St. Anne's Salvatorian Campus
3800 N 92nd St · Milwaukee, WI · 53222 · 4144637570
50 certified beds Non profit - Corporation Chain: Illuminus Part of a CCRC
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $204,523 in fines in the last 24 months.
- 4 citations involved actual harm to residents.
- Staffing hours comfortably above national benchmarks.
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
3 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
2 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
3 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
$204,523 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 4 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 4.14 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.21 | 0.55–0.75 |
| Weekend hours / resident-day | 3.78 | ≈ weekday level |
| Nursing turnover / year | 50% | median 45% |
| Fines (3-yr window) | 2 · $326,060 |
Inspection citations (61 in the current record)
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Actual harm · G January 7, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 2, 2026 · Quality of Life and Care
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Potential for harm · D January 7, 2026 · found via complaint
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected February 2, 2026 · Pharmacy Service
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Potential for harm · D June 13, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected July 11, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 13, 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 July 11, 2025 · Pharmacy Service
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Potential for harm · D June 13, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected July 11, 2025 · Infection Control
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Actual harm · G March 5, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected April 15, 2025 · Pharmacy Service
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Actual harm · G November 14, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 15, 2025 · Quality of Life and Care
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Actual harm · G November 14, 2024 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 15, 2025 · Quality of Life and Care
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Potential for harm · D November 14, 2024
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected December 19, 2024 · Resident Rights
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Potential for harm · D November 14, 2024
Reasonably accommodate the needs and preferences of each resident.
Corrected December 19, 2024 · Resident Rights
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Potential for harm · D November 14, 2024
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected December 19, 2024 · Resident Rights
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Potential for harm · D November 14, 2024
Keep residents' personal and medical records private and confidential.
Corrected December 19, 2024 · Resident Rights
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Potential for harm · E 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 19, 2024 · Resident Rights
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Potential for harm · D November 14, 2024
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected December 19, 2024 · Resident Assessment and Care Planning
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Potential for harm · D November 14, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 15, 2025 · Quality of Life and Care
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Potential for harm · D November 14, 2024
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected December 19, 2024 · Quality of Life and Care
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Potential for harm · D November 14, 2024
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 December 19, 2024 · Quality of Life and Care
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Potential for harm · D November 14, 2024
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected December 19, 2024 · Quality of Life and Care
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Potential for harm · D November 14, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected December 19, 2024 · Pharmacy Service
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Potential for harm · D November 14, 2024
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.
Corrected December 19, 2024 · Pharmacy Service
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Potential for harm · F November 14, 2024
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Corrected December 19, 2024 · Administration
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Potential for harm · D November 14, 2024
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected December 19, 2024 · Administration
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Potential for harm · F November 14, 2024
Provide and implement an infection prevention and control program.
Corrected April 15, 2025 · Infection Control
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Potential for harm · D November 14, 2024
Implement a program that monitors antibiotic use.
Corrected December 19, 2024 · Infection Control
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Potential for harm · D November 14, 2024 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected December 19, 2024 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| November 14, 2024 | Fine | $204,523 |
| November 14, 2024 | Payment Denial | 112 days |
| August 17, 2023 | Fine | $121,537 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 525524 · certified since February 1, 1994. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.