Wheaton Franciscan Hc - Terrace At St Francis

Federal health inspectors cited WHEATON FRANCISCAN HC - TERRACE AT ST FRANCIS in MILWAUKEE, WI for a deficiency under regulatory tag F-F0552 during a standard health inspection conducted on 2025-08-20.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: Ensure that residents are fully informed and understand their health status, care and treatments.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 14 deficiencies cited during this inspection of WHEATON FRANCISCAN HC - TERRACE AT ST FRANCIS.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-17.

Federal health inspectors cited WHEATON FRANCISCAN HC - TERRACE AT ST FRANCIS in MILWAUKEE, WI for a deficiency under regulatory tag F-F0583 during a standard health inspection conducted on 2025-08-20.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: Keep residents' personal and medical records private and confidential.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 14 deficiencies cited during this inspection of WHEATON FRANCISCAN HC - TERRACE AT ST FRANCIS.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-17.

Federal health inspectors cited WHEATON FRANCISCAN HC - TERRACE AT ST FRANCIS in MILWAUKEE, WI for a deficiency under regulatory tag F-F0610 during a complaint investigation conducted on 2025-08-20.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

The facility was found deficient in the following area: Respond appropriately to all alleged violations.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 14 deficiencies cited during this inspection of WHEATON FRANCISCAN HC - TERRACE AT ST FRANCIS.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-17.

Federal health inspectors cited WHEATON FRANCISCAN HC - TERRACE AT ST FRANCIS in MILWAUKEE, WI for a deficiency under regulatory tag F-F0628 during a standard health inspection conducted on 2025-08-20.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 14 deficiencies cited during this inspection of WHEATON FRANCISCAN HC - TERRACE AT ST FRANCIS.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-17.

Federal health inspectors cited WHEATON FRANCISCAN HC - TERRACE AT ST FRANCIS in MILWAUKEE, WI for a deficiency under regulatory tag F-F0645 during a standard health inspection conducted on 2025-08-20.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: PASARR screening for Mental disorders or Intellectual Disabilities

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 14 deficiencies cited during this inspection of WHEATON FRANCISCAN HC - TERRACE AT ST FRANCIS.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-17.

Federal health inspectors cited WHEATON FRANCISCAN HC - TERRACE AT ST FRANCIS in MILWAUKEE, WI for a deficiency under regulatory tag F-F0684 during a standard health inspection conducted on 2025-08-20.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 14 deficiencies cited during this inspection of WHEATON FRANCISCAN HC - TERRACE AT ST FRANCIS.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-17.

Federal health inspectors cited WHEATON FRANCISCAN HC - TERRACE AT ST FRANCIS in MILWAUKEE, WI for a deficiency under regulatory tag F-F0686 during a standard health inspection conducted on 2025-08-20.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 14 deficiencies cited during this inspection of WHEATON FRANCISCAN HC - TERRACE AT ST FRANCIS.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-17.

Federal health inspectors cited WHEATON FRANCISCAN HC - TERRACE AT ST FRANCIS in MILWAUKEE, WI for a deficiency under regulatory tag F-F0689 during a complaint investigation conducted on 2025-08-20.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 14 deficiencies cited during this inspection of WHEATON FRANCISCAN HC - TERRACE AT ST FRANCIS.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-17.

Federal health inspectors cited WHEATON FRANCISCAN HC - TERRACE AT ST FRANCIS in MILWAUKEE, WI for a deficiency under regulatory tag F-F0698 during a standard health inspection conducted on 2025-08-20.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide safe, appropriate dialysis care/services for a resident who requires such services.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 14 deficiencies cited during this inspection of WHEATON FRANCISCAN HC - TERRACE AT ST FRANCIS.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-17.

Federal health inspectors cited WHEATON FRANCISCAN HC - TERRACE AT ST FRANCIS in MILWAUKEE, WI for a deficiency under regulatory tag F-F0725 during a standard health inspection conducted on 2025-08-20.

Category: Nursing and Physician Services Deficiencies

The facility was found deficient in the following area: Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Scope/Severity Level C: pattern, no actual harm with potential for minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 14 deficiencies cited during this inspection of WHEATON FRANCISCAN HC - TERRACE AT ST FRANCIS.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-17.

Federal health inspectors cited WHEATON FRANCISCAN HC - TERRACE AT ST FRANCIS in MILWAUKEE, WI for a deficiency under regulatory tag F-F0729 during a standard health inspection conducted on 2025-08-20.

Category: Nursing and Physician Services Deficiencies

The facility was found deficient in the following area: Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.

Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 14 deficiencies cited during this inspection of WHEATON FRANCISCAN HC - TERRACE AT ST FRANCIS.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-17.

Federal health inspectors cited WHEATON FRANCISCAN HC - TERRACE AT ST FRANCIS in MILWAUKEE, WI for a deficiency under regulatory tag F-F0755 during a complaint investigation conducted on 2025-08-20.

Category: Pharmacy Service Deficiencies

The facility was found deficient in the following area: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 14 deficiencies cited during this inspection of WHEATON FRANCISCAN HC - TERRACE AT ST FRANCIS.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-17.

Federal health inspectors cited WHEATON FRANCISCAN HC - TERRACE AT ST FRANCIS in MILWAUKEE, WI for a deficiency under regulatory tag F-F0756 during a standard health inspection conducted on 2025-08-20.

Category: Pharmacy Service Deficiencies

The facility was found deficient in the following area: Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 14 deficiencies cited during this inspection of WHEATON FRANCISCAN HC - TERRACE AT ST FRANCIS.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-17.

Federal health inspectors cited WHEATON FRANCISCAN HC - TERRACE AT ST FRANCIS in MILWAUKEE, WI for a deficiency under regulatory tag F-F0759 during a complaint investigation conducted on 2025-08-20.

Category: Pharmacy Service Deficiencies

The facility was found deficient in the following area: Ensure medication error rates are not 5 percent or greater.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 14 deficiencies cited during this inspection of WHEATON FRANCISCAN HC - TERRACE AT ST FRANCIS.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-17.