nursing home in Milwaukee, WI
Bradley Estates Nursing and Rehab LLC
6735 W Bradley Rd, Milwaukee, WI 53223 · (414) 354-3300
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★1
- Staffing★★★★★2
- Quality measures★★★★★2
- Special Focus candidate
- Abuse citation
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Bradley Estates Nursing and Rehab LLC at a glance
Bradley Estates Nursing and Rehab LLC is a 198-bed for-profit nursing home in Milwaukee, Wisconsin (Milwaukee County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the Wisconsin average of 3.
Residents receive about 3.8 hours of nursing care per day (0.7 of them from registered nurses), worse than the state average of 4.2 hours.
Its most recent standard health inspection (September 17, 2025) found 20 health citations. The Wisconsin average is 9.5.
Federal regulators fined it 4 times in the past three years, totaling $305,374.
Nursing staff turnover is 70.1% per year (state average 46.9%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 198
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Shlomo Hoffman
- Medicare-certified since
- January 1, 1983
- Resident/family council
- Resident
- County
- Milwaukee County
- CMS Certification Number
- 525325
Ratings
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 3 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 3.6 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 2 / 5 | 3 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 2 / 5 | 3.1 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 4 / 5 | 3.1 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.83 hrs | 4.21 hrs | 3.86 hrs | Average |
| Registered nurse hours per resident per day (higher is better) | 0.67 hrs | 0.99 hrs | 0.69 hrs | Average |
| Nurse aide hours per resident per day (higher is better) | 2.29 hrs | 2.58 hrs | 2.32 hrs | Average |
| Weekend nurse staff hours per resident per day (higher is better) | 3.17 hrs | 3.77 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 70.1% | 46.9% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 50% | 39.7% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 2 | 1 | 1 | Worse |
Inspections
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 20 | 9 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 5 | 4 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 576 | 100.3 | 80.6 | Worse |
Penalties
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 4 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $305,374 | $48,150 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 7 | 1 | 1 | Worse |
Size
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 198 | 77 | 107 | |
| Average residents per day | 128 | 55 | 86 | |
| Occupancy | 64.6% | 74% | 80.9% |
Long-stay residents
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 2.3% | 3.3% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 7.1% | 5% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 28.9% | 15.8% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 1.6% | 2.7% | 1.6% | Average |
| Long-stay residents with a catheter left in the bladder (lower is better) | 1.7% | 2.1% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 20% | 16.1% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 17.4% | 18.4% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 3.3% | 5.1% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 2.4% | 5.7% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.1% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 16.1% | 16.9% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 27.8% | 24.6% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 91.1% | 95% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 98.2% | 95.7% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 1.2% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 63.3% | 82.2% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 86.8% | 86.5% | 82% | Better |
Inspection citations
State inspectors cited this home for 156 health deficiencies and 34 fire safety deficiencies in the inspection records CMS currently publishes. 14 citations involved actual harm, including 3 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| July 9, 2026 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected July 30, 2026 |
| December 30, 2025 Complaint | 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. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected January 28, 2026 |
| December 30, 2025 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected January 28, 2026 |
| December 30, 2025 Complaint | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Tag F0565 | D Potential harm, isolated | Corrected January 28, 2026 |
| December 30, 2025 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected January 28, 2026 |
| September 17, 2025 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | F Potential harm, widespread | Corrected October 15, 2025 |
| September 17, 2025 Fire safety | Have restrictions on the use of highly flammable decorations. Miscellaneous Deficiencies · Tag K0753 | E Potential harm, pattern | Corrected October 10, 2025 |
| September 17, 2025 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | E Potential harm, pattern | Corrected October 3, 2025 |
| September 17, 2025 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | E Potential harm, pattern | Corrected October 3, 2025 |
| September 17, 2025 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | E Potential harm, pattern | Corrected October 10, 2025 |
| September 17, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected October 2, 2025 |
| September 17, 2025 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | D Potential harm, isolated | Corrected October 10, 2025 |
| September 17, 2025 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | D Potential harm, isolated | Corrected October 3, 2025 |
| September 17, 2025 Fire safety | Install properly constructed and protected linen or trash chutes. Services Deficiencies · Tag K0541 | D Potential harm, isolated | Corrected March 20, 2026 |
| September 17, 2025 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected October 16, 2025 |
| September 17, 2025 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | E Potential harm, pattern | Corrected October 16, 2025 |
| September 17, 2025 Standard | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0605 | E Potential harm, pattern | Corrected October 16, 2025 |
| September 17, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected October 16, 2025 |
| September 17, 2025 Standard | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Tag F0645 | D Potential harm, isolated | Corrected October 16, 2025 |
| September 17, 2025 Standard | Give the resident's representative the ability to exercise the resident's rights. Resident Rights Deficiencies · Tag F0551 | D Potential harm, isolated | Corrected October 16, 2025 |
| September 17, 2025 Standard | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Tag F0552 | D Potential harm, isolated | Corrected October 16, 2025 |
| September 17, 2025 Standard | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Tag F0582 | D Potential harm, isolated | Corrected October 16, 2025 |
| September 17, 2025 Standard | 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. Resident Rights Deficiencies · Tag F0585 | D Potential harm, isolated | Corrected October 16, 2025 |
| September 17, 2025 Standard | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning Deficiencies · Tag F0640 | D Potential harm, isolated | Corrected October 16, 2025 |
| September 17, 2025 Standard | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Tag F0644 | D Potential harm, isolated | Corrected October 16, 2025 |
| September 17, 2025 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected October 16, 2025 |
| September 17, 2025 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected October 16, 2025 |
| September 17, 2025 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected October 16, 2025 |
| September 17, 2025 Standard | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Tag F0757 | D Potential harm, isolated | Corrected October 16, 2025 |
| August 20, 2025 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected September 14, 2025 |
| August 20, 2025 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected September 14, 2025 |
| August 20, 2025 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected September 14, 2025 |
| July 11, 2025 Complaint | 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. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected August 8, 2025 |
| July 11, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected August 8, 2025 |
| July 11, 2025 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected August 8, 2025 |
| June 10, 2025 Complaint | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Tag F0565 | E Potential harm, pattern | Corrected July 4, 2025 |
| June 10, 2025 Complaint | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected July 4, 2025 |
| June 10, 2025 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected July 4, 2025 |
| June 10, 2025 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected July 4, 2025 |
| April 1, 2025 Complaint | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Nutrition and Dietary Deficiencies · Tag F0801 | F Potential harm, widespread | Corrected April 10, 2025 |
| April 1, 2025 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | E Potential harm, pattern | Corrected April 10, 2025 |
| April 1, 2025 Complaint | 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. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected April 10, 2025 |
| April 1, 2025 Complaint | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Nutrition and Dietary Deficiencies · Tag F0803 | E Potential harm, pattern | Corrected April 10, 2025 |
| April 1, 2025 Complaint | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected April 10, 2025 |
| April 1, 2025 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected April 10, 2025 |
| April 1, 2025 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected April 10, 2025 |
| April 1, 2025 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected April 10, 2025 |
| February 6, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | K Immediate jeopardy, pattern | Corrected February 7, 2025 |
| February 6, 2025 Complaint | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. Resident Rights Deficiencies · Tag F0626 | D Potential harm, isolated | Corrected February 7, 2025 |
| February 6, 2025 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected February 7, 2025 |
| February 6, 2025 Complaint | 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. Resident Rights Deficiencies · Tag F0625 | D Potential harm, isolated | Corrected February 7, 2025 |
| January 7, 2025 Complaint | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | G Actual harm, isolated | Corrected February 4, 2025 |
| January 7, 2025 Complaint | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | E Potential harm, pattern | Corrected January 21, 2025 |
| January 7, 2025 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected January 21, 2025 |
| January 7, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected February 7, 2025 |
| October 28, 2024 Complaint | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. Resident Rights Deficiencies · Tag F0622 | D Potential harm, isolated | Corrected October 29, 2024 |
| October 28, 2024 Complaint | Assist a resident in gaining access to vision and hearing services. Quality of Life and Care Deficiencies · Tag F0685 | D Potential harm, isolated | Corrected October 31, 2024 |
| October 28, 2024 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected November 19, 2024 |
| September 19, 2024 Complaint | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | G Actual harm, isolated | Corrected December 5, 2024 |
| September 19, 2024 Complaint | Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space. Environmental Deficiencies · Tag F0917 | D Potential harm, isolated | Corrected October 17, 2024 |
| September 19, 2024 Complaint | Allow resident to participate in the development and implementation of his or her person-centered plan of care. Resident Rights Deficiencies · Tag F0553 | D Potential harm, isolated | Corrected October 14, 2024 |
| September 19, 2024 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected October 14, 2024 |
| September 19, 2024 Complaint | 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. Resident Rights Deficiencies · Tag F0585 | D Potential harm, isolated | Corrected October 17, 2024 |
| September 19, 2024 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected October 14, 2024 |
| September 19, 2024 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected October 14, 2024 |
| September 19, 2024 Complaint | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected December 5, 2024 |
| September 19, 2024 Complaint | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | D Potential harm, isolated | Corrected October 16, 2024 |
| September 19, 2024 Complaint | 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. Pharmacy Service Deficiencies · Tag F0758 | D Potential harm, isolated | Corrected October 14, 2024 |
| July 1, 2024 Fire safety | Establish policies and procedures including evacuation. Emergency Preparedness Deficiencies · Tag E0020 | F Potential harm, widespread | Corrected July 17, 2024 |
| July 1, 2024 Fire safety | Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Smoke Deficiencies · Tag K0354 | F Potential harm, widespread | Corrected July 17, 2024 |
| July 1, 2024 Fire safety | Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Tag K0711 | F Potential harm, widespread | Corrected July 17, 2024 |
| July 1, 2024 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | E Potential harm, pattern | Corrected July 17, 2024 |
| July 1, 2024 Fire safety | Properly provide smoke detection systems in areas open to corridors. Smoke Deficiencies · Tag K0347 | E Potential harm, pattern | Corrected July 17, 2024 |
| July 1, 2024 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | E Potential harm, pattern | Corrected July 17, 2024 |
| July 1, 2024 Fire safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Tag K0374 | E Potential harm, pattern | Corrected July 17, 2024 |
| July 1, 2024 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | D Potential harm, isolated | Corrected February 4, 2025 |
| July 1, 2024 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Corrected July 17, 2024 |
| July 1, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected July 17, 2024 |
| July 1, 2024 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | D Potential harm, isolated | Corrected July 17, 2024 |
| July 1, 2024 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | D Potential harm, isolated | Corrected July 17, 2024 |
| July 1, 2024 Complaint | Provide medically-related social services to help each resident achieve the highest possible quality of life. Quality of Life and Care Deficiencies · Tag F0745 | J Immediate jeopardy, isolated | Corrected July 17, 2024 |
| July 1, 2024 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | G Actual harm, isolated | Corrected December 5, 2024 |
| July 1, 2024 Standard | Provide training in compliance and ethics. Administration Deficiencies · Tag F0946 | F Potential harm, widespread | Corrected July 17, 2024 |
| July 1, 2024 Standard | Keep all essential equipment working safely. Environmental Deficiencies · Tag F0908 | F Potential harm, widespread | Corrected July 17, 2024 |
| July 1, 2024 Standard | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. Administration Deficiencies · Tag F0944 | F Potential harm, widespread | Corrected July 17, 2024 |
| July 1, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | F Potential harm, widespread | Corrected July 17, 2024 |
| July 1, 2024 Complaint | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | E Potential harm, pattern | Corrected July 17, 2024 |
| July 1, 2024 Complaint | 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. Resident Rights Deficiencies · Tag F0625 | E Potential harm, pattern | Corrected July 17, 2024 |
| July 1, 2024 Standard | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | E Potential harm, pattern | Corrected July 17, 2024 |
| July 1, 2024 Complaint | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Tag F0623 | E Potential harm, pattern | Corrected July 17, 2024 |
| July 1, 2024 Complaint | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | E Potential harm, pattern | Corrected July 17, 2024 |
| July 1, 2024 Standard | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Tag F0645 | E Potential harm, pattern | Corrected July 17, 2024 |
| July 1, 2024 Standard | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Tag F0757 | D Potential harm, isolated | Corrected July 17, 2024 |
| July 1, 2024 Complaint | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0602 | D Potential harm, isolated | Corrected July 17, 2024 |
| July 1, 2024 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected July 17, 2024 |
| July 1, 2024 Complaint | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. Resident Rights Deficiencies · Tag F0622 | D Potential harm, isolated | Corrected July 17, 2024 |
| July 1, 2024 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected July 17, 2024 |
| July 1, 2024 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected July 17, 2024 |
| July 1, 2024 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected July 17, 2024 |
| July 1, 2024 Standard | 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. Quality of Life and Care Deficiencies · Tag F0700 | D Potential harm, isolated | Corrected July 17, 2024 |
| July 1, 2024 Standard | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Administration Deficiencies · Tag F0849 | D Potential harm, isolated | Corrected July 17, 2024 |
| March 7, 2024 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | G Actual harm, isolated | Corrected April 5, 2024 |
| March 7, 2024 Complaint | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | G Actual harm, isolated | Corrected April 5, 2024 |
| March 7, 2024 Complaint | 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. Quality of Life and Care Deficiencies · Tag F0688 | G Actual harm, isolated | Corrected April 5, 2024 |
| March 7, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected April 5, 2024 |
| March 7, 2024 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | F Potential harm, widespread | Corrected April 5, 2024 |
| March 7, 2024 Complaint | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Resident Assessment and Care Planning Deficiencies · Tag F0661 | D Potential harm, isolated | Corrected April 5, 2024 |
| March 7, 2024 Complaint | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Tag F0552 | D Potential harm, isolated | Corrected April 5, 2024 |
| March 7, 2024 Complaint | 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. Resident Rights Deficiencies · Tag F0585 | D Potential harm, isolated | Corrected April 5, 2024 |
| March 7, 2024 Complaint | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0698 | D Potential harm, isolated | Corrected April 5, 2024 |
| March 7, 2024 Complaint | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. Nursing and Physician Services Deficiencies · Tag F0711 | D Potential harm, isolated | Corrected April 5, 2024 |
| March 7, 2024 Complaint | Provide medically-related social services to help each resident achieve the highest possible quality of life. Quality of Life and Care Deficiencies · Tag F0745 | D Potential harm, isolated | Corrected April 5, 2024 |
| March 7, 2024 Complaint | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Tag F0757 | D Potential harm, isolated | Corrected April 5, 2024 |
| March 7, 2024 Complaint | 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. Pharmacy Service Deficiencies · Tag F0758 | D Potential harm, isolated | Corrected April 5, 2024 |
| March 7, 2024 Complaint | Provide or get specialized rehabilitative services as required for a resident. Quality of Life and Care Deficiencies · Tag F0825 | D Potential harm, isolated | Corrected April 5, 2024 |
| March 7, 2024 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected April 5, 2024 |
| March 7, 2024 Complaint | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Tag F0881 | D Potential harm, isolated | Corrected April 5, 2024 |
| March 7, 2024 Complaint | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected April 5, 2024 |
| March 7, 2024 Complaint | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected April 5, 2024 |
| March 7, 2024 Complaint | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | D Potential harm, isolated | Corrected April 5, 2024 |
| March 7, 2024 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected April 5, 2024 |
| January 17, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | J Immediate jeopardy, isolated | Corrected April 5, 2024 |
| January 17, 2024 Complaint | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0697 | G Actual harm, isolated | Corrected February 9, 2024 |
| January 17, 2024 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | G Actual harm, isolated | Corrected April 5, 2024 |
| January 17, 2024 Complaint | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | G Actual harm, isolated | Corrected April 5, 2024 |
| January 17, 2024 Complaint | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0943 | E Potential harm, pattern | Corrected February 9, 2024 |
| January 17, 2024 Complaint | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Nursing and Physician Services Deficiencies · Tag F0947 | E Potential harm, pattern | Corrected February 9, 2024 |
| January 17, 2024 Complaint | 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. Resident Rights Deficiencies · Tag F0585 | E Potential harm, pattern | Corrected April 5, 2024 |
| January 17, 2024 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected February 9, 2024 |
| January 17, 2024 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected February 9, 2024 |
| January 17, 2024 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected April 5, 2024 |
| November 1, 2023 Complaint | 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. Resident Rights Deficiencies · Tag F0584 | F Potential harm, widespread | Corrected December 1, 2023 |
| November 1, 2023 Complaint | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. Nutrition and Dietary Deficiencies · Tag F0809 | F Potential harm, widespread | Corrected December 1, 2023 |
| November 1, 2023 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected December 1, 2023 |
| November 1, 2023 Complaint | 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. Resident Rights Deficiencies · Tag F0585 | E Potential harm, pattern | Corrected December 1, 2023 |
| November 1, 2023 Complaint | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. Nutrition and Dietary Deficiencies · Tag F0807 | E Potential harm, pattern | Corrected December 1, 2023 |
| November 1, 2023 Complaint | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | E Potential harm, pattern | Corrected December 1, 2023 |
| November 1, 2023 Complaint | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Nutrition and Dietary Deficiencies · Tag F0803 | E Potential harm, pattern | Corrected December 1, 2023 |
| November 1, 2023 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | E Potential harm, pattern | Corrected December 1, 2023 |
| November 1, 2023 Complaint | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | E Potential harm, pattern | Corrected December 1, 2023 |
| November 1, 2023 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | E Potential harm, pattern | Corrected December 1, 2023 |
| November 1, 2023 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | E Potential harm, pattern | Corrected December 1, 2023 |
| November 1, 2023 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | E Potential harm, pattern | Corrected December 1, 2023 |
| November 1, 2023 Complaint | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | D Potential harm, isolated | Corrected December 1, 2023 |
| November 1, 2023 Complaint | Give the resident's representative the ability to exercise the resident's rights. Resident Rights Deficiencies · Tag F0551 | D Potential harm, isolated | Corrected December 1, 2023 |
| November 1, 2023 Complaint | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Tag F0554 | D Potential harm, isolated | Corrected December 1, 2023 |
| November 1, 2023 Complaint | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | D Potential harm, isolated | Corrected December 1, 2023 |
| November 1, 2023 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected December 1, 2023 |
| November 1, 2023 Complaint | 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. Resident Rights Deficiencies · Tag F0625 | D Potential harm, isolated | Corrected December 1, 2023 |
| November 1, 2023 Complaint | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected December 1, 2023 |
Showing the 150 most recent of 190 citations.
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 7 federal penalties in the past three years, including $305,374 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| January 7, 2025 | Payment Denial | 1 days from February 6, 2025 |
| January 7, 2025 | Fine | $79,372 |
| July 1, 2024 | Payment Denial | 117 days from August 10, 2024 |
| July 1, 2024 | Fine | $167,635 |
| January 17, 2024 | Payment Denial | 49 days from February 16, 2024 |
| January 17, 2024 | Fine | $41,266 |
| January 17, 2024 | Fine | $17,101 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| JEIDEL, JACOB Individual | 5% or greater direct ownership interest | 60% | 01/01/2023 |
| SHKOP, BENJAMIN Individual | 5% or greater direct ownership interest | 20% | 01/01/2023 |
| JEIDEL, JACOB Individual | corporate officer | NOT APPLICABLE | 01/01/2023 |
| KLEKAMP, STEVE Individual | w-2 managing employee | NOT APPLICABLE | 01/01/2023 |
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Frequently asked questions
What is Bradley Estates Nursing and Rehab LLC's rating?
Bradley Estates Nursing and Rehab LLC has 1 out of 5 stars on the CMS overall star rating. The average for Wisconsin nursing homes is 3 stars.
How many inspection citations did Bradley Estates Nursing and Rehab LLC receive?
Its most recent standard health inspection found 20 citations, compared with a Wisconsin average of 9.5. Every citation is listed on this page with its severity.
Does Bradley Estates Nursing and Rehab LLC accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Bradley Estates Nursing and Rehab LLC?
It is for profit - corporation and part of Shlomo Hoffman. The ownership section on this page lists the owners and managers reported to CMS.
Where is Bradley Estates Nursing and Rehab LLC and how do I contact it?
Bradley Estates Nursing and Rehab LLC is at 6735 W Bradley Rd, Milwaukee, WI 53223. Phone: (414) 354-3300.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.