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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D20 | E7 | F2 |
| Minimal | A· | B1 | C· |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Jun 10, 2025 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Jun 10, 2025 | Health | Health Complaint, Health Standard | 10 | Potential harm | — | Open → |
| Feb 4, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 14, 2024 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| Mar 14, 2024 | Health | Health Standard | 7 | Potential harm | — | Open → |
| Oct 19, 2023 | Health | Health Complaint | 2 | Actual harm | — | Open → |
| Dec 13, 2022 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Dec 13, 2022 | Health | Health Standard | 0 | No citations | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D20 | E7 | F2 |
| Minimal | A· | B1 | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jun 10, 2025 | K-0233 | Install resident room doors of proper design and width. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 10, 2025 | |
| Jun 10, 2025 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 10, 2025 | |
| Jun 10, 2025 | K-0321 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
Not part of a CMS-reported chain.
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Jim Denor | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Apr 1, 2021 |
| Diane Ehn | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Oct 1, 2021 |
| Mike Hodan | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Apr 1, 2023 |
| Ben Kebbekus | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Apr 1, 2021 |
| Lindsey Kriete | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Apr 1, 2023 |
| Gary Mueller | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Apr 1, 2021 |
| Harriet Pedersen | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Apr 1, 2018 |
| Randy Raasch | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Apr 1, 2023 |
| Tim Reardon | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Oct 1, 2019 |
| Paul Rosenberg | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Oct 1, 2021 |
| David Sandstrom | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Oct 1, 2021 |
| Kristina Surma | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Oct 1, 2021 |
| Katie Triska Wiemer | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Apr 1, 2023 |
| Elizabeth Bukowy | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 20, 2014 |
| Kathryn Cavers | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 2012 |
| Henrik Clausen | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 17, 2021 |
| Lindsay Pingel | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 21, 2025 |
| Carey Swartz Bartlett | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 14, 2014 |
| Jayne Tettenborn | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 14, 2021 |
| Jim Denor | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Apr 1, 2021 |
| Diane Ehn | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Oct 1, 2021 |
| Mike Hodan | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Apr 1, 2023 |
| Ben Kebbekus | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Apr 1, 2021 |
| Lindsey Kriete | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Apr 1, 2023 |
| Gary Mueller | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Apr 1, 2021 |
| Harriet Pedersen | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Apr 1, 2018 |
| Lindsay Pingel | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jul 21, 2025 |
| Randy Raasch | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Apr 1, 2023 |
| Tim Reardon | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Oct 1, 2019 |
| Paul Rosenberg | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Oct 1, 2021 |
| David Sandstrom | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Oct 1, 2021 |
| Kristina Surma | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Oct 1, 2021 |
| Katie Triska Wiemer | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Apr 1, 2023 |
| Kathryn Cavers | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Feb 1, 2012 |
| Henrik Clausen | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Nov 17, 2021 |
| Diane Ehn | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Oct 1, 2021 |
| David Sandstrom | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Oct 1, 2021 |
| Kristina Surma | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Oct 1, 2021 |
| Seasons Hospice & Palliative Care of Wisconsin, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 15, 2025 |
| Wipfli LLP | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 29, 2014 |
| Elizabeth Bukowy | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 20, 2014 |
| Kathryn Cavers | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 1, 2012 |
| Henrik Clausen | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Nov 17, 2021 |
| Lindsay Pingel | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 21, 2025 |
| Carey Swartz Bartlett | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 14, 2014 |
| Jayne Tettenborn | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 14, 2021 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| St. Anne's Salvatorian Campus 3800 N 92nd St, Milwaukee, WI 53222 CCN 525524 | 3.2 km | 50 | Mar 26, 2026 | 823 IJ5 harm | $343k | |
| St Camillus Health Center 10101 W Wisconsin Ave, Wauwatosa, WI 53226 CCN 525382 | 3.7 km | 50 | Jul 23, 2026 | 362 IJ | $66k | |
| Milwaukee Health and Rehab 3216 W Highland Blvd, Milwaukee, WI 53208 CCN 525417 | 4.6 km | 95 | Dec 8, 2025 | 60 | — | |
| Luther Manor 4545 N 92nd St, Milwaukee, WI 53225 CCN 525588 | 4.9 km | 99 | Jul 29, 2026 | 853 IJ4 harm1 open | $164k | |
| Resolve at West Allis Respiratory and Rehab 9047 W Greenfield Ave, West Allis, WI 53214 CCN 525108 | 5.2 km | 152 | Aug 4, 2026 | 811 IJ4 harm | $130k | |
| Congregational Home, Inc. 13900 W Burleigh Rd, Brookfield, WI 53005 CCN 525700 | 6.6 km | 66 | Jul 31, 2025 | 331 harm | — | |
| Aria at Mitchell Manor 5301 W Lincoln Ave, West Allis, WI 53219 CCN 525600 | 6.8 km | 50 | Jul 1, 2026 | 451 IJ | — | |
| Mercy Health Services 2727 W Mitchell St, Milwaukee, WI 53215 CCN 525414 | 7.1 km | 60 | Aug 17, 2026 | 582 harm7 open | $48k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 525545 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 525545 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety |
| E · Potential harm Pattern |
| Corrected Jul 10, 2025 |
| Jun 10, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 10, 2025 |
| Jun 10, 2025 | F-0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jul 10, 2025 |
| Jun 10, 2025 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 10, 2025 | Complaint |
| Jun 10, 2025 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 10, 2025 |
| Jun 10, 2025 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 10, 2025 |
| Jun 10, 2025 | F-0697 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 10, 2025 | Complaint |
| Jun 10, 2025 | F-0761 | 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. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jul 10, 2025 |
| Jun 10, 2025 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jul 10, 2025 |
| Jun 10, 2025 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jul 10, 2025 |
| Jun 10, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jul 10, 2025 |
| Jun 10, 2025 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | B · Minimal Pattern | Corrected Jul 10, 2025 |
| Feb 4, 2025 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 4, 2025 | Complaint |
| Mar 14, 2024 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 27, 2024 |
| Mar 14, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 27, 2024 |
| Mar 14, 2024 | K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 27, 2024 |
| Mar 14, 2024 | K-0919 | Meet requirements for the use of electrical equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 27, 2024 |
| Mar 14, 2024 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 27, 2024 |
| Mar 14, 2024 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 14, 2024 |
| Mar 14, 2024 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Apr 14, 2024 |
| Mar 14, 2024 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Apr 14, 2024 |
| Mar 14, 2024 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Apr 14, 2024 |
| Mar 14, 2024 | F-0761 | 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. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Apr 14, 2024 |
| Mar 14, 2024 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Apr 14, 2024 |
| Mar 14, 2024 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Apr 14, 2024 |
| Oct 19, 2023 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Nov 17, 2023 | Complaint |
| Oct 19, 2023 | F-0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 17, 2023 | Complaint |
| Dec 13, 2022 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 6, 2023 |
| Dec 13, 2022 | K-0919 | Meet requirements for the use of electrical equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 6, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.60 (case-mix index 1.35).