Overview

Address
5404 W LOOMIS RD, Greendale, WI 53129
Phone
4144210088
Certified beds
105
Avg daily residents
67 (64% of beds filled)
Ownership
For-profit LLC
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1994-08-09
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.
2/5
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 2/5
Short-Stay Quality Measures 3/5

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
3.64 3.95 3.56 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
0.66 0.69 0.64 ≥ 0.55
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
1.13 0.88 1.10
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
1.86 2.38 1.81
Licensed (RN + LPN)
Combined licensed nurse coverage.
1.79
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
0.04

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)
2.83
hrs / resident / day
RN (weekend)
0.28
hrs / resident / day
Total nurse (adjusted, weekend)
2.77
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
73.1%
annual
RN turnover
55.6%
annual
Administrators departed
1
last 12 months

Resident acuity

Nursing Case-Mix Index
1.40
higher acuity than avg
Case-Mix Index Ratio
1.02
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) 2024-10-08 19 6 16 120 1 120
Cycle 2/3 (prior) 2023-06-19 46 20 38 465 2 698
Total weighted health score
264.5
lower is better

Deficiencies (73)

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
63 D/E/F Actual harm — potential for minor
8 G/H/I Actual harm
1 J/K/L Immediate jeopardy
Tag Description Scope/Severity Survey date Corrected
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2025-12-03 2025-12-04
0610 Respond appropriately to all alleged violations. D 2025-12-03 2025-12-04
0640 Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. D 2025-12-03 2025-12-04
0693 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. D 2025-12-03 2025-12-04
0554 Allow residents to self-administer drugs if determined clinically appropriate. D 2025-08-12 2025-09-10
0627 Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. D 2025-08-12 2025-09-10
0628 Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. D 2025-08-12 2025-09-10
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2025-08-12 2025-09-10
0759 Ensure medication error rates are not 5 percent or greater. D 2025-08-12 2025-09-10
0760 Ensure that residents are free from significant medication errors. D 2025-08-12 2025-09-10
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2025-03-19 2025-04-11
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. G 2025-03-19 2025-04-11
0690 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. D 2025-03-19 2025-04-11
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. G 2025-01-08 2025-02-13
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2025-01-08 2025-02-13
0700 Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. D 2025-01-08 2025-02-13
0578 Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. D 2024-10-08 2024-11-07
0698 Provide safe, appropriate dialysis care/services for a resident who requires such services. D 2024-10-08 2024-11-07
0700 Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. D 2024-10-08 2024-11-07
0727 Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. F 2024-10-08 2024-11-07
0880 Provide and implement an infection prevention and control program. F 2024-10-08 2024-12-13
0947 Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. E 2024-10-08 2024-11-07
0838 Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. F 2024-10-08 2024-11-07
0837 Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. F 2024-07-25 2024-08-06
0554 Allow residents to self-administer drugs if determined clinically appropriate. D 2024-07-18 2024-08-30
0576 Ensure residents have reasonable access to and privacy in their use of communication methods. D 2024-07-18 2024-08-30
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 2024-07-18 2024-08-30
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. K 2024-07-18 2024-08-30
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2024-07-18 2024-08-30
0610 Respond appropriately to all alleged violations. D 2024-07-18 2024-08-30
0676 Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. D 2024-07-18 2024-08-30
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. G 2024-07-18 2024-08-30
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. G 2024-07-18 2024-08-30
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2024-07-18 2024-08-30
0695 Provide safe and appropriate respiratory care for a resident when needed. D 2024-07-18 2024-08-30
0760 Ensure that residents are free from significant medication errors. D 2024-07-18 2024-08-30
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. D 2024-07-18 2024-08-30
0944 Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. F 2024-07-18 2024-08-30
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2024-04-09 2024-05-03
0757 Ensure each resident’s drug regimen must be free from unnecessary drugs. D 2024-04-09 2024-05-03
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2024-01-17 2024-01-31
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2024-01-17 2024-01-31
0690 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. D 2024-01-17 2024-01-31
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2024-01-06 2024-01-31
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. D 2024-01-06 2024-01-31
0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D 2023-06-19 2023-07-20
0623 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. D 2023-06-19 2023-07-20
0644 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. D 2023-06-19 2023-07-20
0655 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted D 2023-06-19 2023-07-20
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. G 2023-06-19 2023-07-20

Showing 50 most recent of 73. See the All Data CSV for the full list.

Penalties (5)

Fines issued
3
last 3 years
Total fines
$271,160
Payment denials
2
Date Type Fine amount
2025-03-19 Fine $23,000
2023-06-19 Fine $78,633
2024-07-18 Fine $169,527
2024-07-18 Payment Denial
2023-06-19 Payment Denial

Source: CMS Nursing Home Penalties.

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 27.8% Medicaid 13.5% Other 58.8%

Operating performance

Operating Margin
-14.5%
Total Margin
-14.2%
Occupancy Rate
61.5%
Cost per Resident Day
$99

Revenue & costs

Net Patient Revenue
$11.8M
Total Costs
$2.3M
Net Income
-$1.7M

Balance sheet

Total Assets
$2.9M
Total Liabilities
$4.0M
Fund Balance
-$1.2M
Current Ratio
3.83

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

Ownership & Corporate Structure

Chain: BEDROCK HEALTHCARE

Chain ID
73
Facilities in chain
9
Legal business name
BEDROCK HCS AT GREENDALE LLC
Chain-average star ratings (for peer context)
Overall
1.3
Health
1.3
Staffing
1.6
QM
2.9

Owner / manager organizations (5)

Organization Role Association
BEDROCK HC WI LLC 5% OR GREATER DIRECT OWNERSHIP INTEREST since 10/01/2019
BEDROCK HCS AT GREENDALE LLC 5% OR GREATER DIRECT OWNERSHIP INTEREST since 10/01/2019
BEDROCK HC WI LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 10/01/2019
OPAL HEALTHCARE NJ LLC OPERATIONAL/MANAGERIAL CONTROL since 10/01/2019
OPAL HEALTHCARE WI LLC OPERATIONAL/MANAGERIAL CONTROL since 10/01/2019

Owner / manager individuals (11)

Name Role Association
CHOPP, LYNN 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 10/01/2019
CHOPP, MARTIN 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 10/01/2019
CHOPP, PNINA 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 10/01/2019
CHOPP, RACHEL 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 10/01/2019
CHOPP, SARAH 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 10/01/2019
CHOPP, SOLOMON 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 10/01/2019
PRAGER, AVROHOM 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 10/01/2019
PRAGER, SHULAMIT 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 10/01/2019
NICHOLS, KENNETH OPERATIONAL/MANAGERIAL CONTROL since 10/01/2019
NICHOLS, KENNETH CORPORATE OFFICER since 10/01/2019
NICHOLS, KENNETH CONTRACTED MANAGING EMPLOYEE since 10/01/2019

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 ($) $99 metrics.cost_per_resident_day
Cost Report Current Ratio 3.83 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 13.5% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 27.8% metrics.medicare_day_share
Cost Report Net Income ($) $-1,675,448 metrics.net_income
Cost Report Net Patient Revenue ($) $11,804,480 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 61.5% metrics.occupancy_rate
Cost Report Operating Margin (%) -14.5% metrics.operating_margin
Cost Report Total Assets ($) $2,859,370 metrics.total_assets
Cost Report Total Costs ($) $2,338,150 metrics.total_costs
Cost Report Total Fund Balances ($) $-1,165,769 metrics.fund_balance
Cost Report Total Liabilities ($) $4,025,139 metrics.total_liabilities
Cost Report Total Margin (%) -14.2% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 1.10377 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 1.81499 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.64413 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 3.56290 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 2.76838 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote 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 67.3 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 0.87630 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.38158 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.69071 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.94859 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.48027 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 1.3 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 1.3 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 2.9 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 1.6 Chain Average Staffing Rating
Provider Information Chain ID 73 Chain ID
Provider Information Chain Name BEDROCK HEALTHCARE Chain Name
Provider Information City/Town Greendale City/Town
Provider Information CMS Certification Number (CCN) 525549 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 1994-08-09 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 42.9487 Latitude
Provider Information Legal Business Name BEDROCK HCS AT GREENDALE LLC Legal Business Name
Provider Information Location 5404 W LOOMIS RD,Greendale,WI,53129 Location
Provider Information Long-Stay QM Rating 2 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote Long-Stay QM Rating Footnote
Provider Information Longitude -87.982 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 1 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 105 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 9 Number of Facilities in Chain
Provider Information Number of Fines 3 Number of Fines
Provider Information Number of Payment Denials 2 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.39881 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 1.01536 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 5404 W LOOMIS RD Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name Greendale Park Nursing 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 120 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 16 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 6 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2024-10-08 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 120 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 19 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 20 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2023-06-19 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 465 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 233 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 38 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 2 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 698 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 46 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.27628 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 55.6 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.78759 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 1.12883 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 1.85621 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.04167 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.65876 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 3.64379 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 3 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 2 Staffing Rating
Provider Information Staffing Rating Footnote Staffing Rating Footnote
Provider Information State WI State
Provider Information Telephone Number 4144210088 Telephone Number
Provider Information Total Amount of Fines in Dollars 271160.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 2.83124 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 5 Total Number of Penalties
Provider Information Total nursing staff turnover 73.1 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 264.500 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 53129 ZIP Code