St Francis Home
Fond Du Lac, Fond Du Lac County, Wisconsin · CCN 525595 · Non-profit (Corporation) · part of Ssm Health (2 facilities, chain average 3 stars)
CMS rates St Francis Home 3 of 5 overall as of August 2026. 90 certified beds, 80 residents a day on average. 26 citations on record from the current inspection cycles; 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 | ★★★☆☆ 3 of 5 |
|---|---|
| Health inspections | ★★★☆☆ 3 of 5 |
| Staffing | ★★★☆☆ 3 of 5 |
| Quality measures | ★★★★☆ 4 of 5 |
| Quality: long-stay / short-stay | 4 / 5 of 5 |
Staffing
| Total nurse staffing | 3.57353 hours per resident per day |
|---|---|
| Registered nurses | 0.79957 hours per resident per day |
| Weekend total | 3.22734 hours per resident per day |
| Nursing staff turnover | 54.1% (registered nurses 66.7%) |
| Administrators who left | 2 |
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.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-04-01 | 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 2026-04-10 |
| 2026-04-01 | 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 2026-04-24 |
| 2026-04-01 | 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 2026-04-10 |
| 2026-04-01 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · tag F0698 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-04-10 |
| 2026-04-01 | 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 2026-04-10 |
| 2025-04-21 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 2025-05-16 |
| 2024-12-18 | 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 2025-01-31 |
| 2024-12-18 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · tag F0558 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-01-31 |
| 2024-12-18 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · tag F0623 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-01-31 |
| 2024-12-18 | 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 2025-01-31 |
| 2024-12-18 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. Resident Rights Deficiencies · tag F0625 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-01-31 |
| 2024-12-18 | 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 2025-01-18 |
| 2024-12-18 | 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 2025-01-31 |
| 2024-12-18 | 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 2025-01-31 |
| 2024-12-18 | 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 2025-01-31 |
| 2024-12-18 | 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 2025-01-31 |
| 2024-07-29 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 2024-08-29 |
| 2024-07-29 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 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-08-29 |
| 2024-01-11 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 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-02-11 |
| 2023-11-09 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 2023-12-09 |
| 2023-11-09 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 2023-12-09 |
| 2023-09-13 | 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 2023-10-13 |
| 2023-09-13 | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · tag F0552 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-10-13 |
| 2023-09-13 | 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 2023-10-13 |
| 2023-09-13 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · tag F0758 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-10-13 |
| 2023-09-13 | 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 2023-10-13 |
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.
| Name | Role | Share | Since |
|---|---|---|---|
| Health Dimensions Consulting Inc. Organization | adp of the snf | — | 2025-05-21 |
| Ssm Health Care Corporation Organization | adp of the snf | — | 2025-05-22 |
| Ssm Health Care Of Wisconsin Inc. Organization | adp of the snf | — | 2025-05-21 |
| Agnesian Healthcare Inc. Organization | operational/managerial control | — | 1978-06-01 |
| Health Dimensions Consulting Inc. Organization | operational/managerial control | — | 2022-04-01 |
| Ssm Health Care Corporation Organization | operational/managerial control | — | 2018-01-01 |
| Ssm Health Care Of Wisconsin Inc. Organization | operational/managerial control | — | 2018-01-01 |
| Briscoe, David Individual | adp of the snf | — | 2022-04-01 |
| Briscoe, Patricia Individual | adp of the snf | — | 2022-04-01 |
| Hennessey, Erin Individual | adp of the snf | — | 2022-04-01 |
| Quednow, Dawn Individual | adp of the snf | — | 2025-05-12 |
| Rogotzke, Amber Individual | adp of the snf | — | 2022-04-01 |
| Shvetzoff, Sergei Individual | adp of the snf | — | 2022-04-01 |
| Shvetzoff, Tami Individual | adp of the snf | — | 2022-04-01 |
| Weber, Lisa Individual | adp of the snf | — | 2025-04-16 |
| Smith, Kevin Individual | corporate director | — | 2024-01-01 |
| Walkup, James Individual | corporate director | — | 2025-01-01 |
| Gloede, Denise Individual | corporate officer | — | 2024-11-01 |
| Krueger, Kari Individual | corporate officer | — | 2025-06-26 |
| Radina, Victor Individual | corporate officer | — | 2025-06-01 |
| Smith, Kevin Individual | corporate officer | — | 2024-01-01 |
| Walkup, James Individual | corporate officer | — | 2025-01-01 |
| Wilson, Amy Individual | corporate officer | — | 2025-06-01 |
| Anderson, Sue Individual | managing control - governing body | — | 2022-02-28 |
| Bass, Paige Individual | managing control - governing body | — | 2025-01-01 |
| Beardmore, Daniel Individual | managing control - governing body | — | 2024-11-12 |
| Bell, Judith Individual | managing control - governing body | — | 2023-01-01 |
| Brown, Mary Individual | managing control - governing body | — | 2018-01-04 |
| Burnett, Janice Individual | managing control - governing body | — | 2022-01-01 |
| Corcoran, Rick Individual | managing control - governing body | — | 2017-10-01 |
| Devlin, Marie Individual | managing control - governing body | — | 2018-06-01 |
| Dolan, Peter Individual | managing control - governing body | — | 2024-01-01 |
| Emmer, Rhea Individual | managing control - governing body | — | 2022-02-28 |
| Gloede, Denise Individual | managing control - governing body | — | 2024-11-01 |
| Hardt, John Individual | managing control - governing body | — | 2022-01-01 |
| Hartenbach, David Individual | managing control - governing body | — | 2025-01-01 |
| Her, Peng Individual | managing control - governing body | — | 2023-12-13 |
| Holzman, Mark Individual | managing control - governing body | — | 2023-12-13 |
| Imholz, Donald Individual | managing control - governing body | — | 2018-06-01 |
| Kaiser, Laura Individual | managing control - governing body | — | 2017-05-01 |
| Karsten, Joan Individual | managing control - governing body | — | 2021-05-11 |
| Kindle, Carolyn Individual | managing control - governing body | — | 2022-01-01 |
| Leitzen Fye, Patti Individual | managing control - governing body | — | 2024-01-01 |
| Maskel, Jennifer Individual | managing control - governing body | — | 2019-01-01 |
| Matzke, Wayne Individual | managing control - governing body | — | 2021-05-11 |
| Nairn, Thomas Individual | managing control - governing body | — | 2024-01-01 |
| Otte, Olivia Individual | managing control - governing body | — | 2024-11-12 |
| Pandl, Mary Individual | managing control - governing body | — | 2024-01-01 |
| Pogodzinski, Matthew Individual | managing control - governing body | — | 2022-11-29 |
| Radina, Victor Individual | managing control - governing body | — | 2025-06-01 |
| Ross, Samuel Individual | managing control - governing body | — | 2020-09-16 |
| Rozier, Michael Individual | managing control - governing body | — | 2018-01-01 |
| Smith, Kevin Individual | managing control - governing body | — | 2024-01-01 |
| Sparkman, Wesley Individual | managing control - governing body | — | 2015-12-01 |
| Valdez, Joseph Individual | managing control - governing body | — | 2022-08-01 |
| Valdivia, Tomas Individual | managing control - governing body | — | 2023-01-01 |
| Walkup, James Individual | managing control - governing body | — | 2025-01-01 |
| Whalen, James Individual | managing control - governing body | — | 2017-10-01 |
| Wilson, Amy Individual | managing control - governing body | — | 2025-06-01 |
| Anderson, Sue Individual | operational/managerial control | — | 2024-01-01 |
| Briscoe, David Individual | operational/managerial control | — | 2022-04-01 |
| Briscoe, Patricia Individual | operational/managerial control | — | 2022-04-01 |
| Gloede, Denise Individual | operational/managerial control | — | 2024-01-01 |
| Hennessey, Erin Individual | operational/managerial control | — | 2022-04-01 |
| Krueger, Kari Individual | operational/managerial control | — | 2022-09-01 |
| Quednow, Dawn Individual | operational/managerial control | — | 2024-11-01 |
| Radina, Victor Individual | operational/managerial control | — | 2025-06-01 |
| Rogotzke, Amber Individual | operational/managerial control | — | 2022-04-01 |
| Shvetzoff, Sergei Individual | operational/managerial control | — | 2022-04-01 |
| Shvetzoff, Tami Individual | operational/managerial control | — | 2022-04-01 |
| Weber, Lisa Individual | operational/managerial control | — | 2024-11-01 |
| Wilson, Amy Individual | operational/managerial control | — | 2025-06-01 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for St Francis Home.
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 Fond Du Lac County.