St Paul Elder Services, Inc — nursing home in Kaukauna, WI

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid · part of a continuing care retirement community (CCRC)
Certified beds: 105 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 99.6 CMS, MDS-derived
CMS Certification Number: 525617
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Jul 1, 1997
Ownership type: Non profit - Corporation
Operator (legal business name): St Paul Elder Services, Inc
CMS chain: Franciscan Sisters of Christian Charity 3 facilities
Phone: (920) 766-6020
Resident & family council: Both
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

9

latest May 12, 2026

Citations

20

8 health · 12 fire

Harm or worse

0

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D12	E2	F5
Minimal	A·	B·	C1

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.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 525617
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 105
First approved: Jul 1, 1997
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Wisconsin.

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.

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.

Date	Domain	Survey types	Citations	Most severe	Open
May 12, 2026	Fire safety	Fire Safety Standard	0	No citations	—	Open →
May 12, 2026	Health	Health Standard	0	No citations	—	Open →
Mar 26, 2026	Health	Health Complaint	1	Potential harm	—	Open →
Jun 16, 2025	Health	Health Complaint	1	Potential harm	—	Open →
Apr 2, 2025	Fire safety	Fire Safety Standard	5	Potential harm	—	Open →
Apr 2, 2025	Health	Health Standard	5	Potential harm	—	Open →
Sep 26, 2024	Health	Health Complaint	1	Potential harm	—	Open →
Mar 20, 2024	Fire safety	Fire Safety Standard	7	Potential harm	—	Open →
Mar 20, 2024	Health	Health Standard	0	No citations	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D12	E2	F5
Minimal	A·	B·	C1

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Mar 26, 2026	F-0580	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Apr 6, 2026	Complaint
Jun 16, 2025	F-0600	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Jun 17, 2025	Complaint
Apr 2, 2025	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Apr 25, 2025
Apr 2, 2025	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Apr 25, 2025
Apr 2, 2025	K-0355	Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Apr 25, 2025
Apr 2, 2025	K-0511	Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Apr 25, 2025
Apr 2, 2025	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 25, 2025
Apr 2, 2025	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 28, 2025
Apr 2, 2025	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 25, 2025
Apr 2, 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 Apr 25, 2025
Apr 2, 2025	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Apr 25, 2025
Apr 2, 2025	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	C · Minimal Widespread	Corrected Apr 25, 2025
Sep 26, 2024	F-0609	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Oct 11, 2024	Complaint
Mar 20, 2024	K-0161	Use approved construction type or materials. Construction Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Apr 15, 2024
Mar 20, 2024	K-0222	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Apr 15, 2024
Mar 20, 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 Apr 15, 2024
Mar 20, 2024	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Apr 15, 2024
Mar 20, 2024	K-0351	Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Apr 15, 2024
Mar 20, 2024	K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Apr 15, 2024
Mar 20, 2024	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Apr 15, 2024

“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.

Five-Star ratings

Federal · CMS

Overallstate 3.1

Health inspectionsstate 2.8

Staffingstate 3.7

Quality measuresstate 3.2

Long-stay QM

Short-stay QM

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.

Nurse staffing · hours per resident per day

Total nurse staffing4.78

State avg 4.25US avg 3.90

Registered nurse (RN)0.98

State avg 0.98US avg 0.69

Licensed practical nurse0.48

State avg 0.65US avg 0.86

Nurse aide3.32

State avg 2.61US avg 2.35

Weekend total nurse4.41

State avg 3.75US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.73 (case-mix index 1.41).

Staff turnover

Total nursing staff turnover33.6%

State avg 46.7%US avg 45.3%

Registered nurse turnover36.8%

State avg 40.1%US avg 42.5%

Administrators who left0

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: May 12, 2026
Cycle 1 health score: 4
Total weighted score: 12

Operating entity

St Paul Elder Services, Inc

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Franciscan Sisters of Christian Charity

3 facilities in 2 states. CMS chain ID 868.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 3.7

Ownership disclosures

Disclosures

47

Organizations

5

Individuals

37

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Amergis Healthcare Staffing, Inc	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jul 1, 2025
Davis Clinical Consulting	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 1, 2025
Franciscan Sisters of Christian Charity Sponsored Ministries, Inc	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Mar 15, 2010
P&M Holding Group LLP	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 1, 2011
Prn Health Services, Inc	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Oct 1, 2022
Jackie Abel	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 1, 2015
Charleen Acker	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Mar 1, 2017
Nicole Brady	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Mar 1, 2019
Clay Eiting	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Mar 1, 2024
Michael Gage	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Mar 1, 2019
Pat Hietpas	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Mar 1, 2018
Kelsey Kienert	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Oct 1, 2024
Joellen Kohlmann	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Mar 1, 2024
Karmen Lemke	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jun 2, 2025
Megan Mashl	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jun 26, 2017
Ryan Neville	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Feb 13, 2025
Lisa Sabin-Wilson	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Sep 15, 2025
Amber Schroeder	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jul 19, 2022
Paula Vandehey	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Mar 1, 2024
Jackie Abel	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2015
Charleen Acker	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Mar 1, 2017
Nicole Brady	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Mar 1, 2019
Clay Eiting	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Mar 1, 2024
Michael Gage	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Mar 1, 2019
Pat Hietpas	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Mar 1, 2018
Joellen Kohlmann	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Mar 1, 2024
Karmen Lemke	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jun 2, 2025
Paula Vandehey	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Mar 1, 2024
Amber Schroeder	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jul 19, 2022
Amergis Healthcare Staffing, Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jan 13, 2026
Davis Clinical Consulting	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Dec 23, 2025
Franciscan Sisters of Christian Charity Sponsored Ministries, Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Dec 23, 2025
P&M Holding Group LLP	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jan 13, 2026
Prn Health Services, Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jan 13, 2026
Jackie Abel	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2015
Charleen Acker	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Mar 1, 2017
Nicole Brady	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Mar 1, 2019
Clay Eiting	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Mar 1, 2024
Michael Gage	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Mar 1, 2019
Pat Hietpas	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Mar 1, 2018
Kelsey Kienert	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Oct 1, 2024
Joellen Kohlmann	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Mar 1, 2024
Karmen Lemke	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jun 2, 2025
Megan Mashl	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jun 26, 2017
Ryan Neville	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Feb 13, 2025
Amber Schroeder	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jul 19, 2022
Paula Vandehey	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Mar 1, 2024

Same chain in Wisconsin

All 2 in chain →

Facility	Beds	CMS overall	Last inspection	Citations (window)	Fines
Clement Manor Health Care Center 3939 S 92nd St, Greenfield, WI 53228 CCN 525327	50		May 21, 2026	391 IJ1 harm	—

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 316 East 14th Street, Kaukauna, WI 54130
ZIP: 54130
County: Outagamie County FIPS 55087
State: Wisconsin
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Little Chute Health Services 1201 Garfield Ave, Little Chute, WI 54140 CCN 525579	2.6 km	50	Jul 29, 2026	403 IJ2 harm	$38k
Edenbrook of Appleton North 2915 N Meade St, Appleton, WI 54911 CCN 525484	10.1 km	95	Jun 17, 2026	541 IJ1 open	$14k
Rennes Health and Rehab Center-Appleton 325 E Florida Ave, Appleton, WI 54911 CCN 525583	10.7 km	88	Aug 6, 2025	15	—
Meadowbrook at Appleton 1335 S Oneida St, Appleton, WI 54915 CCN 525264	10.7 km	104	Oct 22, 2025	801 IJ1 harm	$16k
Oakridge Gardens Nur Ctr, Inc 1700 Midway Rd, Menasha, WI 54952 CCN 525463	11.8 km	106	Aug 12, 2026	30	—
Peabody Manor 2600 S Heritage Woods Dr, Appleton, WI 54915 CCN 525548	12 km	58	Aug 19, 2026	541 harm1 open	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	525617	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	525617	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

Record-level source links for CCN 525617

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction