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Assisted living

Complete Care at Southpointe

0.00 reviews · 0 verifiedGreenfield, WILic. 525604
Signals
JKLRecent citation with immediate-jeopardy / high severity (J/K/L)Source: CMS Health Citations
FINECMS fine: $89,823Source: CMS Penalties
VBP-SLow SNF VBP readmission measure score (3.1)Source: CMS SNF VBP (PDC)
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About

Complete Care at Southpointe offers a tailored experience for residents, focusing on comfort, enrichment, and engagement. The facility is recognized for its excellence in care, creating an environment where residents can enjoy a fulfilling and satisfying experience.

Amenities
TherapiesOn-Site Rehabilitation Services
CMS Care CompareView on Medicare.gov →
Medicare overall
3/5Medicare.gov Care Compare stars are shown for context only. They are never part of the Unbeatable composite score.
Staffing (PBJ)
3.36 total HPRDRN 0.73 · weekend 92%Oct 2025 – Dec 2025
Survey history
6 inspections45 deficiencies on record
Federal IDs
CCN 525604

Overall: 3/5 · Health: 2/5 · Staffing: 3/5 · QM: 5/5

Unbeatable ratings come only from verified family, staff, and professional reviews on this site. CMS stars, staffing, and citations are public regulatory signals — useful for context, not blended into our score.

Recent inspections
Health surveyMar 2026 · CMS7 deficiencies
  • F-602SS DProtect each resident from the wrongful use of the resident's belongings or money.
  • F-607SS EDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
  • F-628SS CProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
  • F-686SS GProvide appropriate pressure ulcer care and prevent new ulcers from developing.
  • F-688SS DProvide 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.
  • F-812SS EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  • F-851SS FElectronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Fire safetyMar 2026 · STATE FIRE MARSHAL12 deficiencies
  • K-293SS EHave properly located and lighted "Exit" signs.
  • K-341SS EInstall a fire alarm system that can be heard throughout the facility.
  • K-351SS FInstall an approved automatic sprinkler system.
  • K-353SS EInspect, test, and maintain automatic sprinkler systems.
  • K-363SS EInstall corridor and hallway doors that block smoke.
  • K-374SS EInstall smoke barrier doors that can resist smoke for at least 20 minutes.
  • K-511SS DHave properly installed electrical wiring and gas equipment.
  • K-712SS FHave simulated fire drills held at unexpected times.
  • K-753SS EHave restrictions on the use of highly flammable decorations.
  • K-918SS FHave generator or other power source capable of supplying service within 10 seconds.
  • K-920SS DEnsure proper usage of power strips and extension cords.
  • K-923SS DHave proper medical gas storage and administration areas.
Health surveyOct 2024 · CMS2 deficiencies
  • F-641SS DEnsure each resident receives an accurate assessment.
  • F-656SS DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Fire safetyOct 2024 · STATE FIRE MARSHAL10 deficiencies
  • E-31SS FProvide emergency officials' contact information.
  • E-41SS FImplement emergency and standby power systems.
  • K-211SS EKeep aisles, corridors, and exits free of obstruction in case of emergency.
  • K-341SS EInstall a fire alarm system that can be heard throughout the facility.
  • K-353SS DInspect, test, and maintain automatic sprinkler systems.
  • K-741SS DHave posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
  • K-908SS EEnsure gas and vacuum systems are inspected and tested as part of a maintenance program.
  • K-914SS DEnsure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
  • K-918SS FHave generator or other power source capable of supplying service within 10 seconds.
  • K-923SS DHave proper medical gas storage and administration areas.
Health surveyAug 2023 · CMS8 deficiencies
  • F-623SS CProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
  • F-686SS JProvide appropriate pressure ulcer care and prevent new ulcers from developing.
  • F-689SS JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-690SS DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  • F-692SS GProvide enough food/fluids to maintain a resident's health.
  • F-757SS DEnsure each resident’s drug regimen must be free from unnecessary drugs.
  • F-812SS EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  • F-880SS FProvide and implement an infection prevention and control program.
Fire safetyAug 2023 · STATE FIRE MARSHAL6 deficiencies
  • K-293SS EHave properly located and lighted "Exit" signs.
  • K-361SS DEnsure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
  • K-541SS EInstall properly constructed and protected linen or trash chutes.
  • K-711SS FProvide a written emergency evacuation plan.
  • K-781SS DHave restrictions on the use of portable space heaters.
  • K-923SS DHave proper medical gas storage and administration areas.
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Ownership

Operated by COMPLETE CARE (privately held) since 1996.

  1. Jun 2022
    operator transition — PC SWI TOPCO LLC
    5% OR GREATER INDIRECT OWNERSHIP INTEREST (NO PERCENTAGE PROVIDED) — PC SWI TOPCO LLC
  2. Jun 2022
    operator transition — SMS 2021 TRUST
    5% OR GREATER INDIRECT OWNERSHIP INTEREST (NO PERCENTAGE PROVIDED) — SMS 2021 TRUST
  3. Jun 2022
    operator transition — PC SWI HOLDCO LLC
    5% OR GREATER DIRECT OWNERSHIP INTEREST (100%) — PC SWI HOLDCO LLC
  4. Jun 2022
    operator transition — STEIN, SHALOM
    INDIRECT OWNERSHIP INTEREST (NOT APPLICABLE) — STEIN, SHALOM
Contact

4500 W. Loomis Rd.
Greenfield, WI 53220

4143255300ccsouthpointe.com
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