ST FRANCIS HOME

33 EVERETT ST
FOND DU LAC, WI, 54935
9209237980
CCN: 525595
3
Overall
3
Health
4
Staffing
4
Quality
ChainSSM HEALTH
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
NameRole%
SMITH, KEVINCORPORATE DIRECTORNOT APPLICABLE
WALKUP, JAMESCORPORATE DIRECTORNOT APPLICABLE
GLOEDE, DENISECORPORATE OFFICERNOT APPLICABLE
KRUEGER, KARICORPORATE OFFICERNOT APPLICABLE
RADINA, VICTORCORPORATE OFFICERNOT APPLICABLE
SMITH, KEVINCORPORATE OFFICERNOT APPLICABLE
WALKUP, JAMESCORPORATE OFFICERNOT APPLICABLE
WILSON, AMYCORPORATE OFFICERNOT APPLICABLE
KRUEGER, KARIOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
QUEDNOW, DAWNOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
RADINA, VICTOROPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
ROGOTZKE, AMBEROPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
AGNESIAN HEALTHCARE INCOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
SHVETZOFF, SERGEIOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
SHVETZOFF, TAMIOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
WEBER, LISAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
WILSON, AMYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
SHVETZOFF HENNESSEY, ERINOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
HEALTH DIMENSIONS CONSULTING INCOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
SSM HEALTH CARE CORPORATIONOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
SSM HEALTH CARE OF WISCONSIN INCOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
ANDERSON, SUEOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
BRISCOE, DAVIDOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
BRISCOE, PATRICIAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
GLOEDE, DENISEOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Health Deficiencies (27)
2025-04-21 · Health
D
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
2024-12-18 · Health
F
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F759 · Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
D
F757 · Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
F755 · Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
F692 · Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
D
F641 · Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
D
F625 · Resident Rights Deficiencies
Notify 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.
E
F623 · Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
D
F580 · Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
E
F558 · Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
2024-07-29 · Health
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
2024-01-11 · Health
E
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2023-11-09 · Health
D
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
D
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
2023-09-13 · Health
D
F883 · Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
F
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F758 · Pharmacy Service Deficiencies
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.
D
F695 · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
D
F552 · Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
2023-07-10 · Health
D
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
D
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
F580 · Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
2022-10-05 · Health
D
F692 · Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
F677 · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
3.82
3.68
RN Hrs/Resident/Day
0.88
0.54
LPN Hrs/Resident/Day
0.55
0.81
CNA Hrs/Resident/Day
2.39
2.33
PT Hrs/Resident/Day
0.03
0.12
Data as of 2026-03-01