193 of the 323 Medicare-certified nursing homes in Wisconsin (60%) are chain-owned, and all are listed below. They average 3.89 nursing hours per resident per day, 0.32 hours below the 4.21 for every home in Wisconsin. Nurse staff turnover runs 49.3%, 2.4 points higher than the 46.9% across all homes there. Rennes Health And Rehab Center-Appleton in Appleton grades highest at A (96 out of 100).
How chain-owned homes in Wisconsin compare
This group set against every nursing home in Wisconsin, from the current CMS release.
Wheaton Franciscan's Terrace at St. Francis carries 80 deficiencies on its current record, and 11 of those rise to the level of actual harm or jeopardy. Seven are abuse-related. That is not a paperwork problem, it is a pattern that inspectors keep finding. The health inspection rating of 1 out of 5 reflects it, and the $219,651 in fines across four separate actions shows regulators have penalized it more than once. Staffing sits slightly under the national average, but the bigger issue is retention: 81.6% turnover means most of the people caring for residents this year will not be there next year, and weekends already run thinner than weekdays.
Geneva Lake Manor runs a nonprofit shop with 60 beds, and the raw nursing hours look decent at 4.32 per resident day, about 12% above the national average. Look closer and the picture changes: weekend staffing drops roughly 13% below its own weekday level, and annual turnover sits at 70.9% against a national 45.8%, which means the people covering those hours are often new. The inspection record is where it gets serious, a 1-out-of-5 health inspection rating, 73 deficiencies on file, five at harm or jeopardy level, six tied to abuse, and two fines totaling $130,720. The last inspection was March 2025. Ask about weekend coverage and turnover before you visit.
Edenbrook Lakeside runs 145 beds in Milwaukee, and the staffing numbers are the first thing I'd look at. At 3.43 nurse hours per resident day, it sits about 11% under the national average, and weekends drop roughly 16% below its own weekday levels, so coverage thins out exactly when families tend to visit. The inspection record is the bigger concern: 34 deficiencies, three at harm or jeopardy level, one abuse-related, and $138,434 in fines across two cases, with the last inspection in October 2024. Turnover at 41.4% is actually a bit better than average, which suggests the problem isn't retention so much as how many hands are on deck.
Maple Ridge runs 80 beds under corporate ownership, and its staffing sits about 7% under the national average at 3.58 nurse hours per resident day. Weekends drop roughly 8% below its own weekday coverage, so the thinnest shifts land when families often visit. Turnover at 40.8% is actually better than the 45.8% national figure, which matters for consistency of care. The harder numbers are the 31 deficiencies on record, including two at harm or jeopardy level and two abuse-related, plus a $14,433 fine. The most recent inspection was April 30, 2025, so the record is current, not stale.
Mercy Health Services runs 60 certified beds in Milwaukee under corporate ownership, and the staffing numbers are the first thing to look at. Nurse coverage sits at 3.73 hours per resident day, a bit under the national average, and weekends drop about 12% below what the home staffs on weekdays. Turnover is the bigger concern: 62.3% of staff left over the past year, against a national average of 45.8%. Inspections in May 2025 turned up 32 deficiencies, including two at the harm level and eight related to abuse, with $47,753 in fines on record. CMS rates the home 2 out of 5 on both staffing and quality measures, and 3 on inspections.
Avina On 32Nd runs about 2.89 nursing hours per resident per day, roughly a quarter below the national average, and weekends are thinner still, around 16% below its own weekday coverage. Staff turnover sits at 48.6%, a few points above the national figure, and the state's current record shows 42 deficiencies, including one at the harm or jeopardy level and six tied to abuse. The last inspection was November 20, 2024. One fine totaling $26,322 is on file. Corporate-owned and Medicare-certified for 110 beds, this is a home where the numbers point to thin staffing and a long citation history rather than isolated problems. If you're considering it, ask directly how many nurses are on the floor on a Saturday night.
Beaver Dam Health Care Center carries 110 deficiencies on its current record, 11 of them serious enough to put residents in immediate harm, 15 tied to abuse. That's the kind of inspection history that lands a home in CMS's Special Focus Facility program, which it's in. The 1-out-of-5 health inspection rating reflects it, and the two fines on file total nearly $96,000. Staffing sits at 3.36 hours per resident day against a national 3.86, and it thins out further on weekends by about 14 percent. Annual turnover runs 56.1 percent, roughly ten points above the national average, meaning the people caring for residents here are cycling through faster than almost anywhere else. Owned by an individual for profit, licensed for 90 beds.
Lakeshore at Siena runs 4.70 nurse hours per resident day, about 22% above the national average, but weekends drop roughly 14% below its own weekday level, so the coverage your family sees Monday isn't what shows up Saturday. And the staff delivering it turn over at 73.3% a year, against 45.8% nationally, meaning most caregivers are new. The inspection record is the hard part: 57 deficiencies, four at harm or jeopardy level, eight abuse-related, with the most recent inspection in February 2026. The church-affiliated nonprofit ownership hasn't translated into a clean survey history. Strong weekday staffing is real. It's carrying a lot of weight here.
Complete Care At Grande Prairie runs on thinner nurse coverage than most homes, 3.44 hours per resident day against a national average of 3.86, with weekends dipping even further below its own weekday pace. That staffing gap matters more given a 60.9% annual turnover rate, meaning the aides and nurses in the building change over faster than they can learn residents' routines, and 21 deficiencies sit on the current record, including three serious enough to cause harm and five tied to abuse. State inspectors last visited in May 2026, though the limited liability ownership and a $65,556 fine suggest oversight has been active. Ask about weekend nurse coverage and how they screen staff before you decide.
Autumn Lake Healthcare at Greenfield runs a for-profit LLC home with 112 certified beds on Milwaukee's south side, and the staffing picture is genuinely mixed. Nurses provide 4.41 hours per resident day, roughly 14% above the national average, but weekend coverage drops about 10% below the home's own weekday level, so the help you'd want on a Saturday isn't quite what the weekday numbers suggest. What's harder to get past is the record: 64 deficiencies, seven at harm or jeopardy level, eight tied to abuse, and two fines totaling $152,619. Annual turnover of 76.2% means most of the staff caring for your family member this year likely won't be there next year.
Careview Health And Rehab Of Minocqua runs 72 certified beds under individual for-profit ownership, and the numbers behind its record are worth sitting with. Nurse staffing sits at 3.33 hours per resident day, roughly 14 percent under the national average, and weekends drop about 8 percent below its own weekday levels, so coverage is thinnest exactly when families tend to visit. The inspection history is heavier: 85 deficiencies on the current record, including 6 at harm or jeopardy level and 12 tied to abuse, with three fines totaling $42,834. Federal inspectors were last in the building on January 27, 2026. If you're weighing this one, ask directly how they staff weekends and what changed since that inspection.
Complete Care At Kensington runs 3.53 nurse hours per resident day, roughly 9% under the national average, and weekends drop about 11% below its own weekday staffing. That thinner weekend coverage matters in a 150-bed building, and it shows up in the numbers: staff turnover sits at 55.8% against a national 45.8%, and CMS gives staffing its lowest mark. The inspection record is heavier than most, 32 deficiencies, three serious enough to involve harm or jeopardy, two tied to abuse, and a $66,632 fine. Ownership is for-profit, through a limited liability company. The current record was last reviewed in April 2026.
Rock River runs more nurse hours per resident than the typical U.S. nursing home, and its most recent inspection came in December 2025, so the record isn't stale. The problem is what that record contains: 118 deficiencies, including 10 at the level where residents were actually harmed or put in immediate jeopardy, plus 9 tied to abuse. Two fines total $136,384, and CMS has placed the home in its Special Focus Facility program, a designation reserved for the country's poorest performers.
Staffing tells a similar story from the inside. Turnover sits at 70.2% against a national average near 46%, meaning most of the people caring for residents this year likely won't be there next year, and weekend coverage drops about 11% below the home's own weekday level. More hours on paper, but a workforce that keeps emptying out.
Marquardt Memorial Manor runs 3.22 nurse staffing hours per resident day, about 16% under the national average, and weekends drop roughly 8% below its own weekday level. Turnover sits at 45.2%, essentially the national rate, so the problem here isn't retention, it's how thin the coverage is day to day. The inspection record shows 44 deficiencies, including 3 at the harm or jeopardy level and 4 tied to abuse, with one fine of $26,706 and a survey dated February 2026. All three CMS star ratings land at 2 out of 5. For a 140-bed nonprofit in Watertown, the numbers describe a home with real quality and safety problems, not just a staffing squeeze.
Avina Of Pewaukee runs 120 certified beds under corporate ownership, and the staffing numbers are the first thing to notice: 3.28 nurse hours per resident day, roughly 15 percent under the national average, with weekends dropping about 13 percent below its own weekday level. That thinner coverage matters more when you look at the inspection record, 55 deficiencies, two at harm or jeopardy level, and eight tied to abuse, plus a $95,791 fine. Staff turnover sits at 43.3 percent, slightly better than the national 45.8 percent, but the most recent inspection came in June 2025 and the health inspection rating remains 1 out of 5. Ask about weekend coverage and the abuse-related citations specifically.
Chi Franciscan Villa runs 90 beds in South Milwaukee, and the numbers behind its federal record are hard to dress up. Nurse staffing sits at 3.46 hours per resident day, about 10 percent under the national average, and weekends drop roughly 16 percent below what the home itself staffs on weekdays, while half the nursing staff turned over in a year. The inspection history carries more weight than the staffing shortfall: 65 deficiencies on the current record, including 10 at the harm or jeopardy level and 11 tied to abuse, plus four fines totaling $208,607. Its last inspection was May 29, 2026.
Meadowbrook At Black River Falls runs 45 certified beds in Jackson County under for-profit corporate ownership, and its nurse staffing sits at 4.14 hours per resident day, roughly 7% above the national average of 3.86. That's the strongest number here. Almost everything else points the other way: weekend staffing drops about 7% below its own weekday level, and annual turnover hits 66% against a national average of 45.8%, meaning most of the people providing that care are new to the building. Federal inspectors rate health inspections 2 out of 5 stars and quality measures 1 out of 5. The current record carries 39 deficiencies, including 3 at the harm or jeopardy level and 4 tied to abuse, plus three fines totaling $108,338.
Complete Care At Care Age has 110 certified beds in Brookfield and runs on a for-profit corporate model. The staffing numbers look decent on paper, 4.33 nurse hours per resident day, about 12% above the national average, but weekend coverage dips roughly 7% below its own weekday level, and annual turnover sits at 69% against a national average of 45.8%. That churn matters more than the headline staffing figure. On inspections, the home holds a 1-out-of-5 star rating, with 31 deficiencies on record, including five at the harm or jeopardy level and five tied to abuse. Two fines total $80,375, and the most recent inspection was June 2025.
Avina Of Weyauwega runs 84 certified beds under for-profit LLC ownership, and the numbers behind its record are worth knowing before you visit. Nurse staffing sits at 3.73 hours per resident day, slightly under the national average, but weekends drop about 20% below what the home staffs on weekdays, and annual turnover hits 62.9% against a national rate of 45.8%. Inspectors have cited 56 deficiencies, five of them at the harm or jeopardy level and three tied to abuse, with four fines totaling $115,004; the most recent inspection was April 2025. The one bright spot is the quality measure rating, which reflects resident care metrics rather than the staffing and inspection problems.
Franciscan Woods has enough nurses on paper, 4.39 hours per resident day, roughly 14% above the national average, and that's where the good news mostly stops. Weekend coverage drops about 16% below its own weekday level, so the hours aren't spread evenly across the week. The bigger problem is continuity: annual turnover sits at 76%, well above the national 45.8%, which means the people providing that care keep leaving. On inspections, the record shows 50 deficiencies, including 5 at the harm level and 7 tied to abuse, with a $120,905 fine and a survey from April 2026. Low inspection and quality scores against strong staffing numbers tell you the issue isn't how many staff there are, it's what's happening when they're there.
Frequently asked questions
How many chain-owned nursing homes are there in Wisconsin?
There are 193 chain-owned Medicare-certified nursing homes in Wisconsin, 60% of the 323 nursing homes there.
Are chain-owned nursing homes better staffed?
In Wisconsin they average 3.89 total nursing hours per resident per day, against 4.21 for all nursing homes in Wisconsin, a difference of -0.32 hours. Staff turnover averages 49.3% against 46.9%.
Which chain-owned nursing home grades best in Wisconsin?