• CMS rates this facility 1/5 stars (below average)
• Has 110 certified beds with an average of 66.3 residents per day (60% occupancy)
• Last health inspection found 26 deficiencies (inspected Nov 14, 2024)
• Has been fined a total of $118,144 across 1 fine(s)
• Total nursing staff: 4.46 hours per resident per day
• Staff turnover rate: 61.9% (high)
• Part of the Ascension Living chain (20 facilities)
Franciscan Woods is a 1-star Medicare and Medicaid certified nursing home in Brookfield, Wisconsin with 110 certified beds. It has been operating since 1993. The facility scored below average compared to Wisconsin facilities.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Ensure medication error rates are not 5 percent or greater.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Ensure each resident’s drug regimen must be free from unnecessary drugs.
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.
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Respond appropriately to all alleged violations.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Provide enough food/fluids to maintain a resident's health.
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Provide and implement an infection prevention and control program.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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.
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Post nurse staffing information every day.
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Provide and implement an infection prevention and control program.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Provide care and assistance to perform activities of daily living for any resident who is unable.
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.
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
+ 22 more deficiencies
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| ASCENSION HEALTH SENIOR CARE | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Jan 1, 2017 |
| BINEK, ROBIN | CORPORATE DIRECTOR | Individual | N/A | Jan 1, 2024 |
| BREEDLOVE, RYAN | CORPORATE DIRECTOR | Individual | N/A | Jan 1, 2024 |
| GRONEFELD, KELLIE | CORPORATE DIRECTOR | Individual | N/A | Aug 1, 2023 |
| MUSGRAVE, LISA | CORPORATE DIRECTOR | Individual | N/A | Jan 1, 2024 |
| SHADBOLT, ERIN | CORPORATE DIRECTOR | Individual | N/A | Jan 1, 2024 |
| SMOOT, KENNETH | CORPORATE DIRECTOR | Individual | N/A | Jan 1, 2024 |
| SIDHU, SARFRAZ | CONTRACTED MANAGING EMPLOYEE | Individual | N/A | Nov 1, 2018 |
| WEIBELER, JAMES | W-2 MANAGING EMPLOYEE | Individual | N/A | Aug 16, 2021 |
This chain operates 20 facilities. View all →