Nursing homeActive
St Paul Elder Services, Inc
316 East 14th Street, Kaukauna, WI 541309207666020105 certified beds · 97 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
6
since 2024
Deficiencies
8
● 0● 8● 0
Penalties · 3 yrs
—
none on file
Last survey
2026-05-12
Standard
CMS overall
5 / 5
stars as published by CMS
CMS overall 5/5
Health 5
Staffing 5
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 |
|---|---|---|---|---|
| 2026-05-12 | Standard | 000 | CMS-2567 (Care Compare) | — |
| 2026-03-26 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-06-16 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-04-02 | Standard | 050 | CMS-2567 (Care Compare) | — |
| 2024-09-26 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-03-20 | Standard | 000 | 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.
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 2026-04-06Record 525617-20260326-F580
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-06-17Record 525617-20250616-F600
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-25Record 525617-20250402-F641
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 2025-04-28Record 525617-20250402-F684
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 2025-04-25Record 525617-20250402-F695
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 2025-04-25Record 525617-20250402-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 2025-04-25Record 525617-20250402-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 2024-10-11Record 525617-20240926-F609
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day1.05
Facility
Wisconsin
National
Wisconsin 0.99 · National 0.69
Total nurse hours per resident day4.80
Facility
Wisconsin
National
Wisconsin 4.21 · National 3.86
Weekend total nurse hours4.47
Facility
Wisconsin
National
Wisconsin 3.77 · National 3.42
Total nursing staff turnover37%
Facility
Wisconsin
National
Wisconsin 47% · National 46%
Registered nurse turnover33%
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 | 5.4% | 5.0% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 3.1% | 3.3% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 18.6% | 15.8% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 2.8% | 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 | 21.4% | 16.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 1.3% | 5.1% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 32.5% | 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 |
|---|---|---|---|---|
| Abel, Jackie Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Acker, Charleen Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Amergis Healthcare Staffing, Inc Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Brady, Nicole Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Davis Clinical Consulting Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Eiting, Clay Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Franciscan Sisters Of Christian Charity Sponsored Ministries, Inc. Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Gage, Michael Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Hietpas, Pat Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Kienert, Kelsey Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Kohlmann, Joellen Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Lemke, Karmen Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Mashl, Megan Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Neville, Ryan Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| P&M Holding Group LLP Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Prn Health Services, Inc. Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Sabin-Wilson, Lisa Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Schroeder, Amber Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Vandehey, Paula Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Abel, Jackie Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Abel, Jackie Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Acker, Charleen Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Acker, Charleen Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Amergis Healthcare Staffing, Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Brady, Nicole Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Brady, Nicole Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Davis Clinical Consulting Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Eiting, Clay Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Eiting, Clay Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Franciscan Sisters Of Christian Charity Sponsored Ministries, Inc. Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Gage, Michael Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Gage, Michael Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Hietpas, Pat Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Hietpas, Pat Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Kienert, Kelsey Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Kohlmann, Joellen Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Kohlmann, Joellen Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Lemke, Karmen Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Lemke, Karmen Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Mashl, Megan Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Neville, Ryan Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| P&M Holding Group LLP Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Prn Health Services, Inc. Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Schroeder, Amber Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Schroeder, Amber Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Vandehey, Paula Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Vandehey, Paula Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
Part of a chain
Franciscan Sisters Of Christian Charity — 3 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 Outagamie.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Little Chute Health Services Little Chute | 1.6 mi | 2026-05-21 | 0144 |
| Edenbrook of Appleton North Appleton | 6.3 mi | 2026-06-17 | 1161 |
| Rennes Health and Rehab Center-Appleton Appleton | 6.6 mi | 2025-08-06 | 060 |
| Meadowbrook at Appleton Appleton | 6.7 mi | 2025-10-22 | 0482 |
| Oakridge Gardens Nur Ctr, Inc Menasha | 7.3 mi | 2025-05-14 | 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 |