Nursing Care Index

Saint Johns On The Lake

Milwaukee, Milwaukee County, Wisconsin · CCN 525539 · Non-profit (Church related) · not part of a chain

CMS rates Saint Johns On The Lake 4 of 5 overall as of August 2026. 27 certified beds, 22 residents a day on average. 14 citations on record from the current inspection cycles, 1 involving actual harm; no fines on record.

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★★★★☆ 4 of 5
Health inspections★★★☆☆ 3 of 5
Staffing★★★★★ 5 of 5
Quality measures★★★☆☆ 3 of 5
Quality: long-stay / short-stay2 / 4 of 5

Staffing

Total nurse staffing5.25485 hours per resident per day
Registered nurses1.45258 hours per resident per day
Weekend total4.86206 hours per resident per day
Nursing staff turnover38.7% (registered nurses 14.3%)
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
2026-04-01
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
2026-04-30
2025-06-03 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
2025-08-29
2025-06-03 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
2025-08-29
2025-06-03 Keep all essential equipment working safely.
Environmental Deficiencies · tag F0908
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2025-08-29
2025-06-03 Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0605
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-07-07
2025-06-03 PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · tag F0645
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-07-07
2025-06-03 Implement a program that monitors antibiotic use.
Infection Control Deficiencies · tag F0881
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-07-03
2024-04-24 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
2024-05-24
2023-02-21 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
2023-04-17
2023-02-21 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
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-03-27
2023-02-21 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
2023-03-27
2023-02-21 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
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-03-27
2023-02-21 Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · tag F0757
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-03-27
2023-02-21 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
2023-03-27

Fines and payment denials

No fines or payment denials on record since 2023.

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
US Bank National Association
Organization
5% or greater mortgage interest2015-12-09
Behavioral Solutions Inc.
Organization
adp of the snf2024-10-01
Brighton Hospice Wisconsin LLC
Organization
adp of the snf2023-08-07
Community Foot And Ankle Clinic Inc.
Organization
adp of the snf2019-02-26
Davis Clinical Consulting
Organization
adp of the snf2024-12-30
Dietitians On Demand Corporate Solutions, LLC
Organization
adp of the snf2022-01-31
Guardian Pharmacy Of Madison, LLC
Organization
adp of the snf2023-08-01
Hearing Care At Home LLC
Organization
adp of the snf2022-12-08
Hometown Hospice & Homecare Inc.
Organization
adp of the snf2014-09-17
Integrated Therapy Managment Partners, LLC
Organization
adp of the snf2024-02-01
Kare Technologies LLC
Organization
adp of the snf2023-01-01
Legacy Hospice Cares LLC
Organization
adp of the snf2022-04-13
Madison Medical Affiliates Inc.
Organization
adp of the snf2013-12-05
Preferred Dentistry Associates, LLC
Organization
adp of the snf2024-07-01
Saint John's Communities, Inc.
Organization
adp of the snf1994-07-01
The Medical College Of Wisconsin Inc.
Organization
adp of the snf2025-06-23
Saint John's Communities, Inc.
Organization
direct ownership interest1994-07-01
Saint John's Communities, Inc.
Organization
operational/managerial control1994-07-01
The Medical College Of Wisconsin Inc.
Organization
operational/managerial control2024-10-01
Anderson, Cassandra
Individual
adp of the snf2022-03-14
Anderson, Renee
Individual
adp of the snf2011-07-01
Armbruster, Kathy
Individual
adp of the snf2016-10-01
Arndt, Betty
Individual
adp of the snf2022-05-01
Beal, Polly
Individual
adp of the snf2014-05-02
Beckley Milner, Diane
Individual
adp of the snf2018-05-01
Burke, Erin
Individual
adp of the snf2019-11-04
Butler, Helene
Individual
adp of the snf1999-05-24
Coburn, Matthew
Individual
adp of the snf2021-05-01
Coppernoll, Lee
Individual
adp of the snf2018-05-01
Eager, David
Individual
adp of the snf2023-05-01
Exum-Pryor, Lakeshia
Individual
adp of the snf2018-07-23
Fry, William
Individual
adp of the snf2024-05-01
Geszvain, Melissa
Individual
adp of the snf2019-09-03
Gunter, Matthew
Individual
adp of the snf2024-06-01
Henderson, Antonio
Individual
adp of the snf2020-06-22
Hildebrand, Kirsten
Individual
adp of the snf2023-05-01
Kelnhofer, Alan
Individual
adp of the snf2025-01-12
Lemminger, Dan
Individual
adp of the snf2011-10-03
Loyd, Matthew
Individual
adp of the snf2021-01-18
Luther, Anne
Individual
adp of the snf2007-08-29
Mass, Omar
Individual
adp of the snf2022-02-14
Moon, Judith
Individual
adp of the snf2015-05-02
Patrinos, Daniel
Individual
adp of the snf2023-05-01
Petitt, Dorothy
Individual
adp of the snf2021-10-18
Saltness, Rachel
Individual
adp of the snf2024-10-01
Schreiner, Richard
Individual
adp of the snf2024-05-01
Whiteside, Cazmer
Individual
adp of the snf2024-05-13
Anderson, Renee
Individual
corporate officer2011-07-01
Lemminger, Dan
Individual
corporate officer2011-10-03
Loyd, Matthew
Individual
operational/managerial control2021-01-16
Petitt, Dorothy
Individual
operational/managerial control2021-10-18
Saltness, Rachel
Individual
operational/managerial control2024-10-01

What changed

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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.