Wheaton Franciscan HC - Terrace at St Francis

Milwaukee · WI · Non profit - Corporation · ASCENSION LIVING chain · 81 certified beds · CCN 525552 · WHEATON FRANCISCAN HEALTHCARE TERRACE AT ST. FRANCIS, INC.


Wheaton Franciscan HC - Terrace at St Francis operates 81 certified beds in MILWAUKEE, Wisconsin. Its Medicare and Medicaid certification dates to 1994-09-23. It averages 40.1 residents a day.

What harm was found in the violations cited at Wheaton Franciscan HC - Terrace at St Francis?

CMS lists 80 health-inspection deficiencies for Wheaton Franciscan HC - Terrace at St Francis since 2023-04-01, 73 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-01-06.

Survey dateTagDeficiencySeverity
2026-01-06F0550, F0684, F0686Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing.D
2025-10-29F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2025-10-29F0585, F0609, F0610, F0677, F0684, F0686, F0690, F0880Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide and implement an infection prevention and control program.D
2025-08-20F0729, F0755Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.F
2025-08-20F0552, F0628, F0684, F0756Ensure that residents are fully informed and understand their health status, care and treatments. / Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.E
2025-08-20F0583, F0610, F0645, F0686, F0689, F0698, F0759Keep residents' personal and medical records private and confidential. / Respond appropriately to all alleged violations. / PASARR screening for Mental disorders or Intellectual Disabilities / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Ensure medication error rates are not 5 percent or greater.D
2025-08-20F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.C
2025-06-11F0600, F0657Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D
2025-04-01F0686, F0690Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.G
2025-04-01F0880Provide and implement an infection prevention and control program.F
2025-04-01F0684, F0761Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.E
2025-04-01F0580, F0677, F0689, F0755, F0760, F0773Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure that residents are free from significant medication errors. / Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.D
2024-12-18F0759Ensure medication error rates are not 5 percent or greater.D
2024-08-28F0697, F0755Provide safe, appropriate pain management for a resident who requires such services. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D
2024-07-22F0684, F0686, F0689Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2024-07-22F0812, F0880Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program.F
2024-07-22F0638, F0756Assure that each resident’s assessment is updated at least once every 3 months. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.E
2024-07-22F0553, F0580, F0609, F0610, F0636, F0690, F0695, F0697, F0758, F0791, F0810, F0849Allow resident to participate in the development and implementation of his or her person-centered plan of care. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide safe and appropriate respiratory care for a resident when needed. / Provide safe, appropriate pain management for a resident who requires such services. / 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. / Provide or obtain dental services for each resident. / Provide special eating equipment and utensils for residents who need them and appropriate assistance. / Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.D
2024-02-28F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D
2024-01-17F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J
2024-01-17F0580, F0684, F0686, F0690Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.G
2024-01-17F0692, F0693, F0947Provide enough food/fluids to maintain a resident's health. / Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. / Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.D
2023-10-05F0755, F0759, F0880Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure medication error rates are not 5 percent or greater. / Provide and implement an infection prevention and control program.D
2023-04-01F0607, F0636, F0637, F0638, F0677, F0755, F0759Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. / Assess the resident when there is a significant change in condition / Assure that each resident’s assessment is updated at least once every 3 months. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure medication error rates are not 5 percent or greater.D

Why was Wheaton Franciscan HC - Terrace at St Francis fined 4 times?

DateTypeAmount
2026-01-06Fine$42,680
2025-04-01Fine$72,873
2024-07-22Fine$71,858
2024-01-17Fine$32,240

Has Wheaton Franciscan HC - Terrace at St Francis had payment denied by Medicare more than once?

Payment denial startLength in days
2025-05-024
2024-08-2031

How is Wheaton Franciscan HC - Terrace at St Francis staffed relative to the WI average?

MeasureThis facilityWI average
Total nurse staffing hours per resident per day3.710124.21234
Total nursing staff turnover (%)81.646.9
Average number of residents per day40.154.8

Who owns Wheaton Franciscan HC - Terrace at St Francis, and what chain is it in?

Wheaton Franciscan HC - Terrace at St Francis is registered with CMS as Non profit - Corporation, operates under the legal business name WHEATON FRANCISCAN HEALTHCARE TERRACE AT ST. FRANCIS, INC. and belongs to the ASCENSION LIVING chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTASCENSION HEALTH SENIOR CAREsince 07/01/2014
CORPORATE DIRECTORMUSGRAVE, LISA, SHADBOLT, ERIN, SMOOT, KENNETHsince 01/01/2024
OPERATIONAL/MANAGERIAL CONTROLMARTHIENS, EDGAR, SIDHU, SARFRAZsince 05/01/2025
ADP OF THE SNFASCENSION HEALTH SENIOR CARE, HOUSE HEALTHCARE SOLUTIONS LLC, MEDICAL SOLUTIONS LLC, METIS LTC LLC, MICHAEL PORTER, NURSING CENTERS, INC., MARTHIENS, EDGAR, MUSGRAVE, LISA, SHADBOLT, ERIN, SIDHU, SARFRAZ, SMOOT, KENNETHsince 01/01/2024

Were you or a family member harmed at Wheaton Franciscan HC - Terrace at St Francis?