Chi Franciscan Villa
South Milwaukee · 0.1 mi · 90 beds
Citations0Substantiated0
Willowcrest Health Services
3821 S CHICAGO AVE, South Milwaukee, WI, 53172
Nursing home100 licensed beds0 citations on record
4 more within 6 milesOpen in Maps
Has this facility been cited?
Yes. Federal inspectors cited 13 deficiencies against Willowcrest Health Services in South Milwaukee, Wisconsin at its most recent standard inspection on 2025-06-05. 2 findings have been recorded at the immediate-jeopardy level, the most serious CMS uses, meaning a resident was placed in immediate danger. Medicare has fined it 1 time, totalling $21,285. Medicare rates it 2 out of 5 overall.
2 / 5Medicare overall rating
100certified beds
13deficiencies at the last inspection
2immediate-jeopardy findings on record
0actual-harm findings on record
1federal fines, $21,285
What the inspectors found
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.2
Actual harmA resident was harmed, but not placed in immediate danger.0
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.32
Potential for minimal harmThe least serious band.2
Most recentFFDDDDDDDDDDDDCJJFFE
The last 20 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Administration Deficiencies · F0851 · 2025-06-05 · standard survey · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2025-06-05 · standard survey · No actual harm, potential for more than minimal harm
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0605 · 2025-06-05 · standard survey · No actual harm, potential for more than minimal harm
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights Deficiencies · F0628 · 2025-06-05 · standard survey · No actual harm, potential for more than minimal harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · F0684 · 2025-06-05 · standard survey · No actual harm, potential for more than minimal harm
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Quality of Life and Care Deficiencies · F0688 · 2025-06-05 · standard survey · No actual harm, potential for more than minimal harm
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · F0690 · 2025-06-05 · standard survey · No actual harm, potential for more than minimal harm
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.
Quality of Life and Care Deficiencies · F0693 · 2025-06-05 · standard survey · No actual harm, potential for more than minimal harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · F0695 · 2025-06-05 · standard survey · No actual harm, potential for more than minimal harm
Provide care or services that was trauma informed and/or culturally competent.
Quality of Life and Care Deficiencies · F0699 · 2025-06-05 · standard survey · No actual harm, potential for more than minimal harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · F0755 · 2025-06-05 · standard survey · No actual harm, potential for more than minimal harm
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · F0757 · 2025-06-05 · standard survey · No actual harm, potential for more than minimal harm
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · F0760 · 2025-06-05 · standard survey · No actual harm, potential for more than minimal harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · F0684 · 2025-03-05 · from a complaint · No actual harm, potential for more than minimal harm
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · F0732 · 2024-10-14 · from a complaint · No actual harm, potential for minimal harm
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Quality of Life and Care Deficiencies · F0678 · 2024-03-29 · from a complaint · Immediate jeopardy to resident health or safety
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2024-03-29 · from a complaint · Immediate jeopardy to resident health or safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2024-03-29 · standard survey · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2024-03-29 · standard survey · No actual harm, potential for more than minimal harm
Observe each nurse aide's job performance and give regular training.
Nursing and Physician Services Deficiencies · F0730 · 2024-03-29 · standard survey · No actual harm, potential for more than minimal harm
Medicare’s own rating
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
OverallCombines the three below2 of 5
Health inspectionBased on the last three inspection cycles2 of 5
StaffingNurse hours per resident, adjusted for how sick residents are2 of 5
Quality measuresResident outcomes reported by the home4 of 5
Nurse hours per resident per dayReported by the home to CMS3.5696
Nursing staff turnoverShare of nursing staff who left in a year41.3%
Penalties
What Medicare has fined this home
FinesCivil money penalties imposed by CMS1
Total fined$21,285
Payment denials and other penaltiesMedicare refusing to pay for new admissions is the usual one1
Ownership
Who owns Willowcrest Health Services
Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.
| Owner | Role | Share | Since |
|---|---|---|---|
| NSHF OPERATIONS LLC | Organization | 100% | since 07/24/2017 |
| MILLS, DAVID | Individual | 20% | since 06/29/2017 |
| HOEHN, JEFFREY | Individual | NOT APPLICABLE | since 06/29/2017 |
| BAUMANN, TROY | Individual | NOT APPLICABLE | since 06/29/2017 |
| HOEHN, JEFFREY | Individual | NOT APPLICABLE | since 06/29/2017 |
| NORTH SHORE HEALTHCARE LLC | Organization | NOT APPLICABLE | since 10/01/2017 |
Part of the NORTH SHORE HEALTHCARE group.
Nearby
Other licensed providers within six miles
Listed by distance. Nobody paid to appear here and the order is not for sale.
Medical Suites at Oak Creek (the)
Oak Creek · 4.9 mi · 144 beds
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Maple Ridge Health Services
Milwaukee · 5.7 mi · 80 beds
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Autumn Lake Healthcare at Greenfield
Milwaukee · 5.8 mi · 112 beds
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Contact
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 525413.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction