Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

Milwaukee Catholic Home

MILWAUKEE, WI · 107 certified beds · Last Life Safety survey May 20, 2026

CMS Certification Number 525635 · first certified August 1997

Ownership

Independently operated (no chain recorded by CMS) · Non profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

14
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
2
Tags cited more than once
Across separate surveys
7
Inspection & testing records
Of the citations on file

Position within WI

14 citations — more than 35% of the 323 certified nursing homes in WI. Compared within WI rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 6 citations; the earlier surveys in the window averaged 4. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens June 2027 — about 9 months from now. This facility’s last Life Safety survey was May 2026. Facilities in WI are typically surveyed 13–15 months after the last one (median 14), measured over 516 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

1 of the 14 citations on file is Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

4 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 14 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0880 Provide and implement an infection prevention and control program.
  • F-0584 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

How that compares

Citations on file over three years

Compared with the median facility in WI, and nationally. Surveyors differ markedly between states, so the WI figure is the meaningful one.

This facility14WI median17National median11
Citations on file over three years, compared
MeasureCitations
This facility14
Median facility in WI17
Median facility nationally11

Survey history

Citations at each Life Safety survey
22024-0262025-0662026-05
Citations at each Life Safety survey
Survey dateCitations
February 13, 20242
June 3, 20256
May 20, 20266

Most-cited tags

Most-cited tags at this facility
K-03412K-07122K-07611K-03511K-09141K-09181E-00041K-02221
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0341Install a fire alarm system that can be heard throughout the facility.22026-05-20
K-0712Have simulated fire drills held at unexpected times.22026-05-20
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.12025-06-03
K-0351Install an approved automatic sprinkler system.12024-02-13
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.12026-05-20
K-0918Have generator or other power source capable of supplying service within 10 seconds.12026-05-20
E-0004Develop and maintain an Emergency Preparedness Program (EP).12025-06-03
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.12025-06-03

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 5
  • Miscellaneous Deficiencies 3
  • Services Deficiencies 2
  • Gas, Vacuum, and Electrical Systems Deficiencies 2
  • Other 2
Citations by CMS category
CategoryCitations
Smoke Deficiencies5
Miscellaneous Deficiencies3
Services Deficiencies2
Gas, Vacuum, and Electrical Systems Deficiencies2
Egress Deficiencies1
Emergency Preparedness Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

May 20, 2026 — 6 citations

Citations issued on May 20, 2026
TagWhat the surveyor checksStatus
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (June 11, 2026)
K-0341Install a fire alarm system that can be heard throughout the facility.Deficient, Provider has date of correction (June 11, 2026)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (June 24, 2026)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (June 16, 2026)
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.Deficient, Provider has date of correction (June 17, 2026)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (June 25, 2026)

June 3, 2025 — 6 citations

Citations issued on June 3, 2025
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (June 2, 2025)
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.Deficient, Provider has date of correction (June 27, 2025)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (July 4, 2025)
K-0541Install properly constructed and protected linen or trash chutes.Deficient, Provider has date of correction (July 4, 2025)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (June 18, 2025)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (August 12, 2025)

February 13, 2024 — 2 citations

Citations issued on February 13, 2024
TagWhat the surveyor checksStatus
K-0341Install a fire alarm system that can be heard throughout the facility.Deficient, Provider has date of correction (March 27, 2024)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (March 27, 2024)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.