F

WHEATON FRANCISCAN HC - TERRACE AT ST FRANCIS

3200 S 20TH ST, MILWAUKEE, WI 53215
Score: 9 / 100

With a score of 9/100, Wheaton Franciscan Hc - Terrace At St Francis 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 Wheaton Franciscan Hc - Terrace At St Francis exceed national averages, with 4.49 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 CMS inspections identified 84 deficiencies at Wheaton Franciscan Hc - Terrace At St Francis, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights..

Score Breakdown

Overall CMS Rating 8 / 40 pts
1 ★ CMS rating
Health Inspections 5 / 25 pts
1 ★ inspection rating
Staffing 12 / 20 pts
3 ★ staffing rating
Quality Measures 9 / 15 pts
3 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 4.49 3.8 Above Average
Registered Nurses (RN) 0.78 0.7 Above Average
Licensed Practical Nurses (LPN) 1.16 0.7 Above Average
Certified Nursing Assistants (CNA) 2.56 2.4 Average
Weekend Total Nursing 3.78 3.8 Average
Weekend RN Hours 0.25 0.7 Below Average

🔍 Inspection & Deficiency History

84
Total Deficiencies
Jan 5, 2026
Most Recent Inspection
⚪ 1 Minor 🟠 82 Moderate 🔴 1 Serious
View recent deficiencies (5 shown)
  • Tag 0550 Severity D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    Jan 5, 2026 · Resident Rights Deficiencies
  • Tag 0684 Severity D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    Jan 5, 2026 · Quality of Life and Care Deficiencies
  • Tag 0686 Severity D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    Jan 5, 2026 · Quality of Life and Care Deficiencies
  • Tag 0689 Severity G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Oct 28, 2025 · Quality of Life and Care Deficiencies
  • Tag 0585 Severity D
    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt e
    Oct 28, 2025 · Resident Rights 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 6.1% 4.5% Worse
Falls with major injury 6.2% 3.0% Worse
On antipsychotic medication 10.5% 14.5% Better
Urinary tract infections 3.6% 2.5% Worse
ADL decline (daily activities) 18.4% 14.0% Worse
Excessive weight loss 8.0% 7.5% Average
New/worsened incontinence 12.3% 45.0% Better

⚠️ Penalties & Fines

3 penalties recorded by CMS

Total fines: $175,897

How This Grade Was Calculated

This facility's grade of F is based on a score of 9 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: 3★ → 12 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

Ownership
Non profit - Corporation
Certified Beds
81
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Aug 19, 2025
Deficiencies (Cycle 1)
39