Elder Care Record

Wisconsin › Milwaukee County › Milwaukee

St. Anne'S Salvatorian Campus

3800 N 92nd St, Milwaukee, WI 53222

CCN 525524 · For-profit, corporation · 50 certified beds · chain Illuminus

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

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.

Certified for 50 beds, St. Anne'S Salvatorian Campus serves Milwaukee in Milwaukee County, Wisconsin and has taken Medicare and Medicaid residents since 1994.

CMS gives it 1 of 5 stars overall, below the Wisconsin median of 3; the health inspection rating is 1, staffing 4 and quality measures 2.

Inspectors recorded 67 health deficiencies across the three most recent survey cycles (11, 26, 30 by cycle, most recent first), 8 of them at the actual-harm or immediate-jeopardy level. That is 134.0 per 100 beds, more than the state median of 31.8.

CMS lists 6 penalties in the period covered: fines totalling $343K and 3 payment denials.

Reported nurse staffing is 4.0 hours per resident per day (1.2 RN), close to the Wisconsin median of 4.0; nursing staff turnover is 45.8%.

67health deficiencies, 3 survey cycles8 at actual harm or worse
$343Kfines listed by CMS6 penalties in period
4.0nurse hours per resident per daystate median 4.0
68%occupancy (residents ÷ beds)34 residents a day

Compared with county, state and nation

MeasureThis facilityMilwaukee Co. medianWisconsin medianUS average
Overall star rating1233.0
Health citations, 3 cycles67382128.7
Citations per 100 beds134.044.131.826.8
Total nurse hours per resident day4.04.04.03.9
RN hours per resident day1.20.70.90.7
Nursing staff turnover45.8%52.4%46.2%45.8%
Fines listed$343,488$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

Cycle 1 (latest)11
Cycle 226
Cycle 330

Dark bar: this facility. Grey bar: Wisconsin average per facility for the same cycle, as published by CMS. Standard health survey dates: 26 Mar 2026, 14 Nov 2024.

Severity mix: J ×3 G ×5 D ×37 E ×11 F ×9 B ×2

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)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
26 Mar 2026F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GStandard survey13 May 2026
26 Mar 2026F0880Provide and implement an infection prevention and control program.FStandard survey20 Apr 2026
26 Mar 2026F0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.FStandard survey20 Apr 2026
26 Mar 2026F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.EStandard survey20 Apr 2026
26 Mar 2026F0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.DStandard survey13 May 2026
26 Mar 2026F0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.DStandard survey20 Apr 2026
26 Mar 2026F0645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard survey20 Apr 2026
26 Mar 2026F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey20 Apr 2026
26 Mar 2026F0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.DStandard survey20 Apr 2026
7 Jan 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation2 Mar 2026
7 Jan 2026F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DComplaint investigation2 Feb 2026
13 Jun 2025F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation11 Jul 2025
13 Jun 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation11 Jul 2025
13 Jun 2025F0880Provide and implement an infection prevention and control program.DComplaint investigation11 Jul 2025
5 Mar 2025F0760Ensure that residents are free from significant medication errors.GComplaint investigation15 Apr 2025
14 Nov 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GComplaint investigation15 Apr 2025
14 Nov 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GStandard survey15 Apr 2025
14 Nov 2024F0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.FStandard survey19 Dec 2024
14 Nov 2024F0880Provide and implement an infection prevention and control program.FStandard survey15 Apr 2025
14 Nov 2024F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.EStandard survey19 Dec 2024
14 Nov 2024F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint investigation19 Dec 2024
14 Nov 2024F0554Allow residents to self-administer drugs if determined clinically appropriate.DStandard survey19 Dec 2024
14 Nov 2024F0558Reasonably accommodate the needs and preferences of each resident.DStandard survey19 Dec 2024
14 Nov 2024F0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.DStandard survey19 Dec 2024
14 Nov 2024F0583Keep residents' personal and medical records private and confidential.DStandard survey19 Dec 2024
14 Nov 2024F0645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard survey19 Dec 2024
14 Nov 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey15 Apr 2025
14 Nov 2024F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint investigation19 Dec 2024
14 Nov 2024F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard survey19 Dec 2024
14 Nov 2024F0700Try 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.DStandard survey19 Dec 2024
14 Nov 2024F0745Provide medically-related social services to help each resident achieve the highest possible quality of life.DStandard survey19 Dec 2024
14 Nov 2024F0759Ensure medication error rates are not 5 percent or greater.DStandard survey19 Dec 2024
14 Nov 2024F0761Ensure 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.DStandard survey19 Dec 2024
14 Nov 2024F0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.DStandard survey19 Dec 2024
14 Nov 2024F0881Implement a program that monitors antibiotic use.DStandard survey19 Dec 2024
7 Aug 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation24 Aug 2024
7 Aug 2024F0610Respond appropriately to all alleged violations.DComplaint investigation24 Aug 2024
17 Aug 2023F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JComplaint investigation13 Sep 2023
17 Aug 2023F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.JComplaint investigation13 Sep 2023
17 Aug 2023F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.JComplaint investigation13 Sep 2023
17 Aug 2023F0584Honor 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.FComplaint investigation13 Sep 2023
17 Aug 2023F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FComplaint investigation13 Sep 2023
17 Aug 2023F0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.FStandard survey13 Sep 2023
17 Aug 2023F0880Provide and implement an infection prevention and control program.FStandard survey13 Sep 2023
17 Aug 2023F0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.FStandard survey13 Sep 2023
17 Aug 2023F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedEStandard survey13 Sep 2023
17 Aug 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard survey13 Sep 2023
17 Aug 2023F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint investigation13 Sep 2023
17 Aug 2023F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint investigation13 Sep 2023
17 Aug 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EComplaint investigation13 Sep 2023
17 Aug 2023F0761Ensure 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.EStandard survey13 Sep 2023
17 Aug 2023F0941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.EStandard survey13 Sep 2023
17 Aug 2023F0949Provide behavior health training consistent with the requirements and as determined by a facility assessment.EStandard survey13 Sep 2023
17 Aug 2023F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation13 Sep 2023
17 Aug 2023F0610Respond appropriately to all alleged violations.DComplaint investigation13 Sep 2023
17 Aug 2023F0687Provide appropriate foot care.DStandard survey13 Sep 2023
17 Aug 2023F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey13 Sep 2023
17 Aug 2023F0700Try 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.DStandard survey13 Sep 2023
17 Aug 2023F0745Provide medically-related social services to help each resident achieve the highest possible quality of life.DComplaint investigation13 Sep 2023
17 Aug 2023F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard survey13 Sep 2023
17 Aug 2023F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard survey13 Sep 2023
17 Aug 2023F0758Implement 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.DStandard survey13 Sep 2023
17 Aug 2023F0759Ensure medication error rates are not 5 percent or greater.DComplaint investigation13 Sep 2023
17 Aug 2023F0773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.DComplaint investigation13 Sep 2023
17 Aug 2023F0909Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.DStandard survey13 Sep 2023
17 Aug 2023F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.BStandard survey13 Sep 2023
17 Aug 2023F0625Notify 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.BStandard survey13 Sep 2023

Penalties

DateTypeAmountDetail
26 Mar 2026Payment denial—21 days
26 Mar 2026Fine$119,850
7 Jan 2026Payment denial—23 days
7 Jan 2026Fine$19,115
14 Nov 2024Payment denial—112 days
14 Nov 2024Fine$204,523

Staffing

Total nursing4.02 h
Nurse aides2.54 h
LPN0.28 h
RN1.2 h
Weekend total3.69 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Wisconsin average. Turnover: nursing staff 45.8%, RNs 38.5%; 2 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityWisconsin medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay10.8%15.4%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay4.1%1.5%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay3.8%2.3%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay6.5%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay2.6%0.9%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay8.5%16.8%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay4.7%4.4%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay9.2%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: for-profit, corporation. Legal business name: St Annes Home For The Elderly Milwaukee Inc. Chain: Illuminus (5 facilities).

OrganisationRole in the CMS recordInterestSince
Marquardt Village Inc5% or greater direct ownership interest100%01/04/2022
Illuminus IncOperational/managerial controlNOT APPLICABLE01/04/2022
Marquardt Village IncOperational/managerial controlNOT APPLICABLE01/04/2022
Illuminus IncAdp of the snfNOT APPLICABLE04/24/2025

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

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Eastcastle Pl Bradford Ter Conv CtrMilwaukee405351640.0$90K18 Feb 2026
Lutheran HomeWauwatosa1604352012.5—10 Jun 2025
Milwaukee Catholic HomeMilwaukee1074511312.1—20 May 2026
Milwaukee Health and RehabMilwaukee954422122.1—8 Dec 2025
Saint Johns On the LakeMilwaukee274351451.9—1 Apr 2026
St Ann Health and Rehabilitation CenterMilwaukee504422142.0—5 Mar 2026
Aria At Mitchell ManorWest Allis503332346.0$16K1 Jul 2026
Complete Care At Glendale WestGlendale943233840.4$11K12 Nov 2025

All 32 facilities in Milwaukee County

Questions and answers

How many deficiencies has St. Anne'S Salvatorian Campus been cited for?

67 health deficiencies across the three most recent survey cycles, 8 at the actual-harm or immediate-jeopardy level. The Wisconsin median is 21 per facility.

Has St. Anne'S Salvatorian Campus been fined?

Yes. CMS lists fines totalling $343K in the period covered, plus 3 payment denials.

How does staffing at St. Anne'S Salvatorian Campus compare?

Reported total nurse staffing is 4.0 hours per resident per day against a Wisconsin median of 4.0 and a national average of 3.9.

Who operates St. Anne'S Salvatorian Campus?

It is part of the Illuminus chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Marquardt Village Inc, Illuminus Inc and Marquardt Village Inc. Individual owners and managers are not listed on this site.

When was St. Anne'S Salvatorian Campus last inspected?

The most recent survey or investigation in the CMS record is dated 26 Mar 2026; the most recent standard health survey was 26 Mar 2026.

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.