Wisconsin › Fond Du Lac County › Fond Du Lac
St Francis Home
33 Everett St, Fond Du Lac, WI 54935
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 90 beds, St Francis Home serves Fond Du Lac in Fond Du Lac County, Wisconsin and has taken Medicare and Medicaid residents since 1996.
CMS gives it 3 of 5 stars overall, equal to the Wisconsin median; the health inspection rating is 3, staffing 3 and quality measures 4.
Inspectors recorded 26 health deficiencies across the three most recent survey cycles (5, 11, 10 by cycle, most recent first), none at the actual-harm level. That is 28.9 per 100 beds, about the same as the state median of 31.8.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.6 hours per resident per day (0.8 RN), close to the Wisconsin median of 4.0; nursing staff turnover is 54.1%.
Compared with county, state and nation
| Measure | This facility | Fond Du Lac Co. median | Wisconsin median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 26 | 26 | 21 | 28.7 |
| Citations per 100 beds | 28.9 | 34.0 | 31.8 | 26.8 |
| Total nurse hours per resident day | 3.6 | 3.6 | 4.0 | 3.9 |
| RN hours per resident day | 0.8 | 0.8 | 0.9 | 0.7 |
| Nursing staff turnover | 54.1% | 39.5% | 46.2% | 45.8% |
| Fines listed | $0 | $7,446 | $0 | — |
County and state figures are medians across facilities (7 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: 1 Apr 2026, 18 Dec 2024.
Severity mix: D ×19 E ×4 F ×3
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 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 10 Apr 2026 |
| 1 Apr 2026 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Standard survey | 24 Apr 2026 |
| 1 Apr 2026 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 10 Apr 2026 |
| 1 Apr 2026 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 10 Apr 2026 |
| 1 Apr 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 10 Apr 2026 |
| 21 Apr 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 16 May 2025 |
| 18 Dec 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 31 Jan 2025 |
| 18 Dec 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | Standard survey | 31 Jan 2025 |
| 18 Dec 2024 | 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 | 31 Jan 2025 |
| 18 Dec 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 31 Jan 2025 |
| 18 Dec 2024 | F0625 | Notify 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. | D | Standard survey | 31 Jan 2025 |
| 18 Dec 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 18 Jan 2025 |
| 18 Dec 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 31 Jan 2025 |
| 18 Dec 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 31 Jan 2025 |
| 18 Dec 2024 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 31 Jan 2025 |
| 18 Dec 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 31 Jan 2025 |
| 29 Jul 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 29 Aug 2024 |
| 29 Jul 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 29 Aug 2024 |
| 11 Jan 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint investigation | 11 Feb 2024 |
| 9 Nov 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 9 Dec 2023 |
| 9 Nov 2023 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 9 Dec 2023 |
| 13 Sep 2023 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 13 Oct 2023 |
| 13 Sep 2023 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 13 Oct 2023 |
| 13 Sep 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 13 Oct 2023 |
| 13 Sep 2023 | F0758 | Implement 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. | D | Standard survey | 13 Oct 2023 |
| 13 Sep 2023 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 13 Oct 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 54.1%, RNs 66.7%; 2 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 | 11.6% | 15.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 2.0% | 1.5% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 3.7% | 2.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.8% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.5% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 22.7% | 16.8% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.6% | 4.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 11.0% | 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: non-profit, corporation. Legal business name: St Francis Home Of Fond Du Lac Wisconsin Inc. Chain: Ssm Health (2 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Agnesian Healthcare Inc | Operational/managerial control | NOT APPLICABLE | 06/01/1978 |
| Health Dimensions Consulting Inc | Operational/managerial control | NOT APPLICABLE | 04/01/2022 |
| Ssm Health Care Corporation | Operational/managerial control | NOT APPLICABLE | 01/01/2018 |
| Ssm Health Care of Wisconsin Inc | Operational/managerial control | NOT APPLICABLE | 01/01/2018 |
| Health Dimensions Consulting Inc | Adp of the snf | NOT APPLICABLE | 05/21/2025 |
| Ssm Health Care Corporation | Adp of the snf | NOT APPLICABLE | 05/22/2025 |
| Ssm Health Care of Wisconsin Inc | Adp of the snf | NOT APPLICABLE | 05/21/2025 |
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 Fond Du Lac County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Harbor Haven Health & Rehabilitation | Fond Du Lac | 85 | 5 | 5 | 5 | 2 | 2.4 | — | 21 Feb 2024 |
| Edenbrook of Fond Du Lac | Fond Du Lac | 90 | 4 | 4 | 3 | 14 | 15.6 | $9K | 11 Jun 2025 |
| Fond Du Lac Lutheran Home | Fond Du Lac | 85 | 3 | 3 | 2 | 43 | 50.6 | $9K | 14 May 2026 |
| Whispering Pines Nursing and Rehab, LLC | Ripon | 50 | 3 | 3 | 3 | 17 | 34.0 | $13K | 9 Jun 2026 |
| Avina of Fond Du Lac | Fond Du Lac | 50 | 2 | 2 | 2 | 29 | 58.0 | $7K | 22 Apr 2026 |
| Avina On Division | Fond Du Lac | 50 | 1 | 1 | 1 | 42 | 84.0 | — | 30 Apr 2026 |
All 7 facilities in Fond Du Lac County
Questions and answers
How many deficiencies has St Francis Home been cited for?
26 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Wisconsin median is 21 per facility.
Has St Francis Home been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at St Francis Home compare?
Reported total nurse staffing is 3.6 hours per resident per day against a Wisconsin median of 4.0 and a national average of 3.9.
Who operates St Francis Home?
It is part of the Ssm Health chain. Ownership type is non-profit, corporation. Organisations in the CMS ownership record include Agnesian Healthcare Inc, Health Dimensions Consulting Inc and Ssm Health Care Corporation. Individual owners and managers are not listed on this site.
When was St Francis Home last inspected?
The most recent survey or investigation in the CMS record is dated 1 Apr 2026; the most recent standard health survey was 1 Apr 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.