The Gardens Of St. Francis
Oregon, Lucas County, Ohio · CCN 366312 · Non-profit (Corporation) · part of Commonspirit Health (18 facilities, chain average 2.7 stars)
CMS rates The Gardens Of St. Francis 3 of 5 overall as of August 2026. 60 certified beds, 57 residents a day on average. 40 citations on record from the current inspection cycles, 2 involving actual harm; 1 fine totalling $45,250 and 1 payment denial.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★★☆☆ 3 of 5 |
|---|---|
| Health inspections | ★★★☆☆ 3 of 5 |
| Staffing | ★☆☆☆☆ 1 of 5 |
| Quality measures | ★★★★★ 5 of 5 |
| Quality: long-stay / short-stay | 5 / 5 of 5 |
Staffing
| Total nurse staffing | 1.48436 hours per resident per day |
|---|---|
| Registered nurses | 0.26844 hours per resident per day |
| Weekend total | 1.26887 hours per resident per day |
| Nursing staff turnover | 65.6% (registered nurses 80%) |
| Administrators who left | 3 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-03-26 | 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 · tag F0605 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-04-30 |
| 2026-03-26 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · tag F0883 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-04-30 |
| 2026-03-26 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · tag F0561 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-04-30 |
| 2026-03-26 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · tag F0645 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-04-30 |
| 2026-03-26 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-04-30 |
| 2026-03-26 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-04-30 |
| 2024-03-07 complaint survey |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-03-08 |
| 2024-02-01 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2024-03-08 |
| 2024-02-01 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · tag F0550 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-03-08 |
| 2024-02-01 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · tag F0582 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-03-08 |
| 2024-02-01 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-03-08 |
| 2024-02-01 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · tag F0690 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-03-08 |
| 2024-02-01 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · tag F0697 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-03-08 |
| 2024-02-01 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-03-08 |
| 2024-02-01 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · tag F0759 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-03-08 |
| 2024-02-01 | 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. Pharmacy Service Deficiencies · tag F0761 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-03-08 |
| 2023-10-11 complaint survey |
Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · tag F0760 |
G Actual harm that is not immediate jeopardy; isolated | Past Non-Compliance 2023-09-30 |
| 2021-09-08 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2021-10-15 |
| 2021-09-08 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2021-10-15 |
| 2021-09-08 | Perform COVID19 testing on residents and staff. Infection Control Deficiencies · tag F0886 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2021-10-15 |
| 2021-09-08 | 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. Resident Rights Deficiencies · tag F0584 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2021-10-15 |
| 2021-09-08 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2021-10-15 |
| 2021-09-08 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2021-10-15 |
| 2021-09-08 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · tag F0550 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2021-10-15 |
| 2021-09-08 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · tag F0561 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2021-10-15 |
| 2021-09-08 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · tag F0580 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2021-10-15 |
| 2021-09-08 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · tag F0623 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2021-10-15 |
| 2021-09-08 | 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. Resident Rights Deficiencies · tag F0625 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2021-10-15 |
| 2021-09-08 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2021-10-15 |
| 2021-09-08 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · tag F0657 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2021-10-15 |
| 2021-09-08 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2021-10-15 |
| 2021-09-08 | Assist a resident in gaining access to vision and hearing services. Quality of Life and Care Deficiencies · tag F0685 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2021-10-15 |
| 2021-09-08 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2021-10-15 |
| 2021-09-08 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2021-10-15 |
| 2021-09-08 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2021-10-15 |
| 2021-09-08 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · tag F0756 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2021-10-15 |
| 2021-09-08 | 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. Pharmacy Service Deficiencies · tag F0758 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2021-10-15 |
| 2021-09-08 | 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. Nutrition and Dietary Deficiencies · tag F0803 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2021-10-15 |
| 2021-09-08 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · tag F0842 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2021-10-15 |
| 2021-09-08 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · tag F0883 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2021-10-15 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2024-02-01 | Payment denial for 7 days from 2024-03-01 | — |
| 2024-02-01 | Fine | $45,250 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Sylvania Franciscan Health Organization | 5% or greater direct ownership interest | 100% | 2014-11-01 |
| Commonspirit Health Organization | 5% or greater indirect ownership interest | 100% | 2014-11-01 |
| Commonspirit Health Organization | adp of the snf | — | 2014-11-01 |
| Concept Rehab, Inc. Organization | adp of the snf | — | 2025-04-18 |
| Forvis Mazars LLP Organization | adp of the snf | — | 2025-04-18 |
| Icp Inc. Organization | adp of the snf | — | 2025-04-18 |
| Ohio Newspapers, Inc. Organization | adp of the snf | — | 2025-04-18 |
| Prelude Systems, Inc. Organization | adp of the snf | — | 2025-04-18 |
| Richter And Associates Organization | adp of the snf | — | 2019-02-01 |
| Sylvania Franciscan Health Organization | adp of the snf | — | 2014-11-01 |
| Commonspirit Health Organization | operational/managerial control | — | 2014-11-01 |
| Concept Rehab, Inc. Organization | operational/managerial control | — | 2015-01-05 |
| Forvis Mazars LLP Organization | operational/managerial control | — | 2019-08-16 |
| Icp Inc. Organization | operational/managerial control | — | 2024-02-01 |
| Ohio Newspapers, Inc. Organization | operational/managerial control | — | 2011-07-01 |
| Prelude Systems, Inc. Organization | operational/managerial control | — | 2017-04-01 |
| Ulrichpinciotti Design Group, LLC Organization | operational/managerial control | — | 2011-07-01 |
| Cecil, Caitlin Individual | adp of the snf | — | 2012-06-18 |
| Finn, Christina Individual | adp of the snf | — | 2017-07-01 |
| Grubbs, Stacey Individual | adp of the snf | — | 2012-03-26 |
| Hazard, Ted Individual | adp of the snf | — | 2017-11-08 |
| Howard, Casey Individual | adp of the snf | — | 2022-05-01 |
| Iffland, Alisa Individual | adp of the snf | — | 2019-01-01 |
| Longhin-Howard, Joan Individual | adp of the snf | — | 2007-04-16 |
| Lucas, Gina Individual | adp of the snf | — | 2024-06-28 |
| Mcfarland, Dianne Individual | adp of the snf | — | 2023-12-18 |
| Munroe, Kyle Individual | adp of the snf | — | 2015-09-08 |
| Murriel, Shelly Individual | adp of the snf | — | 2024-09-09 |
| Nagel, Jennifer Individual | adp of the snf | — | 2015-11-12 |
| Norment, Rachel Individual | adp of the snf | — | 2019-02-01 |
| Polisetty, Sudheer Individual | adp of the snf | — | 2024-07-01 |
| Rehmer, Heather Individual | adp of the snf | — | 2019-02-01 |
| Snodgrass, Barbara Individual | adp of the snf | — | 2016-08-15 |
| Stoinski, Jenel Individual | adp of the snf | — | 2025-04-28 |
| Voelker, Jennifer Individual | adp of the snf | — | 2019-02-01 |
| Wine, Matthew Individual | adp of the snf | — | 2018-10-01 |
| Cecil, Caitlin Individual | corporate director | — | 2012-06-18 |
| Finn, Christina Individual | corporate director | — | 2017-07-01 |
| Grubbs, Stacey Individual | corporate director | — | 2012-03-26 |
| Hazard, Ted Individual | corporate director | — | 2017-11-08 |
| Munroe, Kyle Individual | corporate director | — | 2015-09-08 |
| Murriel, Shelly Individual | corporate director | — | 2024-09-09 |
| Nagel, Jennifer Individual | corporate director | — | 2015-11-12 |
| Snodgrass, Barbara Individual | corporate director | — | 2016-08-15 |
| Wine, Matthew Individual | corporate director | — | 2018-10-01 |
| Iffland, Alisa Individual | corporate officer | — | 2019-02-01 |
| Lipsey, Prentice Individual | corporate officer | — | 2021-09-17 |
| Rehmer, Heather Individual | corporate officer | — | 2024-06-25 |
| Lipsey, Prentice Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2025-07-21 |
| Lipsey, Prentice Individual | managing control - governing body | — | 2021-11-01 |
| Mbanu, Terika Individual | managing control - governing body | — | 2024-01-05 |
| Melfi, Mitch Individual | managing control - governing body | — | 2019-02-01 |
| Bowles, Jaxon Individual | operational/managerial control | — | 2022-01-10 |
| Cecil, Caitlin Individual | operational/managerial control | — | 2012-06-18 |
| Cox, Darlene Individual | operational/managerial control | — | 2013-05-09 |
| Dunaway, Deanna Individual | operational/managerial control | — | 2019-02-01 |
| Finn, Christina Individual | operational/managerial control | — | 2017-07-01 |
| Grubbs, Stacey Individual | operational/managerial control | — | 2012-03-26 |
| Hazard, Ted Individual | operational/managerial control | — | 2017-11-08 |
| Hoffman, Heidi Individual | operational/managerial control | — | 2021-12-13 |
| Howard, Casey Individual | operational/managerial control | — | 2022-05-01 |
| Iffland, Alisa Individual | operational/managerial control | — | 2019-02-01 |
| Kalinowski, Rosanne Individual | operational/managerial control | — | 2019-02-01 |
| Kaur-Grewal, Navneet Individual | operational/managerial control | — | 2020-11-23 |
| Longhin-Howard, Joan Individual | operational/managerial control | — | 2007-04-16 |
| Mcfarland, Dianne Individual | operational/managerial control | — | 2023-12-18 |
| Mcknight, Erin Individual | operational/managerial control | — | 2019-03-28 |
| Meach, Donald Individual | operational/managerial control | — | 2023-08-29 |
| Munroe, Kyle Individual | operational/managerial control | — | 2015-09-08 |
| Murriel, Shelly Individual | operational/managerial control | — | 2024-09-09 |
| Nagel, Jennifer Individual | operational/managerial control | — | 2015-11-12 |
| Narges, Daniel Individual | operational/managerial control | — | 2021-11-01 |
| Polisetty, Sudheer Individual | operational/managerial control | — | 2024-07-01 |
| Rehmer, Heather Individual | operational/managerial control | — | 2019-02-01 |
| Stoinski, Jenel Individual | operational/managerial control | — | 2025-04-28 |
| Voelker, Jennifer Individual | operational/managerial control | — | 2019-02-01 |
| Wine, Matthew Individual | operational/managerial control | — | 2018-10-01 |
| Wortketter, Kristy Individual | operational/managerial control | — | 2021-02-03 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for The Gardens Of St. Francis.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Lucas County.