Wisconsin › Milwaukee County › Milwaukee
Wheaton Franciscan Hc - Terrace At St Francis
3200 S 20th St, Milwaukee, WI 53215
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.
Wheaton Franciscan Hc - Terrace At St Francis, in Milwaukee, Wisconsin, is certified for 81 beds under non-profit, corporation ownership and belongs to the Ascension Living chain.
CMS gives it 1 of 5 stars overall, below the Wisconsin median of 3; the health inspection rating is 1, staffing 2 and quality measures 4.
Inspectors recorded 80 health deficiencies across the three most recent survey cycles (26, 35, 19 by cycle, most recent first), 11 of them at the actual-harm or immediate-jeopardy level. That is 98.8 per 100 beds, more than the state median of 31.8.
CMS lists 6 penalties in the period covered: fines totalling $220K and 2 payment denials.
Reported nurse staffing is 3.7 hours per resident per day (0.7 RN), close to the Wisconsin median of 4.0; nursing staff turnover is 81.6%.
80health deficiencies, 3 survey cycles11 at actual harm or worse
$220Kfines listed by CMS6 penalties in period
3.7nurse hours per resident per daystate median 4.0
50%occupancy (residents ÷ beds)40 residents a day
Compared with county, state and nation
| Measure | This facility | Milwaukee Co. median | Wisconsin median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 80 | 38 | 21 | 28.7 |
| Citations per 100 beds | 98.8 | 44.1 | 31.8 | 26.8 |
| Total nurse hours per resident day | 3.7 | 4.0 | 4.0 | 3.9 |
| RN hours per resident day | 0.7 | 0.7 | 0.9 | 0.7 |
| Nursing staff turnover | 81.6% | 52.4% | 46.2% | 45.8% |
| Fines listed | $219,651 | $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: 20 Aug 2025, 22 Jul 2024.
Severity mix: J ×1 G ×10 D ×55 E ×8 F ×5 C ×1
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 date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 6 Jan 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 4 Feb 2026 |
| 6 Jan 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 4 Feb 2026 |
| 6 Jan 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 4 Mar 2026 |
| 29 Oct 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 20 Nov 2025 |
| 29 Oct 2025 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Complaint investigation | 20 Nov 2025 |
| 29 Oct 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 20 Nov 2025 |
| 29 Oct 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 20 Nov 2025 |
| 29 Oct 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 20 Nov 2025 |
| 29 Oct 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 20 Nov 2025 |
| 29 Oct 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 20 Nov 2025 |
| 29 Oct 2025 | 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 | Complaint investigation | 20 Nov 2025 |
| 29 Oct 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 20 Nov 2025 |
| 20 Aug 2025 | F0729 | Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | F | Standard survey | 17 Sep 2025 |
| 20 Aug 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | F | Complaint investigation | 17 Sep 2025 |
| 20 Aug 2025 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | E | Standard survey | 17 Sep 2025 |
| 20 Aug 2025 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | E | Standard survey | 17 Sep 2025 |
| 20 Aug 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard survey | 17 Sep 2025 |
| 20 Aug 2025 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard survey | 17 Sep 2025 |
| 20 Aug 2025 | F0583 | Keep residents' personal and medical records private and confidential. | D | Standard survey | 17 Sep 2025 |
| 20 Aug 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 17 Sep 2025 |
| 20 Aug 2025 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 17 Sep 2025 |
| 20 Aug 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 17 Sep 2025 |
| 20 Aug 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 17 Sep 2025 |
| 20 Aug 2025 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 17 Sep 2025 |
| 20 Aug 2025 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Complaint investigation | 17 Sep 2025 |
| 20 Aug 2025 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | C | Standard survey | 17 Sep 2025 |
| 11 Jun 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 10 Jul 2025 |
| 11 Jun 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 10 Jul 2025 |
| 1 Apr 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint investigation | 6 May 2025 |
| 1 Apr 2025 | 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. | G | Complaint investigation | 6 May 2025 |
| 1 Apr 2025 | F0880 | Provide and implement an infection prevention and control program. | F | Complaint investigation | 6 May 2025 |
| 1 Apr 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint investigation | 6 May 2025 |
| 1 Apr 2025 | 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 | Complaint investigation | 6 May 2025 |
| 1 Apr 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 6 May 2025 |
| 1 Apr 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 6 May 2025 |
| 1 Apr 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 6 May 2025 |
| 1 Apr 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 6 May 2025 |
| 1 Apr 2025 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 6 May 2025 |
| 1 Apr 2025 | F0773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D | Complaint investigation | 6 May 2025 |
| 18 Dec 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Complaint investigation | 16 Jan 2025 |
| 28 Aug 2024 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Complaint investigation | 20 Sep 2024 |
| 28 Aug 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 20 Sep 2024 |
| 22 Jul 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | 19 Aug 2024 |
| 22 Jul 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard survey | 19 Aug 2024 |
| 22 Jul 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 19 Aug 2024 |
| 22 Jul 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 | 19 Aug 2024 |
| 22 Jul 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 19 Aug 2024 |
| 22 Jul 2024 | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | E | Standard survey | 19 Aug 2024 |
| 22 Jul 2024 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard survey | 19 Aug 2024 |
| 22 Jul 2024 | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | Complaint investigation | 19 Aug 2024 |
| 22 Jul 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 | 19 Aug 2024 |
| 22 Jul 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 19 Aug 2024 |
| 22 Jul 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 19 Aug 2024 |
| 22 Jul 2024 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard survey | 19 Aug 2024 |
| 22 Jul 2024 | 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 | 19 Aug 2024 |
| 22 Jul 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 19 Aug 2024 |
| 22 Jul 2024 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 20 Sep 2024 |
| 22 Jul 2024 | 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 | 19 Aug 2024 |
| 22 Jul 2024 | F0791 | Provide or obtain dental services for each resident. | D | Standard survey | 19 Aug 2024 |
| 22 Jul 2024 | F0810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | Standard survey | 19 Aug 2024 |
| 22 Jul 2024 | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | Standard survey | 19 Aug 2024 |
| 28 Feb 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 4 Mar 2024 |
| 17 Jan 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 16 Feb 2024 |
| 17 Jan 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | G | Complaint investigation | 16 Feb 2024 |
| 17 Jan 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | 16 Feb 2024 |
| 17 Jan 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint investigation | 16 Feb 2024 |
| 17 Jan 2024 | 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. | G | Complaint investigation | 16 Feb 2024 |
| 17 Jan 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Complaint investigation | 16 Feb 2024 |
| 17 Jan 2024 | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Complaint investigation | 16 Feb 2024 |
| 17 Jan 2024 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | Complaint investigation | 16 Feb 2024 |
| 5 Oct 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 5 Nov 2023 |
| 5 Oct 2023 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Complaint investigation | 5 Nov 2023 |
| 5 Oct 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 5 Nov 2023 |
| 1 Apr 2023 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard survey | 18 May 2023 |
| 1 Apr 2023 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard survey | 18 May 2023 |
| 1 Apr 2023 | F0637 | Assess the resident when there is a significant change in condition | D | Standard survey | 18 May 2023 |
| 1 Apr 2023 | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | D | Standard survey | 18 May 2023 |
| 1 Apr 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 18 May 2023 |
| 1 Apr 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 | 18 May 2023 |
| 1 Apr 2023 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 18 May 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 6 Jan 2026 | Fine | $42,680 | |
| 1 Apr 2025 | Payment denial | — | 4 days |
| 1 Apr 2025 | Fine | $72,873 | |
| 22 Jul 2024 | Payment denial | — | 31 days |
| 22 Jul 2024 | Fine | $71,858 | |
| 17 Jan 2024 | Fine | $32,240 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Wisconsin average. Turnover: nursing staff 81.6%, RNs 84.2%; — 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 | 18.6% | 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 | 0.7% | 2.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.3% | 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 | 11.7% | 16.8% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 6.0% | 4.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 3.8% | 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: Wheaton Franciscan Healthcare Terrace At St. Francis, Inc.. Chain: Ascension Living (12 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Ascension Health Senior Care | 5% or greater direct ownership interest | 100% | 07/01/2014 |
| Ascension Health Senior Care | Adp of the snf | NOT APPLICABLE | 07/01/2015 |
| House Healthcare Solutions LLC | Adp of the snf | NOT APPLICABLE | 06/10/2025 |
| Medical Solutions LLC | Adp of the snf | NOT APPLICABLE | 06/14/2017 |
| Metis LTC LLC | Adp of the snf | NOT APPLICABLE | 04/08/2024 |
| Nursing Centers, Inc. | Adp of the snf | NOT APPLICABLE | 06/03/2025 |
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 Wheaton Franciscan Hc - Terrace At St Francis been cited for?
80 health deficiencies across the three most recent survey cycles, 11 at the actual-harm or immediate-jeopardy level. The Wisconsin median is 21 per facility.
Has Wheaton Franciscan Hc - Terrace At St Francis been fined?
Yes. CMS lists fines totalling $220K in the period covered, plus 2 payment denials.
How does staffing at Wheaton Franciscan Hc - Terrace At St Francis compare?
Reported total nurse staffing is 3.7 hours per resident per day against a Wisconsin median of 4.0 and a national average of 3.9.
Who operates Wheaton Franciscan Hc - Terrace At St Francis?
It is part of the Ascension Living chain. Ownership type is non-profit, corporation. Organisations in the CMS ownership record include Ascension Health Senior Care. Individual owners and managers are not listed on this site.
When was Wheaton Franciscan Hc - Terrace At St Francis last inspected?
The most recent survey or investigation in the CMS record is dated 6 Jan 2026; the most recent standard health survey was 20 Aug 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.