Overview

Address
9047 W GREENFIELD AVE, WEST ALLIS, WI 53214
Phone
4144539290
Certified beds
152
Avg daily residents
80 (53% of beds filled)
Ownership
For-profit LLC
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1967-01-13
Setting
Urban
1 /5
CMS Overall Rating

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
1/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
1/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
1/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
2/5
Quality Measures breakdown
Long-Stay Quality Measures 4/5
Short-Stay Quality Measures 1/5

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
4.61 5.86 3.04 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
0.66 1.02 0.44 ≥ 0.55
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
1.46 1.30 0.96
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
2.49 3.53 1.64
Licensed (RN + LPN)
Combined licensed nurse coverage.
2.12
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
0.05

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
4.07
hrs / resident / day
RN (weekend)
0.43
hrs / resident / day
Total nurse (adjusted, weekend)
2.68
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
62.7%
annual
RN turnover
72.7%
annual
Administrators departed
New facility — insufficient data.

Resident acuity

Nursing Case-Mix Index
2.07
higher acuity than avg
Case-Mix Index Ratio
1.51
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2024-12-05 23 4 21 108 1 108
Cycle 2/3 (prior) 2024-06-11 38 4 35 487 1 487
Total weighted health score
202.8
lower is better

Deficiencies (69)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

1 A/B/C No actual harm — minor
61 D/E/F Actual harm — potential for minor
3 G/H/I Actual harm
4 J/K/L Immediate jeopardy
Tag Description Scope/Severity Survey date Corrected
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2026-01-28 2026-02-20
0759 Ensure medication error rates are not 5 percent or greater. D 2026-01-28 2026-02-20
0628 Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. D 2026-01-14 2026-01-31
0759 Ensure medication error rates are not 5 percent or greater. D 2026-01-14 2026-02-20
0760 Ensure that residents are free from significant medication errors. D 2026-01-14 2026-01-31
0880 Provide and implement an infection prevention and control program. D 2026-01-14 2026-01-31
0554 Allow residents to self-administer drugs if determined clinically appropriate. D 2025-12-03 2025-12-12
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. D 2025-12-03 2025-12-12
0760 Ensure that residents are free from significant medication errors. D 2025-12-03 2025-12-12
0880 Provide and implement an infection prevention and control program. D 2025-12-03 2025-12-12
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. G 2025-06-26 2025-08-04
0880 Provide and implement an infection prevention and control program. D 2025-06-26 2025-07-21
0579 Provide information about how to apply for and use Medicare and Medicaid benefits. D 2025-06-04 2025-07-03
0657 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. D 2025-06-04 2025-07-03
0880 Provide and implement an infection prevention and control program. D 2025-06-04 2025-07-03
0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D 2025-03-13 2025-04-11
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. D 2025-03-13 2025-04-11
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2025-03-13 2025-04-11
0760 Ensure that residents are free from significant medication errors. D 2025-03-13 2025-04-11
0698 Provide safe, appropriate dialysis care/services for a resident who requires such services. D 2024-12-05 2025-01-04
0880 Provide and implement an infection prevention and control program. D 2024-12-05 2025-01-04
0660 Plan the resident's discharge to meet the resident's goals and needs. D 2024-12-05 2025-01-04
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2024-12-05 2025-01-04
0585 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. D 2024-08-29 2024-09-19
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2024-08-29 2024-09-19
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. D 2024-08-29 2024-09-19
0688 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. D 2024-06-11 2024-07-11
0759 Ensure medication error rates are not 5 percent or greater. D 2024-06-11 2024-07-11
0761 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. D 2024-06-11 2024-07-11
0880 Provide and implement an infection prevention and control program. E 2024-06-11 2024-07-11
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2024-04-16 2024-05-15
0610 Respond appropriately to all alleged violations. D 2024-04-16 2024-05-15
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2024-02-22 2024-03-19
0563 Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. D 2024-02-22 2024-03-19
0584 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. D 2024-02-22 2024-03-19
0585 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. D 2024-02-22 2024-03-19
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2024-02-22 2024-03-19
0610 Respond appropriately to all alleged violations. D 2024-02-22 2024-03-19
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. D 2024-02-22 2024-03-19
0695 Provide safe and appropriate respiratory care for a resident when needed. D 2024-02-22 2024-03-19
0745 Provide medically-related social services to help each resident achieve the highest possible quality of life. E 2024-02-22 2024-03-19
0640 Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. D 2023-12-14 2024-01-24
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2023-12-14 2024-01-24
0692 Provide enough food/fluids to maintain a resident's health. D 2023-12-14 2024-01-24
0760 Ensure that residents are free from significant medication errors. D 2023-12-14 2024-01-24
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2023-12-14 2024-01-24
0867 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. L 2023-12-14 2024-01-24
0880 Provide and implement an infection prevention and control program. D 2023-12-14 2024-01-24
0947 Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. F 2023-12-14 2024-01-24
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2023-12-14 2024-01-24

Showing 50 most recent of 69. See the All Data CSV for the full list.

Penalties (4)

Fines issued
3
last 3 years
Total fines
$341,867
Payment denials
1
Date Type Fine amount
2023-04-19 Fine $81,787
2023-06-08 Fine $129,758
2023-12-14 Fine $130,322
2023-12-14 Payment Denial

Source: CMS Nursing Home Penalties.

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 2.9% Medicaid 87.7% Other 9.3%

Operating performance

Operating Margin
-16.4%
Total Margin
-11.9%
Occupancy Rate
64.5%
Cost per Resident Day
$32

Revenue & costs

Net Patient Revenue
$15.3M
Total Costs
$1.2M
Net Income
-$1.9M

Balance sheet

Total Assets
$8.4M
Total Liabilities
$8.7M
Fund Balance
-$341K
Current Ratio
0.60

Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Owner / manager organizations (2)

Organization Role Association
LEXINGTON HEALTHCARE LLC 5% OR GREATER DIRECT OWNERSHIP INTEREST since 09/28/2004
MEDICAL REHABILITATION CENTERS, LLC OPERATIONAL/MANAGERIAL CONTROL since 08/31/2014

Owner / manager individuals (6)

Name Role Association
WATTS, WALTER 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 08/31/2014
CAMPBELL, BRENDA OPERATIONAL/MANAGERIAL CONTROL since 08/31/2014
TURNER, STACIE OPERATIONAL/MANAGERIAL CONTROL since 08/31/2014
WATTS, WALTER OPERATIONAL/MANAGERIAL CONTROL since 08/31/2014
WATTS, WALTER CORPORATE OFFICER since 08/31/2014
FLECHLER, MARILYN W-2 MANAGING EMPLOYEE since 03/07/2019

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
No
Hospital-based
No
Resident / family council
Resident
Sprinkler systems
Yes
Abuse citation flag
No
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

Download CSV

Show 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $32 metrics.cost_per_resident_day
Cost Report Current Ratio 0.60 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 87.7% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 2.9% metrics.medicare_day_share
Cost Report Net Income ($) $-1,897,256 metrics.net_income
Cost Report Net Patient Revenue ($) $15,297,749 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 64.5% metrics.occupancy_rate
Cost Report Operating Margin (%) -16.4% metrics.operating_margin
Cost Report Total Assets ($) $8,351,921 metrics.total_assets
Cost Report Total Costs ($) $1,155,599 metrics.total_costs
Cost Report Total Fund Balances ($) $-341,078 metrics.fund_balance
Cost Report Total Liabilities ($) $8,692,999 metrics.total_liabilities
Cost Report Total Margin (%) -11.9% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 0.96443 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 1.64101 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.43659 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 3.04203 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 2.68315 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote 26 Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 80.2 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 1.29957 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 3.53193 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 1.02434 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 5.85584 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 5.16131 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating Chain Average QM Rating
Provider Information Chain Average Staffing Rating Chain Average Staffing Rating
Provider Information Chain ID Chain ID
Provider Information Chain Name Chain Name
Provider Information City/Town WEST ALLIS City/Town
Provider Information CMS Certification Number (CCN) 525108 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Milwaukee County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1967-01-13 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote Geocoding Footnote
Provider Information Health Inspection Rating 1 Health Inspection Rating
Provider Information Health Inspection Rating Footnote Health Inspection Rating Footnote
Provider Information Latitude 43.0165 Latitude
Provider Information Legal Business Name LEXINGTON HEALTHCARE LLC Legal Business Name
Provider Information Location 9047 W GREENFIELD AVE,WEST ALLIS,WI,53214 Location
Provider Information Long-Stay QM Rating 4 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote Long-Stay QM Rating Footnote
Provider Information Longitude -88.025 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago N Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 152 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain Number of Facilities in Chain
Provider Information Number of Fines 3 Number of Fines
Provider Information Number of Payment Denials 1 Number of Payment Denials
Provider Information Nursing Case-Mix Index 2.07446 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 1.50580 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 1 Overall Rating
Provider Information Overall Rating Footnote Overall Rating Footnote
Provider Information Ownership Type For profit - Limited Liability company Ownership Type
Provider Information Physical Therapist Staffing Footnote Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 9047 W GREENFIELD AVE Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name RESOLVE AT WEST ALLIS RESPIRATORY AND REHAB Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 390 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 2 QM Rating
Provider Information QM Rating Footnote QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 108 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 21 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 4 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2024-12-05 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 108 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 23 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 4 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2024-06-11 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 487 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 0 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 35 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 1 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 487 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 38 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.43055 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 72.7 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 2.12492 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 1.46274 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 2.48890 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.04852 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.66218 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 4.61383 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 1 Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote Short-Stay QM Rating Footnote
Provider Information Special Focus Status Special Focus Status
Provider Information Staffing Rating 1 Staffing Rating
Provider Information Staffing Rating Footnote Staffing Rating Footnote
Provider Information State WI State
Provider Information Telephone Number 4144539290 Telephone Number
Provider Information Total Amount of Fines in Dollars 341867.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 4.06952 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 4 Total Number of Penalties
Provider Information Total nursing staff turnover 62.7 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 202.750 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Resident With a Resident and Family Council
Provider Information ZIP Code 53214 ZIP Code