Continuing careMemory careAssisted living
Chi Franciscan Villa
0.00 reviews · 0 verifiedSOUTH MILWAUKEE, WILic. 525526
JKLRecent citation with immediate-jeopardy / high severity (J/K/L)Source: CMS Health Citations
ABUSECMS abuse icon presentSource: CMS Provider Information
VBP-SLow SNF VBP readmission measure score (0.0)Source: CMS SNF VBP (PDC)
VBP-RElevated VBP readmission rate (22.1%)Source: CMS SNF VBP (PDC)
FINECMS fine: $44,532Source: CMS Penalties
VBPLower SNF VBP program ranking (#13,726)Source: CMS SNF VBP (PDC)
Provided by facility
Franciscan Villa is dedicated to providing seniors a lifestyle they can call their own, offering a variety of residential options and onsite amenities tailored to individual needs. It is an intergenerational community where personal interests are pursued, friendships are formed, and faith traditions are practiced. The community utilizes Serenity smart technology to enhance daily living and strengthen family connections. With a mission-driven history of quality health care, Franciscan Villa continues to evolve its programs to meet residents' future health care needs.
Safety & SecuritySecured Memory Care Unit
CMS Care CompareView on Medicare.gov →
Medicare overall
1/5Medicare.gov Care Compare stars are shown for context only. They are never part of the Unbeatable composite score.
Staffing (PBJ)
2.59 total HPRDRN 0.59 · weekend 82%Oct 2025 – Dec 2025
Survey history
16 inspections111 deficiencies on record
Federal IDs
CCN 525526
Overall: 1/5 · Health: 1/5 · Staffing: 1/5 · QM: 3/5
Unbeatable ratings come only from verified family, staff, and professional reviews on this site. CMS stars, staffing, and citations are public regulatory signals — useful for context, not blended into our score.
Recent inspectionsShowing 12 of 16 inspections.
Fire safetyMay 2026 · STATE FIRE MARSHAL8 deficiencies
- E-15SS F — Address subsistence needs for staff and patients.
- E-9SS F — Include a process for Emergency Preparedness collaboration.
- K-211SS E — Keep aisles, corridors, and exits free of obstruction in case of emergency.
- K-222SS E — Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- K-291SS D — Install emergency lighting that can last at least 1 1/2 hours.
- K-374SS E — Install smoke barrier doors that can resist smoke for at least 20 minutes.
- K-712SS F — Have simulated fire drills held at unexpected times.
- K-918SS F — Have generator or other power source capable of supplying service within 10 seconds.
Health surveyFeb 2026 · CMS9 deficiencies
- F-557SS D — Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
- F-585SS D — 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.
- F-609SS D — Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- F-656SS D — Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F-676SS D — Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- F-684SS D — Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- F-686SS G — Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- F-689SS G — Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F-725SS F — Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Health surveyDec 2025 · CMS1 deficiencies
- F-573SS D — Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Health surveyNov 2025 · CMS1 deficiencies
- F-689SS G — Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Health surveyOct 2025 · CMS3 deficiencies
- F-580SS D — Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- F-842SS D — Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- F-880SS D — Provide and implement an infection prevention and control program.
Health surveyJul 2025 · CMS4 deficiencies
- F-602SS E — Protect each resident from the wrongful use of the resident's belongings or money.
- F-609SS D — Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- F-610SS E — Respond appropriately to all alleged violations.
- F-689SS J — Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Health surveyMay 2025 · CMS5 deficiencies
- F-641SS D — Ensure each resident receives an accurate assessment.
- F-677SS D — Provide care and assistance to perform activities of daily living for any resident who is unable.
- F-692SS D — Provide enough food/fluids to maintain a resident's health.
- F-801SS F — 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.
- F-880SS D — Provide and implement an infection prevention and control program.
Health surveyFeb 2025 · CMS6 deficiencies
- F-677SS D — Provide care and assistance to perform activities of daily living for any resident who is unable.
- F-684SS D — Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- F-686SS D — Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- F-689SS G — Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F-695SS D — Provide safe and appropriate respiratory care for a resident when needed.
- F-880SS F — Provide and implement an infection prevention and control program.
Fire safetyFeb 2025 · STATE FIRE MARSHAL16 deficiencies
- E-20SS F — Establish policies and procedures including evacuation.
- E-25SS F — Create arrangements with other facilities to receive patients.
- E-39SS F — Conduct testing and exercise requirements.
- E-4SS F — Develop and maintain an Emergency Preparedness Program (EP).
- E-6SS F — Conduct risk assessment and an All-Hazards approach.
- K-222SS D — Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- K-293SS E — Have properly located and lighted "Exit" signs.
- K-331SS E — Construct fire resistant interior walls.
- K-345SS F — Have approved installation, maintenance and testing program for fire alarm systems.
- K-346SS F — Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- K-353SS F — Inspect, test, and maintain automatic sprinkler systems.
- K-354SS F — Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- K-363SS E — Install corridor and hallway doors that block smoke.
- K-372SS E — Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- K-712SS F — Have simulated fire drills held at unexpected times.
- K-918SS F — Have generator or other power source capable of supplying service within 10 seconds.
Health surveyNov 2024 · CMS2 deficiencies
- F-600SS J — Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- F-609SS E — Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Health surveyJun 2024 · CMS2 deficiencies
- F-600SS D — Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- F-755SS E — Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Health surveyDec 2023 · CMS14 deficiencies
- F-554SS D — Allow residents to self-administer drugs if determined clinically appropriate.
- F-558SS D — Reasonably accommodate the needs and preferences of each resident.
- F-578SS D — 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.
- F-609SS D — Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- F-610SS D — Respond appropriately to all alleged violations.
- F-684SS D — Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- F-686SS E — Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- F-689SS J — Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F-690SS D — Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- F-732SS C — Post nurse staffing information every day.
- F-759SS D — Ensure medication error rates are not 5 percent or greater.
- F-761SS E — 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.
- F-851SS F — Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
- F-880SS D — Provide and implement an infection prevention and control program.
No reviews from this reviewer type yet.
No questions yet. Ask the first one — a member of our team or someone who knows this community will answer.
Have a question about this community?
Ask anything — pricing, care, staffing, daily life. Our team answers, and questions are reviewed before they appear.Ownership
Operated by COMMONSPIRIT HEALTH (nonprofit) since 1993.
- Jul 2017
operator transition — SYLVANIA FRANCISCAN HEALTH
5% OR GREATER DIRECT OWNERSHIP INTEREST (100%) — SYLVANIA FRANCISCAN HEALTH - Jul 2017
operator transition — COMMONSPIRIT HEALTH
5% OR GREATER INDIRECT OWNERSHIP INTEREST (100%) — COMMONSPIRIT HEALTH
Contact
Write a review3601 S CHICAGO AVE
SOUTH MILWAUKEE, WI 53172