A
EASTCASTLE PL BRADFORD TER CONV CTR
95/100 score
0.95 hrs RN staffing
3 deficiencies
SAINT JOHNS ON THE LAKE
1858 N PROSPECT AVE, MILWAUKEE, WI 53202
B
Facility Assessment
Inspectors recorded 1 citation at the actual-harm level or worse in the last three survey cycles.
At or above the 2024 benchmark — above average inspection record.
Quality Breakdown
|
RN Staffing
Registered nurse time each resident receives daily. 2024 federal benchmark: 0.55 hrs. Repealed February 2026.
|
1.31 — At or above the repealed 0.55 hr benchmark |
The 0.55 hour RN standard was repealed effective February 2, 2026 and is not currently enforced. We still grade against it. Why |
|
|
Health Deficiencies (last 3 survey cycles)
Violations found during federal inspections, with how many remain open and how many involved actual harm.
|
Total
13
Outstanding
0
Actual harm or worse (G–L)
1
|
|
CMS Ratings
Overall and Staffing quality ratings from CMS (1-5 stars).
|
Quality: ★★☆☆☆ (2/5)
Staffing: ★★★★★ (5/5)
|
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NursingHomeGrade Score
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75/100 |
Loaded into NursingHomeGrade on April 12, 2026. This is the load date, not the date CMS published the underlying survey data — see release dates.
Inspection Deficiencies
Health inspections identify violations of federal standards. Severity ranges from no actual harm (A–F) to immediate jeopardy (J–L).
1 actual harm issue found among 13 total deficiencies. 13 corrected.
Most recent inspection (June 3, 2025)
F
Potential harm — widespread
F0908
Status: Corrected
Keep all essential equipment working safely.
Environmental Deficiencies — Deficient, Provider has date of correction, corrected August 29, 2025
D
Potential harm — isolated
F0605
Status: Corrected
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation Deficiencies — Deficient, Provider has date of correction, corrected July 7, 2025
F
Potential harm — widespread
F0880
Status: Corrected
Provide and implement an infection prevention and control program.
Infection Control Deficiencies — Deficient, Provider has date of correction, corrected August 29, 2025
D
Potential harm — isolated
F0881
Status: Corrected
Implement a program that monitors antibiotic use.
Infection Control Deficiencies — Deficient, Provider has date of correction, corrected July 3, 2025
F
Potential harm — widespread
F0812
Status: Corrected
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies — Deficient, Provider has date of correction, corrected August 29, 2025
D
Potential harm — isolated
F0645
Status: Corrected
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies — Deficient, Provider has date of correction, corrected July 7, 2025
Inspection cycle 2 (April 24, 2024)
F
Potential harm — widespread
F0880
Status: Corrected
Provide and implement an infection prevention and control program.
Infection Control Deficiencies — Deficient, Provider has date of correction, corrected May 24, 2024
Inspection cycle 3 (February 21, 2023)
D
Potential harm — isolated
F0880
Status: Corrected
Provide and implement an infection prevention and control program.
Infection Control Deficiencies — Deficient, Provider has date of correction, corrected March 27, 2023
E
Potential harm — pattern
F0812
Status: Corrected
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies — Deficient, Provider has date of correction, corrected March 27, 2023
D
Potential harm — isolated
F0755
Status: Corrected
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies — Deficient, Provider has date of correction, corrected March 27, 2023
D
Potential harm — isolated
F0757
Status: Corrected
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies — Deficient, Provider has date of correction, corrected March 27, 2023
D
Potential harm — isolated
F0684
Status: Corrected
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies — Deficient, Provider has date of correction, corrected March 27, 2023
G
Actual harm — isolated
F0686
Status: Corrected
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies — Deficient, Provider has date of correction, corrected April 17, 2023
How We Stay Independent
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Learn about our data methodology →Nearby facilities in MILWAUKEE
Compare local nursing homes using the same CMS-backed grading method.
A
MILWAUKEE CATHOLIC HOME
91/100 score
1.12 hrs RN staffing
3 deficiencies
B
JEWISH HOME AND CARE CENTER
73/100 score
0.65 hrs RN staffing
5 deficiencies
B
EDENBROOK LAKESIDE
73/100 score
1.07 hrs RN staffing
5 deficiencies
C
MERCY HEALTH SERVICES
61/100 score
0.83 hrs RN staffing
5 deficiencies
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