Chi Franciscan Villa

3601 S CHICAGO AVE, SOUTH MILWAUKEE, WI 53172 · CCN 525526 · 90 certified beds · Data as of 2026-07-01

CMS overall1 of 5CMS inspections1 of 5CMS staffing1 of 5CMS quality3 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 2 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

CMS has flagged this facility with its abuse icon, which marks facilities cited for abuse in recent inspections.

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Serious inspection findings

2026-05-29 — ACTUAL HARM (tag F0689, severity G)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

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

2026-02-18 — ACTUAL HARM (tag F0689, severity G)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

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

2026-02-18 — ACTUAL HARM (tag F0686, severity G)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

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

2025-11-13 — ACTUAL HARM (tag F0689, severity G)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

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

2025-07-16 — IMMEDIATE JEOPARDY (tag F0689, severity J)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

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

2025-02-20 — ACTUAL HARM (tag F0689, severity G)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

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

2024-11-08 — IMMEDIATE JEOPARDY (tag F0600, severity J)

Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data

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

2023-12-05 — IMMEDIATE JEOPARDY (tag F0689, severity J)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

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

Staffing, from payroll records

Nursing hours / resident / day

2.67

state median 3.58

Weekend staffing gap

−11%

fewer nursing hours on weekends · state median −4%

RN hours / resident / day

0.44

registered nurses only

Contract (agency) staff

0%

share of all nursing hours

Nursing staff turnover

50%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

5 enforcement action(s), totaling $208,607 in fines.

Date	Type	Amount
2025-07-16	Fine	$26,685
2025-02-20	Fine	$44,532
2024-11-08	Fine	$121,797
2023-12-05	Fine	$15,593
2023-12-05	Payment Denial	payment denial

Ownership

Ownership type: Non profit - Other. Part of the COMMONSPIRIT HEALTH chain.

Other facilities under the same ownership, with their CMS overall ratings:

COMMUNITY CONVALESCENT CENTER OF SAN BERNARDINO (SAN BERNARDINO, CA) — CMS overall5 of 5
MOUNT ST FRANCIS NURSING CENTER (COLORADO SPRINGS, CO) — CMS overall2 of 5
Bishop Drumm Retirement Center (Johnston, IA) — CMS overall1 of 5
Madonna Manor (Villa Hills, KY) — CMS overall1 of 5
ST FRANCIS HOME (BRECKENRIDGE, MN) — CMS overall5 of 5
LAKEWOOD CARE CENTER (BAUDETTE, MN) — CMS overall4 of 5
CHI Health St. Francis (Grand Island, NE) — CMS overall3 of 5
GARRISON MEM HOSP NSG FAC (GARRISON, ND) — CMS overall2 of 5

Full citation history

By severity: No harm, potential for minimal harm: 1 · Actual harm: 5 · Potential for more than minimal harm: 54 · Immediate jeopardy: 5

Survey date	Tag	Category	Severity	Corrected
2026-05-29	F0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2026-05-29	F0677	Quality of Life and Care Deficiencies	D	not recorded
2026-05-29	F0689	Quality of Life and Care Deficiencies	G	not recorded
2026-05-29	F0693	Quality of Life and Care Deficiencies	D	not recorded
2026-05-29	F0761	Pharmacy Service Deficiencies	D	not recorded
2026-05-29	F0805	Nutrition and Dietary Deficiencies	D	not recorded
2026-05-29	F0812	Nutrition and Dietary Deficiencies	F	not recorded
2026-05-29	F0814	Nutrition and Dietary Deficiencies	F	not recorded
2026-05-29	F0842	Resident Assessment and Care Planning Deficiencies	D	not recorded
2026-05-29	F0880	Infection Control Deficiencies	E	not recorded
2026-05-29	F0883	Infection Control Deficiencies	D	not recorded
2026-02-18	F0557	Resident Rights Deficiencies	D	not recorded
2026-02-18	F0585	Resident Rights Deficiencies	D	not recorded
2026-02-18	F0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2026-02-18	F0656	Resident Assessment and Care Planning Deficiencies	D	not recorded
2026-02-18	F0676	Quality of Life and Care Deficiencies	D	not recorded
2026-02-18	F0684	Quality of Life and Care Deficiencies	D	not recorded
2026-02-18	F0686	Quality of Life and Care Deficiencies	G	not recorded
2026-02-18	F0689	Quality of Life and Care Deficiencies	G	not recorded
2026-02-18	F0725	Nursing and Physician Services Deficiencies	F	not recorded
2025-12-23	F0573	Resident Rights Deficiencies	D	not recorded
2025-11-13	F0689	Quality of Life and Care Deficiencies	G	not recorded
2025-10-17	F0580	Resident Rights Deficiencies	D	not recorded
2025-10-17	F0842	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-10-17	F0880	Infection Control Deficiencies	D	not recorded
2025-07-16	F0602	Freedom from Abuse, Neglect, and Exploitation Deficiencies	E	not recorded
2025-07-16	F0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2025-07-16	F0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	E	not recorded
2025-07-16	F0689	Quality of Life and Care Deficiencies	J	not recorded
2025-05-30	F0641	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-05-30	F0677	Quality of Life and Care Deficiencies	D	not recorded
2025-05-30	F0692	Quality of Life and Care Deficiencies	D	not recorded
2025-05-30	F0801	Nutrition and Dietary Deficiencies	F	not recorded
2025-05-30	F0880	Infection Control Deficiencies	D	not recorded
2025-02-20	F0677	Quality of Life and Care Deficiencies	D	not recorded
2025-02-20	F0684	Quality of Life and Care Deficiencies	D	not recorded
2025-02-20	F0686	Quality of Life and Care Deficiencies	D	not recorded
2025-02-20	F0689	Quality of Life and Care Deficiencies	G	not recorded
2025-02-20	F0695	Quality of Life and Care Deficiencies	D	not recorded
2025-02-20	F0880	Infection Control Deficiencies	F	not recorded
2024-11-08	F0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	J	not recorded
2024-11-08	F0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	E	not recorded
2024-06-20	F0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2024-06-20	F0755	Pharmacy Service Deficiencies	E	not recorded
2023-12-05	F0554	Resident Rights Deficiencies	D	not recorded
2023-12-05	F0558	Resident Rights Deficiencies	D	not recorded
2023-12-05	F0578	Resident Rights Deficiencies	D	not recorded
2023-12-05	F0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2023-12-05	F0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2023-12-05	F0684	Quality of Life and Care Deficiencies	D	not recorded
2023-12-05	F0686	Quality of Life and Care Deficiencies	E	not recorded
2023-12-05	F0689	Quality of Life and Care Deficiencies	J	not recorded
2023-12-05	F0690	Quality of Life and Care Deficiencies	D	not recorded
2023-12-05	F0732	Nursing and Physician Services Deficiencies	C	not recorded
2023-12-05	F0759	Pharmacy Service Deficiencies	D	not recorded
2023-12-05	F0761	Pharmacy Service Deficiencies	E	not recorded
2023-12-05	F0851	Administration Deficiencies	F	not recorded
2023-12-05	F0880	Infection Control Deficiencies	D	not recorded
2023-09-05	F0607	Freedom from Abuse, Neglect, and Exploitation Deficiencies	E	not recorded
2023-07-12	F0684	Quality of Life and Care Deficiencies	J	not recorded
2023-07-12	F0689	Quality of Life and Care Deficiencies	J	not recorded
2023-07-12	F0730	Nursing and Physician Services Deficiencies	E	not recorded
2023-07-12	F0944	Administration Deficiencies	E	not recorded
2023-07-12	F0947	Nursing and Physician Services Deficiencies	E	not recorded
2023-07-12	F0949	Administration Deficiencies	E	not recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “Chi Franciscan Villa, SOUTH MILWAUKEE” at medicare.gov/care-compare.