Nursing Home
Saint Johns on the Lake
Medicare Outcome Measures
- No Different than the National Rate
Potentially preventable hospital readmissions
9.56% (lower is better)
- No Different than the National Rate
Residents discharged back to the community
53.28% (higher is better)
Source: CMS Skilled Nursing Facility Quality Reporting Program. Rates are risk-standardized by CMS; the comparison category is CMS's own, shown exactly as published.
Clinical Quality Measures
-
Long-stay residents with a urinary tract infection
1.4%
national median 0.9%
worse than the national median
-
Long-stay residents experiencing falls with major injury
6.8%
national median 2.8%
worse than the national median
-
Short-stay residents who newly received an antipsychotic medication
0.0%
national median 1.0%
better than the national median
-
Long-stay residents whose ability to walk independently worsened
15.2%
national median 12.5%
worse than the national median
-
Long-stay residents with pressure ulcers
6.4%
national median 4.2%
worse than the national median
-
Long-stay residents who received an antipsychotic medication
4.9%
national median 13.4%
better than the national median
Source: CMS MDS quality measures (four-quarter average).
Nurse Staffing
- Nurse staffing per resident per day
- 5.3 hours
- Registered nurse (RN) time per resident per day
- 1.5 hours
- Weekend nurse staffing per resident per day
- 4.9 hours
- Nursing staff turnover in the past year
- 38.7%
WI average: 4.2 hours · National: 3.9 hours
All nursing staff combined: RNs, LPNs/LVNs, and nurse aides.
WI average: 1.0 hours · National: 0.7 hours
RN hours only — the most highly trained nursing staff.
WI average: 3.8 hours · National: 3.4 hours
Total nurse staffing on Saturdays and Sundays, when staffing typically dips.
WI average: 46.9% · National: 45.8%
Share of this facility’s nursing staff who stopped working there over 12 months.
Reported by facilities through CMS's Payroll-Based Journal system. Facility values and the state/national averages are shown exactly as CMS publishes them. More staffing hours are generally better; lower turnover is generally better.
Ownership
- Ownership type
- Non profit - Church related
Who owns this facility — 25 entries in CMS's ownership records expand ↓
- Saint John's Communities, Inc. Organization
- Us Bank National Association Organization
- Anderson, Renee Individual
- Lemminger, Dan Individual
- Saint John's Communities, Inc. Organization
- The Medical College Of Wisconsin Inc Organization
- Loyd, Matthew Individual
- Petitt, Dorothy Individual
- Saltness, Rachel Individual
- Behavioral Solutions Inc Organization
…and 15 more entries in CMS's ownership records for this facility.
From CMS's nursing-home ownership file. Roles and percentages are as reported to CMS by the facility; one person or entity can hold several roles.
Inspections & Fire Safety — 7 health (WI avg 9.5) · 8 fire (WI avg 5.9) · ⚠ 1 serious Details
14 deficiencies cited across recent inspection cycles, including ⚠ 1 serious (actual harm or immediate jeopardy). Most recent survey: April 1, 2026.
Most recent inspection cycle: 7 health deficiencies · WI average: 9.5 · National: 9.3
21 fire-safety deficiencies cited — most often smoke (8) and gas, vacuum, and electrical systems (4).
Most recent fire-safety inspection (2025-06-03): 8 deficiencies · WI average: 5.9 · National: 4.5
Sources: CMS health inspection reports (standard surveys and complaint investigations) and CMS Life Safety Code inspections (smoke barriers, sprinklers, exits, emergency preparedness). Averages are CMS-published state and national figures for the most recent inspection cycle.
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How Saint Johns on the Lake compares nearby
Compared with the 8 other nursing homes within 25 miles — 9 facilities in all, CMS data only.
Among the 9 nursing homes within 25 miles, Saint Johns on the Lake's overall star rating is 4★; the median among the 8 peers reporting it is 3.5★.
| Measure | This facility | Nearby median | Best nearby |
|---|---|---|---|
| Overall star rating reported by 8 of 8 nearby peers | 4★ | 3.5★ | 5★ |
| Health inspections reported by 8 of 8 nearby peers | 3★ | 3★ | 5★ |
| Staffing reported by 8 of 8 nearby peers | 5★ | 2★ | 5★ |
| Quality measures reported by 8 of 8 nearby peers | 3★ | 3★ | 5★ |
The comparison group
- Jewish Home and Care Center
- Edenbrook Lakeside
- Eastcastle Pl Bradford Ter Conv Ctr
- Milwaukee Catholic Home
- St Ann Health and Rehabilitation Center
- Milwaukee Health and Rehab
- Mercy Health Services
- Wheaton Franciscan HC - Terrace at St Francis
Cohort: within 25 miles · CMS data period 2026-08 · method cohort-v1 · comparisons are never affected by claiming or payment. How nearby comparisons work