Our Coverage of Chi Franciscan Villa

Chi Franciscan Villa: Records Access Denied - WI Mar 21, 2026

Inspection History Overview

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Detailed Inspection Reports

Notice: These are official CMS inspection narratives containing detailed regulatory findings. This information is not available in searchable format anywhere else online.

December 23, 2025 Complaint Investigation

November 13, 2025 Complaint Investigation

October 17, 2025 Complaint Investigation

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

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

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

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

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
🏥 Facility Summary

CHI FRANCISCAN VILLA is a 1-star nursing home in SOUTH MILWAUKEE, WI with 90 beds.

Most recent inspection: Data not available. No current violations on record.

📞 4147644100
📍 3601 S CHICAGO AVE, SOUTH MILWAUKEE, WI
💵 Accepts Medicare and Medicaid
Data source: Centers for Medicare & Medicaid Services (CMS). Facility information updated daily. Star ratings range from 1 (much below average) to 5 (much above average).

Frequently Asked Questions About CHI FRANCISCAN VILLA

What violations has CHI FRANCISCAN VILLA received?
CHI FRANCISCAN VILLA has 0 health and safety violation(s) documented by CMS inspections. All violation data comes from official Medicare inspection reports and is updated regularly from government sources.
What is the quality rating of CHI FRANCISCAN VILLA?
CHI FRANCISCAN VILLA has a 1-star rating out of 5 from CMS. This rating indicates the facility may have quality concerns that should be investigated further. The rating is based on health inspections, staffing levels, and quality measures.
When was CHI FRANCISCAN VILLA last inspected?
Inspection reports are documented by state survey agencies and the Centers for Medicare & Medicaid Services (CMS). Reports typically lag 2-3 months behind the actual inspection date. Visit the facility's full profile page for detailed violation information and inspection history.
Is CHI FRANCISCAN VILLA safe?
Safety at CHI FRANCISCAN VILLA should be evaluated based on multiple factors: the facility's CMS rating, recent violation history, and personal visits. We recommend reviewing the complete inspection history, speaking with current residents and families, consulting healthcare professionals, and visiting in person before making placement decisions.
How do I contact CHI FRANCISCAN VILLA?
Phone: 4147644100. Address: 3601 S CHICAGO AVE, SOUTH MILWAUKEE, WI. For visiting hours and admission information, call the facility directly.
What services does CHI FRANCISCAN VILLA offer?
CHI FRANCISCAN VILLA is a skilled nursing facility with 90 beds. The facility accepts Medicare and Medicaid. For specific services like rehabilitation, memory care, or short-term recovery, contact the facility directly.
What are better facilities near SOUTH MILWAUKEE, WI?
Compare CHI FRANCISCAN VILLA with other nursing homes in SOUTH MILWAUKEE, WI on our facilities page. Filter by star rating, bed count, and recent inspection results to find the best match for your needs.