Nursing HomeInspections

St Francis Home

Nursing home in Fond du Lac, WI

Medicare & Medicaid certified3★ overall (CMS)

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Public-record details

Address
33 Everett St, Fond du Lac, WI 54935
Phone
(920) 923-7980
Listed under
Nonprofit, No fines or payment denials in 3 years
Medicare CCN
525595
Overall star rating
3 of 5 ★★★☆☆
Health inspection rating
3 of 5
Staffing rating
3 of 5
Quality measures rating
4 of 5
Certified beds
90
Average residents per day
76
Ownership
Nonprofit, corporation
Legal business name
St Francis Home of Fond Du Lac Wisconsin INC
Chain
Ssm Health (2 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jul 1, 1996
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 525595. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: Apr 1, 2026. CMS lists 26 health citations for this facility across its last three standard inspection cycles and complaint inspections (Sep 13, 2023 to Apr 1, 2026): 6 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
Apr 1, 2026Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Apr 1, 2026Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Apr 1, 2026Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated
Apr 1, 2026Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation		E
Potential for more than minimal harm, pattern
Apr 1, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		F
Potential for more than minimal harm, widespread
Apr 21, 2025Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Dec 18, 2024Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights		D
Potential for more than minimal harm, isolated
Dec 18, 2024Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Resident Rights		D
Potential for more than minimal harm, isolated
Dec 18, 2024Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Dec 18, 2024Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Dec 18, 2024Provide 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
Dec 18, 2024Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 26. 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 Oct 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

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

Staffing

Total nurse staffing per resident per day
3.55 hours
Registered nurse (RN) time per resident per day
0.90 hours
Nurse aide time per resident per day
2.20 hours
Total nurse staffing on weekends
3.27 hours
Nursing staff turnover (yearly)
61%
RN turnover (yearly)
61%
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 Fond du Lac

Harbor Haven Health & Rehabilitation459 E 1st Street · Fond du Lac, WI 54935 · (920) 929-3500 · Government-owned3 health citations in 3 inspection cycles · last standard inspection Jun 30, 2026 · no CMS fines in 3 yrsMedicare & Medicaid certified5★ overall (CMS)
Edenbrook of Fond Du Lac265 S National Ave · Fond du Lac, WI 54935 · (920) 922-7342 · For-profit14 health citations in 3 inspection cycles · last standard inspection Jun 11, 2025 · $9,113 in CMS fines (3 yrs)Medicare & Medicaid certified4★ overall (CMS)
Fond du Lac Lutheran Home244 N Macy St · Fond du Lac, WI 54935 · (920) 921-9520 · Nonprofit42 health citations in 3 inspection cycles · last standard inspection Sep 4, 2025 · $9,113 in CMS fines (3 yrs)Medicare & Medicaid certified3★ overall (CMS)
Avina of Fond du Lac115 E Arndt St · Fond du Lac, WI 54935 · (920) 923-7040 · For-profit32 health citations in 3 inspection cycles · last standard inspection Jul 17, 2025 · $7,446 in CMS fines (3 yrs)Medicare & Medicaid certified2★ overall (CMS)
Avina on Division517 E Division St · Fond du Lac, WI 54935 · (920) 921-6800 · For-profit33 health citations in 3 inspection cycles · last standard inspection Aug 5, 2026 · $58,210 in CMS fines (3 yrs)Medicare & Medicaid certified1★ overall (CMS)

All 6 in Fond du Lac →

Public record, not an endorsement. This listing was compiled from public records as of 2026-11-07 and may be incomplete or out of date. Nursing Home Inspections does not vet, employ, recommend or guarantee nursing homes; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Nursing Home Inspections is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error