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The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Ascension Living Alexian Village – Milwaukee is a 108-bed skilled nursing facility at 9301 North 76th Street in Milwaukee, Wisconsin 53223 (Northridge). Legally operated by Alexian Village Of Milwaukee Inc and administered by Elsie Smith; CEO Mr. Gary Mohn.
Offers nursing home care, independent living, assisted living, and memory care on a 60-acre campus. Rooms from 650-2,513 sq ft (one-, two-, three-bed). Services include restaurant-style dining, on-site walking trails, social activities, housekeeping, and occupational, physical, and speech therapy with 24/7 nursing staff.
Non-profit, BBB A+. Walk Score 24; 15.8 miles from city center.
Accepts Medicare and private pay (primarily short-stay rehab and private pay).
Since 2022, Ascension Living Alexian Village – Milwaukee has received 9 inspections from the Wisconsin Department of Health Services documenting 46 deficiencies (11.5 per year; 283% above Wisconsin average of 3 per year). The most recent inspection on December 4, 2025 identified deficiencies in grievance resolution, mental health screening, fall investigations, and nutritional care. Repeated patterns include delayed abuse/neglect reporting (11 deficiencies total), inadequate incident investigations, quality-of-care failures (15 deficiencies), resident rights violations, and infection control lapses. Federal penalties: $91,000 in fines plus 2 Medicare/Medicaid payment denials (2024). CMS Overall Rating: 1 star (66.8% below Wisconsin average). Staffing ratios exceed state average overall (3.70:1), but direct nursing hours fall below state norms: RNs 36% below, LPNs 16% below, CNAs 34% below Wisconsin average. Occupancy: 72%.
Families should ask about corrections addressing abuse/neglect reporting delays, RN staffing ratios, infection controls, staff training, medication management, security procedures, and fall prevention.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 102nd out of 161 homes in Wisconsin.| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 37m per day | ▼ 36% State avg: 58m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 32m per day | ▼ 16% State avg: 38m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 1h 43m per day | ▼ 34% State avg: 2h 35m per day · National avg: 2h 21m per day |
|
Total Nursing (Weekend)
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 22m per day | ▼ 9% State avg: 3h 43m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 2m per day | ▼ 50% State avg: 4m per day · National avg: 4m per day |
|
RN (Weekend)
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 39m per day | ■ Avg State avg: 39m per day · National avg: 29m per day |
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
18% of new residents, usually for short-term rehab.
82% of new residents, often for short stays.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #17 / 165Payroll — State benchmarkedThis home is ranked 17th out of 165 homes in Wisconsin.Shows total annual staff payroll benchmarked to the Wisconsin average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Similar to the Wisconsin average: 70%Ascension Living Alexian Village – Milwaukee is legally operated by Alexian Village Of Milwaukee Inc, and administrated by Elsie Smith.
Key information about the people who lead and staff this community.
Room Sizes: 650 - 750 / 850 - 1600 / 1600 - 2513 sq. ft.
Housing Options: 1 Bed / 2 Bed / 3 Bed
Building Type: Mid-rise
Transportation Services
Fitness and Recreation
In Wisconsin, the Department of Health Services, Division of Quality Assurance performs unannounced onsite surveys to ensure that long-term care facilities meet health and safety laws.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Wisconsin state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies are formal regulatory issues recorded during state inspections.
| Metric | This Facility | WI Average | vs. WI Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 46 | 12 | This facility has 283% more total deficiencies than a typical Wisconsin nursing home (46 vs. WI avg 12). Click this badge to view the full Wisconsin ranking.↑ 283% worse |
|
Deficiencies per year
Average deficiencies per year since 2022.
| 11.5 | 3 | This facility has 283% more deficiencies per year than a typical Wisconsin nursing home (11.5 vs. WI avg 3). Click this badge to view the full Wisconsin ranking.↑ 283% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on December 4, 2025, identified deficiencies related to grievance resolution, PASARR mental health screenings, fall investigations, and nutritional care. Earlier inspections also noted issues with timely abuse reporting, behavioral health services, abuse investigations, supervision, and medication and infection control practices. Complaint investigations substantiated problems including delayed reporting of abuse, inadequate investigations, misappropriation of property, drug diversion, and failure to maintain resident safety and care plans. Enforcement actions such as fines or license suspensions were not listed in the available reports. The facility’s inspection history shows ongoing challenges with regulatory compliance, particularly in resident care and incident reporting, with no clear pattern of sustained improvement.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsWisconsin average 6
Last Health inspection on Jul 2025
Wisconsin average 27.3
Wisconsin average 4.19
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
17 of 50 citations resulted from standard inspections; 30 of 50 resulted from complaint investigations; and 3 of 50 came from combined inspections (standard and complaint).
11% worse than Wisconsin averageWisconsin average: 0.9
150% worse than Wisconsin averageWisconsin average: 1.2
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Ascension Living Alexian Village – Milwaukee is located in Milwaukee, Wisconsin.
Here are the financial assistance programs available to residents in Wisconsin.
15.8 miles from city center
Estimated distance in miles from Milwaukee's city center to Ascension Living Alexian Village – Milwaukee's address, calculated via Google Maps.
— 6.81 miles to nearest hospital (Froedtert Menomonee Falls Hospital)
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Reporting period: April 1 – June 30, 2025 (Q2 2025). Source: CMS Payroll-Based Journal report.
53% better than Wisconsin average
5% better than Wisconsin average
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hoursThis role is partially covered by contractors.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hoursThis role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hoursThis role is partially covered by contractors.
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
Total hours from contractors
11,222 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
| Certified Nursing Assistant | 81 | 70 | 151 | 15,888 | 91 | 100% | 7.4 |
| Registered Nurse | 14 | 7 | 21 | 6,334 | 91 | 100% | 8.6 |
| Licensed Practical Nurse | 14 | 22 | 36 | 5,985 | 91 | 100% | 8.7 |
| Speech Language Pathologist | 0 | 8 | 8 | 1,470 | 69 | 76% | 7.3 |
| Clinical Nurse Specialist | 4 | 4 | 8 | 1,460 | 84 | 92% | 6.5 |
| Physical Therapy Assistant | 0 | 4 | 4 | 598 | 73 | 80% | 7.3 |
| Other Dietary Services Staff | 2 | 0 | 2 | 501 | 62 | 68% | 7.9 |
| Physical Therapy Aide | 0 | 3 | 3 | 496 | 65 | 71% | 6.9 |
| Occupational Therapy Aide | 0 | 1 | 1 | 488 | 61 | 67% | 8 |
| Respiratory Therapy Technician | 0 | 7 | 7 | 396 | 58 | 64% | 5.2 |
| Dental Services Staff | 1 | 0 | 1 | 344 | 43 | 47% | 8 |
| Qualified Social Worker | 0 | 2 | 2 | 245 | 44 | 48% | 5.6 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
66Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Part of a Continuing Care Retirement Community offering multiple care levels
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
13.9
33% worse than Wisconsin averageWisconsin average: 10.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
27.4
24% worse than Wisconsin averageWisconsin average: 22.1
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
20.1%
14% worse than Wisconsin averageWisconsin average: 17.6%
Percent of long-stay residents whose ability to move independently worsened
34.7%
52% worse than Wisconsin averageWisconsin average: 22.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
27.5%
5% worse than Wisconsin averageWisconsin average: 26.0%
Percent of long-stay residents experiencing one or more falls with major injury
3.4%
8% worse than Wisconsin averageWisconsin average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
6.3%
16% worse than Wisconsin averageWisconsin average: 5.4%
Percent of long-stay residents with a urinary tract infection
0.9%
72% better than Wisconsin averageWisconsin average: 3.2%
Percent of long-stay residents who lose too much weight
5.1%
5% worse than Wisconsin averageWisconsin average: 4.9%
Percent of long-stay residents who have depressive symptoms
1.3%
73% better than Wisconsin averageWisconsin average: 5.0%
Percent of long-stay residents who received an antipsychotic medication
5.3%
67% better than Wisconsin averageWisconsin average: 16.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
93.6%
In line with Wisconsin averageWisconsin average: 95.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.7%
In line with Wisconsin averageWisconsin average: 95.0%
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
80.1%
8% worse than Wisconsin averageWisconsin average: 87.3%
Percent of short-stay residents who newly received an antipsychotic medication
0.7%
41% better than Wisconsin averageWisconsin average: 1.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
59.7%
27% worse than Wisconsin averageWisconsin average: 82.2%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
22.2%
In line with Wisconsin averageWisconsin average: 22.7%
Percentage of short-stay residents who had an outpatient emergency department visit.
18.4%
23% worse than Wisconsin averageWisconsin average: 15.0%
Percentage of SNF residents who experience falls with major injury during their stay.
1.4%
83% worse than Wisconsin averageWisconsin average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
74.5%
39% better than Wisconsin averageWisconsin average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
52.9%
5% better than Wisconsin averageWisconsin average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
In line with Wisconsin averageWisconsin average: $95K
In line with Wisconsin averageWisconsin average: 2.1
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
2
202% more payment denials than Wisconsin averageWisconsin average: 0.7
Penalties are imposed by CMS for violations of federal nursing home regulations.
4 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 7, 2024
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Oct 7, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 1, 2024
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Jul 1, 2024Last updated: Jan 2026
The information below is reported by the Wisconsin Department of Health Services, Division of Quality Assurance.
| Ascension Living Alexian Village – Milwaukee |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Milwaukee (Northridge) | - | 108 | A+ | 24 | 1 Bed / 2 Bed / 3 Bed |
| Cameo Care Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Milwaukee (Copernicus Park) | - | 112 | - | 51 | 1 Bed / 2 Bed / 3 Bed |
| Eastcastle Place |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Milwaukee (Murray Hill) | $5,134 - $7,789 | 18 | - | 92 | 1 Bed / 2 Bed / 3 Bed |
| Ovation Jewish Home |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Milwaukee (Lower East Side) | - | 102 | - | 88 | 1 Bed / 2 Bed / 3 Bed |
| St. Ann Health and Rehabilitation Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Milwaukee (Muskego Way) | - | 50 | - | 84 | 1 Bed / 2 Bed / 3 Bed |
Historical financial and operational data for Ascension Living Alexian Village – Milwaukee based on CMS SNF Cost Reports.
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Ascension Living Alexian Village – Milwaukee is in the Northridge neighborhood of Milwaukee.
The legal owner and operator of Ascension Living Alexian Village – Milwaukee is Alexian Village Of Milwaukee Inc.
Ascension Living Alexian Village – Milwaukee has a walk score of 24. Car-dependent. Most errands require a car, with limited nearby walkable options.
Ascension Living Alexian Village – Milwaukee's occupancy is 72%.
Ascension Living Alexian Village – Milwaukee is registered as a non-profit in WI.
Elsie Smith is the administrator of Ascension Living Alexian Village – Milwaukee.
Ascension Living Alexian Village – Milwaukee has 108 beds.
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