With a score of 1/100, Chi Franciscan Villa 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 at Chi Franciscan Villa is near the national average, with 3.56 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 69 deficiencies at Chi Franciscan Villa, including 7 classified as serious — among the most concerning citation levels. The most notable finding involved: let each resident or the resident's legal representative access or purchase copies of all the resident's records..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.56 | 3.8 | Average |
| Registered Nurses (RN) | 0.54 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.53 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 2.49 | 2.4 | Average |
| Weekend Total Nursing | 3.03 | 3.8 | Below Average |
| Weekend RN Hours | 0.30 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0573 Severity DLet each resident or the resident's legal representative access or purchase copies of all the resident's records.Dec 22, 2025 · Resident Rights Deficiencies
- Tag 0689 Severity GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Nov 12, 2025 · Quality of Life and Care Deficiencies
- Tag 0580 Severity DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Oct 16, 2025 · Resident Rights Deficiencies
- Tag 0842 Severity DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standarOct 16, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0880 Severity DProvide and implement an infection prevention and control program.Oct 16, 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 | 7.9% | 4.5% | Worse |
| Falls with major injury | 4.9% | 3.0% | Worse |
| On antipsychotic medication | 14.4% | 14.5% | Average |
| Urinary tract infections | 0.4% | 2.5% | Better |
| ADL decline (daily activities) | 3.1% | 14.0% | Better |
| Excessive weight loss | 8.7% | 7.5% | Worse |
| New/worsened incontinence | 20.9% | 45.0% | Better |
⚠️ Penalties & Fines
4 penalties recorded by CMS
Total fines: $271,775
How This Grade Was Calculated
This facility's grade of F is based on a score of 1 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 1★ → 4 pts (max 20)
- Quality Measures Rating: 3★ → 9 pts (max 15)
- Penalty deductions: -15 pts
- Fine deductions: -10 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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