Saint Johns on the Lake
1858 N Prospect Ave, Milwaukee, WI 53202
Saint Johns on the Lake, a 27-bed non profit - church related nursing facility in Milwaukee, WI, holds a 4-star CMS overall rating - well above the 3.0-star national average, ranking #95 of 321 rated homes in WI on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. 1 inspection finding 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: 4142722022
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- 4 / 5
- Above average · CMS overall · nat'l 3.0
- #95 of 321
- In-state rank among rated WI homes
- 5.25
- Well above average · nurse hrs/day · nat'l 3.86
- 14
- Inspection findings · 1 serious
The verdict
Saint Johns on the Lake, a 27-bed non profit - church related nursing facility in Milwaukee, WI, holds a 4-star CMS overall rating - well above the 3.0-star national average, ranking #95 of 321 rated homes in WI on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.
- 4 / 5
- CMS overall · national 3.0
- #95 of 321
- In-state rank among rated WI homes
- 5.25
- Nurse hrs/resident-day · national 3.86
- 14
- Inspection findings · 1 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 - Church related. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 525539
- Ownership
- Non profit - Church related
- Provider Type
- Medicare and Medicaid
- Beds
- 27
- Residents
- 22
- In Hospital
- No
- County
- Milwaukee
- Last Inspection
- Jun 3, 2025
Staffing Data
How the 5.25 total nursing hours per resident-day are staffed:
- RN Hours
- 1.45 (nat'l avg: 0.69)
- LPN Hours
- 0.74
- CNA Hours
- 3.06
- Total Nursing Hours
- 5.25 (nat'l avg: 3.86)
- PT Hours
- 0.06
- Nursing Turnover
- 38.7%
- RN Turnover
- 14.3%
What the CMS Record Reveals About Saint Johns on the Lake
According to CMS Nursing Home Compare, Saint Johns on the Lake ranks #95 of 321 rated nursing homes in WI on overall stars (tie-broken by health+staffing+quality, then fewer fines). Saint Johns on the Lake operates 27 certified beds in Milwaukee, WI with approximately 22 residents currently in care, and carries a CMS overall rating of 4 out of 5 stars (health inspection 3★ · staffing 5★ · quality 3★).
The inspection file contains 14 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. CMS has not levied any fines or payment denials against this facility. Staffing is reported at 5.25 total nursing hours per resident day (national average 3.86), with RN coverage at 1.45 per resident day.
Classified as "Non profit - Church related" ownership and operating as a "Medicare and Medicaid" provider, Saint Johns on the Lake falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 38.7% (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 (14 most recent)
Respond appropriately to all alleged violations.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Apr 30, 2026
Implement a program that monitors antibiotic use.
Category: Infection Control Deficiencies
Corrected: Jul 3, 2025
PASARR screening for Mental disorders or Intellectual Disabilities
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jul 7, 2025
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Jul 7, 2025
Keep all essential equipment working safely.
Category: Environmental Deficiencies
Corrected: Aug 29, 2025
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Aug 29, 2025
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: Aug 29, 2025
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: May 24, 2024
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Mar 27, 2023
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Category: Pharmacy Service Deficiencies
Corrected: Mar 27, 2023
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: Mar 27, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Category: Quality of Life and Care Deficiencies
Corrected: Mar 27, 2023
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: Mar 27, 2023
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Category: Quality of Life and Care Deficiencies
Corrected: Apr 17, 2023
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 14.0% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 12.0% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.4% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 6.8% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 15.2% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 6.4% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 4.9% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 12.5% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 0.0% | 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 | 97.3% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 16.3% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 100.0% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 22.9% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 96.6% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 100.0% | No |
Penalty History
No penalties on record.
Nationwide facilities with similar scale or staffing
Two data-derived peer sets for Saint Johns on the Lake, both outside WI so the neighborhoods are not the same-state geography list below.
Similar bed count
Nearest CMS certified bed counts outside WI (27 beds here).
Similar staffing hours
Nearest CMS adjusted total nurse hours per resident day outside WI (5.94 here).
Nearby Nursing Homes in WI
322 other nursing homes are on record in WI; 6 are shown here.
Abbotsford Health Care Center
Abbotsford, WI
Alden Estates of Countryside, Inc
Jefferson, WI
Alden Meadow Park Hcc
Clinton, WI
American Lutheran Home-Menomonie
Menomonie, WI
American Lutheran Home-Mondovi
Mondovi, WI
Amethyst Health of Algoma
Algoma, WI
Understanding Nursing Home Data
What the CMS records show for Saint Johns on the Lake
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 27 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 Saint Johns on the Lake?
Where does Saint Johns on the Lake rank among nursing homes in WI?
What are the staffing levels at Saint Johns on the Lake?
How many beds does Saint Johns on the Lake have?
Does Saint Johns on the Lake have any deficiencies on record?
Has Saint Johns on the Lake received any fines or penalties?
Who owns Saint Johns on the Lake?
When was Saint Johns on the Lake last inspected?
What quality measures are tracked for Saint Johns on the Lake?
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.
Read our methodology - how this data is sourced, computed, and verified.
