Starfile / Wisconsin

ST ANNE'S SALVATORIAN CAMPUS

3800 N 92ND ST, MILWAUKEE, WI 53222 · CCN 525524

Inspection history vs Wisconsin & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$326,060

Number of fines

2

Number of penalties

3

Payment denials

1

Inspection citations (61)3 immediate jeopardy4 actual harm

1. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2026-01-07 · Health · corrected 2026-02-02

   Actual harm

2. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2026-01-07 · Health · corrected 2026-02-02

   Potential for more than minimal harm

3. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-06-13 · Health · corrected 2025-07-11

   Potential for more than minimal harm

4. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-06-13 · Health · corrected 2025-07-11

   Potential for more than minimal harm

5. DF0880Provide and implement an infection prevention and control program.2025-06-13 · Health · corrected 2025-07-11

   Potential for more than minimal harm

6. GF0760Ensure that residents are free from significant medication errors.2025-03-05 · Health · corrected 2025-04-15

   Actual harm

7. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2024-11-14 · Health · corrected 2024-12-19

   Potential for more than minimal harm

8. DF0558Reasonably accommodate the needs and preferences of each resident.2024-11-14 · Health · corrected 2024-12-19

   Potential for more than minimal harm

9. DF0578Honor 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.2024-11-14 · Health · corrected 2024-12-19

   Potential for more than minimal harm

10. DF0583Keep residents' personal and medical records private and confidential.2024-11-14 · Health · corrected 2024-12-19

    Potential for more than minimal harm

11. EF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-11-14 · Health · corrected 2024-12-19

    Potential for more than minimal harm

12. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2024-11-14 · Health · corrected 2024-12-19

    Potential for more than minimal harm

13. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-11-14 · Health · corrected 2025-04-15

    Potential for more than minimal harm

14. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-11-14 · Health · corrected 2025-04-15

    Actual harm

15. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-11-14 · Health · corrected 2025-04-15

    Actual harm

16. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-11-14 · Health · corrected 2024-12-19

    Potential for more than minimal harm

17. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2024-11-14 · Health · corrected 2024-12-19

    Potential for more than minimal harm

18. DF0700Try 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.2024-11-14 · Health · corrected 2024-12-19

    Potential for more than minimal harm

19. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-11-14 · Health · corrected 2024-12-19

    Potential for more than minimal harm

20. DF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.2024-11-14 · Health · corrected 2024-12-19

    Potential for more than minimal harm

21. DF0759Ensure medication error rates are not 5 percent or greater.2024-11-14 · Health · corrected 2024-12-19

    Potential for more than minimal harm

22. DF0761Ensure 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.2024-11-14 · Health · corrected 2024-12-19

    Potential for more than minimal harm

23. FF0838Conduct 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.2024-11-14 · Health · corrected 2024-12-19

    Potential for more than minimal harm

24. DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2024-11-14 · Health · corrected 2024-12-19

    Potential for more than minimal harm

25. FF0880Provide and implement an infection prevention and control program.2024-11-14 · Health · corrected 2025-04-15

    Potential for more than minimal harm

26. DF0881Implement a program that monitors antibiotic use.2024-11-14 · Health · corrected 2024-12-19

    Potential for more than minimal harm

27. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-08-07 · Health · corrected 2024-08-24

    Potential for more than minimal harm

28. DF0610Respond appropriately to all alleged violations.2024-08-07 · Health · corrected 2024-08-24

    Potential for more than minimal harm

29. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-08-17 · Health · corrected 2023-09-13

    Potential for more than minimal harm

30. FF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2023-08-17 · Health · corrected 2023-09-13

    Potential for more than minimal harm

31. JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-08-17 · Health · corrected 2023-09-13

    Immediate jeopardy

32. JF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-08-17 · Health · corrected 2023-09-13

    Immediate jeopardy

33. DF0610Respond appropriately to all alleged violations.2023-08-17 · Health · corrected 2023-09-13

    Potential for more than minimal harm

34. BF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2023-08-17 · Health · corrected 2023-09-13

    Potential for minimal harm

35. BF0625Notify 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.2023-08-17 · Health · corrected 2023-09-13

    Potential for minimal harm

36. EF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2023-08-17 · Health · corrected 2023-09-13

    Potential for more than minimal harm

37. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-08-17 · Health · corrected 2023-09-13

    Potential for more than minimal harm

38. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-08-17 · Health · corrected 2023-09-13

    Potential for more than minimal harm

39. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-08-17 · Health · corrected 2023-09-13

    Potential for more than minimal harm

40. JF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-08-17 · Health · corrected 2023-09-13

    Immediate jeopardy

41. DF0687Provide appropriate foot care.2023-08-17 · Health · corrected 2023-09-13

    Potential for more than minimal harm

42. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-08-17 · Health · corrected 2023-09-13

    Potential for more than minimal harm

43. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-08-17 · Health · corrected 2023-09-13

    Potential for more than minimal harm

44. DF0700Try 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.2023-08-17 · Health · corrected 2023-09-13

    Potential for more than minimal harm

45. FF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-08-17 · Health · corrected 2023-09-13

    Potential for more than minimal harm

46. FF0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.2023-08-17 · Health · corrected 2023-09-13

    Potential for more than minimal harm

47. DF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.2023-08-17 · Health · corrected 2023-09-13

    Potential for more than minimal harm

48. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2023-08-17 · Health · corrected 2023-09-13

    Potential for more than minimal harm

49. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2023-08-17 · Health · corrected 2023-09-13

    Potential for more than minimal harm

50. DF0758Implement 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.2023-08-17 · Health · corrected 2023-09-13

    Potential for more than minimal harm

51. DF0759Ensure medication error rates are not 5 percent or greater.2023-08-17 · Health · corrected 2023-09-13

    Potential for more than minimal harm

52. EF0761Ensure 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.2023-08-17 · Health · corrected 2023-09-13

    Potential for more than minimal harm

53. DF0773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.2023-08-17 · Health · corrected 2023-09-13

    Potential for more than minimal harm

54. FF0880Provide and implement an infection prevention and control program.2023-08-17 · Health · corrected 2023-09-13

    Potential for more than minimal harm

55. FF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.2023-08-17 · Health · corrected 2023-09-13

    Potential for more than minimal harm

56. DF0909Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.2023-08-17 · Health · corrected 2023-09-13

    Potential for more than minimal harm

57. EF0941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.2023-08-17 · Health · corrected 2023-09-13

    Potential for more than minimal harm

58. EF0949Provide behavior health training consistent with the requirements and as determined by a facility assessment.2023-08-17 · Health · corrected 2023-09-13

    Potential for more than minimal harm

59. DF0585Honor 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.2022-06-08 · Health · corrected 2022-07-05

    Potential for more than minimal harm

60. DF0695Provide safe and appropriate respiratory care for a resident when needed.2022-06-08 · Health · corrected 2022-07-05

    Potential for more than minimal harm

61. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2022-06-08 · Health · corrected 2022-07-05

    Potential for more than minimal harm

Ownership

Other facilities in MILWAUKEE

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.