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Franciscan Woods

19525 W North Ave, Brookfield, WI 53045
2627851114
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Overall CMS Rating

1.0/5

vs State Average: 3.0 stars

1.0/5

Health Inspections

vs State Average: 2.8/5

4.0/5

Staffing Level

vs State Average: 3.7/5

2.0/5

Quality Measures

vs State Average: 3.1/5

3 penalties in last 3 years
Penalties
vs State Average: 1.2 penalties

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Ratings Deep Dive

Score
1.0
State Average
2.8
National Average
2.8
5 Deficiencies found in last inspections
3 Penalties in last 3 years
1 Fines issued
Citation Date Description Severity
Dec 22, 2025 Provide appropriate pressure ulcer care and prevent new ulcers from developing. G
Dec 22, 2025 Ensure medication error rates are not 5 percent or greater. D
Dec 3, 2025 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. D
May 6, 2025 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D
May 6, 2025 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. D
Score
4.0
State Average
3.7
National Average
2.9
0.8 RN Hours / Resident / Day
4.5 Total Nurse Hours / Resident / Day
42.9% RN Turnover Rate
Score
2.0
State Average
3.1
National Average
3.6
2.0 Long-Stay QM Rating
3.0 Short-Stay QM Rating
66.3 Avg Residents Per Day
Measure Score Type
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay
Percentage of long-stay residents who lose too much weight Long Stay
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay
Percentage of long-stay residents with a urinary tract infection Long Stay
Percentage of long-stay residents who have depressive symptoms Long Stay
Percentage of long-stay residents who were physically restrained Long Stay
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay

Ownership & Compliance

Ownership Info
OPERATIONAL/MANAGERIAL CONTROL ASCENSION HEALTH SENIOR CARE
CORPORATE DIRECTOR BINEK, ROBIN
CORPORATE DIRECTOR BREEDLOVE, RYAN
CORPORATE DIRECTOR GRONEFELD, KELLIE
CORPORATE DIRECTOR MUSGRAVE, LISA
CORPORATE DIRECTOR SHADBOLT, ERIN
CORPORATE DIRECTOR SMOOT, KENNETH
CONTRACTED MANAGING EMPLOYEE SIDHU, SARFRAZ
W-2 MANAGING EMPLOYEE WEIBELER, JAMES
Recent Penalties
Date Type Fine
Feb 11, 2025 Fine $118,144
Feb 11, 2025 Payment Denial $0
Nov 14, 2024 Payment Denial $0

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