Nursing HomeInspections

Franciscan Woods

Nursing home in Brookfield, WI

Medicare & Medicaid certified1★ overall (CMS)

Call (262) 785-1114Send a messageMap ↗

Public-record details

Address
19525 W North Ave, Brookfield, WI 53045
Phone
(262) 785-1114
Listed under
Nonprofit
Medicare CCN
525528
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
4 of 5
Quality measures rating
2 of 5
Certified beds
110
Average residents per day
55
Ownership
Nonprofit, corporation
Legal business name
Wheaton Franciscan Healthcare Terrace at St. Francis, INC.
Chain
Ascension Living (12 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Dec 30, 1993
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 525528. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Apr 9, 2026. CMS lists 50 health citations for this facility across its last three standard inspection cycles and complaint inspections (Oct 5, 2023 to Apr 9, 2026): 27 from complaint inspections, 5 at the “actual harm” level or higher.

InspectionCitationSeverity
Apr 9, 2026Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights		D
Potential for more than minimal harm, isolated
Apr 9, 2026Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights		D
Potential for more than minimal harm, isolated
Apr 9, 2026Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Apr 9, 2026Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Apr 9, 2026Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Apr 9, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Apr 9, 2026Ensure 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.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Apr 9, 2026Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service		D
Potential for more than minimal harm, isolated
Apr 9, 2026Ensure 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…
Pharmacy Service		D
Potential for more than minimal harm, isolated
Apr 9, 2026Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Administration		D
Potential for more than minimal harm, isolated
Apr 9, 2026Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control		D
Potential for more than minimal harm, isolated
Apr 9, 2026Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff…
Infection Control		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 50. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $120,905 and 2 denials of Medicare payment for new admissions in the last three years.

Feb 11, 2025Fine: $120,905
Feb 11, 2025Payment denial for 97 days from Mar 13, 2025
Nov 14, 2024Payment denial for 31 days from Dec 14, 2024

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
4.39 hours
Registered nurse (RN) time per resident per day
0.95 hours
Nurse aide time per resident per day
2.19 hours
Total nurse staffing on weekends
3.67 hours
Nursing staff turnover (yearly)
76%
RN turnover (yearly)
27%
Administrators who left in the past year
2

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Brookfield

Congregational Home, Inc.13900 W Burleigh Rd · Brookfield, WI 53005 · (262) 781-0550 · Nonprofit21 health citations in 3 inspection cycles · last standard inspection Jul 31, 2025 · no CMS fines in 3 yrsMedicare-certified4★ overall (CMS)Aria of Brookfield18740 W Bluemound Rd · Brookfield, WI 53045 · (262) 782-0230 · For-profit109 health citations in 3 inspection cycles · last standard inspection Aug 27, 2025 · $396,970 in CMS fines (3 yrs)Medicare & Medicaid certified1★ overall (CMS)CMS abuse iconComplete Care at Care Age1755 N. Barker Rd. · Brookfield, WI 53045 · (262) 821-3939 · For-profit31 health citations in 3 inspection cycles · last standard inspection Jun 25, 2025 · $80,375 in CMS fines (3 yrs)Medicare & Medicaid certified1★ overall (CMS)

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