St. Anne's Salvatorian Campus
3800 N 92nd St · Milwaukee, WI · 53222 · 4144637570
50 certified beds Non profit - Corporation Chain: Illuminus Part of a CCRC
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $204,523 in fines in the last 24 months.
- 4 citations involved actual harm to residents.
- Staffing hours comfortably above national benchmarks.
Red flags
3 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
2 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
3 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
$204,523 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 4 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 4.14 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.21 | 0.55–0.75 |
| Weekend hours / resident-day | 3.78 | ≈ weekday level |
| Nursing turnover / year | 50% | median 45% |
| Fines (3-yr window) | 2 · $326,060 |
Inspection citations (61 in the current record)
-
Actual harm · G January 7, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 2, 2026 · Quality of Life and Care
-
Potential for harm · D January 7, 2026 · found via complaint
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected February 2, 2026 · Pharmacy Service
-
Potential for harm · D June 13, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected July 11, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D June 13, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected July 11, 2025 · Pharmacy Service
-
Potential for harm · D June 13, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected July 11, 2025 · Infection Control
-
Actual harm · G March 5, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected April 15, 2025 · Pharmacy Service
-
Actual harm · G November 14, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 15, 2025 · Quality of Life and Care
-
Actual harm · G November 14, 2024 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 15, 2025 · Quality of Life and Care
-
Potential for harm · D November 14, 2024
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected December 19, 2024 · Resident Rights
-
Potential for harm · D November 14, 2024
Reasonably accommodate the needs and preferences of each resident.
Corrected December 19, 2024 · Resident Rights
-
Potential for harm · D November 14, 2024
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.
Corrected December 19, 2024 · Resident Rights
-
Potential for harm · D November 14, 2024
Keep residents' personal and medical records private and confidential.
Corrected December 19, 2024 · Resident Rights
-
Potential for harm · E November 14, 2024
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected December 19, 2024 · Resident Rights
-
Potential for harm · D November 14, 2024
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected December 19, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D November 14, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 15, 2025 · Quality of Life and Care
-
Potential for harm · D November 14, 2024
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected December 19, 2024 · Quality of Life and Care
-
Potential for harm · D November 14, 2024
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected December 19, 2024 · Quality of Life and Care
-
Potential for harm · D November 14, 2024
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected December 19, 2024 · Quality of Life and Care
-
Potential for harm · D November 14, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected December 19, 2024 · Pharmacy Service
-
Potential for harm · D November 14, 2024
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.
Corrected December 19, 2024 · Pharmacy Service
-
Potential for harm · F November 14, 2024
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Corrected December 19, 2024 · Administration
-
Potential for harm · D November 14, 2024
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected December 19, 2024 · Administration
-
Potential for harm · F November 14, 2024
Provide and implement an infection prevention and control program.
Corrected April 15, 2025 · Infection Control
-
Potential for harm · D November 14, 2024
Implement a program that monitors antibiotic use.
Corrected December 19, 2024 · Infection Control
-
Potential for harm · D November 14, 2024 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected December 19, 2024 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| November 14, 2024 | Fine | $204,523 |
| November 14, 2024 | Payment Denial | 112 days |
| August 17, 2023 | Fine | $121,537 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 525524 · certified since February 1, 1994. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.