Saint Johns on the Lake
1858 N Prospect Ave, Milwaukee, WI 53202 · Milwaukee County · 27 certified beds · avg 22 residents/day · certified since Jul 1, 1994 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5
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)
▲ Actual harm, one-off · Feb 21, 2023 · F-0686
The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.
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: Apr 17, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (14)
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 |
|---|---|---|
| Apr 1, 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 |
| Jun 3, 2025 | 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. |
| Jun 3, 2025 | 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. |
| Jun 3, 2025 | F · Potential for harm, facility-wide | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. |
| Jun 3, 2025 | D · Potential for harm, one-off | The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function. |
| Jun 3, 2025 | D · Potential for harm, one-off | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. |
| Jun 3, 2025 | D · Potential for harm, one-off | 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. |
| Apr 24, 2024 | 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. |
| Feb 21, 2023 | ▲ G · Actual harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Feb 21, 2023 | E · Potential for harm, repeated | 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. |
| Feb 21, 2023 | 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. |
| Feb 21, 2023 | 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. |
| Feb 21, 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. |
| Feb 21, 2023 | D · Potential for harm, one-off | 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (1 → 6).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 6 | 1 | G ▲ |
| 2024 | 1 | 0 | F |
| 2025 | 6 | 0 | F |
| 2026 | 1 | 0 | D |
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) | 5.94 | 4.29 | 3.95 | top 6% in Wisconsin; top 4% in the U.S. |
| Registered Nurse hours | 1.64 | 1.01 | 0.69 | top 8% in Wisconsin; top 3% in the U.S. |
| Weekend total nurse staffing | 5.50 | 3.84 | 3.50 | top 5% in Wisconsin; top 3% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 1.10 | 0.68 | 0.48 | top 9% in Wisconsin; top 5% in the U.S. |
| Total nursing staff turnover (%) | 38.7 | 46.9 | 45.8 | top 28% in Wisconsin; top 33% in the U.S. |
| RN turnover (%) | 14.3 | 39.7 | 42.9 | top 10% in Wisconsin; top 7% 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 5.25, RN 1.45, weekend 4.86. Staffing rating: 5/5.
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 |
|---|---|---|---|---|
| Saint John's Communities, INC. | Organization | Direct Ownership Interest | NOT APPLICABLE | 07/01/1994 |
| Anderson, Cassandra | Individual | ADP of the SNF | NOT APPLICABLE | 03/14/2022 |
| Anderson, Renee | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2011 |
| Anderson, Renee | Individual | ADP of the SNF | NOT APPLICABLE | 07/01/2011 |
| Armbruster, Kathy | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/2016 |
| Arndt, Betty | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2022 |
| Beal, Polly | Individual | ADP of the SNF | NOT APPLICABLE | 05/02/2014 |
| Beckley Milner, Diane | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2018 |
| Behavioral Solutions INC | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2024 |
| Brighton Hospice Wisconsin LLC | Organization | ADP of the SNF | NOT APPLICABLE | 08/07/2023 |
| Burke, Erin | Individual | ADP of the SNF | NOT APPLICABLE | 11/04/2019 |
| Butler, Helene | Individual | ADP of the SNF | NOT APPLICABLE | 05/24/1999 |
| Coburn, Matthew | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2021 |
| Community Foot and Ankle Clinic INC | Organization | ADP of the SNF | NOT APPLICABLE | 02/26/2019 |
| Coppernoll, Lee | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2018 |
| Davis Clinical Consulting | Organization | ADP of the SNF | NOT APPLICABLE | 12/30/2024 |
| Dietitians on Demand Corporate Solutions, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/31/2022 |
| Eager, David | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2023 |
| Exum-Pryor, Lakeshia | Individual | ADP of the SNF | NOT APPLICABLE | 07/23/2018 |
| Fry, William | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
- "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?"
- "How do you inspect and maintain essential equipment, and how quickly are repairs made?"
- "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
- "How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
- "Who oversees antibiotic use here, and how do you decide when an antibiotic is really needed?"
- "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 |
|---|---|---|---|---|---|
| Edenbrook Lakeside | 0.3 mi | Milwaukee, WI | ★☆☆☆☆ | 1/5 | |
| Jewish Home and Care Center | 0.5 mi | Milwaukee, WI | ★☆☆☆☆ | 1/5 | SFF |
| Milwaukee Catholic Home | 0.7 mi | Milwaukee, WI | ★★★★☆ | 5/5 | |
| Eastcastle PL Bradford Ter Conv Ctr | 0.9 mi | Milwaukee, WI | ★★★★★ | 3/5 | |
| Milwaukee Health and Rehab | 3.3 mi | Milwaukee, WI | ★★★★☆ | 4/5 | |
| Mercy Health Services | 4.1 mi | Milwaukee, WI | ★★★☆☆ | 3/5 | |
| St Ann Health and Rehabilitation Center | 4.1 mi | Milwaukee, WI | ★★★★☆ | 4/5 | |
| Bayshore Nursing & Rehab | 4.8 mi | Glendale, WI | ★☆☆☆☆ | 1/5 | abuseSFF |
| Wheaton Franciscan HC - Terrace at St Francis | 5.3 mi | Milwaukee, WI | ★☆☆☆☆ | 1/5 | |
| St Francis Health Services | 5.5 mi | Saint Francis, WI | ★★★☆☆ | 3/5 | |
| Aria at Mitchell Manor | 5.7 mi | West Allis, WI | ★★★☆☆ | 3/5 | |
| Complete Care at Glendale West | 5.7 mi | Glendale, WI | ★★★☆☆ | 2/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 525539.