01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-06-03 | 7 | 2025-06-03 | 8 |
| Cycle 2 | 2024-04-24 | 1 | 2024-04-24 | 5 |
| Cycle 3 | 2023-02-21 | 6 | 2023-02-21 | 8 |
CMS CCN 5255392026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Saint Johns On The Lake
1858 N Prospect Ave · Milwaukee, WI 53202 · Milwaukee County
Certified beds27CMS provider file
Recent citation rows35current CMS citation release
Penalty rows0current 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
35 rows in the current release
1 rows carry G–L scope/severity codes; 0 carry J–L. 8 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-04-01 · HEALTHF0610Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Correction field: Deficient, Provider has date of correction · 2026-04-30 · complaint2025-06-03 · FIREE0039Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Correction field: Deficient, Provider has date of correction · 2025-07-252025-06-03 · HEALTHF0605Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Correction field: Deficient, Provider has date of correction · 2025-07-072025-06-03 · HEALTHF0645Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Correction field: Deficient, Provider has date of correction · 2025-07-072025-06-03 · 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 · 2025-08-292025-06-03 · HEALTHF0880Severity F · widespread; 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 · 2025-08-292025-06-03 · HEALTHF0881Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Implement a program that monitors antibiotic use.
Correction field: Deficient, Provider has date of correction · 2025-07-032025-06-03 · HEALTHF0908Severity F · widespread; potential for more than minimal harm
Environmental Deficiencies
Keep all essential equipment working safely.
Correction field: Deficient, Provider has date of correction · 2025-08-292025-06-03 · FIREK0321Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2025-07-022025-06-03 · FIREK0324Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2025-07-022025-06-03 · FIREK0541Severity D · isolated; potential for more than minimal harm
Services Deficiencies
Install properly constructed and protected linen or trash chutes.
Correction field: Deficient, Provider has date of correction · 2025-06-252025-06-03 · FIREK0712Severity C · widespread; potential for minimal harm
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Correction field: Deficient, Provider has date of correction · 2025-06-262025-06-03 · FIREK0761Severity D · isolated; potential for more than minimal harm
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Correction field: Deficient, Provider has date of correction · 2025-07-092025-06-03 · 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 · 2025-07-092025-06-03 · FIREK0923Severity D · isolated; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Correction field: Deficient, Provider has date of correction · 2025-06-252024-04-24 · HEALTHF0880Severity F · widespread; 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 · 2024-05-242024-04-24 · FIREK0132Severity F · widespread; potential for more than minimal harm
Construction Deficiencies
Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.
Correction field: Deficient, Provider has date of correction · 2024-05-242024-04-24 · FIREK0341Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
Correction field: Deficient, Provider has date of correction · 2024-05-242024-04-24 · FIREK0353Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2024-05-142024-04-24 · FIREK0712Severity C · widespread; potential for minimal harm
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Correction field: Deficient, Provider has date of correction · 2024-05-242024-04-24 · 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 · 2024-05-242023-02-21 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2023-03-272023-02-21 · HEALTHF0686Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2023-04-172023-02-21 · HEALTHF0755Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2023-03-2703 / 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 |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- SAINT JOHN'S COMMUNITIES, INC.Organization · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 07/01/1994
- US BANK NATIONAL ASSOCIATIONOrganization · 5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE · since 12/09/2015
- ANDERSON, RENEEIndividual · CORPORATE OFFICERNOT APPLICABLE · since 07/01/2011
- LEMMINGER, DANIndividual · CORPORATE OFFICERNOT APPLICABLE · since 10/03/2011
- SAINT JOHN'S COMMUNITIES, INC.Organization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 07/01/1994
- THE MEDICAL COLLEGE OF WISCONSIN INCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/01/2024
- LOYD, MATTHEWIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/16/2021
- PETITT, DOROTHYIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/18/2021
- SALTNESS, RACHELIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/01/2024
- BEHAVIORAL SOLUTIONS INCOrganization · ADP OF THE SNFNOT APPLICABLE · since 10/01/2024
- BRIGHTON HOSPICE WISCONSIN LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 08/07/2023
- COMMUNITY FOOT AND ANKLE CLINIC INCOrganization · ADP OF THE SNFNOT APPLICABLE · since 02/26/2019
- DAVIS CLINICAL CONSULTINGOrganization · ADP OF THE SNFNOT APPLICABLE · since 12/30/2024
- DIETITIANS ON DEMAND CORPORATE SOLUTIONS, LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 01/31/2022
- GUARDIAN PHARMACY OF MADISON, LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 08/01/2023
- HEARING CARE AT HOME LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 12/08/2022
- HOMETOWN HOSPICE & HOMECARE INCOrganization · ADP OF THE SNFNOT APPLICABLE · since 09/17/2014
- INTEGRATED THERAPY MANAGMENT PARTNERS, LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 02/01/2024
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 hours5.25per resident day
RN hours1.45per resident day
Weekend nurse hours4.86per resident day
Staff turnover38.7%CMS reported field
06 / LOCAL RECORDS
Open the Milwaukee ledger →Other published facilities nearby
Amethyst Health Of Brown Deer87 beds · CMS overall 1/5116 citation rowsAutumn Lake Healthcare At Greenfield112 beds · CMS overall 1/595 citation rowsAvina Of Milwaukee108 beds · CMS overall 1/5119 citation rowsBradley Estates Nursing And Rehab Llc198 beds · CMS overall 1/5189 citation rowsEastcastle Pl Bradford Ter Conv Ctr40 beds · CMS overall 5/522 citation rowsEdenbrook Lakeside145 beds · CMS overall 1/564 citation rowsJewish Home And Care Center102 beds · CMS overall 1/549 citation rowsLuther Manor99 beds · CMS overall 1/583 citation rows