Milwaukee Catholic Home
Milwaukee, Wisconsin · CCN 525635
14 surveys since 2013, 3 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
- 50
- Surveys
- 14
- Harm or worse
- 3
- Immediate jeopardy
- 1
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 107
- Ownership
- Non profit - Corporation
- Chain
- Independent
- County
- Milwaukee
- Medicare-certified since
- 1997
CMS ratings
- Overall
- 4
- Health inspection
- 5
- Staffing
- 1
- Quality measures
- 3
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded fewer weighted findings than most of its peer group.
Weighted by harm level, against 52 facilities of 100–127 beds in Wisconsin.
Last survey on record
May 20, 2026
173 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 |
|---|---|---|
| Annual nurse turnover | 42.5% | 43.6% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
No fines, payment denials or special-focus designation on the current CMS record.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D1482.4% | E211.8% | F15.9% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F8123×
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F6862×
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- F7582×
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.
- F8802×
Provide and implement an infection prevention and control program.
- F5801×
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
In the surveyor’s words
From the most serious findings on record at Milwaukee Catholic Home, in the surveyor’s own words.
- No harm, potential for more than minimal, widespreadF812Oct 24, 2022
Based on observation, interview, and record review, the facility did not follow proper sanitation in accordance with professional standards for food service safety to ensure dishes and utensils were properly sanitized by the facility's dishwashing machine. This had the potential to affect all 100 Residents who receive nutrition orally from food prepared in the kitchen. This is evidenced by: The facility is using the Champion brand pro series Standard Rack Conveyor Dishwasher. Surveyor conducted a review of the operation, cleaning, and maintenance manual on 10/24/22. The following was noted for Sequence of Operation: ( includes) 3.) The incoming wash temperature displays in the Wash *F ( Fahrenheit) box. […]
- No harm, potential for more than minimal, patternF812Jun 3, 2025
Based on observation, interview and record review, the facility did not ensure food was stored in a safe manner. This practice has the potential to affect all 22 residents located on the 2nd floor rehab unit. *The resident food refrigerators located in the medication (med) rooms have a desired temperature documented on the temperature log of 36 to 45 degrees Fahrenheit (F). The facility food storage policy documents that food refrigerators should be between 35 and 41 degrees. Surveyor observed the food refrigerator located in the 2nd floor Rehabilitation (Rehab) unit med room multiple times during survey. Surveyor observed the food refrigerator temp to be between 44 and 46 degrees on observations. […]
- No harm, potential for more than minimal, patternF812Feb 13, 2024
Based on observation, record review and interview, the facility did not ensure food was stored and prepared safely, in 1 (kitchen on 2nd floor) of 2 kitchens. This deficient practice has the potential to affect residents residing on 2 East who receive their meals from the second-floor kitchenette. *Cook-C used gloved hand to touch ready to eat food after touching multiple surfaces. Findings: The facility policy, entitled Food Safety Requirements - Use, Storage, Procurement, dated 1/2018, states: It is the policy of this Milwaukee Catholic Home to provide safe and sanitary storage, handling, and consumption of all foods including those brought to residents by family and other visitors. […]
- No harm, potential for more than minimal, patternF880Sep 1, 2021
Based on observation, interview and review of the facility's Procedures for Isolation/Transmission Based Precautions policy, the facility did not ensure staff were utilizing the required PPE (personal protective equipment) for residents on isolation and for residents residing on a mixed unit where both COVID positive and COVID negative residents reside. This was observed with 3 (R6, R4, and R5) of 3 residents in droplet & contact precautions/isolation. R6, R4, and R5 were is droplet/contact precautions/isolation and staff did not utilize preventative PPE to prevent the spread of infection such as COVID-19 to others. […]
- No harm, potential for more than minimal, isolatedF689Aug 25, 2026
Based on interview and record review, the facility did not ensure that 2 of 3 residents (R1 and R5) reviewed for falls received adequate supervision and assistive devices to prevent accidents.* R1 had a fall on 7/7/26, R1 was found by the van driver on the floor of the transport vehicle. The facility did not adequately evaluate and analyze the circumstances of R1's fall on 7/7/26 to identify the factors contributing to the falls and determine whether additional interventions were necessary to reduce the risk of future falls or accidents. Additionally, R1's fall interventions were observed not to be in place.* R5 was found in the bathroom in the fetal position on the floor on 8/17/26. […]
Read 23 findings in full →The most serious and the most recent: 23 of 50 on record.
Every survey on record
FindingsAt actual harm or above
- Aug 25, 2026Complaint1 finding
- May 20, 2026Standard2 findings
- Jun 3, 2025Standard and complaint3 findings
- Feb 13, 2024Standard8 findings
- Oct 24, 2022Standard4 findings
- Nov 3, 2021Complaint3 findings
- Sep 1, 2021Complaint2 findings
- Oct 13, 2020Complaint1 finding
Show the 6 earlier surveys
- Aug 12, 2019Standard5 findings · 1 harm
- May 22, 2018Standard1 finding
- Mar 28, 2017Standard13 findings · 1 harm
- Oct 13, 2014Complaint1 finding · 1 harm
- Sep 18, 2014Standard3 findings
- Aug 29, 2013—3 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.
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction