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Franciscan Woods

19525 W NORTH AVE
BROOKFIELD, WI 53045 · 2627851114 · Waukesha County

CMS Star Ratings

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Facility Facts

Certified beds110
OwnershipNon profit - Corporation
State rank#275

By the numbers

50
Health citations (3 cycles)
0
Immediate-jeopardy (J/K/L)
5
Actual-harm (G/H/I)
$120,905
Federal fines (CMPs)
The trend: Citations are rising — 17 in the most recent cycle versus 8 two cycles ago.

Recent Health Citations

Apr 9, 2026 · Health survey · F-tag 0887
D — No actual harm
Infection Control Deficiencies
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Apr 9, 2026 · Health survey · F-tag 0883
D — No actual harm
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Apr 9, 2026 · Health survey · F-tag 0849
D — No actual harm
Administration Deficiencies
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.
Apr 9, 2026 · Health survey · F-tag 0761
D — No actual harm
Pharmacy Service Deficiencies
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.
Apr 9, 2026 · Health survey · F-tag 0755
D — No actual harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Apr 9, 2026 · Health survey · F-tag 0693
D — No actual harm
Quality of Life and Care Deficiencies
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Apr 9, 2026 · Health survey · F-tag 0689
D — No actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Apr 9, 2026 · Health survey · F-tag 0686
D — No actual harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Apr 9, 2026 · Health survey · F-tag 0684
D — No actual harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Apr 9, 2026 · Health survey · F-tag 0676
D — No actual harm
Quality of Life and Care Deficiencies
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Apr 9, 2026 · Health survey · F-tag 0628
D — No actual harm
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Apr 9, 2026 · Health survey · F-tag 0552
D — No actual harm
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Apr 9, 2026 · Health survey · F-tag 0881
F — No actual harm
Infection Control Deficiencies
Implement a program that monitors antibiotic use.
Apr 9, 2026 · Health survey · F-tag 0880
F — No actual harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Dec 22, 2025 · Health survey · F-tag 0759
D — No actual harm
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Dec 22, 2025 · Health survey · F-tag 0686
G — Actual harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Details
Correction status: Corrected Feb 3, 2026 — Deficient, Provider has date of correction
Inspection cycle: 1
Survey origin: Complaint investigation
Dec 3, 2025 · Health survey · F-tag 0600
D — No actual harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
May 6, 2025 · Health survey · F-tag 0757
D — No actual harm
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
May 6, 2025 · Health survey · F-tag 0755
D — No actual harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
May 6, 2025 · Health survey · F-tag 0689
D — No actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Showing the 20 most recent citations. View the full inspection record on CMS Care Compare →

More facilities in Wisconsin →

How to read this page. Star ratings and citation counts come from the Centers for Medicare & Medicaid Services (CMS) Care Compare August 2026 dataset, covering the three most recent inspection cycles. Scope/severity letters: D–F no actual harm, G–I actual harm, J–L immediate jeopardy to resident health or safety.

Source: CMS Care Compare, August 2026 dataset. Updated quarterly. Figures come from public CMS records; contact info@theskilledreport.com for corrections.