F

FRANCISCAN WOODS

19525 W NORTH AVE, BROOKFIELD, WI 53045
Score: 20 / 100

With a score of 20/100, Franciscan Woods 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 Franciscan Woods exceed national averages, with 4.46 total nursing hours per resident per day — compared to the national average of 3.8 hours. RN coverage of 0.78 hours per resident per day also exceeds the national average of 0.7 hours.

Recent inspections identified 52 deficiencies at Franciscan Woods. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 8 / 40 pts
1 ★ CMS rating
Health Inspections 5 / 25 pts
1 ★ inspection rating
Staffing 16 / 20 pts
4 ★ staffing rating
Quality Measures 6 / 15 pts
2 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 4.46 3.8 Above Average
Registered Nurses (RN) 0.78 0.7 Above Average
Licensed Practical Nurses (LPN) 1.22 0.7 Above Average
Certified Nursing Assistants (CNA) 2.45 2.4 Average
Weekend Total Nursing 3.99 3.8 Average
Weekend RN Hours 0.70 0.7 Average

🔍 Inspection & Deficiency History

52
Total Deficiencies
Dec 21, 2025
Most Recent Inspection
⚪ 2 Minor 🟠 50 Moderate
View recent deficiencies (5 shown)
  • Tag 0686 Severity G
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    Dec 21, 2025 · Quality of Life and Care Deficiencies
  • Tag 0759 Severity D
    Ensure medication error rates are not 5 percent or greater.
    Dec 21, 2025 · Pharmacy Service Deficiencies
  • Tag 0600 Severity D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    Dec 2, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0689 Severity D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    May 5, 2025 · Quality of Life and Care 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.
    May 5, 2025 · Pharmacy Service 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 10.3% 4.5% Worse
Falls with major injury 0.9% 3.0% Better
On antipsychotic medication 17.9% 14.5% Worse
Urinary tract infections 1.3% 2.5% Better
ADL decline (daily activities) 22.0% 14.0% Worse
Excessive weight loss 5.1% 7.5% Better
New/worsened incontinence 23.7% 45.0% Better

⚠️ Penalties & Fines

1 penalty recorded by CMS

Total fines: $118,144

How This Grade Was Calculated

This facility's grade of F is based on a score of 20 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: 4★ → 16 pts (max 20)
  • Quality Measures Rating: 2★ → 6 pts (max 15)
  • Penalty deductions: -5 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
110
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Nov 13, 2024
Deficiencies (Cycle 1)
24