PlainNursing
CMS Nursing Home Compare · August 2026

Chi Franciscan Villa

3601 S Chicago Ave, South Milwaukee, WI 53172

Chi Franciscan Villa, a 90-bed non profit - other nursing facility in South Milwaukee, WI, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #313 of 321 rated homes in WI on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 7 inspection findings reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 4147644100

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1 / 5
Much below average · CMS overall · nat'l 3.0
#313 of 321
In-state rank among rated WI homes
3.46
Below average · nurse hrs/day · nat'l 3.86
50
Inspection findings · 7 serious

The verdict

Chi Franciscan Villa, a 90-bed non profit - other nursing facility in South Milwaukee, WI, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #313 of 321 rated homes in WI on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 7 inspection findings reached the actual-harm or immediate-jeopardy level.

1 / 5
CMS overall · national 3.0
#313 of 321
In-state rank among rated WI homes
3.46
Nurse hrs/resident-day · national 3.86
50
Inspection findings · 7 serious

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 323 WI nursing homes split by ownership sector

This facility is recorded as Non profit - Other. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

1/5

Staffing

1/5

Quality Measures

3/5

Long-Stay Quality

4/5

Facility Information

Provider Number
525526
Ownership
Non profit - Other
Provider Type
Medicare and Medicaid
Beds
90
Residents
83
In Hospital
No
County
Milwaukee
Last Inspection
May 29, 2026

Staffing Data

How the 3.46 total nursing hours per resident-day are staffed:

RN Hours
0.64 (nat'l avg: 0.69)
LPN Hours
0.51
CNA Hours
2.31
Total Nursing Hours
3.46 (nat'l avg: 3.86)
PT Hours
0.06
Nursing Turnover
50.0%
RN Turnover
65.0%

What the CMS Record Reveals About Chi Franciscan Villa

According to CMS Nursing Home Compare, Chi Franciscan Villa ranks #313 of 321 rated nursing homes in WI on overall stars (tie-broken by health+staffing+quality, then fewer fines). Chi Franciscan Villa operates 90 certified beds in South Milwaukee, WI with approximately 83 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars (health inspection 1★ · staffing 1★ · quality 3★).

The inspection file contains 50 deficiency records from recent surveys, of which 7 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. This provider has been fined 5 times by CMS, for a combined $257K. Staffing is reported at 3.46 total nursing hours per resident day (national average 3.86), with RN coverage at 0.64 per resident day.

Classified as "Non profit - Other" ownership and operating as a "Medicare and Medicaid" provider, Chi Franciscan Villa falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 50.0% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (50 most recent)

D - Isolated - Minimal harm May 29, 2026 Tag: 0883

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Category: Infection Control Deficiencies

Corrected: Jun 19, 2026

D - Isolated - Minimal harm May 29, 2026 Tag: 0842

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 19, 2026

D - Isolated - Minimal harm May 29, 2026 Tag: 0805

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Category: Nutrition and Dietary Deficiencies

Corrected: Jun 19, 2026

D - Isolated - Minimal harm May 29, 2026 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Jun 19, 2026

D - Isolated - Minimal harm May 29, 2026 Tag: 0693

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.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 19, 2026

D - Isolated - Minimal harm May 29, 2026 Tag: 0677

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

Category: Quality of Life and Care Deficiencies

Corrected: Jun 19, 2026

D - Isolated - Minimal harm May 29, 2026 Tag: 0609

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jun 19, 2026

E - Pattern - Minimal harm May 29, 2026 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jun 19, 2026

F - Widespread - Minimal harm May 29, 2026 Tag: 0814

Dispose of garbage and refuse properly.

Category: Nutrition and Dietary Deficiencies

Corrected: Jun 19, 2026

F - Widespread - Minimal harm May 29, 2026 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Jun 19, 2026

G - Isolated - Actual harm May 29, 2026 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Jun 19, 2026

D - Isolated - Minimal harm Feb 18, 2026 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Mar 16, 2026

D - Isolated - Minimal harm Feb 18, 2026 Tag: 0676

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 16, 2026

D - Isolated - Minimal harm Feb 18, 2026 Tag: 0656

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 16, 2026

D - Isolated - Minimal harm Feb 18, 2026 Tag: 0609

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Mar 16, 2026

D - Isolated - Minimal harm Feb 18, 2026 Tag: 0585

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.

Category: Resident Rights Deficiencies

Corrected: Mar 16, 2026

D - Isolated - Minimal harm Feb 18, 2026 Tag: 0557

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Category: Resident Rights Deficiencies

Corrected: Mar 16, 2026

F - Widespread - Minimal harm Feb 18, 2026 Tag: 0725

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

Category: Nursing and Physician Services Deficiencies

Corrected: Mar 16, 2026

G - Isolated - Actual harm Feb 18, 2026 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Mar 16, 2026

G - Isolated - Actual harm Feb 18, 2026 Tag: 0686

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

Category: Quality of Life and Care Deficiencies

Corrected: Mar 16, 2026

D - Isolated - Minimal harm Dec 23, 2025 Tag: 0573

Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

Category: Resident Rights Deficiencies

Corrected: Jan 26, 2026

G - Isolated - Actual harm Nov 13, 2025 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Dec 5, 2025

D - Isolated - Minimal harm Oct 17, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Dec 5, 2025

D - Isolated - Minimal harm Oct 17, 2025 Tag: 0842

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 5, 2025

D - Isolated - Minimal harm Oct 17, 2025 Tag: 0580

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

Category: Resident Rights Deficiencies

Corrected: Dec 5, 2025

D - Isolated - Minimal harm Jul 16, 2025 Tag: 0609

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jul 17, 2025

E - Pattern - Minimal harm Jul 16, 2025 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jul 17, 2025

E - Pattern - Minimal harm Jul 16, 2025 Tag: 0602

Protect each resident from the wrongful use of the resident's belongings or money.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Aug 6, 2025

J - Isolated - Jeopardy Jul 16, 2025 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Jun 12, 2025

D - Isolated - Minimal harm May 30, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jun 30, 2025

D - Isolated - Minimal harm May 30, 2025 Tag: 0692

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

Category: Quality of Life and Care Deficiencies

Corrected: Jun 30, 2025

D - Isolated - Minimal harm May 30, 2025 Tag: 0677

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

Category: Quality of Life and Care Deficiencies

Corrected: Jun 30, 2025

D - Isolated - Minimal harm May 30, 2025 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 30, 2025

F - Widespread - Minimal harm May 30, 2025 Tag: 0801

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Category: Nutrition and Dietary Deficiencies

Corrected: Jun 30, 2025

D - Isolated - Minimal harm Feb 20, 2025 Tag: 0695

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

Category: Quality of Life and Care Deficiencies

Corrected: Feb 28, 2025

D - Isolated - Minimal harm Feb 20, 2025 Tag: 0686

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

Category: Quality of Life and Care Deficiencies

Corrected: Feb 28, 2025

D - Isolated - Minimal harm Feb 20, 2025 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Feb 28, 2025

D - Isolated - Minimal harm Feb 20, 2025 Tag: 0677

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

Category: Quality of Life and Care Deficiencies

Corrected: Feb 28, 2025

F - Widespread - Minimal harm Feb 20, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Mar 20, 2025

G - Isolated - Actual harm Feb 20, 2025 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Feb 28, 2025

E - Pattern - Minimal harm Nov 8, 2024 Tag: 0609

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Nov 20, 2024

J - Isolated - Jeopardy Nov 8, 2024 Tag: 0600

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Nov 20, 2024

D - Isolated - Minimal harm Jun 20, 2024 Tag: 0600

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jul 5, 2024

E - Pattern - Minimal harm Jun 20, 2024 Tag: 0755

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

Category: Pharmacy Service Deficiencies

Corrected: Jul 5, 2024

C - Widespread - No harm Dec 5, 2023 Tag: 0732

Post nurse staffing information every day.

Category: Nursing and Physician Services Deficiencies

Corrected: Jan 2, 2024

D - Isolated - Minimal harm Dec 5, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jan 2, 2024

D - Isolated - Minimal harm Dec 5, 2023 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Jan 2, 2024

D - Isolated - Minimal harm Dec 5, 2023 Tag: 0690

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

Category: Quality of Life and Care Deficiencies

Corrected: Jan 2, 2024

D - Isolated - Minimal harm Dec 5, 2023 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Jan 2, 2024

D - Isolated - Minimal harm Dec 5, 2023 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jan 2, 2024

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 3.4% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.5% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.4% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 2.1% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 10.6% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 12.0% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 14.6% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 4.8% Yes
Percentage of long-stay residents who lose too much weight Long Stay 12.4% No
Percentage of long-stay residents who have depressive symptoms Long Stay 8.9% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 59.7% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 23.9% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 98.6% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 16.7% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 52.1% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 63.8% No

Penalty History 5 penalties totaling $257K

Date Type Amount
Nov 13, 2025 Fine $49K
Jul 16, 2025 Fine $27K
Feb 20, 2025 Fine $45K
Nov 8, 2024 Fine $122K
Dec 5, 2023 Fine $16K
Dec 5, 2023 Payment Denial -

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Chi Franciscan Villa, both outside WI so the neighborhoods are not the same-state geography list below.

What the CMS records show for Chi Franciscan Villa

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The WI registry aggregates state averages and the highest-rated homes in this cohort. View WI registry
  • Peer homes near 90 beds show how CMS stars vary at a similar scale in WI. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Chi Franciscan Villa?
Chi Franciscan Villa has an overall CMS rating of 1 out of 5 stars. This rating combines health inspection results (1★), staffing levels (1★), and quality measures (3★).
Where does Chi Franciscan Villa rank among nursing homes in WI?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Chi Franciscan Villa ranks 313th among 321 rated nursing homes in WI (#313 of 321). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Chi Franciscan Villa?
Chi Franciscan Villa reports 3.46 total nursing hours per resident day (national average: 3.86). RN hours are 0.64 per resident day (national average: 0.69). Nursing staff turnover is 50.0%.
How many beds does Chi Franciscan Villa have?
Chi Franciscan Villa has 90 certified beds with approximately 83 residents. The facility is located at 3601 S Chicago Ave, South Milwaukee, WI 53172.
Does Chi Franciscan Villa have any deficiencies on record?
Yes, Chi Franciscan Villa has 50 deficiencies on record from recent inspections. Of these, 7 are classified as causing actual harm or jeopardy.
Has Chi Franciscan Villa received any fines or penalties?
Yes, Chi Franciscan Villa has received 5 penalties totaling $257K.
Who owns Chi Franciscan Villa?
Chi Franciscan Villa is classified as "Non profit - Other" ownership. The facility type is "Medicare and Medicaid".
When was Chi Franciscan Villa last inspected?
The most recent health inspection for Chi Franciscan Villa was on May 29, 2026. The facility received a health inspection rating of 1 out of 5 stars.
What quality measures are tracked for Chi Franciscan Villa?
Chi Franciscan Villa is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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