Chi Franciscan Villa
South Milwaukee, Wisconsin · CCN 525526
52 surveys since 2012, 31 of them producing a finding at harm level or worse.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 241
- Surveys
- 52
- Harm or worse
- 31
- Immediate jeopardy
- 15
Findings at the most serious level CMS records. 1 of these were recorded as past non-compliance — corrected before the survey.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 90
- Ownership
- Non profit - Other
- Chain
- COMMONSPIRIT HEALTH
- County
- Milwaukee
- Medicare-certified since
- 1993
CMS ratings
- Overall
- 1
- Health inspection
- 1
- Staffing
- 1
- Quality measures
- 3
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded more weighted findings than most of its peer group.
Weighted by harm level, against 20 not-for-profit facilities of 66–99 beds in Wisconsin.
Last survey on record
May 29, 2026
164 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.46 | 4.33 |
| Registered-nurse hours per resident day | 0.64 | — |
| Annual nurse turnover | 50.0% | 49.2% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $323,027 across 6 penalties
- Payment denials
- 1
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J57.7% | K— | L— |
| Actual harm | G57.7% | H— | I— |
| No harm, potential for more than minimal | D3655.4% | E1218.5% | F69.2% |
| No harm, potential for minimal | A— | B— | C11.5% |
Most frequently cited here
In CMS’s current monthly file.
- F6897×
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F6095×
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- F8805×
Provide and implement an infection prevention and control program.
- F6844×
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- F6773×
Provide care and assistance to perform activities of daily living for any resident who is unable.
In the surveyor’s words
From the most serious findings on record at Chi Franciscan Villa, in the surveyor’s own words.
- Immediate jeopardy, patternF689Aug 25, 2022
The facility did not ensure 3 (R56, R12 and R71) of 3 residents received adequate supervision by staff to prevent accidents *R56 is severely cognitively impaired and was identified to be at high risk for elopement. R56 eloped from the facility on 5/31/22 after a staff person disabled the wanderguard alarm because of the number of times R56 had set it off. R56 was found approximately 1 mile from the facility without proper footwear in rainy weather. Staff was not aware that R56 had left the building for approximately 75 minutes before they noticed her missing and local law enforcement. […]
- Immediate jeopardy, isolatedF689Jul 16, 2025
Based on observation, interview, and record review, the facility did not ensure residents received adequate supervision and assistive devices to prevent accidents for 1 of 3 residents (R) reviewed for elopement (R16.)Facility elopement assessment upon R16's admission indicated R16 was an elopement risk. The facility did not pick up on this conclusion and did not put measures in place to prevent elopement. On 06/09/2025, R16 eloped from the facility, fell on the railroad tracks approximately 0.4 miles from the facility, and was brought to R16's family members house/R16's former home by persons who found R16. The facility was not aware of R16's elopement until R16's family member notified the facility that R16 had eloped to R16's family members house and sustained a fall. […]
- Immediate jeopardy, isolatedF600Nov 8, 2024
Based on observation, interview, record review, the facility did not ensure that 1 of 4 residents (R1) was free from verbal and mental abuse. Certified Nurse Aide (CNA) D intentionally moved R1's call light out of his reach and closed his door, thereby taking away R1's ability to summon assistance in the event of an emergency or need. CNA D reported her actions to RN E (Registered Nurse); however, RN E did not report the incident to the Administrator. This allowed CNA D to work 3 shifts at the facility following the incident before she was suspended. The facility's failure to ensure residents were free from abuse created a finding of immediate jeopardy that began on 10/19/24. Surveyor notified the Nursing Home Administrator (NHA) of the immediate jeopardy on 11/8/24 at 11:10 a.m. […]
- Immediate jeopardy, isolatedF689Dec 5, 2023
Based on observation, interview, and record review, the facility failed to ensure that 1 (R255) of 1 resident reviewed for elopement was provided with safety measures, interventions, and assessments to prevent elopement and ensure safety. The facility also did not ensure 3 (R70, R53, and R255) of 4 residents reviewed for safety and supervision received an environment free of accident hazards, adequate supervision, and assistive devices to prevent accidents. ~ R255 was found outside the facility on 5/7/23 with multiple abrasions to his body and face. R255 stated he was going to the gas station to buy beer. R255's Power of Attorney (POA) was contacted and still wanted R255 to be able to go outside independently if he chose to. […]
- Immediate jeopardy, isolatedF684Jul 12, 2023
Based on record review and staff interviews, the facility failed to provide care and treatment in accordance with professional standards of practice for 1 out of 1 residents (R1) who experienced a fall resulting in a significant head injury. * On [DATE] at approximately 1:30 PM, Certified Nursing Assistant (CNA)-E was turning and repositioning R1 in order to provide incontinence care to R1 while he was in bed. R1 rolled from the bed to the floor, hitting his head on the metal frame of the bed side table. R1 was noted to have a contusion with bleeding to the forehead. CNA-E sought the assistance of another CNA and together the two CNAs used a Hoyer lift to put R1 back into bed prior to a Registered Nurse (RN) assessing R1 for injury. Once in bed, R1 was assessed by the nurse. […]
Read 48 findings in full →The most serious and the most recent: 48 of 241 on record.
Every survey on record
FindingsAt actual harm or above
- May 29, 2026Standard and complaint11 findings · 1 harm
- Feb 18, 2026Complaint9 findings · 2 harm
- Dec 23, 2025Complaint1 finding
- Nov 13, 2025Complaint1 finding · 1 harm
- Oct 17, 2025Complaint3 findings
- Jul 16, 2025Complaint4 findings · 1 harm
- May 30, 2025Complaint5 findings
- Feb 20, 2025Standard and complaint6 findings · 1 harm
Show the 44 earlier surveys
- Nov 8, 2024Complaint2 findings · 1 harm
- Jun 20, 2024Complaint2 findings
- Dec 5, 2023Standard and complaint14 findings · 1 harm
- Sep 5, 2023Complaint1 finding
- Jul 12, 2023Complaint6 findings · 2 harm
- May 4, 2023Complaint2 findings
- Aug 25, 2022Standard and complaint22 findings · 4 harm
- Apr 21, 2022Complaint3 findings · 1 harm
- Jan 6, 2022Complaint4 findings
- Nov 8, 2021Complaint2 findings
- Sep 9, 2021Complaint2 findings
- Aug 3, 2021Complaint4 findings
- May 26, 2021Standard and complaint8 findings · 2 harm
- Mar 17, 2021Complaint5 findings
- Nov 30, 2020Infection control1 finding
- Oct 22, 2020Complaint1 finding
- Aug 24, 2020Complaint7 findings · 2 harm
- Feb 12, 2020Complaint4 findings · 1 harm
- Nov 26, 2019Complaint1 finding
- Jul 18, 2019Complaint4 findings
- May 28, 2019Standard and complaint11 findings · 1 harm
- Nov 20, 2018Complaint2 findings
- Sep 26, 2018Complaint2 findings
- Aug 13, 2018Complaint1 finding
- Mar 27, 2018Standard8 findings
- Sep 21, 2017Standard and complaint2 findings
- Jun 8, 2017Complaint1 finding · 1 harm
- Apr 4, 2017Complaint2 findings · 2 harm
- Jun 13, 2016Standard26 findings · 4 harm
- Mar 3, 2016Complaint3 findings · 1 harm
- Jan 5, 2016Complaint3 findings
- Nov 11, 2015Complaint1 finding
- Oct 12, 2015Complaint1 finding
- Aug 19, 2015Complaint2 findings
- Apr 23, 2015Complaint2 findings
- Mar 5, 2015Standard and complaint16 findings
- Nov 13, 2014Complaint2 findings
- Oct 20, 2014Complaint1 finding
- Dec 9, 2013—7 findings · 1 harm
- Aug 22, 2013—1 finding · 1 harm
- Mar 21, 2013—1 finding
- Dec 10, 2012—1 finding
- Oct 11, 2012—8 findings
- Apr 4, 2012—2 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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