CONTACT INFORMATION REVIEWS & MORE DATA
Chi Franciscan Villa
- Date Updated: March 01, 2025
- CMS Overall 5-Star Rating:
-
Address: 3601 S CHICAGO AVE
SOUTH MILWAUKEE WI 53172 Map - Phone: 414-764-4100
- Website: Click Here
- Medicare Provider Number: 525526
- Participating in Medicare Since: November 19, 1993
- No. of Certified Beds: 90
- No. of Residents: N/A
- Occupancy: N/A
- Amount Fined: $265,517.80
- Complaints Filed: 32
- Accepts: Medicare and Medicaid
About Chi Franciscan Villa
Chi Franciscan Villa, located in SOUTH MILWAUKEE, WI, is a non-profit organization that accepts Medicare and Medicaid. It is part of a continuing care retirement community. It is not located in a hospital. Chi Franciscan Villa offers a range of services including skilled nursing, long-term care, short-term rehabilitation, and specialized memory care. The center is equipped with modern amenities and a supportive environment designed to enhance the quality of life for its residents. With a focus on personalized care plans and community engagement.
- Chi Franciscan Villa is ranked #17 out of 19 facilities within a 10 mile radius and #54 out of 60 facilities within a 25 mile radius. See Ranking Report
- Review Specific City Measures
- CMS 5-Star Overall Rating is (1 out of 5):
- Current Trend: Improving
-
Total Nursing Hours Spent Per Resident Per Day: 3.49
(The national average is 3.85 ) - The percentage of short-stay residents who were re-hospitalized after a nursing home admission is 26.32% .
- CMS has identified this facility as either having actual cases of abuse or has decided that abuse is possible. >
Chi Franciscan Villa Owner & Operator Information
Business Entity Name:
CHI LIVING COMMUNITIES
Owners:
- COMMONSPIRIT HEALTH (INDIRECT)
- SYLVANIA FRANCISCAN HEALTH (DIRECT- 100%)
Managers and Directors:
- MICHAEL GULOCK (MANAGING EMPLOYEE)
- ALISA IFFLAND (CORPORATE OFFICER)
- PRENTICE LIPSEY (CORPORATE OFFICER)
- MITCH MELFI (CORPORATE DIRECTOR)
- HEATHER REHMER (CORPORATE OFFICER)
- TERIKA RICHARDSON (CORPORATE DIRECTOR)
Chi Franciscan Villa Ratings and Inspection Scores
Centers for Medicare and Medicaid (CMS) regularly inspects every skilled nursing facility. The results of the multi-day inspection is a series of star ratings. The health inspection scores are an absolute value, so you can compare one facility's score directly to another.
Ratings
| Overall Rating | 1: |
| Health Inspection Rating | 1: |
| Quality Rating | 3: |
| Staffing Rating | 1: |
Inspection Scores
| Cycle 1 Score (as of December 05, 2023) | 238 |
| Cycle 2 Score (as of August 25, 2022) | 542 |
| Cycle 3 Score (as of May 26, 2021) | 116 |
| Weighted All Cycles Score | 319 |
Complaints by Residents
This table shows complaints filed by residents in Chi Franciscan Villa:
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | 11/20/2024 |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | 11/20/2024 |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | 07/05/2024 |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | 07/05/2024 |
| Allow residents to self-administer drugs if determined clinically appropriate. | 01/02/2024 |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | 01/02/2024 |
| Respond appropriately to all alleged violations. | 01/02/2024 |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | 01/02/2024 |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | 01/02/2024 |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | 01/02/2024 |
| Ensure medication error rates are not 5 percent or greater. | 01/02/2024 |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | 01/02/2024 |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | 09/15/2023 |
| Observe each nurse aide's job performance and give regular training. | 08/04/2023 |
| Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. | 08/04/2023 |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | 08/04/2023 |
| Provide behavior health training consistent with the requirements and as determined by a facility assessment. | 08/04/2023 |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | 08/03/2023 |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | 07/15/2023 |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | 06/01/2023 |
| Respond appropriately to all alleged violations. | 06/01/2023 |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | 09/23/2022 |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | 09/23/2022 |
| Respond appropriately to all alleged violations. | 09/23/2022 |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | 09/23/2022 |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | 09/23/2022 |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | 09/23/2022 |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | 09/23/2022 |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | 09/23/2022 |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | 05/19/2022 |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | 05/19/2022 |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | 05/19/2022 |
Nursing Hours Spent Per Patient
CMS provides detailed information about how long nursing staff spends with residents. This data includes nursing subcategories of Registered Nurse, Licensed Practical Nurse, and non-nursing Certified Nursing Assistants. More hours spend per patient should can indicate a better facility or it could indicate more complicated situations.
The nursing staff of Chi Franciscan Villa spends LESS time on average with its residents than the state average and LESS time than the national average for total nursing hours spent per resident.
| Type | Facility | State / National Avg |
|---|---|---|
| Registered Nurse (RN) | ||
| Hours | 0.73 | 0.97 / 0.67 |
| Case Mix | 0.76 | 0.66 / 0.66 |
| Adjusted | 0.63 | NA / NA |
| Licensed Practical Nurse (LPN) | ||
| Hours | 0.44 | 0.61 / 0.87 |
| Case Mix | 0.99 | NA / NA |
| Adjusted | 0.39 | NA / NA |
| Certified Nursing Assistants (CNA) | ||
| Hours | 2.32 | 2.53 / 2.32 |
| Case Mix | 2.64 | NA / NA |
| Adjusted | 2.03 | NA / NA |
| Total Licensed Staff | ||
| Hours | 1.17 | 1.58 / 1.53 |
| Physical Therapist (PT) | ||
| Hours | 0.07 | 0.06 / 0.07 |
| Total Nursing Hours Spent per Resident on Average | ||
| Hours | 3.49 | 4.11 / 3.85 |
| Case Mix | 4.38 | 3.83 / 3.83 |
| Adjusted | 3.04 | NA / NA |
Quality Measures
Quality measures are based both on patient survey information and on the results of actual claims that are filed with CMS. It is not clear what period is covered in the measures.
| Desc. | Perc./ State Avg. / Comparison |
|---|---|
|
Percentage of short-stay residents who were rehospitalized after a nursing home admission (qm521)
This measure is considered when computing the 5-Star Overall Rating |
26.3%
/
22.9% Worse |
|
Percentage of short-stay residents who had an outpatient emergency department visit (qm522)
This measure is considered when computing the 5-Star Overall Rating |
17.3%
/
15.5% Worse |
|
Number of hospitalizations per 1000 long-stay resident days (qm551)
This measure is considered when computing the 5-Star Overall Rating |
1.7%
/
1.4% Worse |
|
Number of outpatient emergency department visits per 1000 long-stay resident days (qm552)
This measure is considered when computing the 5-Star Overall Rating |
1.7%
/
2.1% Better |
| Percentage of long-stay residents whose need for help with daily activities has increased (qm401) |
9.6%
/
18.8% Better |
| Percentage of long-stay residents who lose too much weight (qm404) |
8.1%
/
5.2% Worse |
| Percentage of long-stay residents with a catheter inserted and left in their bladder (qm406) |
1.1%
/
2.7% Better |
| Percentage of long-stay residents with a urinary tract infection (qm407) |
1.6%
/
3.3% Better |
| Percentage of long-stay residents who have depressive symptoms (qm408) |
1.7%
/
5.1% Better |
| Percentage of long-stay residents who were physically restrained (qm409) |
0.0%
/
0.1% Better |
| Percentage of long-stay residents experiencing one or more falls with major injury (qm410) |
4.3%
/
3.4% Worse |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine (qm415) |
99.2%
/
95.8% Better |
| Percentage of long-stay residents who received an antipsychotic medication (qm419) |
13.2%
/
15.5% Better |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine (qm430) |
87.3%
/
87.9% Worse |
| Percentage of short-stay residents who newly received an antipsychotic medication (qm434) |
0.0%
/
1.2% Better |
| Percentage of long-stay residents whose ability to walk independently worsened (qm451) | 21.0% / NA |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication (qm452) |
25.3%
/
15.9% Worse |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine (qm454) |
94.6%
/
93.6% Better |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine (qm472) |
78.9%
/
80.0% Worse |
| Percentage of long-stay residents with pressure ulcers (qm479) | 3.4% / NA |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence (qm480) | 19.6% / NA |
Hospitals Near Chi Franciscan Villa
Quite often skilled nursing facilities and hospitals work closely together to help patients recover or manage a terminal illness. Hospitals deals with acute care while nursing homes treat patients for a longer period of time. New residents at skilled nursing homes typically come from a hospital and nursing home residents may be readmitted to a hospital if their recovery does not proceed well. (Hospital readmission rates are closely monitored by CMS.) Consequently it is important that you consider which hospitals are near a nursing home which choosing one. Below is a list of hospitals near Chi Franciscan Villa.
Chi Franciscan Villa is near several hospitals, each with its own rating based on overall performance:
| Hospital | 5-Star Overall Rating |
|---|---|
|
FROEDTERT SOUTH INC. 9555 76TH ST PLEASANT PRAIRIE, WI 53158 |
1 |
|
ASCENSION ALL SAINTS HOSPITAL 3801 SPRING ST RACINE, WI 53405 |
3 |
|
COMMUNITY MEMORIAL HOSPITAL W180 N8085 TOWN HALL RD MENOMONEE FALLS, WI 53051 |
3 |
|
ASCENSION COLUMBIA ST MARY'S HOSPITAL MILWAUKEE 2323 N LAKE DR MILWAUKEE, WI 53211 |
3 |
|
AURORA ST LUKES MEDICAL CENTER 2900 W OKLAHOMA AVE MILWAUKEE, WI 53215 |
3 |
|
MILWAUKEE VA MEDICAL CENTER 5000 W. NATIONAL AVENUE MILWAUKEE, WI 53295 |
3 |
|
AURORA MEMORIAL HOSPITAL BURLINGTON 252 MCHENRY ST BURLINGTON, WI 53105 |
4 |
|
ASCENSION SE WISCONSIN HOSPITAL 5000 W CHAMBERS ST MILWAUKEE, WI 53210 |
4 |
|
WEST ALLIS MEMORIAL HOSPITAL 8901 W LINCOLN AVE WEST ALLIS, WI 53227 |
4 |
|
WAUKESHA MEMORIAL HOSPITAL 725 AMERICAN AVE WAUKESHA, WI 53188 |
4 |
|
AURORA MEDICAL CENTER KENOSHA 10400 75TH ST KENOSHA, WI 53142 |
4 |
|
ASCENSION ST FRANCIS HOSPITAL 3237 S 16TH ST MILWAUKEE, WI 53215 |
4 |
|
OCONOMOWOC MEMORIAL HOSPITAL 791 E SUMMIT AVE OCONOMOWOC, WI 53066 |
5 |
|
FROEDTERT MEMORIAL LUTHERAN HOSPITAL 9200 W WISCONSIN AVE MILWAUKEE, WI 53226 |
5 |
|
MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL 10101 SOUTH 27TH ST 2ND FLOOR FRANKLIN, WI 53132 |
Not Available |
|
FROEDTERT COMMUNITY HOSPITAL 4805 S MOORLAND RD NEW BERLIN, WI 53151 |
Not Available |
|
ASCENSION WISCONSIN HOSP MENOMONEE FALLS CAMPUS N88W14275 MAIN STREET, SUITE 100 MENOMONEE FALLS, WI 53051 |
Not Available |
|
CHILDRENS HOSPITAL OF WISCONSIN 9000 W WISCONSIN AVE MILWAUKEE, WI 53226 |
Not Available |
|
AURORA PSYCHIATRIC HOSPITAL 1220 DEWEY AVE WAUWATOSA, WI 53213 |
Not Available |
|
ORTHOPAEDIC HOSPITAL OF WISCONSIN 475 W RIVER WOODS PKWY GLENDALE, WI 53212 |
Not Available |
Ratings History for Chi Franciscan Villa
Medical Professionals Associated with Chi Franciscan Villa
These are the doctors who are affiliated with Chi Franciscan Villa. The data is from the most recent period. Historical data is not available.
- ALOK GOYAL ( INTERNAL MEDICINE - MILWAUKEE INTERNAL MEDICINE ASSOCIATES INC )
Local Nursing Homes
When evaluating nursing homes, it's important to consider other nearby facilities to understand the available options and make comparisons. Below is a list of nursing homes near Brookline Healthcare and Rehabilitation, including Brookline itself. This list is ranked based on each home's health inspection scores, also known as the "weighted all cycles score." Additionally, we provide the facility's 5-star overall rating for a more complete view of its performance. If a nursing home has been flagged by CMS for abuse, you'll see a special icon () next to its name.
The data is based on the dataset as of March 01, 2025.
| Name | Health Inspection Score / Overall Rating |
|---|---|
|
Brookside Care Center (KENOSHA, WI) | 6.667 / 5: |
|
Clement Manor Health Care Center (GREENFIELD, WI) | 6.667 / 5: |
|
St Francis Health Services (SAINT FRANCIS, WI) | 11.333 / 5: |
|
Eastcastle Pl Bradford Ter Conv Ctr (MILWAUKEE, WI) | 18.667 / 5: |
|
Hales Corners Care Ctr (HALES CORNERS, WI) | 27.333 / 3: |
|
Milwaukee Catholic Home (MILWAUKEE, WI) | 27.333 / 5: |
|
Lutheran Home (WAUWATOSA, WI) | 34 / 4: |
|
Congregational Home, Inc (BROOKFIELD, WI) | 46 / 5: |
|
Saint Johns On The Lake (MILWAUKEE, WI) | 48.5 / 3: |
|
Ascension Living - Lakeshore at Siena (RACINE, WI) | 54 / 1: |
|
Aria of Waukesha (WAUKESHA, WI) | 58.667 / 1: |
|
Ridgewood Care Ctr (RACINE, WI) | 60 / 2: |
|
Jewish Home and Care Center (MILWAUKEE, WI) | 60.667 / 2: |
|
Care Age of Brookfield (BROOKFIELD, WI) | 62.667 / 2: |
|
Newcastle Place (MEQUON, WI) | 65.333 / 2: |
|
Wi Veterans Home-Boland Hall (UNION GROVE, WI) | 66 / 1: |
|
Oak Ridge Care Center (UNION GROVE, WI) | 67.5 / 2: |
|
Tudor Oaks Health Center (MUSKEGO, WI) | 68 / 3: |
|
Franciscan Woods (BROOKFIELD, WI) | 69.333 / 2: |
|
St Camillus Health Center (WAUWATOSA, WI) | 72.167 / 3: |
|
Muskego Health and Rehabilitation Center (MUSKEGO, WI) | 75.667 / 2: |
|
Glendale Care and Rehab Center LLC (GLENDALE, WI) | 78.333 / 2: |
|
Lindengrove Menomonee Falls (MENOMONEE FALLS, WI) | 82.167 / 1: |
|
Edenbrook Lakeside (MILWAUKEE, WI) | 96 / 2: |
|
Grande Prairie Care and Rehab Ctr LLC (PLEASANT PRAIRIE, WI) | 99.333 / 3: |
|
Virginia Highlands Care and Rehab LLC (GERMANTOWN, WI) | 104.333 / 2: |
|
Aria at Mitchell Manor (WEST ALLIS, WI) | 106.167 / 2: |
|
Lincoln Park Nursing and Rehab LLC (RACINE, WI) | 108 / 1: |
|
Lindengrove Waukesha (WAUKESHA, WI) | 112.167 / 1: |
|
Kensington Care and Rehab Center (WAUKESHA, WI) | 118.333 / 1: |
|
Ccc of Pewaukee (WAUKESHA, WI) | 119 / 1: |
|
Menomonee Falls Health Services (MENOMONEE FALLS, WI) | 122 / 2: |
|
Sunrise Health Services (MILWAUKEE, WI) | 127 / 1: |
|
Crossroads Care Center of Milwaukee (MILWAUKEE, WI) | 129.5 / 2: |
|
Crossroads Care Center of Kenosha (KENOSHA, WI) | 131.5 / 1: |
|
Clairidge House (KENOSHA, WI) | 134.667 / 1: |
|
Lindengrove New Berlin (NEW BERLIN, WI) | 136 / 1: |
|
Willowcrest Health Services (SOUTH MILWAUKEE, WI) | 137 / 1: |
|
Mercy Health Services (MILWAUKEE, WI) | 139.833 / 1: |
|
Maple Ridge Health Services (MILWAUKEE, WI) | 162.5 / 1: |
|
Southpointe Care and Rehab Center LLC (GREENFIELD, WI) | 180.333 / 2: |
|
Autumn Lake Healthcare at Greenfield (MILWAUKEE, WI) | 196.667 / 1: |
|
Allis Care Center (WEST ALLIS, WI) | 197.167 / 1: |
|
Sheridan Health and Rehabilitation Center (KENOSHA, WI) | 206.5 / 1: |
|
Wheaton Franciscan Hc - Terrace at St Francis (MILWAUKEE, WI) | 208 / 1: |
|
Waters Edge Health and Rehabilitation Center (KENOSHA, WI) | 233.333 / 1: |
|
Maplewood Center (WEST ALLIS, WI) | 237 / 1: |
|
Heritage Square Health Care Center (GREENDALE, WI) | 251.833 / 1: |
|
St Anne's Salvatorian Campus (MILWAUKEE, WI) | 254.5 / 1: |
|
Waterfall Health of Brown Deer (MILWAUKEE, WI) | 281.167 / 1: |
|
Alexian Village of Milwaukee (MILWAUKEE, WI) | 285.833 / 2: |
|
The Manor of Kenosha (KENOSHA, WI) | 287.167 / 1: |
|
Luther Manor (MILWAUKEE, WI) | 309.333 / 1: |
|
Chi Franciscan Villa (SOUTH MILWAUKEE, WI) | 319 / 1: |
|
Burlington Health and Rehabilitation Center (BURLINGTON, WI) | 434.667 / 1: |
|
Aria of Brookfield (BROOKFIELD, WI) | 499.5 / 1: |
|
Silver Springs Health Care Center (GLENDALE, WI) | 517.667 / 1: |
|
Bradley Estates Nursing and Rehab LLC (MILWAUKEE, WI) | 681.167 / 1: |
|
The Medical Suites at Oak Creek (OAK CREEK, WI) | 722.333 / 1: |
|
St Ann Health and Rehabilitation Center (MILWAUKEE, WI) | / : |
Our Analysis
Best and Worst Nursing Homes in SOUTH MILWAUKEE, WI
Here is our analysis of the Best Nursing Homes in SOUTH MILWAUKEE and Worst Nursing Homes in SOUTH MILWAUKEE so that you can make better decisions when choosing a nursing home. You should also use these lists after choosing a home to stay abreast of changes.
Ownership Details for Chi Franciscan Villa
A list of all of the registered owners for Chi Franciscan Villa. This includes direct and indirect owners and managers.
Noted Deficiencies for Chi Franciscan Villa
A list of all of the deficiencies for the facility. This includes a description, type of deficiency, incident date and when the facility reports that the incident was corrected.
Nursing Hours Analysis for Chi Franciscan Villa
How long a nurse spends with a resident can be an important factor in their recovery. This page shows the average nursing hours spent per resident for RNs, LPNs, CNAs, PTs and all licensed staff.
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