Nursing homes › Wisconsin › St. Anne'S Salvatorian Campus
3800 N 92Nd St, Milwaukee, WI 53222 · 4144637570 · 50 certified beds
Per CMS filings, this facility is affiliated with Illuminus, a group operating 5 facilities in 1 states. Group record: average rating 2.0/5, 0 abuse citation icons, 0 facilities on the Special Focus list, $522,517 in federal fines. This facility rates below its group average (2.0/5).
Total nurse staffing: 4.02 (Wisconsin median: 4.06). RN hours: 1.20. Weekend total: 3.69. Nursing staff turnover: 46%.
All-time on record: 61 deficiency citations, including 3 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-01-07 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | complaint | corrected 2026-03-02 |
| 2026-01-07 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | complaint | corrected 2026-02-02 |
| 2025-06-13 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2025-07-11 |
| 2025-06-13 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2025-07-11 |
| 2025-06-13 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2025-07-11 |
| 2025-03-05 | Ensure that residents are free from significant medication errors. | G | complaint | corrected 2025-04-15 |
| 2024-11-14 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | complaint | corrected 2025-04-15 |
| 2024-11-14 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Health | corrected 2025-04-15 |
| 2024-11-14 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | F | Health | corrected 2024-12-19 |
| 2024-11-14 | Provide and implement an infection prevention and control program. | F | Health | corrected 2025-04-15 |
| 2024-11-14 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | Health | corrected 2024-12-19 |
| 2024-11-14 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | complaint | corrected 2024-12-19 |
| 2024-11-14 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Health | corrected 2024-12-19 |
| 2024-11-14 | Reasonably accommodate the needs and preferences of each resident. | D | Health | corrected 2024-12-19 |
| 2024-11-14 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Health | corrected 2024-12-19 |
| 2024-11-14 | Keep residents' personal and medical records private and confidential. | D | Health | corrected 2024-12-19 |
| 2024-11-14 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Health | corrected 2024-12-19 |
| 2024-11-14 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2025-04-15 |
| 2024-11-14 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | complaint | corrected 2024-12-19 |
| 2024-11-14 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Health | corrected 2024-12-19 |
| 2024-11-14 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | Health | corrected 2024-12-19 |
| 2024-11-14 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | Health | corrected 2024-12-19 |
| 2024-11-14 | Ensure medication error rates are not 5 percent or greater. | D | Health | corrected 2024-12-19 |
| 2024-11-14 | 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. | D | Health | corrected 2024-12-19 |
| 2024-11-14 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | Health | corrected 2024-12-19 |
| 2024-11-14 | Implement a program that monitors antibiotic use. | D | Health | corrected 2024-12-19 |
| 2024-08-07 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2024-08-24 |
| 2024-08-07 | Respond appropriately to all alleged violations. | D | complaint | corrected 2024-08-24 |
| 2023-08-17 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | complaint | corrected 2023-09-13 |
| 2023-08-17 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | J | complaint | corrected 2023-09-13 |
| 2023-08-17 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | J | complaint | corrected 2023-09-13 |
| 2023-08-17 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | F | complaint | corrected 2023-09-13 |
| 2023-08-17 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | complaint | corrected 2023-09-13 |
| 2023-08-17 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | Health | corrected 2023-09-13 |
| 2023-08-17 | Provide and implement an infection prevention and control program. | F | Health | corrected 2023-09-13 |
| 2023-08-17 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | Health | corrected 2023-09-13 |
| 2023-08-17 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | Health | corrected 2023-09-13 |
| 2023-08-17 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Health | corrected 2023-09-13 |
| 2023-08-17 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | complaint | corrected 2023-09-13 |
| 2023-08-17 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | complaint | corrected 2023-09-13 |
| Date | Type | Amount |
|---|---|---|
| 2024-11-14 | Fine | $204,523 |
| 2024-11-14 | Payment Denial | 112 days payment denial |
| 2023-08-17 | Fine | $121,537 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| MARQUARDT VILLAGE INC | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 01/04/2022 |
| DETTMAN, SCOTT | Corporate Director | Individual | NOT APPLICABLE | since 01/04/2022 |
| FISCHER, TODD | Corporate Director | Individual | NOT APPLICABLE | since 01/04/2022 |
| HEROUX, STEVEN | Corporate Director | Individual | NOT APPLICABLE | since 08/01/2024 |
| KOHLHOFF, KEVIN | Corporate Director | Individual | NOT APPLICABLE | since 09/01/2023 |
| KONKOL, DENNIS | Corporate Director | Individual | NOT APPLICABLE | since 10/01/2024 |
| MEIDENBAUER, ROBERT | Corporate Director | Individual | NOT APPLICABLE | since 01/04/2022 |
| VAN DER LINDEN, KATIE | Corporate Director | Individual | NOT APPLICABLE | since 01/04/2022 |
| WAGNER, LYNNE | Corporate Director | Individual | NOT APPLICABLE | since 10/01/2024 |
| MARKS, JULIE | Corporate Officer | Individual | NOT APPLICABLE | since 06/09/2025 |
| MAUTHE, MATTHEW | Corporate Officer | Individual | NOT APPLICABLE | since 01/04/2022 |
| ILLUMINUS INC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 01/04/2022 |
| MARQUARDT VILLAGE INC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 01/04/2022 |
| LIPKE, TESLA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 04/16/2025 |
| MARKS, JULIE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 06/09/2025 |
| MAUTHE, MATTHEW | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/04/2022 |
| SIDHU, SARFRAZ | Operational/Managerial Control | Individual | NOT APPLICABLE | since 07/02/2021 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 525524. Corrections: data@carerecords.org.