nursing home in Fond Du Lac, WI
St Francis Home
33 Everett St, Fond Du Lac, WI 54935 · (920) 923-7980
★★★★★3
Average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★3
- Staffing★★★★★3
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
St Francis Home at a glance
St Francis Home is a 90-bed non-profit nursing home in Fond Du Lac, Wisconsin (Fond Du Lac County).
CMS gives it 3 out of 5 stars on its overall star rating, close to the Wisconsin average of 3.
Residents receive about 3.6 hours of nursing care per day (0.8 of them from registered nurses), worse than the state average of 4.2 hours.
Its most recent standard health inspection (April 1, 2026) found 5 health citations. The Wisconsin average is 9.5.
It has not received a federal fine in the past three years.
Nursing staff turnover is 54.1% per year (state average 46.9%).
Facility details
- Type
- Nursing home
- Ownership
- Non Profit - Corporation
- Beds
- 90
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Ssm Health
- Medicare-certified since
- July 1, 1996
- Resident/family council
- Resident
- County
- Fond Du Lac County
- CMS Certification Number
- 525595
Ratings
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 3 / 5 | 3 / 5 | 3 / 5 | Average |
| Health inspection rating ⓘ (higher is better) | 3 / 5 | 2.8 / 5 | 2.8 / 5 | Average |
| Staffing rating ⓘ (higher is better) | 3 / 5 | 3.6 / 5 | 2.9 / 5 | Average |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 3 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 4 / 5 | 3.1 / 5 | 3.8 / 5 | Average |
| Short-stay (rehab) quality rating (higher is better) | 5 / 5 | 3.1 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.57 hrs | 4.21 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.80 hrs | 0.99 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 2.22 hrs | 2.58 hrs | 2.32 hrs | Average |
| Weekend nurse staff hours per resident per day (higher is better) | 3.23 hrs | 3.77 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 54.1% | 46.9% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 66.7% | 39.7% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 2 | 1 | 1 | Worse |
Inspections
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 5 | 9 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 49 | 100.3 | 80.6 | Better |
Penalties
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $48,150 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 90 | 77 | 107 | |
| Average residents per day | 80 | 55 | 86 | |
| Occupancy | 88.3% | 74% | 80.9% |
Long-stay residents
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 1.8% | 3.3% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 3.6% | 5% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 11% | 15.8% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 3.7% | 2.7% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 2% | 2.1% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 11.6% | 16.1% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 22.7% | 18.4% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 1.9% | 5.1% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 3.1% | 5.7% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.1% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 24.5% | 16.9% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 29.5% | 24.6% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 95% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 99.3% | 95.7% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0.5% | 1.2% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 96.4% | 82.2% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 99.1% | 86.5% | 82% | Better |
Inspection citations
State inspectors cited this home for 26 health deficiencies and 21 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| April 1, 2026 Fire safety | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914 | F Potential harm, widespread | Corrected April 30, 2026 |
| April 1, 2026 Fire safety | Have exits that are accessible at all times. Egress Deficiencies · Tag K0271 | E Potential harm, pattern | Corrected May 1, 2026 |
| April 1, 2026 Fire safety | Have restrictions on the use of highly flammable decorations. Miscellaneous Deficiencies · Tag K0753 | E Potential harm, pattern | Corrected April 20, 2026 |
| April 1, 2026 Fire safety | Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction. Construction Deficiencies · Tag K0132 | E Potential harm, pattern | Corrected April 20, 2026 |
| April 1, 2026 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | D Potential harm, isolated | Corrected April 20, 2026 |
| April 1, 2026 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected April 20, 2026 |
| April 1, 2026 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | C No harm, widespread | Corrected April 20, 2026 |
| April 1, 2026 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected April 10, 2026 |
| April 1, 2026 Standard | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | E Potential harm, pattern | Corrected April 24, 2026 |
| April 1, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected April 10, 2026 |
| April 1, 2026 Standard | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0698 | D Potential harm, isolated | Corrected April 10, 2026 |
| April 1, 2026 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | D Potential harm, isolated | Corrected April 10, 2026 |
| April 21, 2025 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected May 16, 2025 |
| December 18, 2024 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected January 31, 2025 |
| December 18, 2024 Fire safety | Have an enclosure around a vertical opening shaft. Smoke Deficiencies · Tag K0311 | E Potential harm, pattern | Corrected January 18, 2025 |
| December 18, 2024 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | E Potential harm, pattern | Corrected January 31, 2025 |
| December 18, 2024 Fire safety | 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 · Tag K0222 | E Potential harm, pattern | Corrected January 31, 2025 |
| December 18, 2024 Fire safety | Install proper backup exit lighting. Egress Deficiencies · Tag K0281 | E Potential harm, pattern | Corrected February 3, 2025 |
| December 18, 2024 Fire safety | Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected. Smoke Deficiencies · Tag K0361 | E Potential harm, pattern | Corrected January 18, 2025 |
| December 18, 2024 Fire safety | Have power receptacles that are properly grounded. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0912 | E Potential harm, pattern | Corrected January 18, 2025 |
| December 18, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | F Potential harm, widespread | Corrected January 31, 2025 |
| December 18, 2024 Standard | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | E Potential harm, pattern | Corrected January 31, 2025 |
| December 18, 2024 Standard | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Tag F0623 | E Potential harm, pattern | Corrected January 31, 2025 |
| December 18, 2024 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected January 31, 2025 |
| December 18, 2024 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected January 31, 2025 |
| December 18, 2024 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | D Potential harm, isolated | Corrected January 31, 2025 |
| December 18, 2024 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected January 18, 2025 |
| December 18, 2024 Standard | 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. Resident Rights Deficiencies · Tag F0625 | D Potential harm, isolated | Corrected January 31, 2025 |
| December 18, 2024 Standard | 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 · Tag F0580 | D Potential harm, isolated | Corrected January 31, 2025 |
| December 18, 2024 Standard | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Tag F0757 | D Potential harm, isolated | Corrected January 31, 2025 |
| July 29, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected August 29, 2024 |
| July 29, 2024 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected August 29, 2024 |
| January 11, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | E Potential harm, pattern | Corrected February 11, 2024 |
| November 9, 2023 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected December 9, 2023 |
| November 9, 2023 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected December 9, 2023 |
| September 13, 2023 Fire safety | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914 | F Potential harm, widespread | Corrected November 8, 2023 |
| September 13, 2023 Fire safety | Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Tag E0006 | F Potential harm, widespread | Corrected September 28, 2023 |
| September 13, 2023 Fire safety | Meet requirements for sections of health care facilities separated by fire resistive construction. Construction Deficiencies · Tag K0131 | E Potential harm, pattern | Corrected February 27, 2024 |
| September 13, 2023 Fire safety | 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 · Tag K0222 | E Potential harm, pattern | Corrected October 20, 2023 |
| September 13, 2023 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Corrected September 15, 2023 |
| September 13, 2023 Fire safety | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Tag K0223 | D Potential harm, isolated | Corrected September 15, 2023 |
| September 13, 2023 Fire safety | Install properly constructed and protected linen or trash chutes. Services Deficiencies · Tag K0541 | D Potential harm, isolated | Corrected September 15, 2023 |
| September 13, 2023 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | F Potential harm, widespread | Corrected October 13, 2023 |
| September 13, 2023 Standard | 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. Pharmacy Service Deficiencies · Tag F0758 | D Potential harm, isolated | Corrected October 13, 2023 |
| September 13, 2023 Standard | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Tag F0552 | D Potential harm, isolated | Corrected October 13, 2023 |
| September 13, 2023 Standard | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | D Potential harm, isolated | Corrected October 13, 2023 |
| September 13, 2023 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected October 13, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| BRISCOE, DAVID Individual | adp of the snf | NOT APPLICABLE | 04/01/2022 |
| BRISCOE, PATRICIA Individual | adp of the snf | NOT APPLICABLE | 04/01/2022 |
| HEALTH DIMENSIONS CONSULTING INC Organization | adp of the snf | NOT APPLICABLE | 05/21/2025 |
| HENNESSEY, ERIN Individual | adp of the snf | NOT APPLICABLE | 04/01/2022 |
| QUEDNOW, DAWN Individual | adp of the snf | NOT APPLICABLE | 05/12/2025 |
| ROGOTZKE, AMBER Individual | adp of the snf | NOT APPLICABLE | 04/01/2022 |
| SHVETZOFF, SERGEI Individual | adp of the snf | NOT APPLICABLE | 04/01/2022 |
| SHVETZOFF, TAMI Individual | adp of the snf | NOT APPLICABLE | 04/01/2022 |
| SSM HEALTH CARE CORPORATION Organization | adp of the snf | NOT APPLICABLE | 05/22/2025 |
| SSM HEALTH CARE OF WISCONSIN INC Organization | adp of the snf | NOT APPLICABLE | 05/21/2025 |
| WEBER, LISA Individual | adp of the snf | NOT APPLICABLE | 04/16/2025 |
| SMITH, KEVIN Individual | corporate director | NOT APPLICABLE | 01/01/2024 |
| WALKUP, JAMES Individual | corporate director | NOT APPLICABLE | 01/01/2025 |
| GLOEDE, DENISE Individual | corporate officer | NOT APPLICABLE | 11/01/2024 |
| KRUEGER, KARI Individual | corporate officer | NOT APPLICABLE | 06/26/2025 |
| RADINA, VICTOR Individual | corporate officer | NOT APPLICABLE | 06/01/2025 |
| SMITH, KEVIN Individual | corporate officer | NOT APPLICABLE | 01/01/2024 |
| WALKUP, JAMES Individual | corporate officer | NOT APPLICABLE | 01/01/2025 |
| WILSON, AMY Individual | corporate officer | NOT APPLICABLE | 06/01/2025 |
| ANDERSON, SUE Individual | managing control - governing body | NOT APPLICABLE | 02/28/2022 |
| BASS, PAIGE Individual | managing control - governing body | NOT APPLICABLE | 01/01/2025 |
| BEARDMORE, DANIEL Individual | managing control - governing body | NOT APPLICABLE | 11/12/2024 |
| BELL, JUDITH Individual | managing control - governing body | NOT APPLICABLE | 01/01/2023 |
| BROWN, MARY Individual | managing control - governing body | NOT APPLICABLE | 01/04/2018 |
| BURNETT, JANICE Individual | managing control - governing body | NOT APPLICABLE | 01/01/2022 |
| CORCORAN, RICK Individual | managing control - governing body | NOT APPLICABLE | 10/01/2017 |
| DEVLIN, MARIE Individual | managing control - governing body | NOT APPLICABLE | 06/01/2018 |
| DOLAN, PETER Individual | managing control - governing body | NOT APPLICABLE | 01/01/2024 |
| EMMER, RHEA Individual | managing control - governing body | NOT APPLICABLE | 02/28/2022 |
| GLOEDE, DENISE Individual | managing control - governing body | NOT APPLICABLE | 11/01/2024 |
| HARDT, JOHN Individual | managing control - governing body | NOT APPLICABLE | 01/01/2022 |
| HARTENBACH, DAVID Individual | managing control - governing body | NOT APPLICABLE | 01/01/2025 |
| HER, PENG Individual | managing control - governing body | NOT APPLICABLE | 12/13/2023 |
| HOLZMAN, MARK Individual | managing control - governing body | NOT APPLICABLE | 12/13/2023 |
| IMHOLZ, DONALD Individual | managing control - governing body | NOT APPLICABLE | 06/01/2018 |
| KAISER, LAURA Individual | managing control - governing body | NOT APPLICABLE | 05/01/2017 |
| KARSTEN, JOAN Individual | managing control - governing body | NOT APPLICABLE | 05/11/2021 |
| KINDLE, CAROLYN Individual | managing control - governing body | NOT APPLICABLE | 01/01/2022 |
| LEITZEN FYE, PATTI Individual | managing control - governing body | NOT APPLICABLE | 01/01/2024 |
| MASKEL, JENNIFER Individual | managing control - governing body | NOT APPLICABLE | 01/01/2019 |
Showing 40 of 72 records.
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Frequently asked questions
What is St Francis Home's rating?
St Francis Home has 3 out of 5 stars on the CMS overall star rating. The average for Wisconsin nursing homes is 3 stars.
How many inspection citations did St Francis Home receive?
Its most recent standard health inspection found 5 citations, compared with a Wisconsin average of 9.5. Every citation is listed on this page with its severity.
Does St Francis Home accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns St Francis Home?
It is non profit - corporation and part of Ssm Health. The ownership section on this page lists the owners and managers reported to CMS.
Where is St Francis Home and how do I contact it?
St Francis Home is at 33 Everett St, Fond Du Lac, WI 54935. Phone: (920) 923-7980.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.