01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-03-26 | 11 | 2026-03-26 | 3 |
| Cycle 2 | 2024-11-14 | 26 | 2024-11-14 | 6 |
| Cycle 3 | 2023-08-17 | 30 | 2023-08-17 | 6 |
CMS CCN 5255242026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
St. Anne'S Salvatorian Campus
3800 N 92Nd St · Milwaukee, WI 53222 · Milwaukee County
Certified beds50CMS provider file
Recent citation rows82current 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
82 rows in the current release
8 rows carry G–L scope/severity codes; 3 carry J–L. 18 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-03-26 · HEALTHF0578Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Correction field: Deficient, Provider has date of correction · 2026-05-132026-03-26 · 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 · 2026-04-202026-03-26 · HEALTHF0628Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Correction field: Deficient, Provider has date of correction · 2026-04-202026-03-26 · 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 · 2026-04-202026-03-26 · HEALTHF0657Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Correction field: Deficient, Provider has date of correction · 2026-04-202026-03-26 · 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 · 2026-05-132026-03-26 · 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 · 2026-04-202026-03-26 · HEALTHF0882Severity F · widespread; potential for more than minimal harm
Infection Control Deficiencies
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Correction field: Deficient, Provider has date of correction · 2026-04-202026-03-26 · HEALTHF0887Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Correction field: Deficient, Provider has date of correction · 2026-04-202026-03-26 · FIREK0293Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Correction field: Deficient, Provider has date of correction · 2026-04-132026-03-26 · FIREK0353Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2026-04-132026-03-26 · 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 · 2026-04-172026-01-07 · 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 · 2026-03-02 · complaint2026-01-07 · HEALTHF0757Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Correction field: Deficient, Provider has date of correction · 2026-02-02 · complaint2025-06-13 · 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 · 2025-07-11 · complaint2025-06-13 · 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 · 2025-07-11 · complaint2025-06-13 · HEALTHF0880Severity D · isolated; 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 · 2025-07-11 · complaint2025-03-05 · HEALTHF0760Severity G · isolated actual harm
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Correction field: Deficient, Provider has date of correction · 2025-04-15 · complaint2024-11-14 · FIREE0018Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Establish procedures for tracking staff and patients during an emergency.
Correction field: Deficient, Provider has date of correction · 2024-12-192024-11-14 · FIREE0035Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Provide family notifications of emergency plan.
Correction field: Deficient, Provider has date of correction · 2024-12-192024-11-14 · 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 · 2024-12-192024-11-14 · HEALTHF0554Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Correction field: Deficient, Provider has date of correction · 2024-12-192024-11-14 · HEALTHF0558Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Correction field: Deficient, Provider has date of correction · 2024-12-192024-11-14 · HEALTHF0578Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Correction field: Deficient, Provider has date of correction · 2024-12-1903 / 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 |
|---|---|---|---|
| 2026-03-26 | Fine | $119,850 | 0 |
| 2026-03-26 | Payment Denial | $0 | 21 |
| 2026-01-07 | Fine | $19,115 | 0 |
| 2026-01-07 | Payment Denial | $0 | 23 |
| 2024-11-14 | Fine | $204,523 | 0 |
| 2024-11-14 | Payment Denial | $0 | 112 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- MARQUARDT VILLAGE INCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 01/04/2022
- DETTMAN, SCOTTIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/04/2022
- FISCHER, TODDIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/04/2022
- HEROUX, STEVENIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 08/01/2024
- KOHLHOFF, KEVINIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 09/01/2023
- KONKOL, DENNISIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/01/2024
- MEIDENBAUER, ROBERTIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/04/2022
- VAN DER LINDEN, KATIEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/04/2022
- WAGNER, LYNNEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/01/2024
- MARKS, JULIEIndividual · CORPORATE OFFICERNOT APPLICABLE · since 06/09/2025
- MAUTHE, MATTHEWIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/04/2022
- ILLUMINUS INCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/04/2022
- MARQUARDT VILLAGE INCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/04/2022
- LIPKE, TESLAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 04/16/2025
- MARKS, JULIEIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 06/09/2025
- MAUTHE, MATTHEWIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/04/2022
- SIDHU, SARFRAZIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 07/02/2021
- ILLUMINUS INCOrganization · ADP OF THE SNFNOT APPLICABLE · since 04/24/2025
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 hours4.02per resident day
RN hours1.20per resident day
Weekend nurse hours3.69per resident day
Staff turnover45.8%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