Franciscan Woods
19525 W North Ave · Brookfield, WI · 53045 · 2627851114
110 certified beds Non profit - Corporation Chain: Ascension Living
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $120,214 in fines in the last 24 months.
- 6 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
$120,214 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
76% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 4.12 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.78 | 0.55–0.75 |
| Weekend hours / resident-day | 3.69 | ≈ weekday level |
| Nursing turnover / year | 76% | median 45% |
| Fines (3-yr window) | 1 · $120,214 |
Inspection citations (51 in the current record)
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Actual harm · G December 22, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected February 3, 2026 · Quality of Life and Care
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Potential for harm · D December 22, 2025 · found via complaint
Ensure medication error rates are not 5 percent or greater.
Corrected February 3, 2026 · Pharmacy Service
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Potential for harm · D December 3, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected December 19, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 6, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 2, 2025 · Quality of Life and Care
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Potential for harm · D May 6, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected June 2, 2025 · Pharmacy Service
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Potential for harm · D May 6, 2025 · found via complaint
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected June 2, 2025 · Pharmacy Service
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Actual harm · G March 20, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected June 18, 2025 · Quality of Life and Care
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Actual harm · G March 20, 2025 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Corrected April 23, 2025 · Quality of Life and Care
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Potential for harm · D March 20, 2025 · found via complaint
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.
Corrected April 23, 2025 · Resident Rights
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Potential for harm · E March 20, 2025 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected April 23, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 20, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected April 23, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E March 20, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected April 23, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 20, 2025 · found via complaint
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.
Corrected April 23, 2025 · Quality of Life and Care
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Potential for harm · F March 20, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected June 2, 2025 · Infection Control
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Actual harm · G February 11, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected June 18, 2025 · Quality of Life and Care
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Potential for harm · D February 11, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 12, 2025 · Quality of Life and Care
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Potential for harm · D January 14, 2025 · found via complaint
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected February 14, 2025 · Pharmacy Service
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Potential for harm · D December 23, 2024 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected January 23, 2025 · Pharmacy Service
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Actual harm · G November 14, 2024 · found via complaint
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.
Corrected December 10, 2024 · Quality of Life and Care
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Potential for harm · D November 14, 2024
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.
Corrected December 10, 2024 · Resident Rights
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Potential for harm · D November 14, 2024
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected December 10, 2024 · Resident Rights
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Potential for harm · D November 14, 2024
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.
Corrected December 10, 2024 · Pharmacy Service
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Potential for harm · E November 14, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 10, 2024 · Nutrition and Dietary
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Potential for harm · E November 14, 2024
Provide and implement an infection prevention and control program.
Corrected December 10, 2024 · Infection Control
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Potential for harm · D November 14, 2024 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected December 10, 2024 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 11, 2025 | Fine | $120,214 |
| February 11, 2025 | Payment Denial | 97 days |
| November 14, 2024 | Payment Denial | 31 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 525528 · certified since December 30, 1993. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.