Deficiency Index

St Joseph Residence

New London, Wisconsin · CCN 525599

23 surveys since 2011, 5 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
82
Surveys
23
Harm or worse
5
Immediate jeopardy
3
The record, 2011–2025
’11’15’20’25
No harm recordedHarm or worseNot surveyed
Immediate jeopardy3

Findings at the most serious level CMS records.

Beyond CMS’s monthly file18/23

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
50
Ownership
Non profit - Church related
Chain
Independent
County
Waupaca · rural
Medicare-certified since
1996

CMS ratings

Overall
5
Health inspection
4
Staffing
5
Quality measures
5

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded somewhat fewer weighted findings than its peer group.

Weighted by harm level, against 52 not-for-profit facilities with fewer than 66 beds in Wisconsin.

Last survey on record

Oct 1, 2025

404 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day6.034.48
Registered-nurse hours per resident day0.85—
Annual nurse turnover38.3%49.3%

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

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD1184.6%E215.4%F—
No harm, potential for minimalA—B—C—
CMS’s current file: 13 of the 82 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6092×

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  • F8802×

    Provide and implement an infection prevention and control program.

  • F6231×

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

  • F6561×

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • F6861×

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

In the surveyor’s words

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

  • No harm, potential for more than minimal, widespreadF880Aug 4, 2021

    Based on record review and staff interview, the facility did not maintain an Infection Prevention and Control Program (IPCP) to recognize and control the onset and spread of infection for 3 Residents (R) (R12, R23, and R31) of 46 residents in the facility. This had the potential to affect all residents in the facility, Resident (R) R12 and R23 had signs and symptoms of potential infection and were not included on the facility line list. The facility's infection surveillance program did not include all residents symptomatic of an infection, as only residents that were prescribed medication(s) to treat an infection were included on the list. […]

  • No harm, potential for more than minimal, widespreadF886Aug 4, 2021

    Based on interviews and record review, the facility did not test residents for COVID-19 as required during an outbreak which included testing frequency and testing of asymptomatic individuals during an outbreak. This had the potential to affect all 46 residents residing in the facility and all staff. The facility did not test all residents every three to seven days from the date of the most recent positive COVID-19 result on 7/12/21, during an active COVID-19 outbreak in the facility. […]

  • No harm, potential for more than minimal, patternF880Oct 1, 2025

    Based on observation, staff 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 4 residents (R) (R57, R18, R40, and R3) of 16 sampled residents.Certified Nursing Assistant in Training (CNAT)-D entered the dining room and placed a ice pack from R57's room on R57's knee. R57 was on enhanced barrier precautions (EBP). Without completing hand hygiene, CNAT-D then passed lunch trays and put clothing protectors on R18, R40, and R57.R18 was on EBP. CNA-E did not don a gown or gloves prior to transferring R18 from recliner to wheelchair.R3 was on EBP. CNA-E emptied R3's catheter bag and removed personal protective equipment (PPE). […]

  • No harm, potential for more than minimal, patternF880Aug 7, 2024

    Based on observation, staff and resident interview, and record review, the facility did not maintain an infection prevention and control program designed to help prevent the development and transmission of disease and infection as observed during the provision of care for 4 Residents (R) (R42, R31, R20, and R34) of 4 sampled residents. Staff did not wear a protective gown during wound care for R42. Staff did not wear the appropriate personal protective equipment (PPE) during an observation of high-contact care for R31 who was on enhanced barrier precautions (EBP). R20 had a history of methicillin-resistant Staphylococcus aureus (MRSA), a chronic wound, and a catheter. The facility did not place R20 on EBP. R34 had chronic bilateral leg wounds that required wound care by the facility. […]

  • No harm, potential for more than minimal, isolatedF695Oct 1, 2025

    Based on observation, staff and resident interview, and record review, the facility did not ensure appropriate respiratory care and services were provided for 2 residents (R) (R18 and R28) of 2 sampled residents. R18 had a continuous positive airway ressure (CPAP) machine. R18 did not have an order to use the CPAP machine or orders to clean the face mask or tubing. R28 used a nebulizer machine. R28's nebulizer tubing was not changed according to the facility's policy. In addition, R28's medical record did not contain orders to change the nebulizer tubing or clean the face mask and other parts of the nebulizer. […]

Read 25 findings in full →The most serious and the most recent: 25 of 82 on record.

Every survey on record

FindingsAt actual harm or above

  • Oct 1, 2025Standard3 findings
  • Aug 15, 2025Complaint1 finding
  • Nov 7, 2024Complaint1 finding
  • Aug 7, 2024Standard4 findings
  • Jul 12, 2023Standard4 findings
  • Jun 29, 2022Complaint2 findings
  • Aug 4, 2021Standard5 findings
  • Nov 6, 2019Standard3 findings
Show the 15 earlier surveys
  • Dec 13, 2018Standard2 findings
  • Jul 26, 2018Complaint1 finding
  • Sep 21, 2017Standard5 findings
  • Jun 29, 2017Complaint2 findings
  • Jul 19, 2016Standard4 findings
  • May 24, 2016Complaint2 findings
  • Oct 19, 2015Complaint1 finding
  • Dec 26, 2014Complaint2 findings · 2 harm
  • Jun 16, 2014Standard4 findings
  • Apr 18, 2013—7 findings
  • May 2, 2012—11 findings · 1 harm
  • Jun 8, 2011—11 findings
  • May 4, 2011—2 findings · 1 harm
  • Apr 18, 2011—1 finding
  • Jan 31, 2011—4 findings · 1 harm

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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