C78

SAINT JOHNS ON THE LAKE

Grade C 78/100 composite score

Non profit - Church related

CMS Star Ratings

Overall
4/5
Health Insp.
3/5
Quality
2/5
Staffing
5/5
RN Staffing
Not rated

Certified Beds

27

Ownership

Non profit - Church related

Total Fines

$32,711

Last Survey

N/A

1858 N PROSPECT AVE, MILWAUKEE, WI 53202
4142722022

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
1.42h
LPN
0.91h
CNA
3.21h
Total
5.54h
Facility
State Average

Turnover Rates

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

Ownership

SAINT JOHN'S COMMUNITIES, INC.

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Jul 1994

THE MEDICAL COLLEGE OF WISCONSIN INC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Oct 2024

LOYD, MATTHEW

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jan 2021

PETITT, DOROTHY

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Oct 2021

SALTNESS, RACHEL

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Oct 2024

ANDERSON, RENEE

IndividualCORPORATE OFFICERSince Jul 2011

LEMMINGER, DAN

IndividualCORPORATE OFFICERSince Oct 2011

US BANK NATIONAL ASSOCIATION

Organization5% OR GREATER MORTGAGE INTERESTSince Dec 2015

Penalties & Fines (2)

$32,711total fines
DateTypeDescriptionAmount
Feb 21, 2023Fine$32,711
Feb 21, 2023Payment Denial

Health Inspection Deficiencies (13)

June 3, 2025Health6 deficiencies
0605DMinimal harm, Isolated

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Jul 7, 2025
0645DMinimal harm, Isolated

PASARR screening for Mental disorders or Intellectual Disabilities

Resident Assessment and Care Planning Deficiencies

Corrected Jul 7, 2025
0812FMinimal harm, Widespread

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Aug 29, 2025
0880FMinimal harm, Widespread

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Aug 29, 2025
0881DMinimal harm, Isolated

Implement a program that monitors antibiotic use.

Infection Control Deficiencies

Corrected Jul 3, 2025
0908FMinimal harm, Widespread

Keep all essential equipment working safely.

Environmental Deficiencies

Corrected Aug 29, 2025
April 24, 2024Health1 deficiency
0880FMinimal harm, Widespread

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected May 24, 2024
February 21, 2023Health6 deficiencies1 severe
0684DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Mar 27, 2023
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 Mar 27, 2023
0757DMinimal harm, Isolated

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

Pharmacy Service Deficiencies

Corrected Mar 27, 2023
0812EMinimal harm, Pattern

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Mar 27, 2023
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Mar 27, 2023
0686GActual harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Apr 17, 2023

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Frequently Asked Questions

What is the CareGrader rating for SAINT JOHNS ON THE LAKE?

SAINT JOHNS ON THE LAKE in MILWAUKEE, Wisconsin has a CareGrader grade of C (Average), with a composite score of 77.5 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 SAINT JOHNS ON THE LAKE?

SAINT JOHNS ON THE LAKE has an overall CMS star rating of 4 out of 5, a health inspection rating of 3/5, and a staffing rating of 5/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does SAINT JOHNS ON THE LAKE have?

SAINT JOHNS ON THE LAKE has 13 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.

Has SAINT JOHNS ON THE LAKE been fined?

Yes. SAINT JOHNS ON THE LAKE has $32,711 in total fines from CMS enforcement actions across 2 penalties.

How many beds does SAINT JOHNS ON THE LAKE have?

SAINT JOHNS ON THE LAKE has 27 certified beds with approximately 21 current residents (78% occupancy). The facility is located at 1858 N PROSPECT AVE, MILWAUKEE, Wisconsin 53202. It is a non profit - church related 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.