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CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Edenbrook Lakeside is a 145-bed skilled nursing facility in Milwaukee, Wisconsin, offering post-acute rehabilitation, memory care, and long-term care. The community is privately owned and operated by Sandra Reynolds. It accepts Medicare, Medicaid, and private pay, with Medicaid comprising the majority of admissions.
CMS rates the facility 2 out of 5 stars overall, driven largely by Health Inspection performance 27.8% below the Wisconsin average. Staffing is the other significant drag: total nurse staffing averages 3 hours and 1 minute per resident per day, roughly 29% below the state average, ranking the facility 162nd of 172 Wisconsin SNFs.
Physical therapy is a notable exception — PT staffing averages 10 minutes per resident per day, 150% above the state average, a figure that reflects the facility’s post-acute rehabilitation emphasis. Quality Measures score above the state average by 21.6%.
Rehabilitation services and short-term rehab are available on-site. The average length of stay is 74 days, consistent with a census oriented toward post-acute recovery rather than extended long-term residency. The facility’s occupancy rate is 71%, in line with the Wisconsin average of 70%.
Edenbrook Lakeside is best suited for residents seeking post-acute rehabilitation stays and Medicaid-funded long-term care in Milwaukee County, with physical therapy capacity for residents recovering from surgery, illness, or injury.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 162nd out of 172 homes in Wisconsin for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 1h 2m per day | ▲ 6% State avg: 58m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 25m per day | ▼ 33% State avg: 38m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 0m per day | ▼ 23% State avg: 2h 35m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 2h 54m per day | ▼ 22% State avg: 3h 43m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 6m per day | ▲ 52% State avg: 4m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 39m per day | ▼ 4% State avg: 40m per day · National avg: 28m per day |
Similar to the Wisconsin average: 70%Edenbrook Lakeside is administrated by Glenn Carvino.
Wisconsin average 6
Last Health inspection on Feb 2025
Wisconsin average 27.3
Wisconsin average 4.19
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
16 of 31 citations resulted from standard inspections; 9 of 31 resulted from complaint investigations; and 6 of 31 came from combined inspections (standard and complaint).
122% worse than Wisconsin averageWisconsin average: 0.9
17% better than Wisconsin averageWisconsin average: 1.2
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
42% fewer staff per resident than Wisconsin average
0% compared with Wisconsin average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
16 total: 15 full-time employees and 1 contractor.
16
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hoursAssists with medical care and medications.
13 total: 12 full-time employees and 1 contractor.
13
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hoursHelps with daily care and mobility.
All 49 CNA Staff are full-time employees. No contractors work on this role.
49
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
2,618 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 49 | 0 | 49 | 14,973 | 92 | 100% | 7.3 |
| Registered Nurse | 15 | 1 | 16 | 5,995 | 92 | 100% | 7.8 |
| Licensed Practical Nurse | 12 | 1 | 13 | 3,486 | 92 | 100% | 7.7 |
| Clinical Nurse Specialist | 5 | 0 | 5 | 2,040 | 64 | 70% | 8 |
| Qualified Activities Professional | 8 | 0 | 8 | 1,965 | 92 | 100% | 8.8 |
| Medication Aide/Technician | 3 | 0 | 3 | 1,511 | 87 | 95% | 9.7 |
| Administrator | 3 | 0 | 3 | 1,112 | 64 | 70% | 8 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 837 | 68 | 74% | 6.7 |
| Dental Services Staff | 2 | 0 | 2 | 552 | 62 | 67% | 7.5 |
| Mental Health Service Worker | 1 | 0 | 1 | 492 | 62 | 67% | 7.9 |
| Nurse Practitioner | 1 | 0 | 1 | 464 | 58 | 63% | 8 |
| Qualified Social Worker | 0 | 3 | 3 | 452 | 66 | 72% | 6.7 |
| Other Dietary Services Staff | 1 | 0 | 1 | 436 | 61 | 66% | 7.2 |
| Dietitian | 2 | 0 | 2 | 385 | 53 | 58% | 7.3 |
| Speech Language Pathologist | 0 | 2 | 2 | 377 | 60 | 65% | 6.1 |
| Physical Therapy Aide | 0 | 2 | 2 | 275 | 46 | 50% | 5.9 |
| Medical Director | 0 | 1 | 1 | 72 | 9 | 10% | 8 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 32 | 9 | 10% | 3.5 |
| Physical Therapy Assistant | 0 | 2 | 2 | 26 | 6 | 7% | 4.4 |
| Feeding Assistant | 0 | 1 | 1 | 4 | 6 | 7% | 0.7 |
Includes penalties issued in 2023-2024
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
45% higher than Wisconsin averageWisconsin average: $95K
In line with Wisconsin averageWisconsin average: 2.1
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
51% more payment denials than Wisconsin averageWisconsin average: 0.7
Penalties are imposed by CMS for violations of federal nursing home regulations.
3 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 10, 2024
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Jan 10, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Dec 6, 2023Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.2
41% better than Wisconsin averageWisconsin average: 10.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
14.2
36% better than Wisconsin averageWisconsin average: 22.1
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
8.8%
50% better than Wisconsin averageWisconsin average: 17.6%
Percent of long-stay residents whose ability to move independently worsened
8.7%
62% better than Wisconsin averageWisconsin average: 22.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
25.0%
In line with Wisconsin averageWisconsin average: 26.0%
Percent of long-stay residents experiencing one or more falls with major injury
1.0%
69% better than Wisconsin averageWisconsin average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
6.0%
10% worse than Wisconsin averageWisconsin average: 5.4%
Percent of long-stay residents with a urinary tract infection
1.0%
69% better than Wisconsin averageWisconsin average: 3.2%
Percent of long-stay residents who lose too much weight
6.5%
33% worse than Wisconsin averageWisconsin average: 4.9%
Percent of long-stay residents who have depressive symptoms
2.8%
45% better than Wisconsin averageWisconsin average: 5.0%
Percent of long-stay residents who received an antipsychotic medication
10.3%
36% better than Wisconsin averageWisconsin average: 16.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
83.4%
13% worse than Wisconsin averageWisconsin average: 95.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
81.0%
15% worse than Wisconsin averageWisconsin average: 95.0%
Number of hospitalizations per 1,000 long-stay resident days.
1.23
24% better than Wisconsin averageWisconsin average: 1.61
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.50
32% better than Wisconsin averageWisconsin average: 2.19
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
35.5%
59% worse than Wisconsin averageWisconsin average: 87.3%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Wisconsin averageWisconsin average: 1.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
40.0%
51% worse than Wisconsin averageWisconsin average: 82.2%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
28.2%
24% worse than Wisconsin averageWisconsin average: 22.7%
Percentage of short-stay residents who had an outpatient emergency department visit.
10.4%
31% better than Wisconsin averageWisconsin average: 15.0%
Percentage of SNF residents who experience falls with major injury during their stay.
2.6%
232% worse than Wisconsin averageWisconsin average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
43.5%
19% worse than Wisconsin averageWisconsin average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
34.6%
32% worse than Wisconsin averageWisconsin average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
13% of new residents, usually for short-term rehab.
33% of new residents, often for short stays.
54% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
83Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Edenbrook Lakeside based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #40 / 177Payroll — State benchmarkedThis home is ranked 40th out of 177 homes in Wisconsin for payroll. Shows total annual staff payroll benchmarked to the Wisconsin average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents stay for extended periods and receive ongoing daily care.
0.6 miles from city center
Estimated distance in miles from Milwaukee's city center to Edenbrook Lakeside's address, calculated via Google Maps.
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Edenbrook Lakeside is located in MILWAUKEE, Wisconsin.
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The information below is reported by the Wisconsin Department of Health Services, Division of Quality Assurance.
| Edenbrook Lakeside |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Milwaukee (Yankee Hill) | - | 145
Facility
145
WI AVG
61
Rank
#16 / 496 | - |
87
Facility
87
WI AVG
42
Rank
#13 / 580 | - |
| Milwaukee Catholic Home |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Milwaukee (Northpoint) | $1,140 - $5,570 | 107
Facility
107
WI AVG
61
Rank
#55 / 496 | A+ |
83
Facility
83
WI AVG
42
Rank
#36 / 580 | - |
| St. Ann Health and Rehabilitation Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Milwaukee (Muskego Way) | - | 50
Facility
50
WI AVG
61
Rank
#235 / 496 | A- |
84
Facility
84
WI AVG
42
Rank
#31 / 580 | - |
| Eastcastle Place |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Milwaukee (Murray Hill) | $5,134 - $7,789 | 18
Facility
18
WI AVG
61
Rank
#468 / 496 | - |
92
Facility
92
WI AVG
42
Rank
#6 / 580 | - |
| Saint Johns on the Lake Central Tower |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Milwaukee | - | 110
Facility
110
WI AVG
61
Rank
#46 / 496 | - |
87
Facility
87
WI AVG
42
Rank
#13 / 580 | - |
Edenbrook Lakeside is in the Yankee Hill neighborhood of MILWAUKEE.
The legal owner and operator of Edenbrook Lakeside is Lake Terrace Nursing And Rehabilitation Llc.
Edenbrook Lakeside has a walk score of 87. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
Edenbrook Lakeside's occupancy is 71%.
Edenbrook Lakeside is registered as a for-profit in WI.
Glenn Carvino is the administrator of Edenbrook Lakeside.
Edenbrook Lakeside has 145 beds.
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