Federal inspection record · CMS data as of October 1, 2026

The Gardens Of St. Francis

930 South Wynn Road, Oregon, OH · (419) 698-4331

CMS overall rating

4 of 5

Compare with a nearby home →
Certified beds
60
Residents per day
55
Ownership
Non-Profit
Chain
Commonspirit Health
Medicare / Medicaid
Medicare + Medicaid
Certified since
May 9, 2005

1

How this home got 4 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Ohio.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    +1 star

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    4 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Ohio homes

The Gardens Of St. Francis carries 43 inspection points. That is fewer than 65% of Ohio's 913 rated homes.

5★4★3★2★1★+28 homes above 24805102550100200inspection points → fewer is better on the leftThis home · 43 pts · 3★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Ohio: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–15 pts
  • 4★ 15–42 pts
  • 3★ 42–69 pts
  • 2★ 69–121.25 pts
  • 1★ over 121.25 pts

Bars show every rated home in Ohio by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

40 health citations on record since 2021. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 2 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 30 4 pts
E 5 8 pts
F 3 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

Harm and immediate-jeopardy citations (2)

  1. G

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    February 1, 2024 · Standard inspection · Quality of Life and Care · F689 · Corrected March 8, 2024

  2. G

    Ensure that residents are free from significant medication errors.

    October 11, 2023 · Complaint inspection · Pharmacy Service · F760 · Corrected September 30, 2023

Everything else, by area of care

Quality of Life and Care10E
  1. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    March 26, 2026 · Standard · F684 · Corrected April 30, 2026

  2. D

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    March 26, 2026 · Standard · F686 · Corrected April 30, 2026

  3. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    February 1, 2024 · Standard · F684 · Corrected March 8, 2024

  4. D

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    February 1, 2024 · Standard · F690 · Corrected March 8, 2024

  5. D

    Provide safe, appropriate pain management for a resident who requires such services.

    February 1, 2024 · Standard · F697 · Corrected March 8, 2024

  6. E

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    September 8, 2021 · Standard · F684 · Corrected October 15, 2021

  7. D

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    September 8, 2021 · Standard · F677 · Corrected October 15, 2021

  8. D

    Assist a resident in gaining access to vision and hearing services.

    September 8, 2021 · Standard · F685 · Corrected October 15, 2021

  9. D

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    September 8, 2021 · Standard · F686 · Corrected October 15, 2021

  10. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    September 8, 2021 · Standard · F689 · Corrected October 15, 2021

Resident Rights9E
  1. D

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    March 26, 2026 · Standard · F561 · Corrected April 30, 2026

  2. D

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    February 1, 2024 · Standard · F550 · Corrected March 8, 2024

  3. D

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    February 1, 2024 · Standard · F582 · Corrected March 8, 2024

  4. E

    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.

    September 8, 2021 · Standard · F584 · Corrected October 15, 2021

  5. D

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    September 8, 2021 · Standard · F550 · Corrected October 15, 2021

  6. D

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    September 8, 2021 · Standard · F561 · Corrected October 15, 2021

  7. D

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    September 8, 2021 · Standard · F580 · Corrected October 15, 2021

  8. D

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    September 8, 2021 · Standard · F623 · Corrected October 15, 2021

  9. D

    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.

    September 8, 2021 · Standard · F625 · Corrected October 15, 2021

Pharmacy Service7D
  1. D

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    March 7, 2024 · Complaint · F755 · Corrected March 8, 2024

  2. D

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    February 1, 2024 · Standard · F755 · Corrected March 8, 2024

  3. D

    Ensure medication error rates are not 5 percent or greater.

    February 1, 2024 · Standard · F759 · Corrected March 8, 2024

  4. D

    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.

    February 1, 2024 · Standard · F761 · Corrected March 8, 2024

  5. D

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    September 8, 2021 · Standard · F755 · Corrected October 15, 2021

  6. D

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    September 8, 2021 · Standard · F756 · Corrected October 15, 2021

  7. D

    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.

    September 8, 2021 · Standard · F758 · Corrected October 15, 2021

Resident Assessment and Care Planning5E
  1. D

    PASARR screening for Mental disorders or Intellectual Disabilities

    March 26, 2026 · Standard · F645 · Corrected April 30, 2026

  2. E

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    September 8, 2021 · Standard · F656 · Corrected October 15, 2021

  3. D

    Ensure each resident receives an accurate assessment.

    September 8, 2021 · Standard · F641 · Corrected October 15, 2021

  4. D

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    September 8, 2021 · Standard · F657 · Corrected October 15, 2021

  5. D

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    September 8, 2021 · Standard · F842 · Corrected October 15, 2021

Infection Control4F
  1. E

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    March 26, 2026 · Standard · F883 · Corrected April 30, 2026

  2. F

    Provide and implement an infection prevention and control program.

    September 8, 2021 · Standard · F880 · Corrected October 15, 2021

  3. F

    Perform COVID19 testing on residents and staff.

    September 8, 2021 · Standard · F886 · Corrected October 15, 2021

  4. D

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    September 8, 2021 · Standard · F883 · Corrected October 15, 2021

Nutrition and Dietary2F
  1. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    September 8, 2021 · Standard · F812 · Corrected October 15, 2021

  2. D

    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.

    September 8, 2021 · Standard · F803 · Corrected October 15, 2021

Freedom from Abuse, Neglect, and Exploitation1E
  1. E

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    March 26, 2026 · Standard · F605 · Corrected April 30, 2026

Inspection history

  1. 2026-03-26

    6 health deficiencies · 6 fire-safety deficiencies

    Top issue: Quality of Life and Care (2 deficiencies)

  2. 2024-02-01

    9 health deficiencies · 4 fire-safety deficiencies

    Top issue: Quality of Life and Care (4 deficiencies)

  3. 2021-09-08

    25 health deficiencies · 3 fire-safety deficiencies

    Top issue: Resident Rights (6 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 4 h 34 min of nursing staff time a day, 56 min of it from a registered nurse.

This home

4 h 34 min

Ohio average

3 h 43 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 67% of nursing staff and 81% of registered nurses left in the past year, along with 4 administrators.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Fines and payment denials

$45,250 in federal fines on record over the past three years.

DatePenaltyAmount
2024-02-01Fine$45,250
2024-02-01Payment Denial · 7 day denial$0

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.3 pts better1.41.71.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.6 pts better1.11.71.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine23.2 pts worse69.5%92.7%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine7.2 pts worse86.5%93.7%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury7.4 pts worse10.5%3.1%3.2%
Percentage of long-stay residents who have depressive symptoms10.3 pts worse41.9%31.6%13.5%
Percentage of long-stay residents who lose too much weight0.9 pts worse7.0%6.1%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication7.7 pts better17.8%25.5%19.5%
Percentage of long-stay residents who received an antipsychotic medication2.4 pts better6.1%8.5%15.4%
Percentage of long-stay residents who were physically restrained0.1 pts better0.0%0.1%0.1%
Percentage of long-stay residents whose ability to walk independently worsened15.4 pts worse20.7%5.3%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased10 pts worse15.0%5.0%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.2 pts better0.0%0.2%0.7%
Percentage of long-stay residents with a urinary tract infection0.4 pts better0.0%0.4%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.2 pts worse25.1%20.9%18.3%
Percentage of long-stay residents with pressure ulcers1.1 pts better2.1%3.2%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine40 pts worse38.4%78.4%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit4.6 pts better8.0%12.6%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.6 pts better0.6%1.2%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine45.9 pts worse30.5%76.4%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission0.2 pts worse24.6%24.4%23.4%

·

Who owns and runs it

78 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Commonspirit Health5% Or Greater Indirect Ownership Interest · Organization100%18 facilities
Sylvania Franciscan Health5% Or Greater Direct Ownership Interest · Organization100%8 facilities
Bowles, JaxonOperational/Managerial Control · Individual0%1 facilities
Cecil, CaitlinCorporate Director · Individual0%8 facilities
Cecil, CaitlinOperational/Managerial Control · Individual0%8 facilities
Cecil, CaitlinAdp Of The SNF · Individual0%8 facilities
Commonspirit HealthOperational/Managerial Control · Organization0%18 facilities
Commonspirit HealthAdp Of The SNF · Organization0%18 facilities
Concept Rehab, Inc.Operational/Managerial Control · Organization0%22 facilities
Concept Rehab, Inc.Adp Of The SNF · Organization0%22 facilities
Cox, DarleneOperational/Managerial Control · Individual0%1 facilities
Dunaway, DeannaOperational/Managerial Control · Individual0%1 facilities
Finn, ChristinaCorporate Director · Individual0%8 facilities
Finn, ChristinaOperational/Managerial Control · Individual0%8 facilities
Finn, ChristinaAdp Of The SNF · Individual0%8 facilities
Forvis Mazars LlpOperational/Managerial Control · Organization0%295 facilities
Forvis Mazars LlpAdp Of The SNF · Organization0%295 facilities
Grubbs, StaceyCorporate Director · Individual0%8 facilities
Grubbs, StaceyOperational/Managerial Control · Individual0%8 facilities
Grubbs, StaceyAdp Of The SNF · Individual0%8 facilities
Hazard, TedCorporate Director · Individual0%8 facilities
Hazard, TedOperational/Managerial Control · Individual0%8 facilities
Hazard, TedAdp Of The SNF · Individual0%8 facilities
Hoffman, HeidiOperational/Managerial Control · Individual0%1 facilities
Howard, CaseyOperational/Managerial Control · Individual0%8 facilities
Howard, CaseyAdp Of The SNF · Individual0%8 facilities
Icp IncOperational/Managerial Control · Organization0%4 facilities
Icp IncAdp Of The SNF · Organization0%4 facilities
Iffland, AlisaCorporate Officer · Individual0%8 facilities
Iffland, AlisaOperational/Managerial Control · Individual0%8 facilities
Iffland, AlisaAdp Of The SNF · Individual0%8 facilities
Kalinowski, RosanneOperational/Managerial Control · Individual0%1 facilities
Kaur-Grewal, NavneetOperational/Managerial Control · Individual0%1 facilities
Lipsey, PrenticeManaging Control - Governing Body · Individual0%8 facilities
Lipsey, PrenticeCorporate Officer · Individual0%8 facilities
Lipsey, PrenticeIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%8 facilities
Longhin-Howard, JoanOperational/Managerial Control · Individual0%8 facilities
Longhin-Howard, JoanAdp Of The SNF · Individual0%8 facilities
Lucas, GinaAdp Of The SNF · Individual0%8 facilities
Mbanu, TerikaManaging Control - Governing Body · Individual0%8 facilities
Mcfarland, DianneOperational/Managerial Control · Individual0%8 facilities
Mcfarland, DianneAdp Of The SNF · Individual0%8 facilities
Mcknight, ErinOperational/Managerial Control · Individual0%1 facilities
Meach, DonaldOperational/Managerial Control · Individual0%1 facilities
Melfi, MitchManaging Control - Governing Body · Individual0%12 facilities
Munroe, KyleCorporate Director · Individual0%8 facilities
Munroe, KyleOperational/Managerial Control · Individual0%8 facilities
Munroe, KyleAdp Of The SNF · Individual0%8 facilities
Murriel, ShellyCorporate Director · Individual0%8 facilities
Murriel, ShellyOperational/Managerial Control · Individual0%8 facilities
Murriel, ShellyAdp Of The SNF · Individual0%8 facilities
Nagel, JenniferCorporate Director · Individual0%8 facilities
Nagel, JenniferOperational/Managerial Control · Individual0%8 facilities
Nagel, JenniferAdp Of The SNF · Individual0%8 facilities
Narges, DanielOperational/Managerial Control · Individual0%1 facilities
Norment, RachelAdp Of The SNF · Individual0%2 facilities
Ohio Newspapers, Inc.Operational/Managerial Control · Organization0%6 facilities
Ohio Newspapers, Inc.Adp Of The SNF · Organization0%6 facilities
Polisetty, SudheerOperational/Managerial Control · Individual0%4 facilities
Polisetty, SudheerAdp Of The SNF · Individual0%4 facilities
Prelude Systems, Inc.Operational/Managerial Control · Organization0%5 facilities
Prelude Systems, Inc.Adp Of The SNF · Organization0%5 facilities
Rehmer, HeatherCorporate Officer · Individual0%8 facilities
Rehmer, HeatherOperational/Managerial Control · Individual0%8 facilities
Rehmer, HeatherAdp Of The SNF · Individual0%8 facilities
Richter And AssociatesAdp Of The SNF · Organization0%11 facilities
Snodgrass, BarbaraCorporate Director · Individual0%8 facilities
Snodgrass, BarbaraAdp Of The SNF · Individual0%8 facilities
Stoinski, JenelOperational/Managerial Control · Individual0%2 facilities
Stoinski, JenelAdp Of The SNF · Individual0%2 facilities
Sylvania Franciscan HealthAdp Of The SNF · Organization0%8 facilities
Ulrichpinciotti Design Group, LLCOperational/Managerial Control · Organization0%8 facilities
Voelker, JenniferOperational/Managerial Control · Individual0%5 facilities
Voelker, JenniferAdp Of The SNF · Individual0%5 facilities
Wine, MatthewCorporate Director · Individual0%8 facilities
Wine, MatthewOperational/Managerial Control · Individual0%8 facilities
Wine, MatthewAdp Of The SNF · Individual0%8 facilities
Wortketter, KristyOperational/Managerial Control · Individual0%1 facilities

·

Fire safety

13 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke7F
  1. F

    Have an enclosure around a vertical opening shaft.

    March 26, 2026 · K311 · Corrected May 15, 2026

  2. F

    Provide properly protected cooking facilities.

    March 26, 2026 · K324 · Corrected May 15, 2026

  3. F

    Inspect, test, and maintain automatic sprinkler systems.

    March 26, 2026 · K353 · Corrected May 15, 2026

  4. E

    Properly select, install, inspect, or maintain portable fire extinguishes.

    March 26, 2026 · K355 · Corrected May 15, 2026

  5. F

    Have an enclosure around a vertical opening shaft.

    February 1, 2024 · K311 · Corrected May 28, 2024

  6. F

    Provide properly protected cooking facilities.

    February 1, 2024 · K324 · Corrected March 8, 2024

  7. E

    Inspect, test, and maintain automatic sprinkler systems.

    September 8, 2021 · K353 · Corrected October 15, 2021

Miscellaneous5F
  1. F

    Have simulated fire drills held at unexpected times.

    March 26, 2026 · K712 · Corrected May 15, 2026

  2. F

    Have restrictions on the use of flammable curtains.

    March 26, 2026 · K751 · Corrected May 15, 2026

  3. E

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

    February 1, 2024 · K741 · Corrected March 8, 2024

  4. F

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    September 8, 2021 · K761 · Corrected October 15, 2021

  5. D

    Have restrictions on the use of flammable curtains.

    September 8, 2021 · K751 · Corrected October 15, 2021

Gas, Vacuum, and Electrical Systems1E
  1. E

    Ensure proper usage of power strips and extension cords.

    February 1, 2024 · K920 · Corrected March 8, 2024

·

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