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A
Very Good

FRANCISCAN WOODS

19525 W NORTH AVE · BROOKFIELD, WI 53045

2627851114 · Non profit - Corporation

110 beds66.3 residents229 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
A
Very Good
Total Staff
A
Very Good
RN Staff
A
Very Good
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✓RN Recommendation(≥ 0.75 HPRD)
✓Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

FRANCISCAN WOODS receives an overall staffing grade of A (Very Good). With 4.4664 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has adequate registered nurse (RN) coverage. It is 0.57 HPRD above the national average.

Weekend staffing stays relatively consistent — dropping 13.77% compared to weekdays. The facility relies heavily on temporary agency staff (30.48% of hours), suggesting potential workforce instability.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (1)

⚠️30.48% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.

✨ Strengths (3)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
4.4664hrs/resident/day▲ 0.57
CMS benchmark: 3.48
RN HPRD
0.7806hrs/resident/day▲ 0.10
Recommended: 0.75
Weekend Drop-off
13.77%
4.6473 weekday → 4.0074 weekend
Agency Staff
30.48%
39.57% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.4598hrs/resident/day
Direct care aides
LPN HPRD
1.226hrs/resident/day
Licensed practical nurses
Consistency
0.4504std 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. Waukesha County Average+0.29 HPRD
4.18
04.47 HPRD
vs. Wisconsin State Average+0.27 HPRD
4.20
04.47 HPRD
vs. National Average+0.57 HPRD
3.90
04.47 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
FRANCISCAN WOODS ★
BROOKFIELD · This facility
—
A
4.46640.7806★☆☆☆☆
Complete Care at Care Age
Brookfield
0.7 mi
B
4.08230.6175★★☆☆☆
ARIA OF BROOKFIELD
BROOKFIELD
1.9 mi
C
3.52380.4381★☆☆☆☆
ARIA OF WAUKESHA
WAUKESHA
4 mi
C
3.38520.5166★☆☆☆☆
LINDENGROVE NEW BERLIN
NEW BERLIN
6.1 mi
B
3.70810.6734★☆☆☆☆
ST CAMILLUS HEALTH CENTER
WAUWATOSA
6.1 mi
A
4.31761.1953★★★☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

12
Inspections
52
Total Deficiencies
$118,144
Fines Assessed
Dec 22, 2025Health
2 deficiencies cited· Includes actual harm
▼
Dec 3, 2025Health
1 deficiency cited
▼
May 6, 2025Health
3 deficiencies cited
▼
Mar 20, 2025Health
8 deficiencies cited· Includes actual harm
▼
Feb 11, 2025Health
2 deficiencies cited· Includes actual harm
▼
Jan 14, 2025Health
1 deficiency cited
▼
Dec 23, 2024Health
1 deficiency cited
▼
Nov 14, 2024Health
10 deficiencies cited· Includes actual harm
▼
Apr 5, 2024Health
1 deficiency cited
▼
Oct 5, 2023Health
7 deficiencies cited
▼
Mar 7, 2023Health
1 deficiency cited
▼
Jul 18, 2022Health
15 deficiencies cited· Includes actual harm
▼

Penalty History

Feb 11, 2025Fine
$118,144
Feb 11, 2025Payment Denial
Nov 14, 2024Payment Denial
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.