ST FRANCIS HOME

FOND DU LAC, WI · 107 beds · Non profit - Corporation

69 Trust Score
Grade: C MEDIUM Risk → Stable

Red Flags

No red flags identified.

Green Flags

  • 4-star staffing rating
  • No fines or penalties on record

Quick Facts

★★★☆☆
CMS Overall
★★★☆☆
Health Inspection
11
1.1x state avg
Deficiencies
$0
Fines (3-yr)
★★★★☆
Staffing

Violation Timeline

April 20, 2025

1 deficiency
F0609 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

December 17, 2024

10 deficiencyies
F0759 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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Ensure medication error rates are not 5 percent or greater.

F0880 Potential Harm Scope/Severity: F

Infection Control Deficiencies

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Provide and implement an infection prevention and control program.

F0558 Potential Harm Scope/Severity: E

Resident Rights Deficiencies

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Reasonably accommodate the needs and preferences of each resident.

F0580 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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

F0623 Potential Harm Scope/Severity: E

Resident Rights Deficiencies

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

F0625 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

F0641 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Ensure each resident receives an accurate assessment.

F0692 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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

F0755 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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

F0757 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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

July 28, 2024

2 deficiencyies
F0609 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

F0689 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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

January 10, 2024

1 deficiency
F0689 Potential Harm Scope/Severity: E

Quality of Life and Care Deficiencies

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

November 8, 2023

2 deficiencyies
F0609 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

F0610 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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Respond appropriately to all alleged violations.

September 12, 2023

4 deficiencyies
F0552 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Ensure that residents are fully informed and understand their health status, care and treatments.

F0695 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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

F0758 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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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.

F0880 Potential Harm Scope/Severity: F

Infection Control Deficiencies

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Provide and implement an infection prevention and control program.

See full violation history →

Staffing

1.02
RN hrs/res/day
0.64
LPN hrs/res/day
2.76
CNA hrs/res/day
4.02
Weekend hrs/res/day
52%
Total nurse turnover
36%
RN turnover

A nurse checks on each resident roughly every 5.4 hours on average.

Fines & Penalties

No fines or penalties on record.

Ownership

Non profit - Corporation Chain: SSM HEALTH
  • AGNESIAN HEALTHCARE INC

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 06/01/1978

    Organization
  • HEALTH DIMENSIONS CONSULTING INC

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 04/01/2022

    Organization
  • SSM HEALTH CARE CORPORATION

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 01/01/2018

    Organization
  • SSM HEALTH CARE OF WISCONSIN INC

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 01/01/2018

    Organization
  • ANDERSON, SUSAN

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 01/01/2024

    Individual
  • BRISCOE, DAVID

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 04/01/2022

    Individual
  • BRISCOE, PATRICIA

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 04/01/2022

    Individual
  • GLOEDE, DENISE

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 01/01/2024

    Individual
  • KRUEGER, KARI

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 09/01/2022

    Individual
  • QUEDNOW, DAWN

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 11/01/2024

    Individual
  • RADINA, VICTOR

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 06/01/2025

    Individual
  • ROGOTZKE, AMBER

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 04/01/2022

    Individual
  • SHVETZOFF HENNESSEY, ERIN

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 04/01/2022

    Individual
  • SHVETZOFF, SERGEI

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 04/01/2022

    Individual
  • SHVETZOFF, TAMI

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 04/01/2022

    Individual
  • WEBER, LISA

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 11/01/2024

    Individual
  • WILSON, AMY

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 06/01/2025

    Individual
  • SMITH, KEVIN

    CORPORATE DIRECTOR

    Since since 01/01/2024

    Individual
  • WALKUP, JAMES

    CORPORATE DIRECTOR

    Since since 01/01/2025

    Individual
  • GLOEDE, DENISE

    CORPORATE OFFICER

    Since since 11/01/2024

    Individual
  • KRUEGER, KARI

    CORPORATE OFFICER

    Since since 06/26/2025

    Individual
  • RADINA, VICTOR

    CORPORATE OFFICER

    Since since 06/01/2025

    Individual
  • SMITH, KEVIN

    CORPORATE OFFICER

    Since since 01/01/2024

    Individual
  • WALKUP, JAMES

    CORPORATE OFFICER

    Since since 01/01/2025

    Individual
  • WILSON, AMY

    CORPORATE OFFICER

    Since since 06/01/2025

    Individual

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