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Chi Franciscan Villa

📍 3601 S Chicago Ave, South-milwaukee, WI 53172 📞 (414) 764-4100 🛏️ 150 beds

Inspection History Overview

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2022 4 penalties totaling $180,625

$108,315
Aug 25, 2022

Fine

$47,560
Apr 21, 2022

Fine

$15,000
Jan 6, 2022

Fine

$9,750
Jan 6, 2022

Fine

2021 1 penalties totaling $31,616

$31,616
May 26, 2021

Fine

2020 2 penalties totaling $67,345

$42,560
Aug 24, 2020

Fine

$24,785
Feb 12, 2020

Fine

2019 1 penalties totaling $76,014

$76,014
May 28, 2019

Fine

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Health Violations by Year

2025 6 violations

Tag 0677 D Feb 20, 2025

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Feb 28, 2025
Tag 0684 D Feb 20, 2025

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Feb 28, 2025
Tag 0686 D Feb 20, 2025

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Feb 28, 2025
Tag 0689 G Feb 20, 2025

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Feb 28, 2025
Tag 0695 D Feb 20, 2025

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Feb 28, 2025
Tag 0880 F Feb 20, 2025

Provide and implement an infection prevention and control program.

✓ Corrected: Mar 20, 2025

2024 2 violations

Tag 0600 D Jun 20, 2024

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Jul 5, 2024
Tag 0755 E Jun 20, 2024

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Jul 5, 2024
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2023 23 violations

Tag 0554 D Dec 5, 2023

Allow residents to self-administer drugs if determined clinically appropriate.

✓ Corrected: Jan 2, 2024
Tag 0558 D Dec 5, 2023

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: Jan 2, 2024
Tag 0578 D Dec 5, 2023

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.

✓ Corrected: Jan 2, 2024
Tag 0609 D Dec 5, 2023

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Jan 2, 2024
Tag 0610 D Dec 5, 2023

Respond appropriately to all alleged violations.

✓ Corrected: Jan 2, 2024
Tag 0684 D Dec 5, 2023

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Jan 2, 2024
Tag 0686 E Dec 5, 2023

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Jan 2, 2024
Tag 0689 J Dec 5, 2023

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Jan 2, 2024
Tag 0690 D Dec 5, 2023

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: Jan 2, 2024
Tag 0732 C Dec 5, 2023

Post nurse staffing information every day.

✓ Corrected: Jan 2, 2024
Tag 0759 D Dec 5, 2023

Ensure medication error rates are not 5 percent or greater.

✓ Corrected: Jan 2, 2024
Tag 0761 E Dec 5, 2023

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.

✓ Corrected: Jan 2, 2024
Tag 0851 F Dec 5, 2023

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

✓ Corrected: Jan 2, 2024
Tag 0880 D Dec 5, 2023

Provide and implement an infection prevention and control program.

✓ Corrected: Jan 2, 2024
Tag 0607 E Sep 5, 2023

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

✓ Corrected: Sep 15, 2023
Tag 0684 J Jul 12, 2023

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Jul 15, 2023
Tag 0689 J Jul 12, 2023

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Aug 3, 2023
Tag 0730 E Jul 12, 2023

Observe each nurse aide's job performance and give regular training.

✓ Corrected: Aug 4, 2023
Tag 0944 E Jul 12, 2023

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

✓ Corrected: Aug 4, 2023
Tag 0947 E Jul 12, 2023

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

✓ Corrected: Aug 4, 2023

2022 29 violations

Tag 0554 D Aug 25, 2022

Allow residents to self-administer drugs if determined clinically appropriate.

✓ Corrected: Sep 23, 2022
Tag 0580 D Aug 25, 2022

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Sep 23, 2022
Tag 0600 J Aug 25, 2022

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Sep 23, 2022
Tag 0609 D Aug 25, 2022

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Sep 23, 2022
Tag 0610 D Aug 25, 2022

Respond appropriately to all alleged violations.

✓ Corrected: Sep 23, 2022
Tag 0623 C Aug 25, 2022

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

✓ Corrected: Sep 23, 2022
Tag 0656 D Aug 25, 2022

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Sep 23, 2022
Tag 0657 E Aug 25, 2022

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Sep 23, 2022
Tag 0677 E Aug 25, 2022

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Sep 23, 2022
Tag 0684 G Aug 25, 2022

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Sep 23, 2022
Tag 0686 G Aug 25, 2022

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Sep 23, 2022
Tag 0688 D Aug 25, 2022

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

✓ Corrected: Sep 23, 2022
Tag 0689 K Aug 25, 2022

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Sep 23, 2022
Tag 0690 D Aug 25, 2022

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: Sep 23, 2022
Tag 0695 D Aug 25, 2022

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Sep 23, 2022
Tag 0698 D Aug 25, 2022

Provide safe, appropriate dialysis care/services for a resident who requires such services.

✓ Corrected: Sep 23, 2022
Tag 0755 D Aug 25, 2022

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Sep 23, 2022
Tag 0756 E Aug 25, 2022

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

✓ Corrected: Sep 23, 2022
Tag 0757 D Aug 25, 2022

Ensure each resident’s drug regimen must be free from unnecessary drugs.

✓ Corrected: Sep 23, 2022
Tag 0758 D Aug 25, 2022

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

✓ Corrected: Sep 23, 2022
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2021 21 violations

Tag 0609 D Nov 8, 2021

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Nov 29, 2021
Tag 0692 D Nov 8, 2021

Provide enough food/fluids to maintain a resident's health.

✓ Corrected: Nov 29, 2021
Tag 0609 D Sep 9, 2021

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Oct 1, 2021
Tag 0842 D Sep 9, 2021

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: Oct 1, 2021
Tag 0609 D Aug 3, 2021

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Sep 2, 2021
Tag 0610 D Aug 3, 2021

Respond appropriately to all alleged violations.

✓ Corrected: Sep 8, 2021
Tag 0744 D Aug 3, 2021

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

✓ Corrected: Sep 2, 2021
Tag 0755 D Aug 3, 2021

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Sep 2, 2021
Tag 0623 D May 26, 2021

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

✓ Corrected: Jun 24, 2021
Tag 0688 G May 26, 2021

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

✓ Corrected: Jun 24, 2021
Tag 0689 D May 26, 2021

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Jun 24, 2021
Tag 0697 G May 26, 2021

Provide safe, appropriate pain management for a resident who requires such services.

✓ Corrected: Jun 24, 2021
Tag 0755 D May 26, 2021

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Jun 24, 2021
Tag 0758 D May 26, 2021

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

✓ Corrected: Jun 24, 2021
Tag 0812 F May 26, 2021

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Jun 24, 2021
Tag 0880 F May 26, 2021

Provide and implement an infection prevention and control program.

✓ Corrected: Jun 24, 2021
Tag 0580 D Mar 17, 2021

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Apr 9, 2021
Tag 0608 D Mar 17, 2021

Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting.

✓ Corrected: Apr 9, 2021
Tag 0740 D Mar 17, 2021

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

✓ Corrected: Apr 9, 2021
Tag 0755 D Mar 17, 2021

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Apr 9, 2021

2020 13 violations

Tag 0886 E Nov 30, 2020

Perform COVID19 testing on residents and staff.

✓ Corrected: Dec 24, 2020
Tag 0689 D Oct 22, 2020

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Nov 6, 2020
Tag 0585 D Aug 24, 2020

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.

✓ Corrected: Sep 14, 2020
Tag 0600 G Aug 24, 2020

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Sep 14, 2020
Tag 0609 E Aug 24, 2020

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Sep 14, 2020
Tag 0610 G Aug 24, 2020

Respond appropriately to all alleged violations.

✓ Corrected: Sep 14, 2020
Tag 0684 D Aug 24, 2020

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Sep 14, 2020
Tag 0689 D Aug 24, 2020

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Sep 14, 2020
Tag 0880 E Aug 24, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: Sep 14, 2020
Tag 0656 D Feb 12, 2020

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Mar 10, 2020
Tag 0677 D Feb 12, 2020

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Mar 10, 2020
Tag 0686 G Feb 12, 2020

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Apr 8, 2020
Tag 0690 D Feb 12, 2020

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: Mar 10, 2020
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2019 16 violations

Tag 0698 D Nov 26, 2019

Provide safe, appropriate dialysis care/services for a resident who requires such services.

✓ Corrected: Dec 13, 2019
Tag 0580 D Jul 18, 2019

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Jul 21, 2019
Tag 0607 D Jul 18, 2019

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

✓ Corrected: Jul 21, 2019
Tag 0609 D Jul 18, 2019

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Jul 21, 2019
Tag 0610 D Jul 18, 2019

Respond appropriately to all alleged violations.

✓ Corrected: Jul 21, 2019
Tag 0578 D May 28, 2019

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.

✓ Corrected: Jun 13, 2019
Tag 0622 D May 28, 2019

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

✓ Corrected: Jun 13, 2019
Tag 0623 D May 28, 2019

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

✓ Corrected: Jun 13, 2019
Tag 0656 D May 28, 2019

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Jun 13, 2019
Tag 0686 J May 28, 2019

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Jun 13, 2019
Tag 0688 D May 28, 2019

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

✓ Corrected: Jun 13, 2019
Tag 0689 D May 28, 2019

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Jun 13, 2019
Tag 0726 D May 28, 2019

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

✓ Corrected: Jun 13, 2019
Tag 0757 D May 28, 2019

Ensure each resident’s drug regimen must be free from unnecessary drugs.

✓ Corrected: Jun 13, 2019
Tag 0758 D May 28, 2019

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

✓ Corrected: Jun 13, 2019
Tag 0842 D May 28, 2019

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: Jun 13, 2019

2018 13 violations

Tag 0755 D Nov 20, 2018

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Dec 19, 2018
Tag 0921 E Nov 20, 2018

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

✓ Corrected: Dec 19, 2018
Tag 0686 D Sep 26, 2018

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Oct 26, 2018
Tag 0689 D Sep 26, 2018

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Oct 26, 2018
Tag 0558 E Aug 13, 2018

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: Sep 13, 2018
Tag 0645 D Mar 27, 2018

PASARR screening for Mental disorders or Intellectual Disabilities

✓ Corrected: Apr 25, 2018
Tag 0686 E Mar 27, 2018

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Apr 25, 2018
Tag 0689 E Mar 27, 2018

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Apr 25, 2018
Tag 0690 D Mar 27, 2018

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: Apr 25, 2018
Tag 0725 E Mar 27, 2018

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

✓ Corrected: Apr 25, 2018
Tag 0745 D Mar 27, 2018

Provide medically-related social services to help each resident achieve the highest possible quality of life.

✓ Corrected: Apr 25, 2018
Tag 0758 D Mar 27, 2018

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

✓ Corrected: Apr 25, 2018
Tag 0880 E Mar 27, 2018

Provide and implement an infection prevention and control program.

✓ Corrected: Apr 25, 2018
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2017 5 violations

Tag 0323 D Sep 21, 2017

Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

✓ Corrected: Oct 20, 2017
Tag 0329 D Sep 21, 2017

Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.

✓ Corrected: Oct 20, 2017
Tag 0323 J Jun 8, 2017

Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

✓ Corrected: May 24, 2017
Tag 0157 J Apr 4, 2017

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Apr 21, 2017
Tag 0309 J Apr 4, 2017

Provide necessary care and services to maintain or improve the highest well being of each resident .

✓ Corrected: Apr 21, 2017
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