St Francis Health Services
1915 E Tripoli Ave, Saint Francis, WI 53235 · Milwaukee County · 34 certified beds · avg 32 residents/day · certified since Nov 1, 1991
Part of chain: NORTH SHORE HEALTHCARE (59 facilities, chain avg rating 2.7★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
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 18, 2026 · 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: Mar 20, 2026 (Deficient, Provider has date of correction)
All citations in the current public record (15)
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 |
|---|---|---|
| Feb 18, 2026 | ▲ 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 18, 2026 | E · Potential for harm, repeated | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. |
| Feb 18, 2026 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Feb 18, 2026 | D · Potential for harm, one-off | The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way. |
| Feb 18, 2026 | D · Potential for harm, one-off | The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require. |
| Feb 18, 2026 | 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. |
| Feb 18, 2026 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Feb 18, 2026 | 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. |
| Jul 1, 2025 | 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 |
| Apr 10, 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. |
| Apr 10, 2025 | E · Potential for harm, repeated | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. |
| Apr 10, 2025 | D · Potential for 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. |
| Apr 10, 2025 | D · Potential for harm, one-off | The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems. |
| Apr 10, 2025 | D · Potential for harm, one-off | 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 1, 2024 | 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (5 → 8).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 1 | 0 | F |
| 2025 | 6 | 0 | F |
| 2026 | 8 | 1 | G ▲ |
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) | 3.40 | 4.29 | 3.95 | bottom 19% in Wisconsin; bottom 31% in the U.S. |
| Registered Nurse hours | 0.42 | 1.01 | 0.69 | bottom 2% in Wisconsin; bottom 26% in the U.S. |
| Weekend total nurse staffing | 3.25 | 3.84 | 3.50 | bottom 32% in Wisconsin; bottom 45% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.43 | 0.68 | 0.48 | bottom 21% in Wisconsin; top 43% in the U.S. |
| Total nursing staff turnover (%) | 28.6 | 46.9 | 45.8 | top 9% in Wisconsin; top 12% in the U.S. |
| RN turnover (%) | 0.0 | 39.7 | 42.9 | — |
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 3.27, RN 0.41, weekend 3.13. 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: 5/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Baumann, Troy | Individual | Indirect Ownership Interest | NOT APPLICABLE | 04/04/2017 |
| Hoehn, Jeffrey | Individual | Indirect Ownership Interest | NOT APPLICABLE | 04/04/2017 |
| NSHC Wisconsin LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 04/04/2017 |
| Baumann, Troy | Individual | Corporate Officer | NOT APPLICABLE | 04/04/2017 |
| Baumann, Troy | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/04/2017 |
| Baumann, Troy | Individual | ADP of the SNF | NOT APPLICABLE | 04/04/2017 |
| Belongia, Christina | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/01/2019 |
| Belongia, Christina | Individual | ADP of the SNF | NOT APPLICABLE | 11/01/2019 |
| Cibc Bank USA | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 01/01/2025 |
| Cibc Bank USA | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 01/01/2025 |
| Cibc Bank USA | Organization | Operational/Managerial Control | NOT APPLICABLE | 12/31/2024 |
| Cliftonlarsonallen LLP | Organization | Operational/Managerial Control | NOT APPLICABLE | 12/31/2024 |
| Cliftonlarsonallen LLP | Organization | ADP of the SNF | NOT APPLICABLE | 12/31/2024 |
| Continuum Therapy Partners LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 03/01/2025 |
| Continuum Therapy Partners LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/14/2025 |
| Gee, Darren | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/30/2021 |
| Gee, Darren | Individual | ADP of the SNF | NOT APPLICABLE | 11/30/2021 |
| Greer, Lauren | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/29/2023 |
| Greer, Lauren | Individual | ADP of the SNF | NOT APPLICABLE | 11/29/2023 |
| Hoehn, Jeffrey | Individual | Corporate Officer | NOT APPLICABLE | 04/04/2017 |
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?"
- "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "If my family member's health suddenly changes, how quickly do you reassess them and update their care?"
- "How do you make sure resident assessments are completed and submitted to the state on time?"
- "How do you arrange eye and hearing care for residents, including appointments and equipment like glasses or hearing aids?"
- "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "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 |
|---|---|---|---|---|---|
| Wheaton Franciscan HC - Terrace at St Francis | 2.9 mi | Milwaukee, WI | ★☆☆☆☆ | 1/5 | |
| St Ann Health and Rehabilitation Center | 3.7 mi | Milwaukee, WI | ★★★★☆ | 4/5 | |
| Autumn Lake Healthcare at Greenfield | 4.1 mi | Milwaukee, WI | ★☆☆☆☆ | 1/5 | abuse |
| Mercy Health Services | 4.1 mi | Milwaukee, WI | ★★★☆☆ | 3/5 | |
| Maple Ridge Health Services | 4.2 mi | Milwaukee, WI | ★★☆☆☆ | 3/5 | |
| Sunrise Health Services | 4.2 mi | Milwaukee, WI | ★★☆☆☆ | 2/5 | |
| Complete Care at Southpointe | 4.5 mi | Greenfield, WI | ★★★☆☆ | 2/5 | |
| Jewish Home and Care Center | 5.1 mi | Milwaukee, WI | ★☆☆☆☆ | 1/5 | SFF |
| Aria at Mitchell Manor | 5.1 mi | West Allis, WI | ★★★☆☆ | 3/5 | |
| Greendale Park Nursing and Rehab | 5.2 mi | Greendale, WI | ★☆☆☆☆ | 1/5 | |
| Chi Franciscan Villa | 5.5 mi | South Milwaukee, WI | ★☆☆☆☆ | 1/5 | |
| Saint Johns on the Lake | 5.5 mi | Milwaukee, WI | ★★★★☆ | 3/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 525477.