Wheaton Franciscan HC - Terrace at St Francis
State inspectors recorded 1 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
Serious inspection findings
2025-10-29 — 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.
2025-04-01 — 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.
2025-04-01 — ACTUAL HARM (tag F0690, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
2024-07-22 — 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.
2024-07-22 — ACTUAL HARM (tag F0684, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2024-07-22 — 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.
2024-01-17 — ACTUAL HARM (tag F0684, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2024-01-17 — ACTUAL HARM (tag F0580, severity G)
Resident Rights Deficiencies · correction not recorded in CMS data
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Staffing, from payroll records
Nursing hours / resident / day
3.19
state median 3.58
Weekend staffing gap
+0%
more nursing hours on weekends · state median −4%
RN hours / resident / day
0.18
registered nurses only
Contract (agency) staff
38%
share of all nursing hours
Days with zero RN hours reported
19
with residents present
Nursing staff turnover
82%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
6 enforcement action(s), totaling $219,651 in fines.
| Date | Type | Amount |
|---|---|---|
| 2026-01-06 | Fine | $42,680 |
| 2025-04-01 | Fine | $72,873 |
| 2025-04-01 | Payment Denial | payment denial |
| 2024-07-22 | Fine | $71,858 |
| 2024-07-22 | Payment Denial | payment denial |
| 2024-01-17 | Fine | $32,240 |
Ownership
Ownership type: Non profit - Corporation. Part of the ASCENSION LIVING chain.
Other facilities under the same ownership, with their CMS overall ratings:
- ASCENSION LIVING CARROLL MANOR (WASHINGTON, DC) —
- The Citadel at Saint Joseph Village (FREEPORT, IL) —
- ASCENSION RESURRECTION LIFE (CHICAGO, IL) —
- Arc at Kankakee (KANKAKEE, IL) —
- ASCENSION NAZARETHVILLE PLACE (DES PLAINES, IL) —
- ASCENSION LIVING SACRED HEART VILLAGE (AVILLA, IN) —
- VIA CHRISTI VILLAGE MANHATTAN, INC (MANHATTAN, KS) —
- VIA CHRISTI VILLAGE RIDGE (WICHITA, KS) —
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2026-01-06 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2026-01-06 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-01-06 | F0686 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-10-29 | F0585 | Resident Rights Deficiencies | D | not recorded |
| 2025-10-29 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-10-29 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-10-29 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-10-29 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-10-29 | F0686 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-10-29 | F0689 | Quality of Life and Care Deficiencies | G | not recorded |
| 2025-10-29 | F0690 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-10-29 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2025-08-20 | F0552 | Resident Rights Deficiencies | E | not recorded |
| 2025-08-20 | F0583 | Resident Rights Deficiencies | D | not recorded |
| 2025-08-20 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-08-20 | F0628 | Resident Rights Deficiencies | E | not recorded |
| 2025-08-20 | F0645 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-08-20 | F0684 | Quality of Life and Care Deficiencies | E | not recorded |
| 2025-08-20 | F0686 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-08-20 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-08-20 | F0698 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-08-20 | F0725 | Nursing and Physician Services Deficiencies | C | not recorded |
| 2025-08-20 | F0729 | Nursing and Physician Services Deficiencies | F | not recorded |
| 2025-08-20 | F0755 | Pharmacy Service Deficiencies | F | not recorded |
| 2025-08-20 | F0756 | Pharmacy Service Deficiencies | E | not recorded |
| 2025-08-20 | F0759 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-06-11 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-06-11 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-04-01 | F0580 | Resident Rights Deficiencies | D | not recorded |
| 2025-04-01 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-04-01 | F0684 | Quality of Life and Care Deficiencies | E | not recorded |
| 2025-04-01 | F0686 | Quality of Life and Care Deficiencies | G | not recorded |
| 2025-04-01 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-04-01 | F0690 | Quality of Life and Care Deficiencies | G | not recorded |
| 2025-04-01 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-04-01 | F0760 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-04-01 | F0761 | Pharmacy Service Deficiencies | E | not recorded |
| 2025-04-01 | F0773 | Administration Deficiencies | D | not recorded |
| 2025-04-01 | F0880 | Infection Control Deficiencies | F | not recorded |
| 2024-12-18 | F0759 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-08-28 | F0697 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-08-28 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-07-22 | F0553 | Resident Rights Deficiencies | D | not recorded |
| 2024-07-22 | F0580 | Resident Rights Deficiencies | D | not recorded |
| 2024-07-22 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-07-22 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-07-22 | F0636 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-07-22 | F0638 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2024-07-22 | F0684 | Quality of Life and Care Deficiencies | G | not recorded |
| 2024-07-22 | F0686 | Quality of Life and Care Deficiencies | G | not recorded |
| 2024-07-22 | F0689 | Quality of Life and Care Deficiencies | G | not recorded |
| 2024-07-22 | F0690 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-07-22 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-07-22 | F0697 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-07-22 | F0756 | Pharmacy Service Deficiencies | E | not recorded |
| 2024-07-22 | F0758 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-07-22 | F0791 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-07-22 | F0810 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2024-07-22 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2024-07-22 | F0849 | Administration Deficiencies | D | not recorded |
| 2024-07-22 | F0880 | Infection Control Deficiencies | F | not recorded |
| 2024-02-28 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-01-17 | F0580 | Resident Rights Deficiencies | G | not recorded |
| 2024-01-17 | F0684 | Quality of Life and Care Deficiencies | G | not recorded |
| 2024-01-17 | F0686 | Quality of Life and Care Deficiencies | G | not recorded |
| 2024-01-17 | F0689 | Quality of Life and Care Deficiencies | J | not recorded |
| 2024-01-17 | F0690 | Quality of Life and Care Deficiencies | G | not recorded |
| 2024-01-17 | F0692 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-01-17 | F0693 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-01-17 | F0947 | Nursing and Physician Services Deficiencies | D | not recorded |
| 2023-10-05 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2023-10-05 | F0759 | Pharmacy Service Deficiencies | D | not recorded |
| 2023-10-05 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2023-04-01 | F0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2023-04-01 | F0636 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-04-01 | F0637 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-04-01 | F0638 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-04-01 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-04-01 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2023-04-01 | F0759 | Pharmacy Service Deficiencies | D | not recorded |