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C
Below Standard

CHI FRANCISCAN VILLA

3601 S CHICAGO AVE · SOUTH MILWAUKEE, WI 53172

4147644100 · Non profit - Corporation

90 beds85.7 residents126 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
C
Below Standard
RN Staff
C
Below Standard
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

CHI FRANCISCAN VILLA receives an overall staffing grade of C (Below Standard). With 3.5638 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.5393 HPRD, below the recommended 0.75. It is 0.33 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 19.55% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (1)

⚠️RN staffing (0.5393 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (3)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
3.5638hrs/resident/day▼ 0.33
CMS benchmark: 3.48
RN HPRD
0.5393hrs/resident/day▼ 0.14
Recommended: 0.75
Weekend Drop-off
19.55%
3.7722 weekday → 3.0346 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.9681hrs/resident/day
Direct care aides
LPN HPRD
0.5317hrs/resident/day
Licensed practical nurses
Consistency
0.5238std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Milwaukee County Average-0.51 HPRD
4.07
03.56 HPRD
vs. Wisconsin State Average-0.63 HPRD
4.20
03.56 HPRD
vs. National Average-0.33 HPRD
3.90
03.56 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
CHI FRANCISCAN VILLA ★
SOUTH MILWAUKEE · This facility
—
C
3.56380.5393★☆☆☆☆
WILLOWCREST HEALTH SERVICES
SOUTH MILWAUKEE
0.2 mi
C
3.40020.5253★★☆☆☆
MAPLE RIDGE HEALTH SERVICES
MILWAUKEE
5.1 mi
D
3.45430.3513★★☆☆☆
AUTUMN LAKE HEALTHCARE AT GREENFIELD
MILWAUKEE
5.2 mi
A
4.63510.8415★☆☆☆☆
ST FRANCIS HEALTH SERVICES
SAINT FRANCIS
5.5 mi
C
3.09970.4629★★★★☆
SUNRISE HEALTH SERVICES
MILWAUKEE
7.8 mi
C
3.44280.5249★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

13
Inspections
69
Total Deficiencies
$337,358
Fines Assessed
Dec 23, 2025Health
1 deficiency cited
▼
Nov 13, 2025Health
1 deficiency cited· Includes actual harm
▼
Oct 17, 2025Health
3 deficiencies cited
▼
Jul 16, 2025Health
4 deficiencies cited· Includes actual harm
▼
May 30, 2025Health
5 deficiencies cited
▼
Feb 20, 2025Health
6 deficiencies cited· Includes actual harm
▼
Nov 8, 2024Health
2 deficiencies cited· Includes actual harm
▼
Jun 20, 2024Health
2 deficiencies cited
▼
Dec 5, 2023Health
14 deficiencies cited· Includes actual harm
▼
Sep 5, 2023Health
1 deficiency cited
▼
Jul 12, 2023Health
6 deficiencies cited· Includes actual harm
▼
May 4, 2023Health
2 deficiencies cited
▼
Aug 25, 2022Health
22 deficiencies cited· Includes actual harm
▼

Penalty History

Feb 20, 2025Fine
$44,532
Nov 8, 2024Fine
$187,380
Dec 5, 2023Fine
$15,593
Dec 5, 2023Payment Denial
Jul 12, 2023Fine
$89,853
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.