Elder Care Record

Wisconsin › Outagamie County › Kaukauna

St Paul Elder Services, Inc

316 East 14th Street, Kaukauna, WI 54130

CCN 525617 · Non-profit, corporation · 105 certified beds · chain Franciscan Sisters Of Christian Charity

Continuing care retirement community
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.

St Paul Elder Services, Inc, in Kaukauna, Wisconsin, is certified for 105 beds under non-profit, corporation ownership and belongs to the Franciscan Sisters Of Christian Charity chain.

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

Inspectors recorded 8 health deficiencies across the three most recent survey cycles (1, 7, 0 by cycle, most recent first), none at the actual-harm level. That is 7.6 per 100 beds, fewer 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 4.8 hours per resident per day (1.0 RN), close to the Wisconsin median of 4.0; nursing staff turnover is 36.6%.

8health deficiencies, 3 survey cyclesnone at actual-harm level
$0fines listed by CMS0 penalties in period
4.8nurse hours per resident per daystate median 4.0
92%occupancy (residents ÷ beds)97 residents a day

Compared with county, state and nation

MeasureThis facilityOutagamie Co. medianWisconsin medianUS average
Overall star rating5433.0
Health citations, 3 cycles8172128.7
Citations per 100 beds7.623.231.826.8
Total nurse hours per resident day4.84.54.03.9
RN hours per resident day1.01.00.90.7
Nursing staff turnover36.6%38.9%46.2%45.8%
Fines listed$0$0$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

Cycle 1 (latest)1
Cycle 27
Cycle 30

Dark bar: this facility. Grey bar: Wisconsin average per facility for the same cycle, as published by CMS. Standard health survey dates: 12 May 2026, 2 Apr 2025.

Severity mix: D ×6 E ×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 2026F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation6 Apr 2026
16 Jun 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.EComplaint investigation17 Jun 2025
2 Apr 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey25 Apr 2025
2 Apr 2025F0641Ensure each resident receives an accurate assessment.DStandard survey25 Apr 2025
2 Apr 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey28 Apr 2025
2 Apr 2025F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey25 Apr 2025
2 Apr 2025F0880Provide and implement an infection prevention and control program.DStandard survey25 Apr 2025
26 Sep 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation11 Oct 2024

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing4.8 h
Nurse aides3.14 h
LPN0.61 h
RN1.05 h
Weekend total4.47 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Wisconsin average. Turnover: nursing staff 36.6%, RNs 33.3%; 0 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 Stay21.4%15.4%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.3%1.5%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay2.8%2.3%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay3.1%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.8%0.9%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay16.8%16.8%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay5.4%4.4%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay18.6%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 Paul Elder Services, Inc. Chain: Franciscan Sisters Of Christian Charity (3 facilities).

OrganisationRole in the CMS recordInterestSince
Amergis Healthcare Staffing, IncOperational/managerial controlNOT APPLICABLE07/01/2025
Franciscan Sisters of Christian Charity Sponsored Ministries, Inc.Operational/managerial controlNOT APPLICABLE03/15/2010
P&M Holding Group LLPOperational/managerial controlNOT APPLICABLE01/01/2011
Prn Health Services, Inc.Operational/managerial controlNOT APPLICABLE10/01/2022
Amergis Healthcare Staffing, IncAdp of the snfNOT APPLICABLE01/13/2026
Franciscan Sisters of Christian Charity Sponsored Ministries, Inc.Adp of the snfNOT APPLICABLE12/23/2025
P&M Holding Group LLPAdp of the snfNOT APPLICABLE01/13/2026
Prn Health Services, Inc.Adp of the snfNOT APPLICABLE01/13/2026

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 Outagamie County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Rennes Health and Rehab Center-AppletonAppleton8855566.8—6 Aug 2025
Brewster VillageAppleton204435178.3—15 Apr 2026
Good Shepherd Services LtdSeymour504441428.0—21 Apr 2026
Edenbrook of Appleton NorthAppleton952232223.2—17 Jun 2026
Meadowbrook At AppletonAppleton1042245956.7$16K22 Oct 2025
Little Chute Health ServicesLittle Chute501141836.0$38K21 May 2026

All 7 facilities in Outagamie County

Questions and answers

How many deficiencies has St Paul Elder Services, Inc been cited for?

8 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 Paul Elder Services, Inc been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at St Paul Elder Services, Inc compare?

Reported total nurse staffing is 4.8 hours per resident per day against a Wisconsin median of 4.0 and a national average of 3.9.

Who operates St Paul Elder Services, Inc?

It is part of the Franciscan Sisters Of Christian Charity chain. Ownership type is non-profit, corporation. Organisations in the CMS ownership record include Amergis Healthcare Staffing, Inc, Franciscan Sisters of Christian Charity Sponsored Ministries, Inc. and P&M Holding Group LLP. Individual owners and managers are not listed on this site.

When was St Paul Elder Services, Inc last inspected?

The most recent survey or investigation in the CMS record is dated 26 Mar 2026; the most recent standard health survey was 12 May 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.