Chi Franciscan Villa

Chi Franciscan Villa - SOUTH MILWAUKEE, WI

3601 S CHICAGO AVE, SOUTH MILWAUKEE, WI 53172

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CHI FRANCISCAN:

CHI FRANCISCAN

has been placed on our NHAA Watchlist for the following:

Immediate Jeopardy Findingsi

In 14 separate written deficiencies, state nursing home surveyors found that CHI FRANCISCAN caused IMMEDIATE JEOPARDY to residents (from March 3, 2016 to December 5, 2023).

All Surveys:   2016-03-03   2016-06-13   2016-06-13   2017-04-04   2017-06-08   2019-05-28   2022-08-25   2023-07-12   2023-12-05

Actual Harm Findingsi

In 24 separate written deficiencies, state nursing home surveyors found that CHI FRANCISCAN caused ACTUAL HARM to residents (from August 22, 2013 to December 5, 2023).

All Surveys:   2013-08-22   2013-12-09   2016-03-03   2016-06-13   2016-06-13   2017-04-04   2017-06-08   2019-05-28   2020-02-12   2020-08-24   2021-05-26   2022-04-21   2022-08-25   2022-08-25   2023-07-12   2023-12-05

Worst Nursing Home Ratingsi

CHI FRANCISCAN received the worst ratings for the following:

1-star out of 5
For the last 62 consecutive months - April, 2019 to January, 2025

1-star out of 5
97 months total between June, 2015 and January, 2025

1-star out of 5
For the last 109 consecutive months - June, 2015 to January, 2025

1-star out of 5
109 months total between June, 2015 and January, 2025

1-star out of 5
26 months total between October, 2016 and June, 2023

1-star out of 5
For the last 3 consecutive months - October, 2024 to January, 2025

Source - These ratings are published monthly by CMS (Centers for Medicare and Medicaid Services)

History of Unsafe Staffingi

Understaffing has a very human cost, not only to the dignity of nursing home residents but also to their basic safety and well-being. Click here for signs and symptoms of understaffing.

Understaffing has been determined to cause patient injury and deprive residents of essential care according to numerous scientific studies.

What is unsafe CNA staffing?

Below 2.0 hours of CNA time for each resident per day

"Less than 2.0 nurse aide hours per patient day is likely to result in poor care."

- CMS Report to Congress

What is inadequate CNA staffing?

Below 2.8 hours of CNA time for each resident per day

"Residents need a minimum of 2.80 hours of CNA care per day for safety and basic services.

- Institute of Medicine’s Keeping Patients Safe, 2004, and American Nurses Association’s Position Statement dated November 12, 2014

What is inadequate overall staffing?

Below 4.1 hours of RNs, LPNs, and CNAs time for each resident per day

"Residents need a minimum total of 4.10 hours of care from RNs, LPNs, and CNAs per day for safety and basic services.

- American Nurses Association’s Position Statement dated November 12, 2014

Was CHI FRANCISCAN staffed at Unsafe levels?:

Days staffed below 2.0 hours of CNA time for each resident per day In 2024: 70.3%
64 days
out of 91 days
In 2023: 77.5%
213 days
out of 275 days
In 2022: 54.5%
199 days
out of 365 days
In 2021: 87.4%
319 days
out of 365 days
In 2020: 70.2%
257 days
out of 366 days
In 2019: 57.3%
209 days
out of 365 days
In 2018: 44.4%
162 days
out of 365 days
In 2017: 6.8%
25 days
out of 365 days
Average CNA care
per resident per day
In 2024: 1.88 hours
January 1, 2024 to March 31, 2024
(Below 2.0 hours is unsafe)
In 2023: 1.81 hours
April 1, 2023 to December 31, 2023
(Below 2.0 hours is unsafe)
In 2022: 1.96 hours
January 1, 2022 to December 31, 2022
(Below 2.0 hours is unsafe)
In 2021: 1.60 hours
January 1, 2021 to December 31, 2021
(Below 2.0 hours is unsafe)
In 2020: 1.85 hours
January 1, 2020 to December 31, 2020
(Below 2.0 hours is unsafe)
In 2019: 1.96 hours
January 1, 2019 to December 31, 2019
(Below 2.0 hours is unsafe)
In 2018: 2.04 hours
January 1, 2018 to December 31, 2018
(Below 2.0 hours is unsafe)
In 2017: 2.37 hours
January 1, 2017 to December 31, 2017
(Below 2.0 hours is unsafe)
Average overall care
per resident per day
In 2024: 3.17 hours
of overall care per resident per day
(January 1, 2024 to March 31, 2024)
In 2023: 3.07 hours
of overall care per resident per day
(April 1, 2023 to December 31, 2023)
In 2022: 3.20 hours
of overall care per resident per day
(January 1, 2022 to December 31, 2022)
In 2021: 2.87 hours
of overall care per resident per day
(January 1, 2021 to December 31, 2021)
In 2020: 3.08 hours
of overall care per resident per day
(January 1, 2020 to December 31, 2020)
In 2019: 3.12 hours
of overall care per resident per day
(January 1, 2019 to December 31, 2019)
In 2018: 3.16 hours
of overall care per resident per day
(January 1, 2018 to December 31, 2018)
In 2017: 3.71 hours
of overall care per resident per day
(January 1, 2017 to December 31, 2017)

Source — Payroll Based Journal daily staffing reports filed by this nursing home with CMS.
(For 2018, the most currently avaliable data is used above.)

Why do staffing levels matter to CHI FRANCISCAN residents?

  • 98.3% of residents need assistance with toileting and/or incontinent care
  • 92.2% of residents needed assistance transferring from bed and/or wheelchair
  • 80.2% of residents confined to wheelchair and/or bed
  • 50.9% of residents had dementia

Source -- Most recently published Resident Characteristics data (Form 672) submitted by this nursing home to CMS. (March 27, 2018)

Your Experience Matters

...and we want to hear it.

NHAA is here to assist families, residents, and the community by sounding the alarm on issues like those found above. Please give us a call or fill complete our form detailing your experience. If you are struggling and upset, CLICK HERE to understand your options.

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