Nursing homeActive
Saint Johns on the Lake
1858 N Prospect Ave, Milwaukee, WI 53202414272202227 certified beds · 22 residentsNon profit - Church relatedMedicare and Medicaid
Surveys on file
4
since 2023
Deficiencies
14
● 0● 13● 1
Penalties · 3 yrs
—
none on file
Last survey
2026-04-01
Complaint
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 3
Staffing 5
Quality 3
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Wisconsin Division of Quality Assurance · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-04-01 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-06-03 | Standard | 060 | CMS-2567 (Care Compare) | — |
| 2024-04-24 | Standard | 010 | CMS-2567 (Care Compare) | — |
| 2023-02-21 | Standard | 051 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Wisconsin Division of Quality Assurance publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-30Record 525539-20260401-F610
F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-07Record 525539-20250603-F605
F645PASARR screening for Mental disorders or Intellectual DisabilitiesScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-07Record 525539-20250603-F645
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-08-29Record 525539-20250603-F812
F880Provide and implement an infection prevention and control program.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-08-29Record 525539-20250603-F880
F881Implement a program that monitors antibiotic use.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-03Record 525539-20250603-F881
F908Keep all essential equipment working safely.Scope/severity FStandard
Environment
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-08-29Record 525539-20250603-F908
F880Provide and implement an infection prevention and control program.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-05-24Record 525539-20240424-F880
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2023-04-17Record 525539-20230221-F686
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-03-27Record 525539-20230221-F684
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-03-27Record 525539-20230221-F755
F757Ensure each resident’s drug regimen must be free from unnecessary drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-03-27Record 525539-20230221-F757
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-03-27Record 525539-20230221-F812
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-03-27Record 525539-20230221-F880
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day1.45
Facility
Wisconsin
National
Wisconsin 0.99 · National 0.69
Total nurse hours per resident day5.25
Facility
Wisconsin
National
Wisconsin 4.21 · National 3.86
Weekend total nurse hours4.86
Facility
Wisconsin
National
Wisconsin 3.77 · National 3.42
Total nursing staff turnover39%
Facility
Wisconsin
National
Wisconsin 47% · National 46%
Registered nurse turnover14%
Facility
Wisconsin
National
Wisconsin 40% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Wisconsin | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 6.4% | 5.0% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 6.8% | 3.3% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 4.9% | 15.8% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 1.4% | 2.7% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 14.0% | 16.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 12.5% | 5.1% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 16.3% | 16.9% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Loyd, Matthew Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Petitt, Dorothy Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Saint John's Communities, Inc. Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Saltness, Rachel Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| The Medical College Of Wisconsin Inc Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Anderson, Cassandra Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Anderson, Renee Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Anderson, Renee Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Armbruster, Kathy Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Arndt, Betty Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Beal, Polly Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Beckley Milner, Diane Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Behavioral Solutions Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Brighton Hospice Wisconsin LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Burke, Erin Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Butler, Helene Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Coburn, Matthew Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Community Foot And Ankle Clinic Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Coppernoll, Lee Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Davis Clinical Consulting Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Dietitians On Demand Corporate Solutions, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Eager, David Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Exum-Pryor, Lakeshia Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Fry, William Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Geszvain, Melissa Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Guardian Pharmacy Of Madison, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Gunter, Matthew Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Hearing Care At Home LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Henderson, Antonio Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Hildebrand, Kirsten Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Hometown Hospice & Homecare Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Integrated Therapy Managment Partners, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Kare Technologies LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Kelnhofer, Alan Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Legacy Hospice Cares LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Lemminger, Dan Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Lemminger, Dan Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Loyd, Matthew Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Luther, Anne Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Madison Medical Affiliates Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Mass, Omar Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Moon, Judith Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Patrinos, Daniel Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Petitt, Dorothy Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Preferred Dentistry Associates, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Saint John's Communities, Inc. Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Saint John's Communities, Inc. Organization | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Saltness, Rachel Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Schreiner, Richard Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| The Medical College Of Wisconsin Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Us Bank National Association Organization | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE | — | — |
| Whiteside, Cazmer Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Wisconsin.
No county cost figures on file for Milwaukee.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Edenbrook Lakeside Milwaukee | 0.3 mi | 2026-06-02 | 0385 |
| Jewish Home and Care Center Milwaukee | 0.5 mi | 2026-04-06 | 0267 |
| Milwaukee Catholic Home Milwaukee | 0.7 mi | 2026-05-20 | 0130 |
| Eastcastle Pl Bradford Ter Conv Ctr Milwaukee | 0.9 mi | 2026-02-18 | 1141 |
| Milwaukee Health and Rehab Milwaukee | 3.3 mi | 2025-12-08 | 1140 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |