Wisconsin › Milwaukee County › Saint Francis
St Francis Health Services
1915 E Tripoli Ave, Saint Francis, WI 53235
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.
St Francis Health Services, in Saint Francis, Wisconsin, is certified for 34 beds under for-profit, corporation ownership and belongs to the North Shore Healthcare chain.
CMS gives it 3 of 5 stars overall, equal to the Wisconsin median; the health inspection rating is 3, staffing 3 and quality measures 3.
Inspectors recorded 15 health deficiencies across the three most recent survey cycles (8, 6, 1 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 44.1 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 3.3 hours per resident per day (0.4 RN), close to the Wisconsin median of 4.0; nursing staff turnover is 28.6%.
Compared with county, state and nation
| Measure | This facility | Milwaukee Co. median | Wisconsin median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 15 | 38 | 21 | 28.7 |
| Citations per 100 beds | 44.1 | 44.1 | 31.8 | 26.8 |
| Total nurse hours per resident day | 3.3 | 4.0 | 4.0 | 3.9 |
| RN hours per resident day | 0.4 | 0.7 | 0.9 | 0.7 |
| Nursing staff turnover | 28.6% | 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: 18 Feb 2026, 10 Apr 2025.
Severity mix: G ×1 D ×9 E ×3 F ×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)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 18 Feb 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard survey | 20 Mar 2026 |
| 18 Feb 2026 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Standard survey | 20 Mar 2026 |
| 18 Feb 2026 | F0761 | Ensure 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. | E | Standard survey | 20 Mar 2026 |
| 18 Feb 2026 | F0637 | Assess the resident when there is a significant change in condition | D | Standard survey | 20 Mar 2026 |
| 18 Feb 2026 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Standard survey | 20 Mar 2026 |
| 18 Feb 2026 | F0685 | Assist a resident in gaining access to vision and hearing services. | D | Standard survey | 20 Mar 2026 |
| 18 Feb 2026 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 20 Mar 2026 |
| 18 Feb 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 20 Mar 2026 |
| 1 Jul 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 17 Jul 2025 |
| 10 Apr 2025 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 9 May 2025 |
| 10 Apr 2025 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | Standard survey | 9 May 2025 |
| 10 Apr 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 9 May 2025 |
| 10 Apr 2025 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Standard survey | 9 May 2025 |
| 10 Apr 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 9 May 2025 |
| 1 Feb 2024 | 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 Feb 2024 |
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 28.6%, RNs —; 0 administrators 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 | 38.3% | 15.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 1.5% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.1% | 2.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.0% | 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 | 27.1% | 16.8% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.2% | 4.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 14.0% | 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: Nsh South Shore Llc. Chain: North Shore Healthcare (59 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Nshc Wisconsin LLC | 5% or greater direct ownership interest | 100% | 04/04/2017 |
| Cibc Bank USA | 5% or greater mortgage interest | NOT APPLICABLE | 01/01/2025 |
| Cibc Bank USA | 5% or greater security interest | NOT APPLICABLE | 01/01/2025 |
| Cibc Bank USA | Operational/managerial control | NOT APPLICABLE | 12/31/2024 |
| Cliftonlarsonallen LLP | Operational/managerial control | NOT APPLICABLE | 12/31/2024 |
| Continuum Therapy Partners LLC | Operational/managerial control | NOT APPLICABLE | 03/01/2025 |
| North Shore Healthcare LLC | Operational/managerial control | NOT APPLICABLE | 04/04/2017 |
| Nsh Rehab LLC | Operational/managerial control | NOT APPLICABLE | 03/01/2025 |
| Wipfli LLP | Operational/managerial control | NOT APPLICABLE | 02/01/2025 |
| Cliftonlarsonallen LLP | Adp of the snf | NOT APPLICABLE | 12/31/2024 |
| Continuum Therapy Partners LLC | Adp of the snf | NOT APPLICABLE | 04/14/2025 |
| North Shore Healthcare LLC | Adp of the snf | NOT APPLICABLE | 04/14/2025 |
| Nsh 1915 East Tripoli Avenue LLC | Adp of the snf | NOT APPLICABLE | 01/01/2025 |
| Nsh Rehab LLC | Adp of the snf | NOT APPLICABLE | 06/13/2025 |
| Wipfli LLP | Adp of the snf | NOT APPLICABLE | 02/01/2025 |
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 |
| Saint Johns On the Lake | Milwaukee | 27 | 4 | 3 | 5 | 14 | 51.9 | — | 1 Apr 2026 |
| 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 |
All 32 facilities in Milwaukee County
Questions and answers
How many deficiencies has St Francis Health Services been cited for?
15 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 St Francis Health Services been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at St Francis Health Services compare?
Reported total nurse staffing is 3.3 hours per resident per day against a Wisconsin median of 4.0 and a national average of 3.9.
Who operates St Francis Health Services?
It is part of the North Shore Healthcare chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Nshc Wisconsin LLC, Cibc Bank USA and Cliftonlarsonallen LLP. Individual owners and managers are not listed on this site.
When was St Francis Health Services last inspected?
The most recent survey or investigation in the CMS record is dated 18 Feb 2026; the most recent standard health survey was 18 Feb 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.