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Saint Johns On the Lake
1858 N Prospect Ave, Milwaukee, WI 53202
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Saint Johns On the Lake, in Milwaukee, Wisconsin, is certified for 27 beds under non-profit, church related ownership.
CMS gives it 4 of 5 stars overall, above the Wisconsin median of 3; the health inspection rating is 3, staffing 5 and quality measures 3.
Inspectors recorded 14 health deficiencies across the three most recent survey cycles (7, 1, 6 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 51.9 per 100 beds, more than the state median of 31.8.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 5.3 hours per resident per day (1.5 RN), above the Wisconsin median of 4.0; nursing staff turnover is 38.7%.
Compared with county, state and nation
| Measure | This facility | Milwaukee Co. median | Wisconsin median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 14 | 38 | 21 | 28.7 |
| Citations per 100 beds | 51.9 | 44.1 | 31.8 | 26.8 |
| Total nurse hours per resident day | 5.3 | 4.0 | 4.0 | 3.9 |
| RN hours per resident day | 1.5 | 0.7 | 0.9 | 0.7 |
| Nursing staff turnover | 38.7% | 52.4% | 46.2% | 45.8% |
| Fines listed | $0 | $65,881 | $0 | — |
County and state figures are medians across facilities (32 in the county, 323 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Wisconsin average per facility for the same cycle, as published by CMS. Standard health survey dates: 3 Jun 2025, 24 Apr 2024.
Severity mix: G ×1 D ×8 E ×1 F ×4
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 1 Apr 2026 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 30 Apr 2026 |
| 3 Jun 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 29 Aug 2025 |
| 3 Jun 2025 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 29 Aug 2025 |
| 3 Jun 2025 | F0908 | Keep all essential equipment working safely. | F | Standard survey | 29 Aug 2025 |
| 3 Jun 2025 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Standard survey | 7 Jul 2025 |
| 3 Jun 2025 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 7 Jul 2025 |
| 3 Jun 2025 | F0881 | Implement a program that monitors antibiotic use. | D | Standard survey | 3 Jul 2025 |
| 24 Apr 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 24 May 2024 |
| 21 Feb 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard survey | 17 Apr 2023 |
| 21 Feb 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 27 Mar 2023 |
| 21 Feb 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 27 Mar 2023 |
| 21 Feb 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 27 Mar 2023 |
| 21 Feb 2023 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 27 Mar 2023 |
| 21 Feb 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 27 Mar 2023 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Wisconsin average. Turnover: nursing staff 38.7%, RNs 14.3%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | Wisconsin median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 14.0% | 15.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 12.0% | 1.5% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.4% | 2.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 6.8% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 15.2% | 16.8% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 6.4% | 4.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 4.9% | 14.4% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: non-profit, church related. Legal business name: Saint John'S Communities, Inc..
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Saint John'S Communities, Inc. | Direct ownership interest | NOT APPLICABLE | 07/01/1994 |
| Us Bank National Association | 5% or greater mortgage interest | NOT APPLICABLE | 12/09/2015 |
| Saint John'S Communities, Inc. | Operational/managerial control | NOT APPLICABLE | 07/01/1994 |
| The Medical College of Wisconsin Inc | Operational/managerial control | NOT APPLICABLE | 10/01/2024 |
| Behavioral Solutions Inc | Adp of the snf | NOT APPLICABLE | 10/01/2024 |
| Brighton Hospice Wisconsin LLC | Adp of the snf | NOT APPLICABLE | 08/07/2023 |
| Community Foot and Ankle Clinic Inc | Adp of the snf | NOT APPLICABLE | 02/26/2019 |
| Dietitians On Demand Corporate Solutions, LLC | Adp of the snf | NOT APPLICABLE | 01/31/2022 |
| Guardian Pharmacy of Madison, LLC | Adp of the snf | NOT APPLICABLE | 08/01/2023 |
| Hearing Care At Home LLC | Adp of the snf | NOT APPLICABLE | 12/08/2022 |
| Hometown Hospice & Homecare Inc | Adp of the snf | NOT APPLICABLE | 09/17/2014 |
| Integrated Therapy Managment Partners, LLC | Adp of the snf | NOT APPLICABLE | 02/01/2024 |
| Kare Technologies LLC | Adp of the snf | NOT APPLICABLE | 01/01/2023 |
| Legacy Hospice Cares LLC | Adp of the snf | NOT APPLICABLE | 04/13/2022 |
| Madison Medical Affiliates Inc | Adp of the snf | NOT APPLICABLE | 12/05/2013 |
| Preferred Dentistry Associates, LLC | Adp of the snf | NOT APPLICABLE | 07/01/2024 |
| Saint John'S Communities, Inc. | Adp of the snf | NOT APPLICABLE | 07/01/1994 |
| The Medical College of Wisconsin Inc | Adp of the snf | NOT APPLICABLE | 06/23/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Milwaukee County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Eastcastle Pl Bradford Ter Conv Ctr | Milwaukee | 40 | 5 | 3 | 5 | 16 | 40.0 | $90K | 18 Feb 2026 |
| Lutheran Home | Wauwatosa | 160 | 4 | 3 | 5 | 20 | 12.5 | — | 10 Jun 2025 |
| Milwaukee Catholic Home | Milwaukee | 107 | 4 | 5 | 1 | 13 | 12.1 | — | 20 May 2026 |
| Milwaukee Health and Rehab | Milwaukee | 95 | 4 | 4 | 2 | 21 | 22.1 | — | 8 Dec 2025 |
| St Ann Health and Rehabilitation Center | Milwaukee | 50 | 4 | 4 | 2 | 21 | 42.0 | — | 5 Mar 2026 |
| Aria At Mitchell Manor | West Allis | 50 | 3 | 3 | 3 | 23 | 46.0 | $16K | 1 Jul 2026 |
| Complete Care At Glendale West | Glendale | 94 | 3 | 2 | 3 | 38 | 40.4 | $11K | 12 Nov 2025 |
| Complete Care At Hales Corners | Hales Corners | 62 | 3 | 3 | 3 | 17 | 27.4 | $18K | 19 Feb 2026 |
All 32 facilities in Milwaukee County
Questions and answers
How many deficiencies has Saint Johns On the Lake been cited for?
14 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Wisconsin median is 21 per facility.
Has Saint Johns On the Lake been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Saint Johns On the Lake compare?
Reported total nurse staffing is 5.3 hours per resident per day against a Wisconsin median of 4.0 and a national average of 3.9.
Who operates Saint Johns On the Lake?
Ownership type is non-profit, church related. Organisations in the CMS ownership record include Saint John'S Communities, Inc., Saint John'S Communities, Inc. and The Medical College of Wisconsin Inc. Individual owners and managers are not listed on this site.
When was Saint Johns On the Lake last inspected?
The most recent survey or investigation in the CMS record is dated 1 Apr 2026; the most recent standard health survey was 3 Jun 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.