St Francis Home

Name: St Francis Home
Address: 33 Everett St, Fond Du Lac, WI, 54935, US
Telephone: 9209237980

33 Everett St, Fond Du Lac, WI 54935 · Fond Du Lac County · 90 certified beds · avg 80 residents/day · certified since Jul 1, 1996

Part of chain: SSM HEALTH (2 facilities, chain avg rating 3.0★)

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.10

Nurse hours/resident/day (adjusted)

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.

All citations in the current public record (26)

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	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.
Apr 1, 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.
Apr 1, 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.
Apr 1, 2026	D · Potential for harm, one-off	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.
Apr 1, 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.
Apr 21, 2025	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Dec 18, 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.
Dec 18, 2024	E · Potential for harm, repeated	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups.
Dec 18, 2024	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.
Dec 18, 2024	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
Dec 18, 2024	D · Potential for harm, one-off	The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave.
Dec 18, 2024	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Dec 18, 2024	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.
Dec 18, 2024	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.
Dec 18, 2024	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.
Dec 18, 2024	D · Potential for harm, one-off	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Jul 29, 2024	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Jul 29, 2024	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. · from a complaint
Jan 11, 2024	E · Potential for harm, repeated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Nov 9, 2023	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Nov 9, 2023	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
Sep 13, 2023	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.
Sep 13, 2023	D · Potential for harm, one-off	The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand.
Sep 13, 2023	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Sep 13, 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.
Sep 13, 2023	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (10 → 5).

Year	Citations	Worst severity that year
2023	7	F
2024	13	F
2025	1	D
2026	5	F

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)	4.10	4.29	3.95	bottom 50% in Wisconsin; top 36% in the U.S.
Registered Nurse hours	0.92	1.01	0.69	bottom 48% in Wisconsin; top 20% in the U.S.
Weekend total nurse staffing	3.70	3.84	3.50	top 48% in Wisconsin; top 33% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.55	0.68	0.48	bottom 41% in Wisconsin; top 28% in the U.S.
Total nursing staff turnover (%)	54.1	46.9	45.8	bottom 28% in Wisconsin; bottom 27% in the U.S.
RN turnover (%)	66.7	39.7	42.9	bottom 11% in Wisconsin; bottom 15% 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 3.57, RN 0.80, weekend 3.23. 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: 4/5 · long-stay residents: 4/5 · short-stay residents: 5/5

Who owns this facility

Non profit - Corporation

Owner / manager	Type	Role	Stake	Since
Agnesian Healthcare INC	Organization	Operational/Managerial Control	NOT APPLICABLE	06/01/1978
Anderson, Sue	Individual	Managing Control - Governing Body	NOT APPLICABLE	02/28/2022
Anderson, Sue	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2024
Bass, Paige	Individual	Managing Control - Governing Body	NOT APPLICABLE	01/01/2025
Beardmore, Daniel	Individual	Managing Control - Governing Body	NOT APPLICABLE	11/12/2024
Bell, Judith	Individual	Managing Control - Governing Body	NOT APPLICABLE	01/01/2023
Briscoe, David	Individual	Operational/Managerial Control	NOT APPLICABLE	04/01/2022
Briscoe, David	Individual	ADP of the SNF	NOT APPLICABLE	04/01/2022
Briscoe, Patricia	Individual	Operational/Managerial Control	NOT APPLICABLE	04/01/2022
Briscoe, Patricia	Individual	ADP of the SNF	NOT APPLICABLE	04/01/2022
Brown, Mary	Individual	Managing Control - Governing Body	NOT APPLICABLE	01/04/2018
Burnett, Janice	Individual	Managing Control - Governing Body	NOT APPLICABLE	01/01/2022
Corcoran, Rick	Individual	Managing Control - Governing Body	NOT APPLICABLE	10/01/2017
Devlin, Marie	Individual	Managing Control - Governing Body	NOT APPLICABLE	06/01/2018
Dolan, Peter	Individual	Managing Control - Governing Body	NOT APPLICABLE	01/01/2024
Emmer, Rhea	Individual	Managing Control - Governing Body	NOT APPLICABLE	02/28/2022
Gloede, Denise	Individual	Managing Control - Governing Body	NOT APPLICABLE	11/01/2024
Gloede, Denise	Individual	Corporate Officer	NOT APPLICABLE	11/01/2024
Gloede, Denise	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2024
Hardt, John	Individual	Managing Control - Governing Body	NOT APPLICABLE	01/01/2022

Questions to ask on your visit

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

"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
"How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
"How do you coordinate and monitor care for residents who receive dialysis?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
"If you ever planned to discharge or transfer my family member, how much written notice would we receive and how could we appeal?"
"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
Harbor Haven Health & Rehabilitation	0.3 mi	Fond Du Lac, WI	★★★★★	5/5
Avina on Division	0.4 mi	Fond Du Lac, WI	★☆☆☆☆	1/5
Avina of Fond Du Lac	0.7 mi	Fond Du Lac, WI	★★☆☆☆	2/5
Edenbrook of Fond Du Lac	0.8 mi	Fond Du Lac, WI	★★★★☆	4/5
Fond Du Lac Lutheran Home	0.9 mi	Fond Du Lac, WI	★★★☆☆	3/5
Hope Health and Rehab	13.1 mi	Lomira, WI	★★★★★	4/5
Bethel Home	18.1 mi	Oshkosh, WI	★★★★★	4/5
Edenbrook of Oshkosh	18.7 mi	Oshkosh, WI	★★★☆☆	3/5
Evergreen Health Center	18.8 mi	Oshkosh, WI	★★★★☆	4/5
Complete Care at Christian Home LLC	19.1 mi	Waupun, WI	★★☆☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Fond Du Lac →

Facility data as of CMS processing date 2026-08-01. CCN 525595.

The Care File

Visit checklist — St Francis Home

33 Everett St, Fond Du Lac, WI 54935 · 9209237980

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

Questions for the administrator:

☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
☐ "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
☐ "How do you coordinate and monitor care for residents who receive dialysis?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
☐ "If you ever planned to discharge or transfer my family member, how much written notice would we receive and how could we appeal?"
☐ "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 525595 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)