F

ST ANNE'S SALVATORIAN CAMPUS

3800 N 92ND ST, MILWAUKEE, WI 53222
Score: 27 / 100

With a score of 27/100, St Anne'S Salvatorian Campus ranks in the bottom tier of Wisconsin nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.

Staffing levels at St Anne'S Salvatorian Campus exceed national averages, with 4.41 total nursing hours per resident per day — compared to the national average of 3.8 hours. RN coverage of 1.27 hours per resident per day also exceeds the national average of 0.7 hours.

Recent CMS inspections identified 61 deficiencies at St Anne'S Salvatorian Campus, including 3 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents..

Score Breakdown

Overall CMS Rating 16 / 40 pts
2 ★ CMS rating
Health Inspections 5 / 25 pts
1 ★ inspection rating
Staffing 20 / 20 pts
5 ★ staffing rating
Quality Measures 6 / 15 pts
2 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 4.41 3.8 Above Average
Registered Nurses (RN) 1.27 0.7 Above Average
Licensed Practical Nurses (LPN) 0.46 0.7 Below Average
Certified Nursing Assistants (CNA) 2.68 2.4 Above Average
Weekend Total Nursing 4.08 3.8 Average
Weekend RN Hours 1.02 0.7 Above Average

🔍 Inspection & Deficiency History

61
Total Deficiencies
Jan 6, 2026
Most Recent Inspection
⚪ 2 Minor 🟠 56 Moderate 🔴 3 Serious
View recent deficiencies (5 shown)
  • Tag 0689 Severity G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Jan 6, 2026 · Quality of Life and Care Deficiencies
  • Tag 0757 Severity D
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    Jan 6, 2026 · Pharmacy Service Deficiencies
  • Tag 0609 Severity D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    Jun 12, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0755 Severity D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    Jun 12, 2025 · Pharmacy Service Deficiencies
  • Tag 0880 Severity D
    Provide and implement an infection prevention and control program.
    Jun 12, 2025 · Infection Control Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 6.9% 4.5% Worse
Falls with major injury 6.6% 3.0% Worse
On antipsychotic medication 7.6% 14.5% Better
Urinary tract infections 5.0% 2.5% Worse
ADL decline (daily activities) 12.6% 14.0% Average
Excessive weight loss 2.1% 7.5% Better
New/worsened incontinence 29.1% 45.0% Better

⚠️ Penalties & Fines

2 penalties recorded by CMS

Total fines: $326,060

How This Grade Was Calculated

This facility's grade of F is based on a score of 27 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 2★ → 16 pts (max 40)
  • Health Inspection Rating: 1★ → 5 pts (max 25)
  • Staffing Rating: 5★ → 20 pts (max 20)
  • Quality Measures Rating: 2★ → 6 pts (max 15)
  • Penalty deductions: -10 pts
  • Fine deductions: -10 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
Non profit - Corporation
Certified Beds
50
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Nov 13, 2024
Deficiencies (Cycle 1)
26