Nursing homeActive
St Francis Home
33 Everett St, Fond du Lac, WI 54935920923798090 certified beds · 80 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
7
since 2023
Deficiencies
26
● 0● 26● 0
Penalties · 3 yrs
—
none on file
Last survey
2026-04-01
Standard
CMS overall
3 / 5
stars as published by CMS
CMS overall 3/5
Health 3
Staffing 3
Quality 4
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 | Standard | 050 | CMS-2567 (Care Compare) | — |
| 2025-04-21 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-12-18 | Standard | 0100 | CMS-2567 (Care Compare) | — |
| 2024-07-29 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2024-01-11 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2023-11-09 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2023-09-13 | Standard | 050 | 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.
F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-04-24Record 525595-20260401-F607
F692Provide enough food/fluids to maintain a resident's health.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-10Record 525595-20260401-F692
F698Provide safe, appropriate dialysis care/services for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-10Record 525595-20260401-F698
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 2026-04-10Record 525595-20260401-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 2026-04-10Record 525595-20260401-F880
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-16Record 525595-20250421-F609
F558Reasonably accommodate the needs and preferences of each resident.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-01-31Record 525595-20241218-F558
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-31Record 525595-20241218-F580
F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-01-31Record 525595-20241218-F623
F625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-31Record 525595-20241218-F625
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-18Record 525595-20241218-F641
F692Provide enough food/fluids to maintain a resident's health.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-31Record 525595-20241218-F692
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 2025-01-31Record 525595-20241218-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 2025-01-31Record 525595-20241218-F757
F759Ensure medication error rates are not 5 percent or greater.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-31Record 525595-20241218-F759
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 2025-01-31Record 525595-20241218-F880
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-29Record 525595-20240729-F609
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-29Record 525595-20240729-F689
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity EStandard
Care planningFalls
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-02-11Record 525595-20240111-F689
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-09Record 525595-20231109-F609
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-09Record 525595-20231109-F610
F552Ensure that residents are fully informed and understand their health status, care and treatments.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-13Record 525595-20230913-F552
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-13Record 525595-20230913-F695
F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-13Record 525595-20230913-F758
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 2023-10-13Record 525595-20230913-F880
F883Develop and implement policies and procedures for flu and pneumonia vaccinations.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-13Record 525595-20230913-F883
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.80
Facility
Wisconsin
National
Wisconsin 0.99 · National 0.69
Total nurse hours per resident day3.57
Facility
Wisconsin
National
Wisconsin 4.21 · National 3.86
Weekend total nurse hours3.23
Facility
Wisconsin
National
Wisconsin 3.77 · National 3.42
Total nursing staff turnover54%
Facility
Wisconsin
National
Wisconsin 47% · National 46%
Registered nurse turnover67%
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 | 3.6% | 5.0% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 1.8% | 3.3% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 11.0% | 15.8% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 3.7% | 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 | 11.6% | 16.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 1.9% | 5.1% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 24.5% | 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 |
|---|---|---|---|---|
| Agnesian Healthcare Inc Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Anderson, Sue Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Briscoe, David Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Briscoe, Patricia Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Gloede, Denise Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Health Dimensions Consulting Inc Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Hennessey, Erin Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Krueger, Kari Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Quednow, Dawn Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Radina, Victor Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Rogotzke, Amber Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Shvetzoff, Sergei Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Shvetzoff, Tami Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Ssm Health Care Corporation Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Ssm Health Care Of Wisconsin Inc Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Weber, Lisa Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Wilson, Amy Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Anderson, Sue Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Bass, Paige Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Beardmore, Daniel Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Bell, Judith Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Briscoe, David Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Briscoe, Patricia Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Brown, Mary Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Burnett, Janice Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Corcoran, Rick Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Devlin, Marie Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Dolan, Peter Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Emmer, Rhea Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Gloede, Denise Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Gloede, Denise Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Hardt, John Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Hartenbach, David Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Health Dimensions Consulting Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Hennessey, Erin Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Her, Peng Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Holzman, Mark Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Imholz, Donald Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Kaiser, Laura Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Karsten, Joan Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Kindle, Carolyn Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Krueger, Kari Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Leitzen Fye, Patti Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Maskel, Jennifer Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Matzke, Wayne Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Nairn, Thomas Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Otte, Olivia Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Pandl, Mary Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Pogodzinski, Matthew Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Quednow, Dawn Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Radina, Victor Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Radina, Victor Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Rogotzke, Amber Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Ross, Samuel Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Rozier, Michael Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Shvetzoff, Sergei Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Shvetzoff, Tami Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Smith, Kevin Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Smith, Kevin Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Smith, Kevin Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Sparkman, Wesley Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Ssm Health Care Corporation Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Ssm Health Care Of Wisconsin Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Valdez, Joseph Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Valdivia, Tomas Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Walkup, James Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Walkup, James Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Walkup, James Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Weber, Lisa Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Whalen, James Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Wilson, Amy Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Wilson, Amy Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
Part of a chain
Ssm Health — 2 facilities
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 Fond Du Lac.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Harbor Haven Health & Rehabilitation Fond du Lac | 0.3 mi | 2025-04-23 | 020 |
| Avina on Division Fond du Lac | 0.4 mi | 2026-04-30 | 2243 |
| Avina of Fond du Lac Fond du Lac | 0.7 mi | 2026-04-22 | 0261 |
| Edenbrook of Fond Du Lac Fond Du Lac | 0.8 mi | 2025-06-11 | 0111 |
| Fond du Lac Lutheran Home Fond du Lac | 0.9 mi | 2026-05-14 | 1292 |
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 |