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Complaint Investigation

Chi Franciscan Villa

May 29, 2026 · South Milwaukee, WI · 3601 S Chicago Ave
Citations 11
CMS Rating 1/5
Beds 90
Provider ID 525526
Healthcare Facility
Chi Franciscan Villa
South Milwaukee, WI  ·  View full profile →
Inspection Summary

Chi Franciscan Villa in SOUTH MILWAUKEE, WI — inspection on May 29, 2026.

Found 11 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF0609
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Potential for More Than Minimal Harm

Federal health inspectors cited Chi Franciscan Villa in SOUTH MILWAUKEE, WI for a deficiency under regulatory tag F-F0609 during a complaint investigation conducted on 2026-05-29.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

The facility was found deficient in the following area: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

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 11 deficiencies cited during this inspection of Chi Franciscan Villa.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2026-06-19.

Federal health inspectors cited Chi Franciscan Villa in SOUTH MILWAUKEE, WI for a deficiency under regulatory tag F-F0677 during a standard health inspection conducted on 2026-05-29.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide care and assistance to perform activities of daily living for any resident who is unable.

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 11 deficiencies cited during this inspection of Chi Franciscan Villa.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2026-06-19.

Federal health inspectors cited Chi Franciscan Villa in SOUTH MILWAUKEE, WI for a deficiency under regulatory tag F-F0689 during a complaint investigation conducted on 2026-05-29.

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 G: isolated, actual harm that is not immediate jeopardy.

Actual harm to residents was documented as a result of this deficiency.

This was one of 11 deficiencies cited during this inspection of Chi Franciscan Villa.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2026-06-19.

Federal health inspectors cited Chi Franciscan Villa in SOUTH MILWAUKEE, WI for a deficiency under regulatory tag F-F0693 during a standard health inspection conducted on 2026-05-29.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

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 11 deficiencies cited during this inspection of Chi Franciscan Villa.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2026-06-19.

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Federal health inspectors cited Chi Franciscan Villa in SOUTH MILWAUKEE, WI for a deficiency under regulatory tag F-F0761 during a standard health inspection conducted on 2026-05-29.

Category: Pharmacy Service Deficiencies

The facility was found deficient in the following area: 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.

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 11 deficiencies cited during this inspection of Chi Franciscan Villa.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2026-06-19.

Federal health inspectors cited Chi Franciscan Villa in SOUTH MILWAUKEE, WI for a deficiency under regulatory tag F-F0805 during a standard health inspection conducted on 2026-05-29.

Category: Nutrition and Dietary Deficiencies

The facility was found deficient in the following area: Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

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 11 deficiencies cited during this inspection of Chi Franciscan Villa.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2026-06-19.

Federal health inspectors cited Chi Franciscan Villa in SOUTH MILWAUKEE, WI for a deficiency under regulatory tag F-F0812 during a standard health inspection conducted on 2026-05-29.

Category: Nutrition and Dietary Deficiencies

The facility was found deficient in the following area: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

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 11 deficiencies cited during this inspection of Chi Franciscan Villa.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2026-06-19.

Federal health inspectors cited Chi Franciscan Villa in SOUTH MILWAUKEE, WI for a deficiency under regulatory tag F-F0814 during a standard health inspection conducted on 2026-05-29.

Category: Nutrition and Dietary Deficiencies

The facility was found deficient in the following area: Dispose of garbage and refuse properly.

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 11 deficiencies cited during this inspection of Chi Franciscan Villa.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2026-06-19.

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Federal health inspectors cited Chi Franciscan Villa in SOUTH MILWAUKEE, WI for a deficiency under regulatory tag F-F0842 during a standard health inspection conducted on 2026-05-29.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

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 11 deficiencies cited during this inspection of Chi Franciscan Villa.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2026-06-19.

Federal health inspectors cited Chi Franciscan Villa in SOUTH MILWAUKEE, WI for a deficiency under regulatory tag F-F0880 during a standard health inspection conducted on 2026-05-29.

Category: Infection Control Deficiencies

The facility was found deficient in the following area: Provide and implement an infection prevention and control program.

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 11 deficiencies cited during this inspection of Chi Franciscan Villa.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2026-06-19.

Federal health inspectors cited Chi Franciscan Villa in SOUTH MILWAUKEE, WI for a deficiency under regulatory tag F-F0883 during a standard health inspection conducted on 2026-05-29.

Category: Infection Control Deficiencies

The facility was found deficient in the following area: Develop and implement policies and procedures for flu and pneumonia vaccinations.

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 11 deficiencies cited during this inspection of Chi Franciscan Villa.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2026-06-19.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in SOUTH MILWAUKEE, WI, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Chi Franciscan Villa or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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