Nursing homes › Wisconsin › St Francis Home
33 Everett St, Fond Du Lac, WI 54935 · 9209237980 · 90 certified beds
Per CMS filings, this facility is affiliated with Ssm Health, a group operating 2 facilities in 2 states. Group record: average rating 3.0/5, 0 abuse citation icons, 0 facilities on the Special Focus list, $0 in federal fines. This facility rates the same as its group average (3.0/5).
Total nurse staffing: 3.57 (Wisconsin median: 4.06). RN hours: 0.80. Weekend total: 3.23. Nursing staff turnover: 54%.
All-time on record: 29 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-04-01 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2026-04-10 |
| 2026-04-01 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Health | corrected 2026-04-24 |
| 2026-04-01 | Provide enough food/fluids to maintain a resident's health. | D | Health | corrected 2026-04-10 |
| 2026-04-01 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Health | corrected 2026-04-10 |
| 2026-04-01 | Provide and implement an infection prevention and control program. | D | Health | corrected 2026-04-10 |
| 2025-04-21 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2025-05-16 |
| 2024-12-18 | Provide and implement an infection prevention and control program. | F | Health | corrected 2025-01-31 |
| 2024-12-18 | Reasonably accommodate the needs and preferences of each resident. | E | Health | corrected 2025-01-31 |
| 2024-12-18 | 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 2025-01-31 |
| 2024-12-18 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Health | corrected 2025-01-31 |
| 2024-12-18 | 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. | D | Health | corrected 2025-01-31 |
| 2024-12-18 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2025-01-18 |
| 2024-12-18 | Provide enough food/fluids to maintain a resident's health. | D | Health | corrected 2025-01-31 |
| 2024-12-18 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Health | corrected 2025-01-31 |
| 2024-12-18 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Health | corrected 2025-01-31 |
| 2024-12-18 | Ensure medication error rates are not 5 percent or greater. | D | Health | corrected 2025-01-31 |
| 2024-07-29 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2024-08-29 |
| 2024-07-29 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2024-08-29 |
| 2024-01-11 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | complaint | corrected 2024-02-11 |
| 2023-11-09 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2023-12-09 |
| 2023-11-09 | Respond appropriately to all alleged violations. | D | complaint | corrected 2023-12-09 |
| 2023-09-13 | Provide and implement an infection prevention and control program. | F | Health | corrected 2023-10-13 |
| 2023-09-13 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Health | corrected 2023-10-13 |
| 2023-09-13 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2023-10-13 |
| 2023-09-13 | 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 | Health | corrected 2023-10-13 |
| 2023-09-13 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Health | corrected 2023-10-13 |
| 2023-07-10 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | complaint | corrected 2023-08-02 |
| 2023-07-10 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2023-08-02 |
| 2023-07-10 | Respond appropriately to all alleged violations. | D | complaint | corrected 2023-08-02 |
No federal fines or payment denials on record.
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| ANDERSON, SUE | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 02/28/2022 |
| BASS, PAIGE | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 01/01/2025 |
| BEARDMORE, DANIEL | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 11/12/2024 |
| BELL, JUDITH | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 01/01/2023 |
| BROWN, MARY | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 01/04/2018 |
| BURNETT, JANICE | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 01/01/2022 |
| CORCORAN, RICK | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 10/01/2017 |
| DEVLIN, MARIE | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 06/01/2018 |
| DOLAN, PETER | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 01/01/2024 |
| EMMER, RHEA | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 02/28/2022 |
| GLOEDE, DENISE | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 11/01/2024 |
| HARDT, JOHN | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 01/01/2022 |
| HARTENBACH, DAVID | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 01/01/2025 |
| HER, PENG | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 12/13/2023 |
| HOLZMAN, MARK | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 12/13/2023 |
| IMHOLZ, DONALD | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 06/01/2018 |
| KAISER, LAURA | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 05/01/2017 |
| KARSTEN, JOAN | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 05/11/2021 |
| KINDLE, CAROLYN | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 01/01/2022 |
| LEITZEN FYE, PATTI | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 01/01/2024 |
| MASKEL, JENNIFER | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 01/01/2019 |
| MATZKE, WAYNE | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 05/11/2021 |
| NAIRN, THOMAS | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 01/01/2024 |
| OTTE, OLIVIA | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 11/12/2024 |
| PANDL, MARY | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 01/01/2024 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 525595. Corrections: data@carerecords.org.