Wheaton Franciscan HC - Terrace at St Francis

Nursing Home · Milwaukee, WI

CMS overall rating 1/5 Non profit - Corporation

CMS certification number525552

Contact & location

3200 S 20Th ST
Milwaukee, WI 53215
Milwaukee County
Phone
(414) 389-3200
ZIP code
53215 – all care providers

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Facility details

Certified beds
81
Residents per day
40.1 (50% occupied)
Ownership
Non profit - Corporation
Legal name
Wheaton Franciscan Healthcare Terrace at ST. Francis, INC.
Chain
Ascension Living (12 facilities, avg 2.8★)
Medicare certified since
September 23, 1994
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 1/5
State avg 3.0
Health inspections★★★★★ 1/5
State avg 2.8
Staffing★★★★★ 2/5
State avg 3.6
Quality measures★★★★★ 4/5
State avg 3.0
Long-stay quality★★★★★ 4/5
Short-stay quality★★★★★ 3/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.71 (state 4.21 · U.S. 3.86)
Registered nurses (RN)
0.70 (state 0.99 · U.S. 0.69)
Licensed practical nurses
1.09 (state 0.64 · U.S. 0.86)
Nurse aides
1.92 (state 2.58 · U.S. 2.32)
Weekend total
3.38 (state 3.77 · U.S. 3.42)
Nursing staff turnover
81.6 (state 46.9 · U.S. 45.8)%
RN turnover
84.2 (state 39.7 · U.S. 42.9)%

Inspections

Last standard inspection
August 20, 2025
Health deficiencies (last cycle)
26.0 (state 9.5 · U.S. 9.3)
From complaints
16
Citations on record (3 years)
63 health · 17 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-01-06 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-02-04
2026-01-06 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-02-04
2026-01-06 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-04
2025-10-29 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2025-11-20
2025-10-29 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.
F0585 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-11-20
2025-10-29 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-11-20
2025-10-29 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-11-20
2025-10-29 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-11-20
2025-10-29 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-11-20
2025-10-29 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-11-20
2025-10-29 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-11-20
2025-10-29 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-11-20
2025-08-20 Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
F0729 · Nursing and Physician Services Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2025-09-17
2025-08-20 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection		 F
No actual harm, potential for more than minimal harm		 Corrected 2025-09-17
2025-08-20 Ensure that residents are fully informed and understand their health status, care and treatments.
F0552 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-09-17
2025-08-20 Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
F0628 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-09-17
2025-08-20 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-09-17
2025-08-20 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
F0756 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-09-17
2025-08-20 Keep residents' personal and medical records private and confidential.
F0583 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-09-17
2025-08-20 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-09-17
2025-08-20 PASARR screening for Mental disorders or Intellectual Disabilities
F0645 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-09-17
2025-08-20 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-09-17
2025-08-20 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-09-17
2025-08-20 Provide safe, appropriate dialysis care/services for a resident who requires such services.
F0698 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-09-17
2025-08-20 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-09-17
2025-08-20 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F0725 · Nursing and Physician Services Deficiencies		 C
No actual harm, potential for minimal harm		 Corrected 2025-09-17
2025-06-11 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-10
2025-06-11 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-10
2025-04-01 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2025-05-06
2025-04-01 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2025-05-06
2025-04-01 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection		 F
No actual harm, potential for more than minimal harm		 Corrected 2025-05-06
2025-04-01 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-05-06
2025-04-01 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.
F0761 · Pharmacy Service Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-05-06
2025-04-01 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-05-06
2025-04-01 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-05-06
2025-04-01 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-05-06
2025-04-01 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-05-06
2025-04-01 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-05-06
2025-04-01 Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
F0773 · Administration Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-05-06
2024-12-18 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-01-16
2024-08-28 Provide safe, appropriate pain management for a resident who requires such services.
F0697 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-09-20
2024-08-28 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-09-20
2024-07-22 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2024-08-19
2024-07-22 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies		 G
Actual harm		 Corrected 2024-08-19
2024-07-22 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2024-08-19
2024-07-22 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2024-08-19
2024-07-22 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2024-08-19
2024-07-22 Assure that each resident’s assessment is updated at least once every 3 months.
F0638 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-08-19
2024-07-22 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
F0756 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-08-19
2024-07-22 Allow resident to participate in the development and implementation of his or her person-centered plan of care.
F0553 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-08-19

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

6 penalties in the last three years, including $219,651 in fines.

DateTypeAmount
2026-01-06Fine$42,680
2025-04-01Payment Denial4 days payment denial
2025-04-01Fine$72,873
2024-07-22Payment Denial31 days payment denial
2024-07-22Fine$71,858
2024-01-17Fine$32,240

Ownership & management

NameRoleSince
Ascension Health Senior Care (organization)5%+ Direct Ownership Interest · 100%
Ascension Health Senior Care (organization)Administrator · NOT APPLICABLE
House Healthcare Solutions LLC (organization)Administrator · NOT APPLICABLE
Marthiens, Edgar (individual)Administrator · NOT APPLICABLE
Medical Solutions LLC (organization)Administrator · NOT APPLICABLE
Metis LTC LLC (organization)Administrator · NOT APPLICABLE
Michael Porter (organization)Administrator · NOT APPLICABLE
Musgrave, Lisa (individual)Administrator · NOT APPLICABLE
Nursing Centers, INC. (organization)Administrator · NOT APPLICABLE
Shadbolt, Erin (individual)Administrator · NOT APPLICABLE
Sidhu, Sarfraz (individual)Administrator · NOT APPLICABLE
Smoot, Kenneth (individual)Administrator · NOT APPLICABLE
Musgrave, Lisa (individual)Corporate Director · NOT APPLICABLE
Shadbolt, Erin (individual)Corporate Director · NOT APPLICABLE
Smoot, Kenneth (individual)Corporate Director · NOT APPLICABLE
Marthiens, Edgar (individual)Operational/managerial Control · NOT APPLICABLE
Sidhu, Sarfraz (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Wheaton Franciscan HC - Terrace at St Francis?

Wheaton Franciscan HC - Terrace at St Francis has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.0-star average in Wisconsin.

How many beds does Wheaton Franciscan HC - Terrace at St Francis have?

It has 81 certified beds and cares for about 40 residents per day.

Has Wheaton Franciscan HC - Terrace at St Francis been fined?

Yes. CMS lists 6 penalties totaling $219,651 in the last three years.

Who owns Wheaton Franciscan HC - Terrace at St Francis?

It is part of Ascension Living and is classified as non profit - corporation. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Wheaton Franciscan HC - Terrace at St Francis?

(414) 389-3200. The facility is located at 3200 S 20Th ST, Milwaukee, WI 53215.

Other nursing homes in Milwaukee

Compare all nursing homes in Milwaukee, WI →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.