Nursing Care Index

Chi Franciscan Villa

South Milwaukee, Milwaukee County, Wisconsin · CCN 525526 · Non-profit (Other) · part of Commonspirit Health (18 facilities, chain average 2.7 stars)

CMS rates Chi Franciscan Villa 1 of 5 overall as of August 2026. 90 certified beds, 83 residents a day on average. 59 citations on record from the current inspection cycles, 3 at immediate jeopardy; 5 fines totalling $257,227 and 1 payment denial.

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall★☆☆☆☆ 1 of 5
Health inspections★☆☆☆☆ 1 of 5
Staffing★☆☆☆☆ 1 of 5
Quality measures★★★☆☆ 3 of 5
Quality: long-stay / short-stay4 / 3 of 5

Staffing

Total nurse staffing3.46365 hours per resident per day
Registered nurses0.64489 hours per resident per day
Weekend total2.90726 hours per resident per day
Nursing staff turnover50% (registered nurses 65%)
Administrators who left1

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

SurveyFindingSeverityStatus
2026-05-29
complaint survey
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
G Actual harm that is not immediate jeopardy; isolated Deficient, Provider has date of correction
2026-06-19
2026-05-29 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2026-06-19
2026-05-29 Dispose of garbage and refuse properly.
Nutrition and Dietary Deficiencies · tag F0814
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2026-06-19
2026-05-29 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-06-19
2026-05-29
complaint survey
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-06-19
2026-05-29 Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · tag F0677
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-06-19
2026-05-29 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.
Quality of Life and Care Deficiencies · tag F0693
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-06-19
2026-05-29 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.
Pharmacy Service Deficiencies · tag F0761
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-06-19
2026-05-29 Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary Deficiencies · tag F0805
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-06-19
2026-05-29 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · tag F0842
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-06-19
2026-05-29 Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · tag F0883
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-06-19
2026-02-18
complaint survey
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · tag F0686
G Actual harm that is not immediate jeopardy; isolated Deficient, Provider has date of correction
2026-03-16
2026-02-18
complaint survey
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
G Actual harm that is not immediate jeopardy; isolated Deficient, Provider has date of correction
2026-03-16
2026-02-18
complaint survey
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · tag F0725
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2026-03-16
2026-02-18
complaint survey
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Resident Rights Deficiencies · tag F0557
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-03-16
2026-02-18
complaint survey
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.
Resident Rights Deficiencies · tag F0585
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-03-16
2026-02-18
complaint survey
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-03-16
2026-02-18
complaint survey
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · tag F0656
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-03-16
2026-02-18
complaint survey
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Quality of Life and Care Deficiencies · tag F0676
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-03-16
2026-02-18
complaint survey
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · tag F0684
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-03-16
2025-12-23
complaint survey
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Resident Rights Deficiencies · tag F0573
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-01-26
2025-11-13
complaint survey
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
G Actual harm that is not immediate jeopardy; isolated Deficient, Provider has date of correction
2025-12-05
2025-10-17
complaint survey
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · tag F0580
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-12-05
2025-10-17
complaint survey
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · tag F0842
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-12-05
2025-10-17
complaint survey
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-12-05
2025-07-16
complaint survey
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
J Immediate jeopardy to resident health or safety; isolated Past Non-Compliance
2025-06-12
2025-07-16
complaint survey
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0602
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-08-06
2025-07-16
complaint survey
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-07-17
2025-07-16
complaint survey
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-07-17
2025-05-30
complaint survey
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.
Nutrition and Dietary Deficiencies · tag F0801
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2025-06-30
2025-05-30
complaint survey
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · tag F0641
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-06-30
2025-05-30
complaint survey
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · tag F0677
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-06-30
2025-05-30
complaint survey
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · tag F0692
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-06-30
2025-05-30
complaint survey
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-06-30
2025-02-20
complaint survey
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
G Actual harm that is not immediate jeopardy; isolated Deficient, Provider has date of correction
2025-02-28
2025-02-20 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2025-03-20
2025-02-20
complaint survey
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · tag F0677
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-02-28
2025-02-20 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · tag F0684
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-02-28
2025-02-20 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · tag F0686
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-02-28
2025-02-20 Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · tag F0695
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-02-28
2024-11-08
complaint survey
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600
J Immediate jeopardy to resident health or safety; isolated Deficient, Provider has date of correction
2024-11-20
2024-11-08
complaint survey
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-11-20
2024-06-20
complaint survey
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · tag F0755
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-07-05
2024-06-20
complaint survey
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-07-05
2023-12-05
complaint survey
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
J Immediate jeopardy to resident health or safety; isolated Deficient, Provider has date of correction
2024-01-02
2023-12-05
complaint survey
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Administration Deficiencies · tag F0851
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2024-01-02
2023-12-05
complaint survey
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · tag F0686
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-01-02
2023-12-05 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.
Pharmacy Service Deficiencies · tag F0761
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-01-02
2023-12-05
complaint survey
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies · tag F0554
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-01-02
2023-12-05 Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · tag F0558
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-01-02
2023-12-05 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.
Resident Rights Deficiencies · tag F0578
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-01-02
2023-12-05
complaint survey
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-01-02
2023-12-05
complaint survey
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-01-02
2023-12-05
complaint survey
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · tag F0684
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-01-02
2023-12-05 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · tag F0690
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-01-02
2023-12-05
complaint survey
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · tag F0759
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-01-02
2023-12-05 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-01-02
2023-12-05 Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · tag F0732
C No actual harm, with potential for minimal harm; widespread Deficient, Provider has date of correction
2024-01-02
2023-09-05
complaint survey
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0607
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-09-15

Fines and payment denials

DatePenaltyAmount
2025-11-13Fine$48,620
2025-07-16Fine$26,685
2025-02-20Fine$44,532
2024-11-08Fine$121,797
2023-12-05Payment denial for 11 days from 2024-01-03
2023-12-05Fine$15,593

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

NameRoleShareSince
Sylvania Franciscan Health
Organization
5% or greater direct ownership interest100%2017-07-01
Commonspirit Health
Organization
5% or greater indirect ownership interest100%2017-07-01
Commonspirit Health
Organization
adp of the snf2017-07-01
Concept Rehab, Inc.
Organization
adp of the snf2025-10-07
Forvis Mazars LLP
Organization
adp of the snf2025-06-20
The Northern Trust Company
Organization
adp of the snf2025-06-20
Ulrichpinciotti Design Group, LLC
Organization
adp of the snf2025-10-31
Commonspirit Health
Organization
operational/managerial control2017-07-01
Concept Rehab, Inc.
Organization
operational/managerial control2015-01-05
Forvis Mazars LLP
Organization
operational/managerial control2019-08-16
The Northern Trust Company
Organization
operational/managerial control2017-07-01
Ulrichpinciotti Design Group, LLC
Organization
operational/managerial control2011-07-01
Barta, Elizabeth
Individual
adp of the snf2018-05-21
Cecil, Caitlin
Individual
adp of the snf2012-06-18
Finn, Christina
Individual
adp of the snf2017-07-01
Goyal, Alok
Individual
adp of the snf2017-07-01
Grubbs, Stacey
Individual
adp of the snf2012-03-26
Hazard, Ted
Individual
adp of the snf2017-11-08
Howard, Casey
Individual
adp of the snf2022-05-01
Iffland, Alisa
Individual
adp of the snf2017-07-01
Longhin-Howard, Joan
Individual
adp of the snf2007-04-16
Lucas, Gina
Individual
adp of the snf2024-06-28
Mcfarland, Dianne
Individual
adp of the snf2023-12-18
Munroe, Kyle
Individual
adp of the snf2015-09-08
Murriel, Shelly
Individual
adp of the snf2024-09-09
Nagel, Jennifer
Individual
adp of the snf2015-11-12
Penkwitz, Cody
Individual
adp of the snf2025-06-20
Rehmer, Heather
Individual
adp of the snf2024-06-05
Snodgrass, Barbara
Individual
adp of the snf2016-08-15
Wine, Matthew
Individual
adp of the snf2018-10-01
Cecil, Caitlin
Individual
corporate director2012-06-18
Finn, Christina
Individual
corporate director2017-07-01
Grubbs, Stacey
Individual
corporate director2012-03-26
Hazard, Ted
Individual
corporate director2017-11-08
Munroe, Kyle
Individual
corporate director2015-09-08
Murriel, Shelly
Individual
corporate director2024-09-09
Nagel, Jennifer
Individual
corporate director2015-11-12
Snodgrass, Barbara
Individual
corporate director2016-08-15
Wine, Matthew
Individual
corporate director2018-10-01
Iffland, Alisa
Individual
corporate officer2017-07-01
Lipsey, Prentice
Individual
corporate officer2021-09-17
Rehmer, Heather
Individual
corporate officer2024-06-25
Archon, Angela
Individual
individual is an owner, partner or trustee of any adp of the snf2025-12-09
Black, Paul
Individual
individual is an owner, partner or trustee of any adp of the snf2025-12-09
Dauwer, Ellen
Individual
individual is an owner, partner or trustee of any adp of the snf2025-12-09
Gemma, Ann Marie
Individual
individual is an owner, partner or trustee of any adp of the snf2025-12-09
Hanelt, Peter
Individual
individual is an owner, partner or trustee of any adp of the snf2025-12-09
Hardy-Waller, Antoinette
Individual
individual is an owner, partner or trustee of any adp of the snf2025-12-09
Kaplan, Gary
Individual
individual is an owner, partner or trustee of any adp of the snf2025-12-09
Lassiter, Wright
Individual
individual is an owner, partner or trustee of any adp of the snf2025-12-09
Mckenna, Michelle
Individual
individual is an owner, partner or trustee of any adp of the snf2025-12-09
Medler, Linda
Individual
individual is an owner, partner or trustee of any adp of the snf2025-12-09
Reyes, Carolyn
Individual
individual is an owner, partner or trustee of any adp of the snf2025-12-09
Steele, Patrick
Individual
individual is an owner, partner or trustee of any adp of the snf2025-12-09
Yang, Phoebe
Individual
individual is an owner, partner or trustee of any adp of the snf2025-12-09
Yates, Gary
Individual
individual is an owner, partner or trustee of any adp of the snf2025-12-09
Lipsey, Prentice
Individual
managing control - governing body2021-11-01
Mbanu, Terika
Individual
managing control - governing body2024-01-05
Melfi, Mitch
Individual
managing control - governing body2017-07-01
Alcaraz, Natalie
Individual
operational/managerial control2020-06-03
Cecil, Caitlin
Individual
operational/managerial control2012-06-18
Filler, Diana
Individual
operational/managerial control2024-05-15
Finn, Christina
Individual
operational/managerial control2017-07-01
Goyal, Alok
Individual
operational/managerial control2017-07-01
Grubbs, Stacey
Individual
operational/managerial control2012-03-26
Gulock, Michael
Individual
operational/managerial control2017-10-02
Hazard, Ted
Individual
operational/managerial control2017-11-08
Herbert, John
Individual
operational/managerial control2020-12-01
Howard, Casey
Individual
operational/managerial control2022-05-01
Iffland, Alisa
Individual
operational/managerial control2017-07-01
Kendricks, Derrel
Individual
operational/managerial control2024-04-24
Longhin-Howard, Joan
Individual
operational/managerial control2007-04-16
Mcfarland, Dianne
Individual
operational/managerial control2023-12-18
Mcinerney, Nanette
Individual
operational/managerial control2017-07-01
Munroe, Kyle
Individual
operational/managerial control2015-09-08
Murriel, Shelly
Individual
operational/managerial control2024-09-09
Nagel, Jennifer
Individual
operational/managerial control2015-11-12
Penkwitz, Cody
Individual
operational/managerial control2021-10-20
Rehmer, Heather
Individual
operational/managerial control2024-06-05
Reihbrandt, Larry
Individual
operational/managerial control2024-01-15
Scholl, Wanda
Individual
operational/managerial control2017-07-01
Topic, Zeliborka
Individual
operational/managerial control2017-07-01
Utesch, Patti
Individual
operational/managerial control2017-07-01
Wine, Matthew
Individual
operational/managerial control2018-10-01

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Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Milwaukee County.