Franciscan Woods

BROOKFIELD, WI • CMS Certification: 525528

  • Date Updated: May 01, 2026
  • Overall Rating: 2 Stars
  • Address: 19525 W NORTH AVE, BROOKFIELD WI 53045
  • Phone: 2627851114
Affiliations Staffing Ratings

About Franciscan Woods

Franciscan Woods, located in BROOKFIELD, WI, is a non-profit organization that accepts Medicare and Medicaid.

Why Families Choose Franciscan Woods

  • More Nursing Time: Staff spends 4.12 hours per resident daily (National Avg: 3.87).

Key Performance Indicators

  • CMS Overall Rating 2 Stars
  • Nursing Hours 4.12 hrs
  • Safety Record Clean

Chain Affiliations & Network

This facility is part of the ASCENSION LIVING network. This chain operates 16 facilities.

Chain Performance Overview

Inspection
2.6
Staffing
3.4
Quality
3.6

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Nursing Staff Analysis

Staffing levels are a critical indicator of quality care. We analyze the daily hours of care provided by Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Certified Nursing Assistants (CNAs).

Mixed Staffing Levels

Franciscan Woods provides less care hours than the state average and more than the national average.

Registered Nurses (RN)

0.78 hrs/day
State: 0.98 US: 0.68
Case Mix Adj: 0.69
Quality Adj: 0.76

Licensed Practical Nurses

1.82 hrs/day
State: 1.63 US: 1.54
Case Mix Adj: 0.88
Quality Adj: 1.01

Certified Assistants

2.30 hrs/day
State: 2.57 US: 2.33
Case Mix Adj: 2.38
Quality Adj: 2.24

CMS Quality Ratings

Category Rating Stars
Overall Rating 2
Health Inspection 2
Quality Measures 3
Staffing 3

Health Inspection History

Inspection Cycle Score Date
Cycle 1 (Most Recent) 112 Nov 14, 2024
Weighted Average 123 Combined Score
Lower scores are better. Scores are based on health inspections and complaint investigations.

Detailed Quality Measures

Rates are from CMS quality measures (claims-based and MDS-based) for the reporting period ending May 01, 2026. Some measures may be omitted when CMS does not report a numeric rate for this facility.

Medicare claims-based measures

Typically includes short-stay outcomes, hospitalizations, and ED use from Medicare claims.

Measure Rate
Percentage of short-stay residents who were rehospitalized after a nursi... (QM521) 22.8%
Percentage of short-stay residents who had an outpatient emergency depar... (QM522) 13.7%
Number of hospitalizations per 1000 long-stay resident days (QM551) N/A
Number of outpatient emergency department visits per 1000 long-stay resi... (QM552) N/A

MDS-based measures

Resident assessment data; often used for long-stay care quality.

Measure Rate
Percentage of long-stay residents whose need for help with daily activit... (QM401) 21.4%
Percentage of long-stay residents who lose too much weight (QM404) 6.8%
Percentage of long-stay residents with a catheter inserted and left in t... (QM406) 0.0%
Percentage of long-stay residents with a urinary tract infection (QM407) 1.4%
Percentage of long-stay residents who have depressive symptoms (QM408) 0.5%
Percentage of long-stay residents who were physically restrained (QM409) 0.0%
Percentage of long-stay residents experiencing one or more falls with ma... (QM410) 0.5%
Percentage of long-stay residents assessed and appropriately given the p... (QM415) 90.3%
Percentage of short-stay residents assessed and appropriately given the... (QM430) 89.0%
Percentage of short-stay residents who newly received an antipsychotic m... (QM434) 1.0%
Percentage of long-stay residents whose ability to walk independently wo... (QM451) 32.2%
Percentage of long-stay residents who received an antianxiety or hypnoti... (QM452) 19.1%
Percentage of long-stay residents assessed and appropriately given the s... (QM454) 95.5%
Percentage of short-stay residents who were assessed and appropriately g... (QM472) 85.8%
Percentage of long-stay residents with pressure ulcers (QM479) 10.2%
Percentage of long-stay residents with new or worsened bowel or bladder... (QM480) 24.4%
Percentage of long-stay residents who received an antipsychotic medicati... (QM481) 14.3%

Complaints & Deficiencies

Complaint History by Year

This chart shows the number of complaints filed each year.

Summary:

  • 2023: 4 complaints
  • 2024: 5 complaints
  • 2025: 16 complaints
  • 2026: 2 complaints
  • Total: 27 complaints on record

Recent Complaints (Since Jan 2023)

Date Description
Feb 03, 2026 Ensure medication error rates are not 5 percent or greater.
Feb 03, 2026 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Dec 19, 2025 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Jun 18, 2025 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Jun 18, 2025 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Jun 02, 2025 Ensure each resident?s drug regimen must be free from unnecessary drugs.
Jun 02, 2025 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Jun 02, 2025 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Jun 02, 2025 Provide and implement an infection prevention and control program.
Apr 23, 2025 Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Apr 23, 2025 Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Apr 23, 2025 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Apr 23, 2025 Respond appropriately to all alleged violations.
Apr 23, 2025 Provide enough food/fluids to maintain a resident's health.
Apr 23, 2025 Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Mar 12, 2025 Provide appropriate treatment and care according to orders, resident?s preferences and goals.
Feb 14, 2025 Ensure each resident?s drug regimen must be free from unnecessary drugs.
Jan 23, 2025 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Dec 10, 2024 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Dec 10, 2024 Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Dec 10, 2024 Provide care and assistance to perform activities of daily living for any resident who is unable.
Dec 10, 2024 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
May 05, 2024 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Nov 04, 2023 Provide appropriate treatment and care according to orders, resident?s preferences and goals.
Nov 04, 2023 Respond appropriately to all alleged violations.
Nov 04, 2023 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Nov 04, 2023 Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Note: Table shows only complaints filed since Jan 1, 2023. See chart for historical trends.

Nearby Hospitals

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MENOMONEE FALLS, WI

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Owner & Operator Information

Business Entity

WHEATON FRANCISCAN HEALTHCARE TERRACE AT ST. FRANCIS, INC.

Ownership Structure

Management & Direction

Associated Doctors

No associated doctor information available.

Local Comparison

Facility Distance Rating
Clement Manor Health Care Center N/A 5
Lasata Care Center N/A 5
Masonic Center For Health and Rehab Inc N/A 5
Milwaukee Catholic Home N/A 5
Milwaukee Health and Rehab N/A 4
Shorehaven Hlth and Rehab Ctr N/A 5
Complete Care at Germantown N/A 4
Cedarburg Health Services N/A 3
St Ann Health and Rehabilitation Center N/A 4
Complete Care at Hales Corners N/A 3

Related Analysis

Best Nursing Homes in BROOKFIELD, WI

Compare Franciscan Woods to the top-rated facilities in the area.

Ownership Details

Complete list of registered owners, including direct and indirect ownership.

Noted Deficiencies

Detailed history of deficiencies with descriptions and correction dates.

Nursing Hours Analysis

Detailed breakdown of staffing hours per resident by role.

Frequently Asked Questions

Franciscan Woods has a 2-star CMS overall rating out of 5, which indicates care quality that may need improvement. The nursing staff spends 4.12 hours per resident daily, compared to the national average of 3.87 hours.

Franciscan Woods is certified to accept Medicare and Medicaid and provides comprehensive nursing home services including:
  • Skilled Nursing Care: 24/7 medical supervision and complex medical treatments
  • Long-term Residential Care: Assistance with daily living activities for extended stays
  • Short-term Rehabilitation: Recovery services after hospital stays or surgeries
  • Memory Care: Specialized programs for residents with dementia and Alzheimer's disease
The facility has 110 certified beds.

Franciscan Woods accepts Medicare and Medicaid, which helps cover costs for eligible residents. Specific pricing varies based on:
  • Level of care needed (skilled nursing vs. long-term care)
  • Room type (private vs. semi-private)
  • Insurance coverage (Medicare, Medicaid, private insurance)
  • Length of stay and specific services required

For current rates and to discuss payment options, contact Franciscan Woods directly at 2627851114. Their admissions team can help determine coverage and out-of-pocket expenses.

When visiting Franciscan Woods, pay attention to these important factors:

Environment & Cleanliness

  • Overall cleanliness and odors
  • Resident room conditions
  • Common area maintenance
  • Safety features and accessibility

Staff & Care Quality

  • Staff-to-resident ratios
  • How staff interact with residents
  • Response time to resident needs
  • Staff knowledge and professionalism

Ask to speak with current residents and their families, tour at different times of day, and review the facility's most recent inspection reports.

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