionFire Safety12 deficiencies
- View inspection reportInspection2 deficiencies
- View inspection reportInspection10 deficiencies
Showing the 10 most recent inspections. 1 earlier inspection is also on record.
Ownership
Complete Care
85nursing homes nationwide, in CMS records
FAQ
Questions and answers
- What is Complete Care at Glendale West?
- Complete Care at Glendale West is a Medicare- and Medicaid-certified nursing home in Glendale, WI, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 525547.
- What is the CMS rating for Complete Care at Glendale West?
- Complete Care at Glendale West has a CMS overall rating of 3 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
- How many beds does Complete Care at Glendale West have?
- Complete Care at Glendale West is certified for 94 beds. It serves an average of 72.2 residents per day.
- How many citations does Complete Care at Glendale West have?
- Complete Care at Glendale West has 38 citations on record from CMS health inspections, each tied to a federal deficiency tag.
- When was Complete Care at Glendale West last inspected?
- Complete Care at Glendale West was last inspected on November 12, 2025. CMS surveys nursing homes about once a year and after complaints.
- What can I do if I have concerns about care at this facility?
- Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.
*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.
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