Wheaton Franciscan Hc - Terrace at St Francis

3200 S 20th St · Milwaukee, WI · 53215 · 4143893200

81 certified beds Non profit - Corporation Chain: Ascension Living

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).
  • Federal penalties on record: $143,657 in fines in the last 24 months.
  • 10 citations involved actual harm to residents.
  • Inspection results have improved across recent cycles.

Red flags

1 immediate-jeopardy citation in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

Cited under the freedom-from-abuse rule

Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

$143,657 in federal fines in the last 24 months

2 fines — CMS fines are reserved for verified, serious non-compliance.

79% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 22
Serious harm & abuse 20% 64
Staffing 20% 64
Federal penalties 15% 0
Trend 10% 83
Context 5% 100

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: 3 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day3.753.48 min · 4.1 strong
RN hours / resident-day0.700.55–0.75
Weekend hours / resident-day3.24≈ weekday level
Nursing turnover / year79%median 45%
Fines (3-yr window)3 · $175,897

Inspection citations (80 in the current record)

  • Potential for harm · D January 6, 2026 · found via complaint

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected February 4, 2026 · Resident Rights

  • Potential for harm · D January 6, 2026 · found via complaint

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

    Corrected February 4, 2026 · Quality of Life and Care

  • Potential for harm · D January 6, 2026 · found via complaint

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

    Corrected March 4, 2026 · Quality of Life and Care

  • Actual harm · G October 29, 2025 · found via complaint

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

    Corrected November 20, 2025 · Quality of Life and Care

  • Potential for harm · D October 29, 2025 · found via complaint

    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.

    Corrected November 20, 2025 · Resident Rights

  • Potential for harm · D October 29, 2025 · found via complaint

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

    Corrected November 20, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D October 29, 2025 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected November 20, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D October 29, 2025 · found via complaint

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

    Corrected November 20, 2025 · Quality of Life and Care

  • Potential for harm · D October 29, 2025 · found via complaint

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

    Corrected November 20, 2025 · Quality of Life and Care

  • Potential for harm · D October 29, 2025 · found via complaint

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

    Corrected November 20, 2025 · Quality of Life and Care

  • Potential for harm · D October 29, 2025 · 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 November 20, 2025 · Quality of Life and Care

  • Potential for harm · D October 29, 2025 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected November 20, 2025 · Infection Control

  • Potential for harm · E August 20, 2025

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

    Corrected September 17, 2025 · Resident Rights

  • Potential for harm · D August 20, 2025

    Keep residents' personal and medical records private and confidential.

    Corrected September 17, 2025 · Resident Rights

  • Potential for harm · E August 20, 2025

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Corrected September 17, 2025 · Resident Rights

  • Potential for harm · D August 20, 2025

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected September 17, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E August 20, 2025

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

    Corrected September 17, 2025 · Quality of Life and Care

  • Potential for harm · D August 20, 2025

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

    Corrected September 17, 2025 · Quality of Life and Care

  • Potential for harm · D August 20, 2025

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Corrected September 17, 2025 · Quality of Life and Care

  • Potential for harm · F August 20, 2025

    Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.

    Corrected September 17, 2025 · Nursing and Physician Services

  • Potential for harm · E August 20, 2025

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Corrected September 17, 2025 · Pharmacy Service

  • Potential for harm · D August 20, 2025 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected September 17, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D August 20, 2025 · found via complaint

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

    Corrected September 17, 2025 · Quality of Life and Care

  • Potential for harm · F August 20, 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 September 17, 2025 · Pharmacy Service

  • Potential for harm · D August 20, 2025 · found via complaint

    Ensure medication error rates are not 5 percent or greater.

    Corrected September 17, 2025 · Pharmacy Service

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
April 1, 2025Fine$71,799
April 1, 2025Payment Denial4 days
July 22, 2024Fine$71,858
July 22, 2024Payment Denial31 days
January 17, 2024Fine$32,240

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 525552 · certified since September 23, 1994. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.