01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-05-29 | 25 | 2026-05-29 | 8 |
| Cycle 2 | 2025-02-20 | 17 | 2025-02-20 | 16 |
| Cycle 3 | 2023-12-05 | 17 | 2023-12-05 | 11 |
CMS CCN 5255262026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Chi Franciscan Villa
3601 S Chicago Ave · South Milwaukee, WI 53172 · Milwaukee County
Certified beds90CMS provider file
Recent citation rows94current CMS citation release
Penalty rows6current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
94 rows in the current release
8 rows carry G–L scope/severity codes; 3 carry J–L. 16 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-05-29 · FIREE0009Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Include a process for Emergency Preparedness collaboration.
Correction field: Deficient, Provider has date of correction · 2026-06-192026-05-29 · FIREE0015Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Address subsistence needs for staff and patients.
Correction field: Deficient, Provider has date of correction · 2026-06-192026-05-29 · HEALTHF0609Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2026-06-19 · complaint2026-05-29 · HEALTHF0677Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2026-06-192026-05-29 · HEALTHF0689Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2026-06-19 · complaint2026-05-29 · HEALTHF0693Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2026-06-192026-05-29 · HEALTHF0761Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2026-06-192026-05-29 · HEALTHF0805Severity D · isolated; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Correction field: Deficient, Provider has date of correction · 2026-06-192026-05-29 · HEALTHF0812Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2026-06-192026-05-29 · HEALTHF0814Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
Correction field: Deficient, Provider has date of correction · 2026-06-192026-05-29 · HEALTHF0842Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Correction field: Deficient, Provider has date of correction · 2026-06-192026-05-29 · HEALTHF0880Severity E · pattern; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2026-06-192026-05-29 · HEALTHF0883Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Correction field: Deficient, Provider has date of correction · 2026-06-192026-05-29 · FIREK0211Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Correction field: Deficient, Provider has date of correction · 2026-06-252026-05-29 · FIREK0222Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Correction field: Deficient, Provider has date of correction · 2026-06-262026-05-29 · FIREK0291Severity D · isolated; potential for more than minimal harm
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Correction field: Deficient, Provider has date of correction · 2026-06-252026-05-29 · FIREK0374Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Correction field: Deficient, Provider has date of correction · 2026-06-252026-05-29 · FIREK0712Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Correction field: Deficient, Provider has date of correction · 2026-06-252026-05-29 · FIREK0918Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2026-06-252026-02-18 · HEALTHF0557Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Correction field: Deficient, Provider has date of correction · 2026-03-16 · complaint2026-02-18 · HEALTHF0585Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor 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.
Correction field: Deficient, Provider has date of correction · 2026-03-16 · complaint2026-02-18 · HEALTHF0609Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2026-03-16 · complaint2026-02-18 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2026-03-16 · complaint2026-02-18 · HEALTHF0676Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Correction field: Deficient, Provider has date of correction · 2026-03-16 · complaint03 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2025-11-13 | Fine | $48,620 | 0 |
| 2025-07-16 | Fine | $26,685 | 0 |
| 2025-02-20 | Fine | $44,532 | 0 |
| 2024-11-08 | Fine | $121,797 | 0 |
| 2023-12-05 | Fine | $15,593 | 0 |
| 2023-12-05 | Payment Denial | $0 | 11 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- SYLVANIA FRANCISCAN HEALTHOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 07/01/2017
- COMMONSPIRIT HEALTHOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST100% · since 07/01/2017
- LIPSEY, PRENTICEIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 11/01/2021
- MBANU, TERIKAIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 01/05/2024
- MELFI, MITCHIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 07/01/2017
- CECIL, CAITLINIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 06/18/2012
- FINN, CHRISTINAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2017
- GRUBBS, STACEYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 03/26/2012
- HAZARD, TEDIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 11/08/2017
- MUNROE, KYLEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 09/08/2015
- MURRIEL, SHELLYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 09/09/2024
- NAGEL, JENNIFERIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 11/12/2015
- SNODGRASS, BARBARAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 08/15/2016
- WINE, MATTHEWIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/01/2018
- IFFLAND, ALISAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 07/01/2017
- LIPSEY, PRENTICEIndividual · CORPORATE OFFICERNOT APPLICABLE · since 09/17/2021
- REHMER, HEATHERIndividual · CORPORATE OFFICERNOT APPLICABLE · since 06/25/2024
- COMMONSPIRIT HEALTHOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 07/01/2017
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.46per resident day
RN hours0.64per resident day
Weekend nurse hours2.91per resident day
Staff turnover50.0%CMS reported field
06 / LOCAL RECORDS
Open the South Milwaukee ledger →