St Francis Home

In the surveyor’s words

From the most serious findings on record at St Francis Home, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Apr 1, 2026

  Based on observation, staff interview, and record review, the facility did not ensure food was stored and prepared in a safe and sanitary manner. This practice had the potential to affect 74 of 74 residents residing in the facility. The facility did not ensure time/temperature control foods were labeled appropriately with open and/or use-by dates. Findings include: On 3/30/26 at 9:22 AM, Food and Nutrition Services Director (FNSD)-C indicated the facility follows the Wisconsin Food Code as their standard of practice. […]

• No harm, potential for more than minimal, widespreadF880Dec 18, 2024

  Based on observation, staff and resident interview, and record review, the facility did not maintain an infection prevention and control program designed to prevent the transmission of communicable disease and infection for 8 residents (R) (R57, R28, R54, R186, R73, R30, R44, and R38) of 8 sampled residents. This practice had the potential to affect all 74 residents residing in the facility. The facility's line list for a current gastrointestinal outbreak (GI) of Norovirus was inaccurate for R57, R28, R54, R186, and R73. R30 was on enhanced barrier precautions (EBP) and had an EBP sign posted on R30's door. […]

• No harm, potential for more than minimal, widespreadF880Sep 13, 2023

  Based on staff interview and record review, the facility did not ensure Transmission-Based Precautions (TBP) were implemented for 3 Residents (R) (R33, R70 and R71) of 3 residents. In addition, the facility did not have a system to identify, monitor and prevent the spread of infections and communicable diseases. The facility did not initiate TBP when R33 was symptomatic and tested positive for Clostridioides Difficile (C.diff) (a contagious infection caused by the bacteria Clostridioides difficile which can be spread person-to-person or on surfaces; symptoms include watery diarrhea, fever, nausea, and abdominal pain). […]

• No harm, potential for more than minimal, patternF607Apr 1, 2026

  Based on staff interview and record review, the facility did not ensure their abuse policy was implemented for 2 of 8 employees reviewed for employee reference checks. This practice had the potential to affect more than 4 of the 74 residents residing in the facility.The facility did not complete reference checks for Certified Nursing Assistant (CNA)-F and CNA-G.Findings include:The facility's Abuse, Neglect and Exploitation policy, revised 2025, indicates: .I. Screening: A. Potential employees will be screened for a history of abuse, neglect, exploitation, or misappropriation of resident property. 1. […]

• No harm, potential for more than minimal, patternF558Dec 18, 2024

  Based on observation, staff and resident interview, and record review, the facility did not ensure call lights were in reach for 5 residents (R) (R44, R10, R60, R38, and R285) of 21 sampled residents. R44, R10, R60, R38, and R285 were dependent on staff for mobility and cares. During observations on 12/16/24 and 12/17/24, R44, R10, R60, R38, and R285's call lights were not within reach. Findings include: On 12/17/24, Surveyor requested the facility's call light policy. The policy was not provided to Surveyor. 1. From 12/16/24 to 12/18/24, Surveyor reviewed R44's medical record. R44 was admitted to the facility on [DATE] and had diagnoses including Alzheimer's disease, palliative care, right and left hand contractures, and visual disturbance. […]