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St Francis Health Services in Saint Francis, WI

1915 E Tripoli Ave, Saint Francis, WI 53235
4144833611
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Overall CMS Rating

3.0/5

vs State Average: 3.0 stars

3.0/5

Health Inspections

vs State Average: 2.8/5

3.0/5

Staffing Level

vs State Average: 3.6/5

3.0/5

Quality Measures

vs State Average: 3/5

0 penaltiesin last 3 years
Penalties
vs State Average: 1.2 penalties

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Ratings Deep Dive

Score
3.0
State Average
2.8
National Average
2.8
5Deficiencies found in last inspections
0Penalties in last 3 years
0Fines issued
CitationDateDescriptionSeverity
F0607Feb 18, 2026Develop and implement policies and procedures to prevent abuse, neglect, and theft.E
F0761Feb 18, 2026Ensure 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
F0637Feb 18, 2026Assess the resident when there is a significant change in conditionD
F0640Feb 18, 2026Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.D
F0686Feb 18, 2026Provide appropriate pressure ulcer care and prevent new ulcers from developing.G
Score
3.0
State Average
3.6
National Average
2.9
0.4RN Hours / Resident / Day
3.3Total Nurse Hours / Resident / Day
RN Turnover Rate
Score
3.0
State Average
3.0
National Average
3.6
2.0Long-Stay QM Rating
5.0Short-Stay QM Rating
31.7Avg Residents Per Day
MeasureScoreType
Percentage of long-stay residents whose need for help with daily activities has increased38.272%Long Stay
Percentage of long-stay residents who lose too much weight2.597%Long Stay
Percentage of long-stay residents with a catheter inserted and left in their bladder0.000%Long Stay
Percentage of long-stay residents with a urinary tract infection1.053%Long Stay
Percentage of long-stay residents who have depressive symptoms0.000%Long Stay
Percentage of long-stay residents who were physically restrained0.000%Long Stay
Percentage of long-stay residents experiencing one or more falls with major injury4.950%Long Stay
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine99.010%Long Stay
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine64.078%Short Stay
Percentage of short-stay residents who newly received an antipsychotic medication0.000%Short Stay

Ownership & Compliance

Ownership Info

Ownership information has not been added yet.

Ownership Info CMS
OPERATIONAL/MANAGERIAL CONTROLSIDHU, SARFRAZ
ADP OF THE SNFSIDHU, SARFRAZ
ADP OF THE SNFNSH REHAB LLC
ADP OF THE SNFNORTH SHORE HEALTHCARE LLC
ADP OF THE SNFCONTINUUM THERAPY PARTNERS LLC
OPERATIONAL/MANAGERIAL CONTROLCONTINUUM THERAPY PARTNERS LLC
OPERATIONAL/MANAGERIAL CONTROLNSH REHAB LLC
OPERATIONAL/MANAGERIAL CONTROLWIPFLI LLP
ADP OF THE SNFWIPFLI LLP
ADP OF THE SNFNSH 1915 EAST TRIPOLI AVENUE LLC
Recent Penalties

No penalty records found.

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