Above average — CMS composite of the measures below.
The next survey window likely opens around April 2027
Estimate from public CMS data, current as of August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Milwaukee Catholic Home during CMS and state inspections, most recent first.
A resident with impaired cognition, weakness, neuropathy, and a history of falls was assessed to transfer with an EZ Stand and 2 staff, but the facility had conflicting care plan directions and CNA documentation. A CNA transferred the resident alone from an electric wheelchair to the toilet, with the chest strap loose and positioned above the chest, and the resident stated the transfer felt like being hung from the strap. The RN unit manager confirmed the resident should have had 2-person assist for transfers.
Failure to Use Required PPE During EBP Incontinence Care. Staff were observed providing toileting, perineal care, and a transfer for a resident on EBP while wearing only gloves and no gown, despite an EBP sign posted at the doorway and PPE available outside the room. The resident had diabetes, chronic osteomyelitis, a history of UTIs, impaired cognition, and frequent incontinence, and the RN/IP confirmed staff should wear PPE for toileting and peri care.
Surveyors found that food stored in medication room refrigerators was repeatedly kept above the facility's required temperature range, with logs showing multiple days of elevated readings and missed documentation. Staff demonstrated inconsistent understanding of proper temperature ranges, and the temperature log did not clearly distinguish between food and medication storage requirements. No evidence was found that maintenance was notified or corrective action taken during the period, resulting in noncompliance with food safety standards.
A resident's tube feeding pole and related equipment were repeatedly observed to be covered in dried feeding splatter and debris over several days. Interviews with LPNs, housekeeping, and the DON revealed confusion about who was responsible for cleaning the equipment, resulting in ongoing unsanitary conditions.
Staff failed to follow infection prevention and control protocols during bowel and bladder care for a resident with hemiplegia and a gastrostomy tube. Observations included a resident sitting on feeding tube tubing, staff reconnecting tubing without changing it, use of dirty gloves during peri care, and providing a washcloth that had fallen on the floor for personal hygiene. These actions occurred despite the resident requiring assistance and being cognitively intact.
Inadequate supervision during sit-to-stand transfer
Penalty
Summary
The facility did not ensure adequate supervision and assistance to prevent accidents for a resident who was assessed to transfer with a sit-to-stand mechanical lift and 2 staff. The resident had diagnoses including lumbar spinal stenosis, type 2 diabetes mellitus with diabetic foot ulcer and neuropathy, weakness, a history of falls, and sciatica. The resident’s MDS documented moderately impaired cognition with a BIMS score of 12, maximal assistance for transfers, total assistance for toileting hygiene, frequent bladder incontinence, occasional bowel incontinence, and use of a sit-to-stand mechanical lift. The resident’s records contained conflicting transfer instructions. One care plan section documented an EZ Stand with 2 staff for all transfers, while another active care plan section documented an EZ Stand with 1 assist. The resident summary/CNA care card also directed EZ-Stand with 2 assist for all transfers and toileting. During observation, a CNA transferred the resident from an electric wheelchair to the bathroom toilet using the sit-to-stand mechanical device with only 1 staff member present. The chest strap was loose and positioned above the resident’s chest area, and the resident had a grimacing facial expression during the transfer. When asked, the resident stated the transfer was uncomfortable and felt like the resident was hanging from the strap and pulled at the strap around the chest area. The CNA later stated the resident was supposed to transfer with 2 staff but was transferred alone because the resident wanted to toilet right away. The RN unit manager confirmed the resident should have been transferred with 2 staff and stated the chest strap should sit below the resident’s chest snugly. The DON also stated staff must report discrepancies and follow the status with the most assistance until clarification is received.
Failure to Use Required PPE During EBP Incontinence Care
Penalty
Summary
The facility failed to maintain an infection prevention and control program designed to reduce the transmission of disease and infection for one sampled resident, R4, who was observed receiving incontinence care without appropriate PPE while on Enhanced Barrier Precautions (EBP). R4 was admitted with diagnoses including type 2 diabetes mellitus with diabetic foot ulcer, chronic osteomyelitis, and a history of urinary tract infections. The quarterly MDS documented moderately impaired cognition with a BIMS score of 12, maximal assistance needs for ADLs, frequent bladder incontinence, occasional bowel incontinence, hospice services, and EBP status. The care plan and resident summary/CNA care card both documented EBP and contact isolation interventions. On observation, an EBP sign was posted on R4’s door and PPE was available in a bin outside the room, but CNA-C provided toileting and perineal care while wearing only gloves and no gown, removed a soiled brief, and left the room without washing hands in the resident’s bedroom. CNA-C later re-entered the room with gloves only and again provided perineal care without a gown. CNA-D also entered the room wearing only gloves and assisted with transferring R4 back into an electric wheelchair without a gown. CNA-C and CNA-D stated R4 was not on precautions and that the nurse had to remove the sign, while RN/IP-F stated staff should don PPE when toileting and providing peri care for R4 and confirmed R4 was on EBP.
Failure to Maintain Safe Food Storage Temperatures in Medication Room Refrigerators
Penalty
Summary
The facility failed to ensure that food stored in resident food refrigerators located in medication rooms was maintained at safe temperatures in accordance with professional standards and facility policy. Surveyor observations over multiple days revealed that the food refrigerator on the 2nd floor rehabilitation unit consistently registered temperatures above the facility's required range of 35 to 41 degrees Fahrenheit, with thermometer readings between 42 and 46 degrees Fahrenheit. The temperature log for this refrigerator also documented multiple instances throughout the month where temperatures exceeded the policy limit, and there were several days where no temperature was logged at all. Interviews with staff, including a registered nurse, the culinary services manager, and the nursing home administrator, revealed inconsistent knowledge regarding the correct temperature range for food storage. The temperature log used by the facility did not clearly differentiate between the required temperature ranges for medication and food refrigerators, leading to confusion among staff. The log itself listed a range of 36 to 45 degrees Fahrenheit, which did not align with the facility's food and nutrition policy specifying 35 to 41 degrees Fahrenheit for food storage. Despite repeated elevated temperature readings and incomplete documentation, there was no evidence that maintenance was notified or that corrective action was taken during the period in question. The food refrigerator contained items such as Glucerna, Ensure, applesauce, pudding, and juices, all of which require proper refrigeration. The lack of consistent monitoring, documentation, and timely response to out-of-range temperatures resulted in the facility not meeting food safety requirements for storage.
Unclean Tube Feeding Equipment Due to Unclear Cleaning Responsibilities
Penalty
Summary
A deficiency was identified regarding the cleanliness and sanitation of tube feeding equipment for one resident receiving tube feeding. Multiple observations over several days revealed that the resident's tube feeding pole and associated equipment, including the screen, base, and power cord, were covered in dried tube feeding splatter, crust, and unknown debris. Despite repeated observations, the equipment remained unclean, and the unsanitary condition persisted. Interviews with staff, including LPNs, housekeeping, and the Director of Nursing (DON), revealed confusion and lack of clarity regarding responsibility for cleaning the tube feeding poles. Some staff believed housekeeping was responsible, while others indicated that nursing staff should clean the equipment at the end of each shift. The ongoing lack of cleaning and unclear assignment of duties resulted in the tube feeding equipment remaining in an unsanitary state for several days.
Failure to Maintain Infection Control During Bowel and Bladder Care
Penalty
Summary
Surveyors observed multiple failures in infection prevention and control practices during bowel and bladder care for a resident with hemiplegia and a gastrostomy tube. On several occasions, staff did not maintain proper hygiene or aseptic technique. The resident was observed sitting directly on their feeding tube tubing while using a bedside commode. A LPN disconnected the tubing, removed it from under the resident, hung it back on the feeding pole, and then reconnected it to the feeding tube port without changing the tubing. Additionally, a CNA cleaned the resident's rectal area after a bowel movement and, without changing dirty gloves, handed the resident a washcloth and applied cream to the resident's buttock. The resident confirmed that the tube feeding was reconnected without the tubing being changed. Further observations included a CNA bringing a clear garbage bag of washcloths from the bathroom, using a washcloth from the bag to clean the resident, and then dropping the bag so that washcloths fell onto the floor. The CNA then picked up a washcloth from the floor and handed it to the resident for peri care. The CNA stated the washcloths were clean. The resident was cognitively intact, required partial to moderate assistance with toileting hygiene, and was frequently incontinent. These actions demonstrate a lack of adherence to infection control protocols during personal care and handling of medical equipment.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Milwaukee
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Eastcastle Pl Bradford Ter Conv Ctr | 0.2 mi | ★★★★★ | 16 | 0 |
| Edenbrook Lakeside | 0.4 mi | ★★★★★ | 29 | 1 |
| Saint Johns On The Lake | 0.7 mi | ★★★★★ | 1 | 0 |
| Jewish Home And Care Center | 1.1 mi | ★★★★★ | 22 | 3 |
| Milwaukee Health And Rehab | 3.8 mi | ★★★★★ | 14 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.