THE GARDENS OF ST. FRANCIS
THE GARDENS OF ST. FRANCIS operates 60 certified beds in OREGON, Ohio. Its Medicare and Medicaid certification dates to 2005-05-09. It averages 56.5 residents a day.
What harm was found in the violations cited at THE GARDENS OF ST. FRANCIS?
CMS lists 40 health-inspection deficiencies for THE GARDENS OF ST. FRANCIS since 2021-09-08, 17 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2026-03-26.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-03-26 | F0605, F0883 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. / Develop and implement policies and procedures for flu and pneumonia vaccinations. | E |
| 2026-03-26 | F0561, F0645, F0684, F0686 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / PASARR screening for Mental disorders or Intellectual Disabilities / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D |
| 2024-03-07 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| 2024-02-01 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2024-02-01 | F0550, F0582, F0684, F0690, F0697, F0755, F0759, F0761 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide safe, appropriate pain management for a resident who requires such services. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure medication error rates are not 5 percent or greater. / Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D |
| 2023-10-11 | F0760 | Ensure that residents are free from significant medication errors. | G |
| 2021-09-08 | F0812, F0880, F0886 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program. / Perform COVID19 testing on residents and staff. | F |
| 2021-09-08 | F0584, F0656, F0684 | 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. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E |
| 2021-09-08 | F0550, F0561, F0580, F0623, F0625, F0641, F0657, F0677, F0685, F0686, F0689, F0755, F0756, F0758, F0803, F0842, F0883 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. / Ensure each resident receives an accurate assessment. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Assist a resident in gaining access to vision and hearing services. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. / Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Develop and implement policies and procedures for flu and pneumonia vaccinations. | D |
Why was THE GARDENS OF ST. FRANCIS fined?
| Date | Type | Amount |
|---|---|---|
| 2024-02-01 | Fine | $45,250 |
Has THE GARDENS OF ST. FRANCIS had payment denied by Medicare?
| Payment denial start | Length in days |
|---|---|
| 2024-03-01 | 7 |
How is THE GARDENS OF ST. FRANCIS staffed relative to the OH average?
| Measure | This facility | OH average |
|---|---|---|
| Total nurse staffing hours per resident per day | 1.48436 | 3.68589 |
| Total nursing staff turnover (%) | 65.6 | 48.7 |
| Average number of residents per day | 56.5 | 73.7 |
Who owns THE GARDENS OF ST. FRANCIS, and what chain is it in?
THE GARDENS OF ST. FRANCIS is registered with CMS as Non profit - Corporation, operates under the legal business name CHI LIVING COMMUNITIES and belongs to the COMMONSPIRIT HEALTH chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | SYLVANIA FRANCISCAN HEALTH | since 11/01/2014 |
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST | COMMONSPIRIT HEALTH | since 11/01/2014 |
| MANAGING CONTROL - GOVERNING BODY | LIPSEY, PRENTICE, MBANU, TERIKA, MELFI, MITCH | since 01/05/2024 |
| CORPORATE DIRECTOR | CECIL, CAITLIN, FINN, CHRISTINA, GRUBBS, STACEY, HAZARD, TED, MUNROE, KYLE, MURRIEL, SHELLY, NAGEL, JENNIFER, SNODGRASS, BARBARA, WINE, MATTHEW | since 03/26/2012 |
| CORPORATE OFFICER | IFFLAND, ALISA, LIPSEY, PRENTICE, REHMER, HEATHER | since 02/01/2019 |
| OPERATIONAL/MANAGERIAL CONTROL | COMMONSPIRIT HEALTH, CONCEPT REHAB, INC., FORVIS MAZARS LLP, ICP INC, OHIO NEWSPAPERS, INC., PRELUDE SYSTEMS, INC., ULRICHPINCIOTTI DESIGN GROUP, LLC, BOWLES, JAXON, CECIL, CAITLIN, COX, DARLENE, DUNAWAY, DEANNA, FINN, CHRISTINA, GRUBBS, STACEY, HAZARD, TED, HOFFMAN, HEIDI, HOWARD, CASEY, IFFLAND, ALISA, KALINOWSKI, ROSANNE, KAUR-GREWAL, NAVNEET, LONGHIN-HOWARD, JOAN, MCFARLAND, DIANNE, MCKNIGHT, ERIN, MEACH, DONALD, MUNROE, KYLE, MURRIEL, SHELLY, NAGEL, JENNIFER, NARGES, DANIEL, POLISETTY, SUDHEER, REHMER, HEATHER, STOINSKI, JENEL, VOELKER, JENNIFER, WINE, MATTHEW, WORTKETTER, KRISTY | since 01/05/2015 |
| INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | LIPSEY, PRENTICE | since 07/21/2025 |
| ADP OF THE SNF | COMMONSPIRIT HEALTH, CONCEPT REHAB, INC., FORVIS MAZARS LLP, ICP INC, OHIO NEWSPAPERS, INC., PRELUDE SYSTEMS, INC., RICHTER AND ASSOCIATES, SYLVANIA FRANCISCAN HEALTH, CECIL, CAITLIN, FINN, CHRISTINA, GRUBBS, STACEY, HAZARD, TED, HOWARD, CASEY, IFFLAND, ALISA, LONGHIN-HOWARD, JOAN, LUCAS, GINA, MCFARLAND, DIANNE, MUNROE, KYLE, MURRIEL, SHELLY, NAGEL, JENNIFER, NORMENT, RACHEL, POLISETTY, SUDHEER, REHMER, HEATHER, SNODGRASS, BARBARA, STOINSKI, JENEL, VOELKER, JENNIFER, WINE, MATTHEW | since 01/01/2019 |
Were you or a family member harmed at THE GARDENS OF ST. FRANCIS?