St Paul Elder Services, Inc
316 East 14th Street, Kaukauna, WI 54130
St Paul Elder Services, Inc is a nursing home in Kaukauna, Wisconsin. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
CMS star ratings
- 5 of 5CMS overall star rating
- 5 of 5CMS health inspection star rating
- 5 of 5CMS staffing star rating
- 5 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (920) 766-6020
- Last standard health inspection
- May 12, 2026 (5 months ago)
- Certified beds
- 105
- Residents per day, on average
- 99.6
- Ownership type
- Non profit - Corporation
- Legal business name
- St Paul Elder Services, INC
- Chain
- Franciscan Sisters of Christian Charity
- Takes part in
- Medicare and Medicaid
Fewer health citations than the Wisconsin average (8 vs 28).
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of October 28, 2026
Star rating
The CMS quality measures star rating changed from 4 of 5 to 5 of 5.
CMS update of July 29, 2026
Star rating
The CMS health inspection star rating changed from 4 of 5 to 5 of 5.
CMS update of May 27, 2026
Ownership
CMS lists this home under a new chain.
CMS update of April 29, 2026
Star rating
The CMS quality measures star rating changed from 3 of 5 to 4 of 5.
1 citation
Health inspection on March 26, 2026
CMS lists this as a complaint inspection.
Citation F0580. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
CMS lists it as corrected on April 6, 2026.
CMS update of November 20, 2025
Star rating
The CMS overall star rating changed from 4 of 5 to 5 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS staffing star rating changed from 2 of 5 to 5 of 5.
Star rating
The CMS quality measures star rating changed from 4 of 5 to 3 of 5.
CMS update of July 30, 2025
Star rating
The CMS overall star rating changed from 5 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS health inspection star rating changed from 5 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS staffing star rating changed from 3 of 5 to 2 of 5.
1 citation
Health inspection on June 16, 2025
CMS lists this as a complaint inspection.
Citation F0600. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS lists it as corrected on June 17, 2025.
CMS update of April 30, 2025
Star rating
The CMS quality measures star rating changed from 5 of 5 to 4 of 5.
5 citations
Health inspection on April 2, 2025
CMS lists this as a standard inspection.
Citation F0812. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on April 25, 2025.
Citation F0641. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident receives an accurate assessment.
CMS lists it as corrected on April 25, 2025.
Citation F0684. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on April 28, 2025.
Citation F0695. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide safe and appropriate respiratory care for a resident when needed.
CMS lists it as corrected on April 25, 2025.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on April 25, 2025.
5 citations
Fire safety inspection on April 2, 2025
CMS lists this as a standard inspection.
Citation K0345. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have approved installation, maintenance and testing program for fire alarm systems.
CMS lists it as corrected on April 25, 2025.
Citation K0324. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide properly protected cooking facilities.
CMS lists it as corrected on April 25, 2025.
CMS has cited this home for K0324 2 times since 2024.
Citation K0355. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Properly select, install, inspect, or maintain portable fire extinguishes.
CMS lists it as corrected on April 25, 2025.
Citation K0511. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have properly installed electrical wiring and gas equipment.
CMS lists it as corrected on April 25, 2025.
Citation K0712. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Have simulated fire drills held at unexpected times.
CMS lists it as corrected on April 25, 2025.
CMS update of February 26, 2025
Star rating
The CMS staffing star rating changed from 4 of 5 to 3 of 5.
Staffing
Total nurse staffing reported to CMS went from 4.1 to 3.7 hours per resident per day.
CMS update of December 20, 2024
Ownership
CMS ownership records list new owners for this home.
CMS update of October 30, 2024
Star rating
The CMS staffing star rating changed from 5 of 5 to 4 of 5.
Staffing
Total nurse staffing reported to CMS went from 4.7 to 4.1 hours per resident per day.
1 citation
Health inspection on September 26, 2024
CMS lists this as a complaint inspection.
Citation F0609. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS lists it as corrected on October 11, 2024.
CMS update of August 29, 2024
Ownership
CMS ownership records list new owners for this home.
CMS update of May 29, 2024
Star rating
The CMS health inspection star rating changed from 4 of 5 to 5 of 5.
7 citations
Fire safety inspection on March 20, 2024
CMS lists this as a standard inspection.
Citation K0161. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Use approved construction type or materials.
CMS lists it as corrected on April 15, 2024.
Citation K0351. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Install an approved automatic sprinkler system.
CMS lists it as corrected on April 15, 2024.
Citation K0761. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
CMS lists it as corrected on April 15, 2024.
Citation K0918. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on April 15, 2024.
Citation K0222. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Add 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.
CMS lists it as corrected on April 15, 2024.
Citation K0321. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
CMS lists it as corrected on April 15, 2024.
Citation K0324. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide properly protected cooking facilities.
CMS lists it as corrected on April 15, 2024.
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- AMERGIS HEALTHCARE STAFFING, INCOperational/managerial control · not applicable · since 07/01/2025
- DAVIS CLINICAL CONSULTINGOperational/managerial control · not applicable · since 01/01/2025
- FRANCISCAN SISTERS OF CHRISTIAN CHARITY SPONSORED MINISTRIES, INC.Operational/managerial control · not applicable · since 03/15/2010
- P&M HOLDING GROUP LLPOperational/managerial control · not applicable · since 01/01/2011
- PRN HEALTH SERVICES, INC.Operational/managerial control · not applicable · since 10/01/2022
- ABEL, JACKIEOperational/managerial control · not applicable · since 01/01/2015
- ACKER, CHARLEENOperational/managerial control · not applicable · since 03/01/2017
- BRADY, NICOLEOperational/managerial control · not applicable · since 03/01/2019
- EITING, CLAYOperational/managerial control · not applicable · since 03/01/2024
- GAGE, MICHAELOperational/managerial control · not applicable · since 03/01/2019
- HIETPAS, PATOperational/managerial control · not applicable · since 03/01/2018
- KIENERT, KELSEYOperational/managerial control · not applicable · since 10/01/2024
- KOHLMANN, JOELLENOperational/managerial control · not applicable · since 03/01/2024
- LEMKE, KARMENOperational/managerial control · not applicable · since 06/02/2025
- MASHL, MEGANOperational/managerial control · not applicable · since 06/26/2017
- NEVILLE, RYANOperational/managerial control · not applicable · since 02/13/2025
- SABIN-WILSON, LISAOperational/managerial control · not applicable · since 09/15/2025
- SCHROEDER, AMBEROperational/managerial control · not applicable · since 07/19/2022
- VANDEHEY, PAULAOperational/managerial control · not applicable · since 03/01/2024
Questions
When was St Paul Elder Services, Inc last inspected?
CMS lists May 12, 2026 as the date of its most recent standard health inspection.
How many citations (violations) does St Paul Elder Services, Inc have?
CMS lists 8 health citations since September 26, 2024. CMS also calls these deficiencies.
Has St Paul Elder Services, Inc been fined?
CMS lists no fines for this home in the past three years.
What is the CMS star rating of St Paul Elder Services, Inc?
Its CMS overall star rating is 5 of 5.
Is St Paul Elder Services, Inc a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.