St Francis Health Services
Nursing Home & Skilled Nursing · Saint Francis, WI
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

St Francis Health Services

Nursing Home & Skilled Nursing · Saint Francis, WI
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
St Francis Health Services accepts Medicare, Medicaid, and private pay.
St Francis Health Services accepts Medicare, Medicaid, and private pay.

CMS Health Inspection History

Inspections Since 2024 · 2 years of data

Includes all CMS health inspection records for this property, which could include management/ownership changes.

Total health inspections 4

State average 6.1


Last Health inspection on Feb 2026

Total health citations
15 Rank #53 / 168Health citations — State benchmarkedThis nursing home is ranked 53rd out of 168 nursing homes we track in Wisconsin for health citations. Shows this facility's total health deficiency citations benchmarked to the Wisconsin State average, with a ranking across all 168 WI facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Wisconsin that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average 27.6

Citations per inspection
3.75 Rank #75 / 168Citations per inspection — State benchmarkedThis nursing home is ranked 75th out of 168 nursing homes we track in Wisconsin for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Wisconsin mean across 168 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Wisconsin that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average 4.2


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

14 of 15 citations resulted from standard inspections; and 1 of 15 resulted from complaint investigations.

Breakdown of citation severity (last 2 years)
Critical health citations
0
100% better than State average

State average: 0.9


Serious health citations
1
9% better than State average

State average: 1.1

0 critical citations State average: 0.9

1 serious citation State average: 1.1

14 moderate citations State average: 25.1

0 minor citations State average: 0.5
Citations history (last 2 years)
Abuse/Neglect moderate citation Feb 18, 2026
Corrected

Infection Control moderate citation Feb 18, 2026
Corrected

Pharmacy moderate citation Feb 18, 2026
Corrected

Quality of Care moderate citation Feb 18, 2026
Corrected

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 64
Employees 44
Contractors 20
Staff to resident ratio 2.21 : 1
9% fewer staff per resident than Wisconsin average
Wisconsin average ratio: 2.42 : 1 Wisconsin average ratio: 2.42 : 1See full Wisconsin ranking
Avg staff/day 19
Average shift 6.9 hours
5% worse than Wisconsin average
Wisconsin average: 7.3 hours Wisconsin average shift: 7.3 hoursSee full Wisconsin ranking
Total staff hours (quarter) 11,994

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info 9 total: 8 full-time employees and 1 contractor. 9
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 6.9 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 6 LPN Staff are full-time employees. No contractors work on this role. 6
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.4 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 21 CNA Staff are full-time employees. No contractors work on this role. 21
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.2 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

9.7%

1,162 contractor hours this quarter

Respiratory Therapy Technician: 4 Occupational Therapy Assistant: 4 Physical Therapy Assistant: 4 Speech Language Pathologist: 3 Qualified Social Worker: 2 Physical Therapy Aide: 2 Registered Nurse: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant210215,40092100%7.2
Licensed Practical Nurse6062,58192100%8.4
Registered Nurse8196096672%6.9
Administrator1014966267%8
Speech Language Pathologist0334896672%7.2
Nurse Practitioner1014886166%8
Mental Health Service Worker1014846267%7.8
Dietitian1014505964%7.6
Physical Therapy Aide0223706773%3.6
Medication Aide/Technician1011783841%4.7
Clinical Nurse Specialist101961213%8
Qualified Social Worker022964246%2.2
Physical Therapy Assistant044763437%2
Respiratory Therapy Technician044703033%2.2
Occupational Therapy Aide303691617%4
Occupational Therapy Assistant044442224%1.6
21 Certified Nursing Assistant
% of Days 100%
6 Licensed Practical Nurse
% of Days 100%
9 Registered Nurse
% of Days 72%
1 Administrator
% of Days 67%

Penalties and fines

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

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 13.1
25% worse than Wisconsin average

Wisconsin average: 10.5

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 32.6
47% worse than Wisconsin average

Wisconsin average: 22.1

Long-stay resident measures
Below average Wisconsin avg: 3.0 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 30.6%
73% worse than Wisconsin average

Wisconsin average: 17.6%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 31.1%
37% worse than Wisconsin average

Wisconsin average: 22.8%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 36.1%
39% worse than Wisconsin average

Wisconsin average: 26.0%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 2.0%
37% better than Wisconsin average

Wisconsin average: 3.2%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 1.8%
67% better than Wisconsin average

Wisconsin average: 5.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 3.2%
In line with Wisconsin average

Wisconsin average: 3.2%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 0.0%
100% better than Wisconsin average

Wisconsin average: 4.9%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.0%
100% better than Wisconsin average

Wisconsin average: 5.0%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 14.0%
13% better than Wisconsin average

Wisconsin average: 16.1%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
In line with Wisconsin average

Wisconsin average: 95.9%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 92.6%
In line with Wisconsin average

Wisconsin average: 95.0%

Short-stay resident measures
Significantly above average Wisconsin avg: 2.9 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 84.7%
In line with Wisconsin average

Wisconsin average: 87.3%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than Wisconsin average

Wisconsin average: 1.2%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 59.1%
28% worse than Wisconsin average

Wisconsin average: 82.2%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 14.7%
35% better than Wisconsin average

Wisconsin average: 22.7%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 15.0%
In line with Wisconsin average

Wisconsin average: 15.0%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% better than Wisconsin average

Wisconsin average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 60.0%
12% better than Wisconsin average

Wisconsin average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 49.8%
In line with Wisconsin average

Wisconsin average: 50.6%

Breakdown by payment type

Medicare

43% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

43% of new residents, often for short stays.

Typical stay 7 - 8 months

Medicaid

13% of new residents, often for long-term daily care.

Typical stay 10 - 11 months

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 29
Medicare
2
6.9% of residents
Medicaid
6
20.7% of residents
Private pay or other
21
72.4% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

For-profit
Operated by a business corporation.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$4.3M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$1.0M
For-profit Operated by a business corporation.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$4.3M Rank #146 / 161Net patient revenue — State benchmarkedThis nursing home is ranked 146th out of 161 nursing homes we track in Wisconsin. Shows this facility's net patient revenue compared to the Wisconsin average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Wisconsin that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$1.0M
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$46.9K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #161 / 161Payroll costs — State benchmarkedThis nursing home is ranked 161st out of 161 nursing homes we track in Wisconsin. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Wisconsin average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Wisconsin that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
$1.3M 31% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #158 / 161Payroll % of net patient revenue — State benchmarkedThis nursing home is ranked 158th out of 161 nursing homes we track in Wisconsin. Shows payroll as a percentage of net patient revenue versus the Wisconsin average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Wisconsin that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$1.9M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$3.3M

Who this home usually serves

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

New residents most often arrive under Medicare (43% of admissions), and a typical Medicare stay runs around 1 - 2 months.

Admissions
76 total

Coverage residents most often arrive under.

Medicare 43%
Private pay 43%
Medicaid 13%
Discharges
74 total

Coverage residents most often leave under.

Medicare 31%
Private pay 23%
Medicaid 46%

Places of interest near St Francis Health Services

Address 0.0 miles from city center Info Estimated distance in miles from Saint Francis's city center to St Francis Health Services's address, calculated via Google Maps.

Calculate Travel Distance to St Francis Health Services

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Address

Compare Nursing Homes around the area

Info below is compiled from CMS reports & the WI Dept. of Health Services (DHS), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest-ranked to lowest-ranked based on our methodology.

Official facility name used in federal/state reporting (may differ slightly from the marketing name).
Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. PC (Palliative Care): Comfort-focused care for serious illness at any stage, including alongside curative treatment.
City and state of the facility. Used for mapping and state-average comparisons.
Estimated monthly cost range for the facility.
Licensed bed capacity (maximum allowed). Not the same as how many beds are currently filled.
Better Business Bureau grade for the operating company. Reflects complaint handling and business practices, not clinical care quality.
Third-party neighborhood walkability score (0–100). Convenience/context metric, not a healthcare quality measure.
Housing or bed configuration options (e.g. studio, shared), often from facility-reported amenities and licensing details.
Lasata Care Center
NH
AL
IL
SNF
Cedarburg -
106
Facility 106
WI AVG 80
Rank #45 / 192
A+
84
Facility 84
WI AVG 48
Rank #14 / 186
-
Harbor Haven Health & Rehabilitation
NH
HOS
MC
PC
SNF
Fond Du Lac -
85
Facility 85
WI AVG 80
Rank #82 / 192
-
57
Facility 57
WI AVG 48
Rank #65 / 186
Private / Semi-Private Rooms
Clement Manor Inc
NH
AL
IL
MC
PC
RC
SNF
Greenfield -
47
Facility 47
WI AVG 80
Rank #156 / 192
-
41
Facility 41
WI AVG 48
Rank #112 / 186
-
Woodside Lutheran Home
NH
AL
MC
RC
SNF
Green Bay -
118
Facility 118
WI AVG 80
Rank #30 / 192
-
67
Facility 67
WI AVG 48
Rank #45 / 186
-
St Francis Health Services
NH
SNF
Saint Francis -
34
Facility 34
WI AVG 80
Rank #173 / 192
-
25
Facility 25
WI AVG 48
Rank #147 / 186
-

Rank badges are statewide and care-type specific: each nursing home is ranked against every other WI nursing home we track that reports that metric, not just the 5 on this page. See how we rank facilities

Frequently Asked Questions about St Francis Health Services

Who is the owner of St Francis Health Services?

St Francis Health Services is legally operated by Nsh South Shore LLC, and administered by Ann Lopez.

Is St Francis Health Services in a walkable area?

St Francis Health Services has a walk score of 25. Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.

What is the occupancy rate at St Francis Health Services?

St Francis Health Services's occupancy is 93.2%.

Are pets allowed at St Francis Health Services?

No, St Francis Health Services has a no-pet policy.

Does St Francis Health Services operate as a for-profit or non-profit?

St Francis Health Services is registered as a for-profit in WI.

Who is the administrator of St Francis Health Services?

Ann Lopez is the administrator of St Francis Health Services.

What is the overall rating for St Francis Health Services?

St Francis Health Services received a 3-star overall rating from the CMS (Centers for Medicare and Medicaid Services). This score combines results from staffing levels, quality measures, and health inspections.

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