Nursing Care Index

St Paul Elder Services, Inc.

Kaukauna, Outagamie County, Wisconsin · CCN 525617 · Non-profit (Corporation) · part of Franciscan Sisters Of Christian Charity (3 facilities, chain average 3.7 stars)

CMS rates St Paul Elder Services, Inc. 5 of 5 overall as of August 2026. 105 certified beds, 97 residents a day on average. 8 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★★★★★ 5 of 5
Health inspections★★★★★ 5 of 5
Staffing★★★★★ 5 of 5
Quality measures★★★★☆ 4 of 5
Quality: long-stay / short-stay3 / 5 of 5

Staffing

Total nurse staffing4.80472 hours per resident per day
Registered nurses1.04947 hours per resident per day
Weekend total4.46828 hours per resident per day
Nursing staff turnover36.6% (registered nurses 33.3%)
Administrators who left0

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
2026-03-26
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
2026-04-06
2025-06-16
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
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-06-17
2025-04-02 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
2025-04-25
2025-04-02 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
2025-04-25
2025-04-02 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
2025-04-28
2025-04-02 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
2025-04-25
2025-04-02 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
2025-04-25
2024-09-26
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
2024-10-11

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
Amergis Healthcare Staffing, Inc.
Organization
adp of the snf2026-01-13
Davis Clinical Consulting
Organization
adp of the snf2025-12-23
Franciscan Sisters Of Christian Charity Sponsored Ministries, Inc.
Organization
adp of the snf2025-12-23
P&M Holding Group LLP
Organization
adp of the snf2026-01-13
Prn Health Services, Inc.
Organization
adp of the snf2026-01-13
Amergis Healthcare Staffing, Inc.
Organization
operational/managerial control2025-07-01
Davis Clinical Consulting
Organization
operational/managerial control2025-01-01
Franciscan Sisters Of Christian Charity Sponsored Ministries, Inc.
Organization
operational/managerial control2010-03-15
P&M Holding Group LLP
Organization
operational/managerial control2011-01-01
Prn Health Services, Inc.
Organization
operational/managerial control2022-10-01
Abel, Jackie
Individual
adp of the snf2015-01-01
Acker, Charleen
Individual
adp of the snf2017-03-01
Brady, Nicole
Individual
adp of the snf2019-03-01
Eiting, Clay
Individual
adp of the snf2024-03-01
Gage, Michael
Individual
adp of the snf2019-03-01
Hietpas, Pat
Individual
adp of the snf2018-03-01
Kienert, Kelsey
Individual
adp of the snf2024-10-01
Kohlmann, Joellen
Individual
adp of the snf2024-03-01
Lemke, Karmen
Individual
adp of the snf2025-06-02
Mashl, Megan
Individual
adp of the snf2017-06-26
Neville, Ryan
Individual
adp of the snf2025-02-13
Schroeder, Amber
Individual
adp of the snf2022-07-19
Vandehey, Paula
Individual
adp of the snf2024-03-01
Abel, Jackie
Individual
corporate director2015-01-01
Acker, Charleen
Individual
corporate director2017-03-01
Brady, Nicole
Individual
corporate director2019-03-01
Eiting, Clay
Individual
corporate director2024-03-01
Gage, Michael
Individual
corporate director2019-03-01
Hietpas, Pat
Individual
corporate director2018-03-01
Kohlmann, Joellen
Individual
corporate director2024-03-01
Lemke, Karmen
Individual
corporate director2025-06-02
Vandehey, Paula
Individual
corporate director2024-03-01
Schroeder, Amber
Individual
corporate officer2022-07-19
Abel, Jackie
Individual
operational/managerial control2015-01-01
Acker, Charleen
Individual
operational/managerial control2017-03-01
Brady, Nicole
Individual
operational/managerial control2019-03-01
Eiting, Clay
Individual
operational/managerial control2024-03-01
Gage, Michael
Individual
operational/managerial control2019-03-01
Hietpas, Pat
Individual
operational/managerial control2018-03-01
Kienert, Kelsey
Individual
operational/managerial control2024-10-01
Kohlmann, Joellen
Individual
operational/managerial control2024-03-01
Lemke, Karmen
Individual
operational/managerial control2025-06-02
Mashl, Megan
Individual
operational/managerial control2017-06-26
Neville, Ryan
Individual
operational/managerial control2025-02-13
Sabin-Wilson, Lisa
Individual
operational/managerial control2025-09-15
Schroeder, Amber
Individual
operational/managerial control2022-07-19
Vandehey, Paula
Individual
operational/managerial control2024-03-01

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 Outagamie County.