ST FRANCIS HOME
33 EVERETT ST, FOND DU LAC, WI 54935 · CCN 525595
Ratings
- Overall
- ★★★☆☆ 3
- Health inspection
- ★★★☆☆ 3
- Quality measures
- ★★★★☆ 4
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- Non profit - Corporation
- Certified beds
- 90
- Avg residents/day
- 71.8
- Phone
- 9209237980
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 | 2024-12-18 | 11 | 9.8 | 9.5 | +1.2 worse |
| 2 | 2023-09-13 | 7 | 9.2 | 9.8 | -2.2 better |
| 3 | 2022-10-05 | 9 | 8.3 | 9.3 | +0.7 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 1 |
| Resident assessment and care planning | 1 |
| Resident rights | 4 |
| Pharmacy service | 3 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.82 | 51.5% |
| RN staffing (reported) | 0.88 | 35.7% |
| Total nurse staffing (adjusted) | 4.41 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Chain
- Chain
- SSM HEALTH
- Facilities in chain
- 2
- Chain avg overall
- 3.00 / 5
Inspection citations (27)
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-04-21 · Health · corrected 2025-05-16
Potential for more than minimal harm
- EF0558Reasonably accommodate the needs and preferences of each resident.2024-12-18 · Health · corrected 2025-01-31
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-12-18 · Health · corrected 2025-01-31
Potential for more than minimal harm
- EF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-12-18 · Health · corrected 2025-01-31
Potential for more than minimal harm
- DF0625Notify 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.2024-12-18 · Health · corrected 2025-01-31
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2024-12-18 · Health · corrected 2025-01-18
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2024-12-18 · Health · corrected 2025-01-31
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-12-18 · Health · corrected 2025-01-31
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-12-18 · Health · corrected 2025-01-31
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2024-12-18 · Health · corrected 2025-01-31
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2024-12-18 · Health · corrected 2025-01-31
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-07-29 · Health · corrected 2024-08-29
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-07-29 · Health · corrected 2024-08-29
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-01-11 · Health · corrected 2024-02-11
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-11-09 · Health · corrected 2023-12-09
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2023-11-09 · Health · corrected 2023-12-09
Potential for more than minimal harm
- DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2023-09-13 · Health · corrected 2023-10-13
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-09-13 · Health · corrected 2023-10-13
Potential for more than minimal harm
- 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.2023-09-13 · Health · corrected 2023-10-13
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2023-09-13 · Health · corrected 2023-10-13
Potential for more than minimal harm
- DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2023-09-13 · Health · corrected 2023-10-13
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-07-10 · Health · corrected 2023-08-02
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-07-10 · Health · corrected 2023-08-02
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2023-07-10 · Health · corrected 2023-08-02
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-10-05 · Health · corrected 2022-11-05
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-10-05 · Health · corrected 2022-11-05
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2022-10-05 · Health · corrected 2022-11-05
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| AGNESIAN HEALTHCARE INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 1978-06-01 |
| HEALTH DIMENSIONS CONSULTING INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-04-01 |
| SSM HEALTH CARE CORPORATION | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-01-01 |
| SSM HEALTH CARE OF WISCONSIN INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-01-01 |
| ANDERSON, SUE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-01-01 |
| BRISCOE, DAVID | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-04-01 |
| BRISCOE, PATRICIA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-04-01 |
| GLOEDE, DENISE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-01-01 |
| KRUEGER, KARI | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-09-01 |
| QUEDNOW, DAWN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-11-01 |
| RADINA, VICTOR | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-06-01 |
| ROGOTZKE, AMBER | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-04-01 |
| SHVETZOFF HENNESSEY, ERIN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-04-01 |
| SHVETZOFF, SERGEI | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-04-01 |
| SHVETZOFF, TAMI | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-04-01 |
| WEBER, LISA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-11-01 |
| WILSON, AMY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-06-01 |
| SMITH, KEVIN | Individual | CORPORATE DIRECTOR | — | 2024-01-01 |
| WALKUP, JAMES | Individual | CORPORATE DIRECTOR | — | 2025-01-01 |
| GLOEDE, DENISE | Individual | CORPORATE OFFICER | — | 2024-11-01 |
| KRUEGER, KARI | Individual | CORPORATE OFFICER | — | 2025-06-26 |
| RADINA, VICTOR | Individual | CORPORATE OFFICER | — | 2025-06-01 |
| SMITH, KEVIN | Individual | CORPORATE OFFICER | — | 2024-01-01 |
| WALKUP, JAMES | Individual | CORPORATE OFFICER | — | 2025-01-01 |
| WILSON, AMY | Individual | CORPORATE OFFICER | — | 2025-06-01 |
Other facilities in FOND DU LAC
| Name | Overall | Beds |
|---|---|---|
| HARBOR HAVEN HEALTH & REHABILITATION | ★★★★★ | 85 |
| EDENBROOK OF FOND DU LAC | ★★★☆☆ | 90 |
| Avina on Division | ★★★☆☆ | 50 |
| Avina of Fond du Lac | ★★☆☆☆ | 50 |
| FOND DU LAC LUTHERAN HOME | ★☆☆☆☆ | 85 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.