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Nursing HomeMedicaid Investigative

Chi Franciscan Villa

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

3601 S Chicago Ave, South Milwaukee, WI 5317290 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.0/5

based on 72 Google reviews

5
4
3
2
1
Chi Franciscan Villa Nursing Home in South Milwaukee, WI — Street View
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6/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Abuse citation on record
  • Low overall rating (1/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (20 vs median 7)

Bottom 25% in WI · Below recommended RN staffing · Worst in COMMONSPIRIT HEALTH chain · $271,775 in fines · Abuse citation

Source: Medicare data

What this means for your family

While some families report positive rehabilitation experiences, the recurring reports of neglect, poor communication, and inability to manage dementia behaviors are significant red flags. If you choose this facility, we strongly recommend conducting unannounced visits and ensuring you have a direct line of communication with nursing leadership, as responsiveness appears to be a major systemic issue.

Google Reviews

Google Reviews

72 reviews on Google
Franciscan Villa receives highly polarized feedback, with some families praising the compassionate staff and effective rehabilitation services, while others report severe neglect and communication failures. Recurring complaints highlight issues with medication management, poor responsiveness, and inadequate care for residents with dementia. Prospective families should be aware of the significant gap between the positive experiences of some and the distressing reports of others regarding basic care standards.

Quality Themes

Tap a score for details
Food4.0Staff5.0Clean7.0Activities8.0Meds2.0Memory2.0Comms2.0ValueN/A

Strengths

  • Compassionate and attentive nursing staff
  • Effective physical and speech therapy programs
  • Clean and well-maintained facility environment
  • Active and engaging activity programs

Concerns

  • Poor communication with family members (mentioned by 5 reviewers)
  • Neglect of basic care (hygiene, turning, medication) (mentioned by 4 reviewers)
  • Understaffing and slow response times (mentioned by 3 reviewers)
  • Inadequate handling of dementia/behavioral needs (mentioned by 3 reviewers)
  • Poor food quality and failure to follow dietary preferences (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'17(6)'19(4)'21(2)'23(32)'25(5)'26(6)

Distribution · 74 analyzed

5
51
4
6
3
0
2
2
1
15
19 reviews posted between Aug 31, 2023Aug 31, 2023 · 19 were 5-star

How They Respond to Reviews

87%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed some families have shared great things about your activity programs; could you tell me more about what a typical day of engagement looks like for the residents?
  • 2How does the nursing team ensure that medication schedules and daily hygiene needs are consistently met for every resident?
  • 3What specific protocols do you have in place to ensure staff can respond quickly to call lights, especially during busy shifts?
  • 4How do you approach communication with family members to ensure we are always kept up-to-date on our loved one's well-being?
  • 5Could you describe your specialized approach to managing the unique behavioral and care needs of residents in your memory care program?
  • 6What is the process for managing medical emergencies after hours, and how is the physician notified?

Personalized based on this facility's data


Key Review Excerpts

My grandfather was here for 2 weeks on hospice care, and we had a hard time getting the nurse to consistently give him pain meds to keep him comfortable. He had bed sores but was not turned regularly.

Memory care family member · 2024☆☆☆☆

My dad has been here for a year and a half. Everyone here treats my dad like family. He is very well cared for by the Nursing/CNA staff and feels very comfortable staying here.

Long-term resident's family · 2023★★★★★

My elderly father stayed here for rehab for six weeks and the experience was mixed at best. There are some very caring people here and the food is good but communication with family members is very poor.

Rehab patient's family · 2025★★☆☆☆
Source: 72 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.59hrs
78%
Registered nurses for medical care
Total Nursing
3.16hrs
77%
All nurses + aides combined
Staff Turnover
51%
Lower is better (< 30% = good)
RN Turnover
70%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
3/ 5
Better Than Avg

8

measures

Worse Than Avg

6

measures

Mixed Results

3

measures

Long-Stay Residents
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility64.7%
Worse than Avg
Here
64.7%
US
93.4%
WI
95.6%
Milwaukee
91.2%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility3.0%
Better than Avg
Here
3.0%
US
14.4%
WI
16.7%
Milwaukee
15.8%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility9.6%
Better than Avg
Here
9.6%
US
15.3%
WI
19.9%
Milwaukee
22.6%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility17.3%
Better than Avg
Here
17.3%
US
19.4%
WI
25.0%
Milwaukee
27.3%
⚖️

Residents who lost too much weight

↓ Lower is better
This Facility11.4%
Worse than Avg
Here
11.4%
US
5.3%
WI
5.1%
Milwaukee
5.8%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility98.6%
Better than Avg
Here
98.6%
US
95.5%
WI
95.0%
Milwaukee
93.0%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility61.4%
Worse than Avg
Here
61.4%
US
81.8%
WI
86.6%
Milwaukee
77.7%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility63.8%
Worse than Avg
Here
63.8%
US
79.7%
WI
82.2%
Milwaukee
73.6%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility4.0%
Worse than Avg
Here
4.0%
US
1.6%
WI
1.3%
Milwaukee
0.9%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

29deficiencies
5penalties
Well above state avg (9.8)
46 complaint-triggered
$271,775 in fines

Families have repeatedly filed complaints leading to 37 deficiencies, highlighting persistent concerns about accident prevention and safety supervision, abuse protection, and medication management. The facility shows an ongoing pattern of safety hazards and supervision failures across multiple surveys, with recent complaints in 2025 involving resident safety and financial protection. While deficiencies appear to be corrected when cited, the recurring nature of fundamental safety and care issues suggests systemic challenges that families should carefully consider.

Feb 18, 2026Complaint
9
0686Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0725Potential for harm · WidespreadCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0557Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

0585Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0676Potential for harm · IsolatedCorrected

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.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Dec 23, 2025Complaint
1
0573Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

Nov 13, 2025Complaint
1
0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Oct 17, 2025Complaint
3
0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Jul 16, 2025Complaint
4
0689Immediate jeopardy · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0602Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from the wrongful use of the resident's belongings or money.

0610Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

May 30, 2025Complaint
5
0801Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Federal Penalties

Fine

Feb 20, 2025

$44,532

Fine

Nov 8, 2024

$121,797

Fine

Dec 5, 2023

$15,593

Payment Denial

Dec 5, 2023

11-day denial

Fine

Jul 12, 2023

$89,853

Ownership & Operations

Who Operates This Facility

Owner / Operator

Chi Franciscan Villa

Organization Type

nonprofit

Chain Affiliation

Chain Name

Commonspirit Health

Chain Size

19 facilities nationwide

Chain avg rating: 3.0/5 · Rank 17 of 19 (Worst)

Ownership & Management

Owners

Sylvania Franciscan Health

Owner · Organization

100%

Commonspirit Health

Owner (parent company) · Organization

100%

Key personnel

Gulock, MichaelW-2 Managing EmployeeMelfi, MitchOfficer / DirectorRichardson Mbanu, TerikaOfficer / DirectorIffland, AlisaOfficer / DirectorLipsey, PrenticeOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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