SAINT JOHNS ON THE LAKE
1858 N PROSPECT AVE, MILWAUKEE, WI 53202 · CCN 525539
Ratings
- Overall
- ★★★★☆ 4
- Health inspection
- ★★★☆☆ 3
- Quality measures
- ★★☆☆☆ 2
- Staffing
- ★★★★★ 5
Facility
- Ownership type
- Non profit - Church related
- Certified beds
- 27
- Avg residents/day
- 21.9
- Phone
- 4142722022
Inspection history vs Wisconsin & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Wisconsin avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-06-03 | 6 | 9.8 | 9.5 | -3.8 better |
| 2 | 2024-04-24 | 1 | 9.2 | 9.8 | -8.2 better |
| 3 | 2023-02-21 | 6 | 8.3 | 9.3 | -2.3 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Resident assessment and care planning | 1 |
| Nutrition and dietary | 1 |
| Environmental | 1 |
| Infection control | 2 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 5.09 | 44.4% |
| RN staffing (reported) | 1.31 | 33.3% |
| Total nurse staffing (adjusted) | 5.54 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Inspection citations (13)1 actual harm
- DF0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.2025-06-03 · Health · corrected 2025-07-07
Potential for more than minimal harm
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2025-06-03 · Health · corrected 2025-07-07
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-06-03 · Health · corrected 2025-08-29
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2025-06-03 · Health · corrected 2025-08-29
Potential for more than minimal harm
- DF0881Implement a program that monitors antibiotic use.2025-06-03 · Health · corrected 2025-07-03
Potential for more than minimal harm
- FF0908Keep all essential equipment working safely.2025-06-03 · Health · corrected 2025-08-29
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2024-04-24 · Health · corrected 2024-05-24
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-02-21 · Health · corrected 2023-03-27
Potential for more than minimal harm
- GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-02-21 · Health · corrected 2023-04-17
Actual harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-02-21 · Health · corrected 2023-03-27
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2023-02-21 · Health · corrected 2023-03-27
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-02-21 · Health · corrected 2023-03-27
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2023-02-21 · Health · corrected 2023-03-27
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| SAINT JOHN'S COMMUNITIES, INC. | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 1994-07-01 |
| THE MEDICAL COLLEGE OF WISCONSIN INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-10-01 |
| LOYD, MATTHEW | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-01-16 |
| PETITT, DOROTHY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-10-18 |
| SALTNESS, RACHEL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-10-01 |
| ANDERSON, RENEE | Individual | CORPORATE OFFICER | — | 2011-07-01 |
| LEMMINGER, DAN | Individual | CORPORATE OFFICER | — | 2011-10-03 |
| US BANK NATIONAL ASSOCIATION | Organization | 5% OR GREATER MORTGAGE INTEREST | — | 2015-12-09 |
Other facilities in MILWAUKEE
| Name | Overall | Beds |
|---|---|---|
| MILWAUKEE CATHOLIC HOME | ★★★★★ | 107 |
| EASTCASTLE PL BRADFORD TER CONV CTR | ★★★★★ | 40 |
| JEWISH HOME AND CARE CENTER | ★★★★☆ | 102 |
| Milwaukee Health and Rehab | ★★★★☆ | 95 |
| MERCY HEALTH SERVICES | ★★★☆☆ | 60 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.