316 East 14th Street, Kaukauna, WI 54130 · Outagamie County · (920) 766-6020
105 certified beds, about 97 residents a day · Non profit - Corporation · Medicare and Medicaid since 1997
CMS Care Compare ratings, data as of September 1, 2026 · CCN 525617 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on May 12, 2026, inspectors cited 0 health deficiencies (the Wisconsin average is 9.5, the national average 9.2).
None of its 8 health citations since March 2024 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.80 hours per resident per day, against 4.21 across Wisconsin and 3.86 nationally. Registered nurses accounted for 1.05 of those hours.
36.6% of nursing staff left within the year CMS measured (Wisconsin average 46.9%).
CMS links it to Franciscan Sisters of Christian Charity, an affiliated group of 3 nursing homes.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 8 health citations on file.
Inspectors wroteBased on staff interview and record review, the facility did not ensure a provider was notified of a change in condition for 1 resident (R) (R1) of 3 sampled residents. The facility did not notify a provider and obtain an order when staff increased R1's oxygen (O2) to 4 liters per minute (LPM).
Inspectors wroteBased on staff and resident interview and record review, the facility did not ensure the environment was free from abuse for 7 residents (R) (R2, R4, R10, R11, R3, R1, and R9) of 11 sampled residents. R2 was involved in 8 resident-to-resident altercations between 1/25/25 and 5/29/25. The facility added interventions to R2's care plan and moved residents who might trigger R2 off the unit in an attempt to prevent future incidents, however, the interventions implemented failed to prevent further resident-to-resident altercations and instances of abuse.
Inspectors wroteBased on observation, staff interview, and record review, the facility did not ensure food was stored and prepared in a sanitary manner. This practice had the potential to affect more than 4 of the 98 residents residing in the facility. Food items were not labeled with received, opened, or use-by dates. Staff did not the ensure the temperature of the activity freezer was monitored to ensure resident food was stored safely. Cook (CK)-F and CK-E did not wait two minutes to temp microwave reheated food to ensure the food was heated evenly.
Inspectors wroteBased on staff interview and record review, the facility did not accurately code Minimum Data Set (MDS) 3.0 assessments for 2 residents (R) (R59 and R214) of 27 sampled residents. R59's MDS assessment, dated 3/14/25, inaccurately indicated R59 had an unhealed stage 3 pressure injury. R214 had a physician order for tramadol (an opioid medication used to treat moderate to severe pain). R214's MDS assessments, dated 3/9/25 and 3/25/25, did not indicate R214 received opioid medication.
Inspectors wroteBased on observation, staff and resident interview, and record review, the facility did not ensure the appropriate care and treatment was provided for 1 resident (R) (R11) of 27 sampled residents. R11 had a wound on the left great toe. Staff did not complete a wound assessment or provide appropriate care for the wound. In addition, R11 was not provided compression stockings as ordered and was not placed on enhanced barrier precautions (EBP) when the wound was discovered.
Inspectors wroteBased on staff interview and record review, the facility did not provide the necessary respiratory care and services for 3 residents (R) (R25, R29, and R13) of 3 sampled residents. R25 and R29's plans of care did not indicate R25 and R29 received oxygen therapy and did not contain orders to change R25 and R29's oxygen tubing. R13's plan of care did not indicate R13 received oxygen therapy.
Inspectors wroteBased on observation, staff interview, and record review, the facility did not maintain an infection prevention and control program designed to prevent the transmission of communicable disease and infection for 2 residents (R) (R25 and R16) of 27 sampled residents. R25 was on airborne precautions (used to prevent the spread of germs through the air). Following the provision of care on 4/1/25, Certified Nursing Assistant (CNA)-L and CNA-M removed their N95 masks (used to filter out viruses in the air) prior to leaving R25's room. R16 had a catheter and was on enhanced barrier precautions (EBP). On 4/1/25, CNA-I and CNA-J did not wear gowns during high-contact resident cares.
Inspectors wroteBased on staff interview and record review, the facility did not ensure an allegation of misappropriation was reported to the State Agency (SA) for 1 resident (R) (R3) of 2 sampled residents. On 8/8/24, R3 alleged Certified Nursing Assistant (CNA)-C took R3's Fentanyl patch. The allegation of misappropriation was not reported to the SA.
12 fire safety citations on file: 5 on April 2, 2025, 7 on March 20, 2024.
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Wisconsin | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.80 | 4.21 | 3.86 |
| Registered nurses | 1.05 | 0.99 | 0.69 |
| All nursing staff on weekends | 4.47 | 3.77 | 3.42 |
| Nurse aides | 3.14 | ||
| Licensed practical nurses | 0.61 | ||
| Nursing staff turnover (share who left in a year) | 36.6% | 46.9% | 45.8% |
| Registered nurse turnover | 33.3% | 39.7% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.91 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.94 on weekdays and 4.47 on weekends, 10% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 4.2% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.77 in April to June 2025 to 4.80 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.80 | 1.05 | 4.94 | 4.47 | 4.2% | 0 of 90 | 97 |
| Oct to Dec 2025 | 4.62 | 1.02 | 4.74 | 4.33 | 3.9% | 0 of 92 | 96 |
| Jul to Sep 2025 | 4.69 | 1.01 | 4.80 | 4.40 | 2.1% | 0 of 92 | 100 |
| Apr to Jun 2025 | 4.77 | 1.14 | 4.93 | 4.37 | 0.0% | 0 of 91 | 100 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Wisconsin, Jan to Mar 2026 | 4.19 | 0.95 | 4.36 | 3.74 | 8.8% | 0.3% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Wisconsin, all employers | |||
| CNAs (nursing assistants) | $21.70 | $19.03 to $22.75 | 28,370 |
| LPNs and LVNs | $30.65 | $28.67 to $36.06 | 7,390 |
| Registered nurses | $45.93 | $39.39 to $49.33 | 68,060 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Wisconsin | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 21.4 | 16.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.3 | 2.1 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.8 | 2.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.1 | 3.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.8 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 16.8 | 18.4 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.4 | 5.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 18.6 | 15.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 18.5 | 23.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 8.3 | 15.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.1 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.2 | 2.3 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for St. Paul Elder Services, Inc's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (59.0% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
59.0% this home
No different from the national rate
US median of homes 51.5% · Wisconsin: 52 better, 26 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 156 eligible stays.
8.8% this home
No different from the national rate
US median of homes 10.7% · Wisconsin: 0 better, 6 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 171 eligible stays.
5.3% this home
No different from the national rate
US median of homes 7.1% · Wisconsin: 0 better, 0 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 91 eligible stays.
72.5% this home
Median of homes: Wisconsin54.2% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 69 residents counted.
1.2% this home
Median of homes: Wisconsin0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 83 residents counted.
2.5% this home
Median of homes: Wisconsin2.2% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 83 residents counted.
100.0% this home
Median of homes: Wisconsin100.0% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 64 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: ST PAUL ELDER SERVICES, INC. CMS links this home to Franciscan Sisters of Christian Charity, a group of 3 nursing homes averaging 3.7 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Abel, Jackie | Corporate director | Individual | 01/01/2015 | |
| Acker, Charleen | Corporate director | Individual | 03/01/2017 | |
| Brady, Nicole | Corporate director | Individual | 03/01/2019 | |
| Eiting, Clay | Corporate director | Individual | 03/01/2024 | |
| Gage, Michael | Corporate director | Individual | 03/01/2019 | |
| Hietpas, Pat | Corporate director | Individual | 03/01/2018 | |
| Kohlmann, Joellen | Corporate director | Individual | 03/01/2024 | |
| Lemke, Karmen | Corporate director | Individual | 06/02/2025 | |
| Vandehey, Paula | Corporate director | Individual | 03/01/2024 | |
| Schroeder, Amber | Corporate officer | Individual | 07/19/2022 | |
| Amergis Healthcare Staffing, Inc | Operational/managerial control | Organization | 07/01/2025 | |
| Davis Clinical Consulting | Operational/managerial control | Organization | 01/01/2025 | |
| Franciscan Sisters of Christian Charity Sponsored Ministries, Inc. | Operational/managerial control | Organization | 03/15/2010 | |
| P&m Holding Group LLP | Operational/managerial control | Organization | 01/01/2011 | |
| Prn Health Services, Inc. | Operational/managerial control | Organization | 10/01/2022 | |
| Abel, Jackie | Operational/managerial control | Individual | 01/01/2015 | |
| Acker, Charleen | Operational/managerial control | Individual | 03/01/2017 | |
| Brady, Nicole | Operational/managerial control | Individual | 03/01/2019 | |
| Eiting, Clay | Operational/managerial control | Individual | 03/01/2024 | |
| Gage, Michael | Operational/managerial control | Individual | 03/01/2019 | |
| Hietpas, Pat | Operational/managerial control | Individual | 03/01/2018 | |
| Kienert, Kelsey | Operational/managerial control | Individual | 10/01/2024 | |
| Kohlmann, Joellen | Operational/managerial control | Individual | 03/01/2024 | |
| Lemke, Karmen | Operational/managerial control | Individual | 06/02/2025 | |
| Mashl, Megan | Operational/managerial control | Individual | 06/26/2017 | |
| Neville, Ryan | Operational/managerial control | Individual | 02/13/2025 | |
| Sabin-Wilson, Lisa | Operational/managerial control | Individual | 09/15/2025 | |
| Schroeder, Amber | Operational/managerial control | Individual | 07/19/2022 | |
| Vandehey, Paula | Operational/managerial control | Individual | 03/01/2024 | |
| Amergis Healthcare Staffing, Inc | Adp of the SNF | Organization | 01/13/2026 | |
| Davis Clinical Consulting | Adp of the SNF | Organization | 12/23/2025 | |
| Franciscan Sisters of Christian Charity Sponsored Ministries, Inc. | Adp of the SNF | Organization | 12/23/2025 | |
| P&m Holding Group LLP | Adp of the SNF | Organization | 01/13/2026 | |
| Prn Health Services, Inc. | Adp of the SNF | Organization | 01/13/2026 | |
| Abel, Jackie | Adp of the SNF | Individual | 01/01/2015 | |
| Acker, Charleen | Adp of the SNF | Individual | 03/01/2017 | |
| Brady, Nicole | Adp of the SNF | Individual | 03/01/2019 | |
| Eiting, Clay | Adp of the SNF | Individual | 03/01/2024 | |
| Gage, Michael | Adp of the SNF | Individual | 03/01/2019 | |
| Hietpas, Pat | Adp of the SNF | Individual | 03/01/2018 | |
| Kienert, Kelsey | Adp of the SNF | Individual | 10/01/2024 | |
| Kohlmann, Joellen | Adp of the SNF | Individual | 03/01/2024 | |
| Lemke, Karmen | Adp of the SNF | Individual | 06/02/2025 | |
| Mashl, Megan | Adp of the SNF | Individual | 06/26/2017 | |
| Neville, Ryan | Adp of the SNF | Individual | 02/13/2025 | |
| Schroeder, Amber | Adp of the SNF | Individual | 07/19/2022 | |
| Vandehey, Paula | Adp of the SNF | Individual | 03/01/2024 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
These are the official offices in Wisconsin. NursingHomeClear cannot take or act on complaints.