RecordWell Data

Chi Franciscan Villa

Nursing home · 3601 S CHICAGO AVE, South Milwaukee, WI 53172 · Milwaukee County

1★Medicare overall
94cited deficiencies
8harm or jeopardy level
6penalties

Prices

No published price is available. Ask the facility directly.

Facility

Type
Nursing home · TITLE 18 SNF TITLE 19 NF
Capacity
90
State license
2185
Medicare CCN
525526
Licensed entity
CHI LIVING COMMUNITIES
Chain
COMMONSPIRIT HEALTH
Ownership
Non profit - Other
Phone
(414) 764-4100
Nurse staffing
3.46 hours per resident per day; 50.0% nursing staff turnover
Medicare ratings
Inspections 1★ · Staffing 1★ · Quality 3★
Official record
Wisconsin DQA Provider Search
Official record
Medicare Care Compare

Other public records for this operator

Penalties

Inspection findings

  1. May 29, 2026 Fire Safety · 19 findings
    • Not serious Scope/severity F

      E0009 Emergency Preparedness Deficiencies

      Include a process for Emergency Preparedness collaboration.

      Corrected Jun 19, 2026 · CMS fire safety

    • Not serious Scope/severity F

      E0015 Emergency Preparedness Deficiencies

      Address subsistence needs for staff and patients.

      Corrected Jun 19, 2026 · CMS fire safety

    • Not serious Scope/severity D Complaint

      F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies

      Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

      Corrected Jun 19, 2026 · CMS health inspection

    • Not serious Scope/severity D

      F0677 Quality of Life and Care Deficiencies

      Provide care and assistance to perform activities of daily living for any resident who is unable.

      Corrected Jun 19, 2026 · CMS health inspection

    • Serious Scope/severity G Complaint

      F0689 Quality of Life and Care Deficiencies

      Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      Corrected Jun 19, 2026 · CMS health inspection

    • Not serious Scope/severity D

      F0693 Quality of Life and Care Deficiencies

      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.

      Corrected Jun 19, 2026 · CMS health inspection

    • Not serious Scope/severity D

      F0761 Pharmacy Service Deficiencies

      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.

      Corrected Jun 19, 2026 · CMS health inspection

    • Not serious Scope/severity D

      F0805 Nutrition and Dietary Deficiencies

      Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

      Corrected Jun 19, 2026 · CMS health inspection

    • Not serious Scope/severity F

      F0812 Nutrition and Dietary Deficiencies

      Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

      Corrected Jun 19, 2026 · CMS health inspection

    • Not serious Scope/severity F

      F0814 Nutrition and Dietary Deficiencies

      Dispose of garbage and refuse properly.

      Corrected Jun 19, 2026 · CMS health inspection

    • Not serious Scope/severity D

      F0842 Resident Assessment and Care Planning Deficiencies

      Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

      Corrected Jun 19, 2026 · CMS health inspection

    • Not serious Scope/severity E

      F0880 Infection Control Deficiencies

      Provide and implement an infection prevention and control program.

      Corrected Jun 19, 2026 · CMS health inspection

    • Not serious Scope/severity D

      F0883 Infection Control Deficiencies

      Develop and implement policies and procedures for flu and pneumonia vaccinations.

      Corrected Jun 19, 2026 · CMS health inspection

    • Not serious Scope/severity E

      K0211 Egress Deficiencies

      Keep aisles, corridors, and exits free of obstruction in case of emergency.

      Corrected Jun 25, 2026 · CMS fire safety

    • Not serious Scope/severity E

      K0222 Egress Deficiencies

      Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

      Corrected Jun 26, 2026 · CMS fire safety

    • Not serious Scope/severity D

      K0291 Egress Deficiencies

      Install emergency lighting that can last at least 1 1/2 hours.

      Corrected Jun 25, 2026 · CMS fire safety

    • Not serious Scope/severity E

      K0374 Smoke Deficiencies

      Install smoke barrier doors that can resist smoke for at least 20 minutes.

      Corrected Jun 25, 2026 · CMS fire safety

    • Not serious Scope/severity F

      K0712 Miscellaneous Deficiencies

      Have simulated fire drills held at unexpected times.

      Corrected Jun 25, 2026 · CMS fire safety

    • Not serious Scope/severity F

      K0918 Gas, Vacuum, and Electrical Systems Deficiencies

      Have generator or other power source capable of supplying service within 10 seconds.

      Corrected Jun 25, 2026 · CMS fire safety

  2. Feb 18, 2026 Health · 9 findings
    • Not serious Scope/severity D Complaint

      F0557 Resident Rights Deficiencies

      Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

      Corrected Mar 16, 2026 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0585 Resident Rights Deficiencies

      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.

      Corrected Mar 16, 2026 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies

      Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

      Corrected Mar 16, 2026 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0656 Resident Assessment and Care Planning Deficiencies

      Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

      Corrected Mar 16, 2026 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0676 Quality of Life and Care Deficiencies

      Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

      Corrected Mar 16, 2026 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0684 Quality of Life and Care Deficiencies

      Provide appropriate treatment and care according to orders, resident’s preferences and goals.

      Corrected Mar 16, 2026 · CMS health inspection

    • Serious Scope/severity G Complaint

      F0686 Quality of Life and Care Deficiencies

      Provide appropriate pressure ulcer care and prevent new ulcers from developing.

      Corrected Mar 16, 2026 · CMS health inspection

    • Serious Scope/severity G Complaint

      F0689 Quality of Life and Care Deficiencies

      Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      Corrected Mar 16, 2026 · CMS health inspection

    • Not serious Scope/severity F Complaint

      F0725 Nursing and Physician Services Deficiencies

      Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

      Corrected Mar 16, 2026 · CMS health inspection

  3. Dec 23, 2025 Health · 1 finding
    • Not serious Scope/severity D Complaint

      F0573 Resident Rights Deficiencies

      Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

      Corrected Jan 26, 2026 · CMS health inspection

  4. Nov 13, 2025 Health · 1 finding
    • Serious Scope/severity G Complaint

      F0689 Quality of Life and Care Deficiencies

      Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      Corrected Dec 5, 2025 · CMS health inspection

  5. Oct 17, 2025 Health · 3 findings
    • Not serious Scope/severity D Complaint

      F0580 Resident Rights Deficiencies

      Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

      Corrected Dec 5, 2025 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0842 Resident Assessment and Care Planning Deficiencies

      Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

      Corrected Dec 5, 2025 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0880 Infection Control Deficiencies

      Provide and implement an infection prevention and control program.

      Corrected Dec 5, 2025 · CMS health inspection

  6. Jul 16, 2025 Health · 4 findings
    • Not serious Scope/severity E Complaint

      F0602 Freedom from Abuse, Neglect, and Exploitation Deficiencies

      Protect each resident from the wrongful use of the resident's belongings or money.

      Corrected Aug 6, 2025 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies

      Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

      Corrected Jul 17, 2025 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies

      Respond appropriately to all alleged violations.

      Corrected Jul 17, 2025 · CMS health inspection

    • Serious Scope/severity J Complaint

      F0689 Quality of Life and Care Deficiencies

      Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      Corrected Jun 12, 2025 · CMS health inspection

  7. May 30, 2025 Health · 5 findings
    • Not serious Scope/severity D Complaint

      F0641 Resident Assessment and Care Planning Deficiencies

      Ensure each resident receives an accurate assessment.

      Corrected Jun 30, 2025 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0677 Quality of Life and Care Deficiencies

      Provide care and assistance to perform activities of daily living for any resident who is unable.

      Corrected Jun 30, 2025 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0692 Quality of Life and Care Deficiencies

      Provide enough food/fluids to maintain a resident's health.

      Corrected Jun 30, 2025 · CMS health inspection

    • Not serious Scope/severity F Complaint

      F0801 Nutrition and Dietary Deficiencies

      Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

      Corrected Jun 30, 2025 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0880 Infection Control Deficiencies

      Provide and implement an infection prevention and control program.

      Corrected Jun 30, 2025 · CMS health inspection

  8. Feb 20, 2025 Fire Safety · 22 findings
    • Not serious Scope/severity F

      E0004 Emergency Preparedness Deficiencies

      Develop and maintain an Emergency Preparedness Program (EP).

      Corrected Mar 20, 2025 · CMS fire safety

    • Not serious Scope/severity F

      E0006 Emergency Preparedness Deficiencies

      Conduct risk assessment and an All-Hazards approach.

      Corrected Mar 20, 2025 · CMS fire safety

    • Not serious Scope/severity F

      E0020 Emergency Preparedness Deficiencies

      Establish policies and procedures including evacuation.

      Corrected Mar 20, 2025 · CMS fire safety

    • Not serious Scope/severity F

      E0025 Emergency Preparedness Deficiencies

      Create arrangements with other facilities to receive patients.

      Corrected Mar 20, 2025 · CMS fire safety

    • Not serious Scope/severity F

      E0039 Emergency Preparedness Deficiencies

      Conduct testing and exercise requirements.

      Corrected Mar 20, 2025 · CMS fire safety

    • Not serious Scope/severity D Complaint

      F0677 Quality of Life and Care Deficiencies

      Provide care and assistance to perform activities of daily living for any resident who is unable.

      Corrected Feb 28, 2025 · CMS health inspection

    • Not serious Scope/severity D

      F0684 Quality of Life and Care Deficiencies

      Provide appropriate treatment and care according to orders, resident’s preferences and goals.

      Corrected Feb 28, 2025 · CMS health inspection

    • Not serious Scope/severity D

      F0686 Quality of Life and Care Deficiencies

      Provide appropriate pressure ulcer care and prevent new ulcers from developing.

      Corrected Feb 28, 2025 · CMS health inspection

    • Serious Scope/severity G Complaint

      F0689 Quality of Life and Care Deficiencies

      Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      Corrected Feb 28, 2025 · CMS health inspection

    • Not serious Scope/severity D

      F0695 Quality of Life and Care Deficiencies

      Provide safe and appropriate respiratory care for a resident when needed.

      Corrected Feb 28, 2025 · CMS health inspection

    • Not serious Scope/severity F

      F0880 Infection Control Deficiencies

      Provide and implement an infection prevention and control program.

      Corrected Mar 20, 2025 · CMS health inspection

    • Not serious Scope/severity D

      K0222 Egress Deficiencies

      Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

      Corrected Feb 27, 2025 · CMS fire safety

    • Not serious Scope/severity E

      K0293 Egress Deficiencies

      Have properly located and lighted "Exit" signs.

      Corrected Feb 27, 2025 · CMS fire safety

    • Not serious Scope/severity E

      K0331 Smoke Deficiencies

      Construct fire resistant interior walls.

      Corrected Feb 27, 2025 · CMS fire safety

    • Not serious Scope/severity F

      K0345 Smoke Deficiencies

      Have approved installation, maintenance and testing program for fire alarm systems.

      Corrected Feb 27, 2025 · CMS fire safety

    • Not serious Scope/severity F

      K0346 Smoke Deficiencies

      Follow proper procedures when the fire alarm was out of service for more than 4 hours.

      Corrected Mar 20, 2025 · CMS fire safety

    • Not serious Scope/severity F

      K0353 Smoke Deficiencies

      Inspect, test, and maintain automatic sprinkler systems.

      Corrected Mar 20, 2025 · CMS fire safety

    • Not serious Scope/severity F

      K0354 Smoke Deficiencies

      Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

      Corrected Mar 20, 2025 · CMS fire safety

    • Not serious Scope/severity E

      K0363 Smoke Deficiencies

      Install corridor and hallway doors that block smoke.

      Corrected Mar 20, 2025 · CMS fire safety

    • Not serious Scope/severity E

      K0372 Smoke Deficiencies

      Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

      Corrected Mar 20, 2025 · CMS fire safety

    • Not serious Scope/severity F

      K0712 Miscellaneous Deficiencies

      Have simulated fire drills held at unexpected times.

      Corrected Mar 20, 2025 · CMS fire safety

    • Not serious Scope/severity F

      K0918 Gas, Vacuum, and Electrical Systems Deficiencies

      Have generator or other power source capable of supplying service within 10 seconds.

      Corrected Mar 20, 2025 · CMS fire safety

  9. Nov 8, 2024 Health · 2 findings
    • Serious Scope/severity J Complaint

      F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies

      Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

      Corrected Nov 20, 2024 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies

      Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

      Corrected Nov 20, 2024 · CMS health inspection

  10. Jun 20, 2024 Health · 2 findings
    • Not serious Scope/severity D Complaint

      F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies

      Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

      Corrected Jul 5, 2024 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0755 Pharmacy Service Deficiencies

      Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

      Corrected Jul 5, 2024 · CMS health inspection

  11. Dec 5, 2023 Health · 25 findings
    • Not serious Scope/severity D Complaint

      F0554 Resident Rights Deficiencies

      Allow residents to self-administer drugs if determined clinically appropriate.

      Corrected Jan 2, 2024 · CMS health inspection

    • Not serious Scope/severity D

      F0558 Resident Rights Deficiencies

      Reasonably accommodate the needs and preferences of each resident.

      Corrected Jan 2, 2024 · CMS health inspection

    • Not serious Scope/severity D

      F0578 Resident Rights Deficiencies

      Honor 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.

      Corrected Jan 2, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies

      Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

      Corrected Jan 2, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies

      Respond appropriately to all alleged violations.

      Corrected Jan 2, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0684 Quality of Life and Care Deficiencies

      Provide appropriate treatment and care according to orders, resident’s preferences and goals.

      Corrected Jan 2, 2024 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0686 Quality of Life and Care Deficiencies

      Provide appropriate pressure ulcer care and prevent new ulcers from developing.

      Corrected Jan 2, 2024 · CMS health inspection

    • Serious Scope/severity J Complaint

      F0689 Quality of Life and Care Deficiencies

      Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      Corrected Jan 2, 2024 · CMS health inspection

    • Not serious Scope/severity D

      F0690 Quality of Life and Care Deficiencies

      Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

      Corrected Jan 2, 2024 · CMS health inspection

    • Not serious Scope/severity C

      F0732 Nursing and Physician Services Deficiencies

      Post nurse staffing information every day.

      Corrected Jan 2, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0759 Pharmacy Service Deficiencies

      Ensure medication error rates are not 5 percent or greater.

      Corrected Jan 2, 2024 · CMS health inspection

    • Not serious Scope/severity E

      F0761 Pharmacy Service Deficiencies

      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.

      Corrected Jan 2, 2024 · CMS health inspection

    • Not serious Scope/severity F Complaint

      F0851 Administration Deficiencies

      Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

      Corrected Jan 2, 2024 · CMS health inspection

    • Not serious Scope/severity D

      F0880 Infection Control Deficiencies

      Provide and implement an infection prevention and control program.

      Corrected Jan 2, 2024 · CMS health inspection

    • Not serious Scope/severity F

      K0111 Construction Deficiencies

      Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.

      Corrected Dec 2, 2024 · CMS fire safety

    • Not serious Scope/severity C

      K0291 Egress Deficiencies

      Install emergency lighting that can last at least 1 1/2 hours.

      Corrected Dec 26, 2023 · CMS fire safety

    • Not serious Scope/severity C

      K0345 Smoke Deficiencies

      Have approved installation, maintenance and testing program for fire alarm systems.

      Corrected Dec 29, 2023 · CMS fire safety

    • Not serious Scope/severity D

      K0351 Smoke Deficiencies

      Install an approved automatic sprinkler system.

      Corrected Dec 22, 2023 · CMS fire safety

    • Not serious Scope/severity E

      K0362 Smoke Deficiencies

      Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

      Corrected Dec 26, 2023 · CMS fire safety

    • Not serious Scope/severity E

      K0363 Smoke Deficiencies

      Install corridor and hallway doors that block smoke.

      Corrected Dec 20, 2023 · CMS fire safety

    • Not serious Scope/severity F

      K0711 Miscellaneous Deficiencies

      Provide a written emergency evacuation plan.

      Corrected Jan 14, 2024 · CMS fire safety

    • Not serious Scope/severity F

      K0914 Gas, Vacuum, and Electrical Systems Deficiencies

      Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

      Corrected Jan 11, 2024 · CMS fire safety

    • Not serious Scope/severity C

      K0918 Gas, Vacuum, and Electrical Systems Deficiencies

      Have generator or other power source capable of supplying service within 10 seconds.

      Corrected Dec 27, 2023 · CMS fire safety

    • Not serious Scope/severity E

      K0920 Gas, Vacuum, and Electrical Systems Deficiencies

      Ensure proper usage of power strips and extension cords.

      Corrected Jan 11, 2024 · CMS fire safety

    • Not serious Scope/severity D

      K0923 Gas, Vacuum, and Electrical Systems Deficiencies

      Have proper medical gas storage and administration areas.

      Corrected Dec 1, 2023 · CMS fire safety

  12. Sep 5, 2023 Health · 1 finding
    • Not serious Scope/severity E Complaint

      F0607 Freedom from Abuse, Neglect, and Exploitation Deficiencies

      Develop and implement policies and procedures to prevent abuse, neglect, and theft.

      Corrected Sep 15, 2023 · CMS health inspection

Owners and managers (as published by CMS)

Sources: Wisconsin Department of Health Services (directory, assisted-living survey documents) and CMS Care Compare (nursing homes). “Harm or jeopardy level” is CMS scope/severity G–L. About this data.