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Complete Care at Southpointe

4500 W. Loomis Rd.
Greenfield, WI 53220 · 4143255300 · Milwaukee County

CMS Star Ratings

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Facility Facts

Certified beds174
OwnershipFor profit - Limited Liability company
State rank#124

By the numbers

17
Health citations (3 cycles)
2
Immediate-jeopardy (J/K/L)
2
Actual-harm (G/H/I)
$0
Federal fines (CMPs)
The trend: Citations are trending down — 7 in the most recent cycle versus 8 two cycles ago.

Recent Health Citations

Mar 12, 2026 · Health survey · F-tag 0628
C — Cited
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Mar 12, 2026 · Health survey · F-tag 0688
D — No actual harm
Quality of Life and Care Deficiencies
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.
Mar 12, 2026 · Health survey · F-tag 0602
D — No actual harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
Mar 12, 2026 · Health survey · F-tag 0812
E — No actual harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Mar 12, 2026 · Health survey · F-tag 0607
E — No actual harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Mar 12, 2026 · Health survey · F-tag 0851
F — No actual harm
Administration Deficiencies
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Mar 12, 2026 · Health survey · F-tag 0686
G — Actual harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Details
Correction status: Corrected Apr 5, 2026 — Deficient, Provider has date of correction
Inspection cycle: 1
Survey origin: Standard survey
Oct 17, 2024 · Health survey · F-tag 0656
D — No actual harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Oct 17, 2024 · Health survey · F-tag 0641
D — No actual harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Aug 17, 2023 · Health survey · F-tag 0623
C — Cited
Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Aug 17, 2023 · Health survey · F-tag 0757
D — No actual harm
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Aug 17, 2023 · Health survey · F-tag 0690
D — No actual harm
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Aug 17, 2023 · Health survey · F-tag 0812
E — No actual harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Aug 17, 2023 · Health survey · F-tag 0880
F — No actual harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Aug 17, 2023 · Health survey · F-tag 0692
G — Actual harm
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Details
Correction status: Corrected Sep 13, 2023 — Deficient, Provider has date of correction
Inspection cycle: 3
Survey origin: Complaint investigation
Aug 17, 2023 · Health survey · F-tag 0689
J — Immediate jeopardy
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Details
Correction status: Corrected Sep 13, 2023 — Deficient, Provider has date of correction
Inspection cycle: 3
Survey origin: Complaint investigation
Aug 17, 2023 · Health survey · F-tag 0686
J — Immediate jeopardy
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Details
Correction status: Corrected Sep 13, 2023 — Deficient, Provider has date of correction
Inspection cycle: 3
Survey origin: Complaint investigation

Showing the 17 most recent citations. View the full inspection record on CMS Care Compare →

More facilities in Wisconsin →

How to read this page. Star ratings and citation counts come from the Centers for Medicare & Medicaid Services (CMS) Care Compare August 2026 dataset, covering the three most recent inspection cycles. Scope/severity letters: D–F no actual harm, G–I actual harm, J–L immediate jeopardy to resident health or safety.

Source: CMS Care Compare, August 2026 dataset. Updated quarterly. Figures come from public CMS records; contact info@theskilledreport.com for corrections.