B84

ST FRANCIS HOME

Grade B 84/100 composite score

Non profit - Corporation

CMS Star Ratings

Overall
3/5
Health Insp.
3/5
Quality
4/5
Staffing
4/5
RN Staffing
Not rated

Certified Beds

107

Ownership

Non profit - Corporation

Total Fines

None

Last Survey

N/A

33 EVERETT ST, FOND DU LAC, WI 54935
9209237980

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
1.02h
LPN
0.64h
CNA
2.76h
Total
4.41h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

AGNESIAN HEALTHCARE INC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Jun 1978

HEALTH DIMENSIONS CONSULTING INC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Apr 2022

SSM HEALTH CARE CORPORATION

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Jan 2018

SSM HEALTH CARE OF WISCONSIN INC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Jan 2018

ANDERSON, SUSAN

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jan 2024

BRISCOE, DAVID

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Apr 2022

BRISCOE, PATRICIA

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Apr 2022

GLOEDE, DENISE

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jan 2024

KRUEGER, KARI

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Sep 2022

QUEDNOW, DAWN

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Nov 2024

RADINA, VICTOR

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jun 2025

ROGOTZKE, AMBER

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Apr 2022

SHVETZOFF HENNESSEY, ERIN

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Apr 2022

SHVETZOFF, SERGEI

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Apr 2022

SHVETZOFF, TAMI

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Apr 2022

WEBER, LISA

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Nov 2024

WILSON, AMY

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jun 2025

SMITH, KEVIN

IndividualCORPORATE DIRECTORSince Jan 2024

WALKUP, JAMES

IndividualCORPORATE DIRECTORSince Jan 2025

GLOEDE, DENISE

IndividualCORPORATE OFFICERSince Nov 2024

KRUEGER, KARI

IndividualCORPORATE OFFICERSince Jun 2025

RADINA, VICTOR

IndividualCORPORATE OFFICERSince Jun 2025

SMITH, KEVIN

IndividualCORPORATE OFFICERSince Jan 2024

WALKUP, JAMES

IndividualCORPORATE OFFICERSince Jan 2025

WILSON, AMY

IndividualCORPORATE OFFICERSince Jun 2025

Penalties & Fines

No penalties or fines on record.

Health Inspection Deficiencies (27)

April 21, 2025Health1 deficiency
0609DMinimal harm, Isolated

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

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected May 16, 2025
December 18, 2024Health10 deficiencies
0558EMinimal harm, Pattern

Reasonably accommodate the needs and preferences of each resident.

Resident Rights Deficiencies

Corrected Jan 31, 2025
0580DMinimal harm, Isolated

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

Resident Rights Deficiencies

Corrected Jan 31, 2025
0623EMinimal harm, Pattern

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

Resident Rights Deficiencies

Corrected Jan 31, 2025
0625DMinimal harm, Isolated

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.

Resident Rights Deficiencies

Corrected Jan 31, 2025
0641DMinimal harm, Isolated

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies

Corrected Jan 18, 2025
0692DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Jan 31, 2025
0755DMinimal harm, Isolated

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

Pharmacy Service Deficiencies

Corrected Jan 31, 2025
0757DMinimal harm, Isolated

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

Pharmacy Service Deficiencies

Corrected Jan 31, 2025
0759DMinimal harm, Isolated

Ensure medication error rates are not 5 percent or greater.

Pharmacy Service Deficiencies

Corrected Jan 31, 2025
0880FMinimal harm, Widespread

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Jan 31, 2025
July 29, 2024Health2 deficiencies
0609DMinimal harm, Isolated

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

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Aug 29, 2024
0689DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Aug 29, 2024
January 11, 2024Health1 deficiency
0689EMinimal harm, Pattern

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

Quality of Life and Care Deficiencies

Corrected Feb 11, 2024
November 9, 2023Health2 deficiencies
0609DMinimal harm, Isolated

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

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Dec 9, 2023
0610DMinimal harm, Isolated

Respond appropriately to all alleged violations.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Dec 9, 2023
September 13, 2023Health5 deficiencies
0552DMinimal harm, Isolated

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

Resident Rights Deficiencies

Corrected Oct 13, 2023
0695DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Oct 13, 2023
0758DMinimal harm, Isolated

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.

Pharmacy Service Deficiencies

Corrected Oct 13, 2023
0880FMinimal harm, Widespread

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Oct 13, 2023
0883DMinimal harm, Isolated

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Infection Control Deficiencies

Corrected Oct 13, 2023
July 10, 2023Health3 deficiencies
0580DMinimal harm, Isolated

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

Resident Rights Deficiencies

Corrected Aug 2, 2023
0609DMinimal harm, Isolated

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

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Aug 2, 2023
0610DMinimal harm, Isolated

Respond appropriately to all alleged violations.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Aug 2, 2023
October 5, 2022Health3 deficiencies
0677DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Nov 5, 2022
0689DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Nov 5, 2022
0692DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Nov 5, 2022

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Frequently Asked Questions

What is the CareGrader rating for ST FRANCIS HOME?

ST FRANCIS HOME in FOND DU LAC, Wisconsin has a CareGrader grade of B (Good), with a composite score of 83.8 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for ST FRANCIS HOME?

ST FRANCIS HOME has an overall CMS star rating of 3 out of 5, a health inspection rating of 3/5, and a staffing rating of 4/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does ST FRANCIS HOME have?

ST FRANCIS HOME has 27 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

How many beds does ST FRANCIS HOME have?

ST FRANCIS HOME has 107 certified beds with approximately 71 current residents (66% occupancy). The facility is located at 33 EVERETT ST, FOND DU LAC, Wisconsin 54935. It is a non profit - corporation facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.