About Wheaton Franciscan Hc - Terrace at St Francis
Wheaton Franciscan Hc - Terrace At St Francis, located in MILWAUKEE, WI, is a non-profit organization that accepts Medicare and Medicaid.
Why Families Choose Wheaton Franciscan Hc - Terrace at St Francis
Key Performance Indicators
- CMS Overall Rating 1 Stars
- Nursing Hours 3.75 hrs
- Safety Record Clean
Chain Affiliations & Network
This facility is part of the ASCENSION LIVING network. This chain operates 16 facilities.
Chain Performance Overview
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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).
Below Average Staffing
Wheaton Franciscan Hc - Terrace at St Francis provides less care hours than the state average and less than the national average.
Registered Nurses (RN)
Licensed Practical Nurses
Certified Assistants
CMS Quality Ratings
| Category | Rating | Stars |
|---|---|---|
| Overall Rating | 1 |
|
| Health Inspection | 1 |
|
| Quality Measures | 4 |
|
| Staffing | 3 |
|
Health Inspection History
| Inspection Cycle | Score | Date |
|---|---|---|
| Cycle 1 (Most Recent) | 164 | Aug 20, 2025 |
| Weighted Average | 235 | Combined Score |
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) | 26.0% |
| Percentage of short-stay residents who had an outpatient emergency depar... (QM522) | 22.8% |
| 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) | 15.5% |
| Percentage of long-stay residents who lose too much weight (QM404) | 8.5% |
| 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) | 1.6% |
| 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) | 5.4% |
| Percentage of long-stay residents assessed and appropriately given the p... (QM415) | 99.3% |
| Percentage of short-stay residents assessed and appropriately given the... (QM430) | 95.5% |
| Percentage of short-stay residents who newly received an antipsychotic m... (QM434) | 0.4% |
| Percentage of long-stay residents whose ability to walk independently wo... (QM451) | 16.3% |
| Percentage of long-stay residents who received an antianxiety or hypnoti... (QM452) | 6.5% |
| Percentage of long-stay residents assessed and appropriately given the s... (QM454) | 97.8% |
| Percentage of short-stay residents who were assessed and appropriately g... (QM472) | 93.8% |
| Percentage of long-stay residents with pressure ulcers (QM479) | 5.4% |
| Percentage of long-stay residents with new or worsened bowel or bladder... (QM480) | 13.9% |
| Percentage of long-stay residents who received an antipsychotic medicati... (QM481) | 6.0% |
Complaints & Deficiencies
Complaint History by Year
This chart shows the number of complaints filed each year.
Summary:
- 2023: 3 complaints
- 2024: 16 complaints
- 2025: 27 complaints
- 2026: 3 complaints
- Total: 49 complaints on record
Recent Complaints (Since Jan 2023)
| Date | Description |
|---|---|
| Mar 04, 2026 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. |
| Feb 04, 2026 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. |
| Feb 04, 2026 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| Nov 20, 2025 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. |
| Nov 20, 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. |
| Nov 20, 2025 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. |
| Nov 20, 2025 | Respond appropriately to all alleged violations. |
| Nov 20, 2025 | Provide care and assistance to perform activities of daily living for any resident who is unable. |
| Nov 20, 2025 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| Nov 20, 2025 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. |
| Nov 20, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Nov 20, 2025 | Provide and implement an infection prevention and control program. |
| Sep 17, 2025 | Respond appropriately to all alleged violations. |
| Sep 17, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Sep 17, 2025 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. |
| Sep 17, 2025 | Ensure medication error rates are not 5 percent or greater. |
| Jul 10, 2025 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| Jul 10, 2025 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. |
| May 06, 2025 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. |
| May 06, 2025 | Provide and implement an infection prevention and control program. |
| May 06, 2025 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. |
| May 06, 2025 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. |
| May 06, 2025 | Ensure that residents are free from significant medication errors. |
| May 06, 2025 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. |
| May 06, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| May 06, 2025 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. |
| May 06, 2025 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| May 06, 2025 | Provide care and assistance to perform activities of daily living for any resident who is unable. |
| May 06, 2025 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. |
| Jan 16, 2025 | Ensure medication error rates are not 5 percent or greater. |
| Sep 20, 2024 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. |
| Sep 20, 2024 | Provide safe, appropriate pain management for a resident who requires such services. |
| Aug 19, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Aug 19, 2024 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. |
| Aug 19, 2024 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. |
| Aug 19, 2024 | Respond appropriately to all alleged violations. |
| Aug 19, 2024 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| Mar 04, 2024 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. |
| Feb 16, 2024 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. |
| Feb 16, 2024 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| Feb 16, 2024 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. |
| Feb 16, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Feb 16, 2024 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. |
| Feb 16, 2024 | Provide enough food/fluids to maintain a resident's health. |
| Feb 16, 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. |
| Feb 16, 2024 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. |
| Nov 05, 2023 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. |
| Nov 05, 2023 | Ensure medication error rates are not 5 percent or greater. |
| Nov 05, 2023 | Provide and implement an infection prevention and control program. |
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Owner & Operator Information
Business Entity
WHEATON FRANCISCAN HEALTHCARE TERRACE AT ST. FRANCIS, INC.
Ownership Structure
- ASCENSION HEALTH SENIOR CARE Direct: 100%
Management & Direction
- ASCENSION HEALTH SENIOR CARE ADP OF THE SNF
- HOUSE HEALTHCARE SOLUTIONS LLC ADP OF THE SNF
- EDGAR MARTHIENS ADP OF THE SNF
- EDGAR MARTHIENS OPERATIONAL/MANAGERIAL CONTROL
- MEDICAL SOLUTIONS LLC ADP OF THE SNF
- METIS LTC LLC ADP OF THE SNF
- MICHAEL PORTER ADP OF THE SNF
- LISA MUSGRAVE CORPORATE DIRECTOR
- LISA MUSGRAVE ADP OF THE SNF
- NURSING CENTERS INC. ADP OF THE SNF
- ERIN SHADBOLT CORPORATE DIRECTOR
- ERIN SHADBOLT ADP OF THE SNF
- SARFRAZ SIDHU OPERATIONAL/MANAGERIAL CONTROL
- SARFRAZ SIDHU ADP OF THE SNF
- KENNETH SMOOT CORPORATE DIRECTOR
- KENNETH SMOOT ADP OF THE SNF
Associated Doctors
Local Comparison
| Facility | Distance | Rating |
|---|---|---|
| Clement Manor Health Care Center | N/A | 5 |
| Lasata Care Center | N/A | 5 |
| Milwaukee Catholic Home | N/A | 5 |
| Complete Care at Ridgewood LLC | N/A | 4 |
| Milwaukee Health and Rehab | N/A | 4 |
| 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 |
| Mercy Health Services | N/A | 3 |
Related Analysis
Best Nursing Homes in MILWAUKEE, WI
Compare Wheaton Franciscan Hc - Terrace at St Francis 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
- 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
- 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 Wheaton Franciscan Hc - Terrace at St Francis directly at 4143893200. Their admissions team can help determine coverage and out-of-pocket expenses.
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.