Clement Manor Health Care Center

Name: Clement Manor Health Care Center
Address: 3939 S 92ND ST, Greenfield, WI, 53228, US
Telephone: 4143211800

3939 S 92nd St, Greenfield, WI 53228 · Milwaukee County · 50 certified beds · avg 44 residents/day · certified since Nov 3, 1982

Part of chain: FRANCISCAN SISTERS OF CHRISTIAN CHARITY (3 facilities, chain avg rating 3.7★)

1/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.07

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, repeated · May 21, 2026 · F-0678

The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes.

Why it matters: In a cardiac or breathing emergency, failure to start CPR promptly can be the difference between life and death.

Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.

Corrected: Jun 16, 2026 (Deficient, Provider has date of correction)

▲ Actual harm, one-off · May 21, 2026 · F-0689

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Jun 16, 2026 (Deficient, Provider has date of correction)

All citations in the current public record (17)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
May 21, 2026	▲ K · Immediate jeopardy, repeated	The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes.
May 21, 2026	▲ G · Actual harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
May 21, 2026	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
May 21, 2026	F · Potential for harm, facility-wide	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
May 21, 2026	E · Potential for harm, repeated	The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective.
May 21, 2026	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint
May 21, 2026	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
May 21, 2026	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
May 21, 2026	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
May 21, 2026	D · Potential for harm, one-off	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
May 21, 2026	C · Minimal risk, facility-wide	The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day.
Feb 12, 2026	D · Potential for harm, one-off	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint
Feb 12, 2026	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint
Oct 25, 2023	D · Potential for harm, one-off	The facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids.
Oct 25, 2023	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Oct 25, 2023	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Oct 25, 2023	D · Potential for harm, one-off	The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life.

Inspection trend by year

Year	Citations	Serious (G–L)	Worst severity that year
2023	4	0	D
2026	13	2	K ▲

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Wisconsin avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	4.07	4.29	3.95	bottom 49% in Wisconsin; top 37% in the U.S.
Registered Nurse hours	0.98	1.01	0.69	top 44% in Wisconsin; top 16% in the U.S.
Weekend total nurse staffing	3.62	3.84	3.50	bottom 47% in Wisconsin; top 37% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.58	0.68	0.48	bottom 43% in Wisconsin; top 25% in the U.S.
Total nursing staff turnover (%)	52.5	46.9	45.8	bottom 31% in Wisconsin; bottom 31% in the U.S.
RN turnover (%)	63.6	39.7	42.9	bottom 13% in Wisconsin; bottom 17% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.14, RN 1.00, weekend 3.68. Staffing rating: 3/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 3/5 · long-stay residents: 2/5 · short-stay residents: 4/5

Who owns this facility

Non profit - Church related

Owner / manager	Type	Role	Stake	Since
Chang, Steve	Individual	Contracted Managing Employee	NOT APPLICABLE	09/01/2021
Dougherty, Philip	Individual	Corporate Director	NOT APPLICABLE	01/01/2015
Ferger, Dennis	Individual	W-2 Managing Employee	NOT APPLICABLE	08/20/1984
Ferger, Dennis	Individual	Corporate Officer	NOT APPLICABLE	01/04/2000
Franciscan Sisters of Christian Charity Sponsored Ministries, INC.	Organization	Operational/Managerial Control	NOT APPLICABLE	04/01/2024
Heindel, John	Individual	Corporate Officer	NOT APPLICABLE	11/15/2021
Loch, Timothy	Individual	Contracted Managing Employee	NOT APPLICABLE	04/01/2024
Loewus, Carly	Individual	W-2 Managing Employee	NOT APPLICABLE	05/18/2020
Maher, Ann	Individual	Corporate Officer	NOT APPLICABLE	11/15/2020
Schulte, Judeen	Individual	Corporate Officer	NOT APPLICABLE	11/01/2009

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Are staff on every shift trained and certified in CPR, and how do they know each resident's resuscitation wishes?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"Who oversees antibiotic use here, and how do you decide when an antibiotic is really needed?"
"If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Maplewood Center	1.2 mi	West Allis, WI	★☆☆☆☆	1/5
Complete Care at Hales Corners	1.8 mi	Hales Corners, WI	★★★☆☆	3/5
Greendale Park Nursing and Rehab	2.9 mi	Greendale, WI	★☆☆☆☆	1/5
Resolve at West Allis Respiratory and Rehab	3.0 mi	West Allis, WI	★☆☆☆☆	1/5
Complete Care at Southpointe	3.1 mi	Greenfield, WI	★★★☆☆	2/5
Lindengrove New Berlin	3.1 mi	New Berlin, WI	★☆☆☆☆	1/5
Sunrise Health Services	3.1 mi	Milwaukee, WI	★★☆☆☆	2/5
Aria at Mitchell Manor	3.2 mi	West Allis, WI	★★★☆☆	3/5
St Camillus Health Center	4.5 mi	Wauwatosa, WI	★★☆☆☆	1/5
Wheaton Franciscan HC - Terrace at St Francis	4.6 mi	Milwaukee, WI	★☆☆☆☆	1/5
Autumn Lake Healthcare at Greenfield	4.6 mi	Milwaukee, WI	★☆☆☆☆	1/5	abuse
Maple Ridge Health Services	4.6 mi	Milwaukee, WI	★★☆☆☆	3/5

Compare this facility with the 3 closest →

All facilities in Greenfield →

Facility data as of CMS processing date 2026-08-01. CCN 525327.

The Care File

Visit checklist — Clement Manor Health Care Center

3939 S 92nd St, Greenfield, WI 53228 · 4143211800

Health inspection rating 1/5 · CMS overall 1/5· Fines (3y): $0

Most serious findings on record:

▲ May 21, 2026 (F-0678, Immediate jeopardy, repeated): The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes.
▲ May 21, 2026 (F-0689, Actual harm, one-off): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Questions for the administrator:

☐ "Are staff on every shift trained and certified in CPR, and how do they know each resident's resuscitation wishes?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "Who oversees antibiotic use here, and how do you decide when an antibiotic is really needed?"
☐ "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 525327 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)