The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited February 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Nursing home report
Saint Johns on the Lake
MILWAUKEE, WI · Medicare-certified · 27 beds
In good standing
Non-profit
4 of 5 overall
Saint Johns on the Lake in Milwaukee has a 4-star overall rating, with 5-star staffing and nurse staffing above the federal benchmark (5.21 vs. 4.1 hours/resident/day). Its health inspection and quality measures are each 3 stars, with no fines in the last 24 months; recent citations involved pressure ulcer care, food safety, and infection prevention and control.
Facility ratings
Health inspections
Staffing
5.205 hrs/resident/day
Quality measures
Last inspection: June 3, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 5.205.
Staffing detail
- Registered nurses
- 1.29
- Licensed practical nurses
- 0.80
- Nurse aides
- 3.11
- Weekend nursing
- 4.74
Hours per resident per day.
Total staff turnover: 40%
Registered nurse turnover: 25%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
2.6%Steady
Residents with a fall causing major injury
8.2%Steady
Residents with pressure ulcers (bedsores)
3.7%Steady
Residents with a urinary tract infection
4.3%Steady
Residents who lost too much weight
12.2%Steady
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
18.2%Steady
Residents whose ability to walk got worse
16.3%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
16%Steady
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
8.2%Steady
Residents with new or worsening incontinence
23%Steady
Residents with depressive symptoms
0%Steady
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
100%Steady
Short-stay residents given the pneumonia vaccine
94.4%Improving
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited June 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited June 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The nursing home failed to keep essential equipment working safely. Cited June 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 908 — 42 CFR §483.90 — S/S: F
The home failed to prevent unnecessary mind-altering medications or ensure medicines did not limit a resident’s ability to function. Cited June 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 605 — 42 CFR §483.12 — S/S: D
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- Non profit - Church related
- Occupancy
- 22.6 residents on an average day (84% of 27 beds)
- Resident voice
- Resident & family councils
- Medicare history
- Certified for 31 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.