The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited February 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
THE GARDENS OF ST. FRANCIS
OREGON, OH · Medicare-certified · 60 beds
In good standing
Non-profitChain member
3 of 5 overall
The Gardens of St. Francis (Oregon, OH) has a 3-star overall rating, with weaker health inspection and staffing ratings at 2 stars each, but a 5-star quality measures rating. Reported nurse staffing is 3.68 hours per resident per day, below the federal benchmark of 4.1, and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.6755 hrs/resident/day
Quality measures
Last inspection: March 7, 2024Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6755.
Staffing detail
- Registered nurses
- 0.60
- Licensed practical nurses
- 0.92
- Nurse aides
- 2.16
- Weekend nursing
- 3.23
Hours per resident per day.
Total staff turnover: 50%
Registered nurse turnover: 63%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
2.6%Worsening
Residents with a fall causing major injury
8.2%Worsening
Residents with pressure ulcers (bedsores)
0.9%Improving
Residents with a urinary tract infection
0%Steady
Residents who lost too much weight
4.8%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
8.5%Steady
Residents whose ability to walk got worse
6.2%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
17.6%Improving
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
22.2%Worsening
Residents with depressive symptoms
28.9%Improving
Long-stay residents given the seasonal flu vaccine
89.8%Steady
Long-stay residents given the pneumonia vaccine
63.6%Improving
Short-stay residents given the seasonal flu vaccine
49.3%Steady
Short-stay residents given the pneumonia vaccine
44.9%Worsening
What the inspectors found
The nursing home failed to ensure residents were free from significant medication errors. Cited October 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited September 2021 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited September 2021 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The nursing home failed to make sure residents and staff were tested for COVID-19. Cited September 2021 — widespread issue, potential for harm.
View the original federal record
F-Tag 886 — 42 CFR §483.80 — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 9 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $45,250 in total fines · 1 payment denial.
- 7 days
Medicare/Medicaid payment denial
Feb 1, 2024
- $45,250
Federal fine
Feb 1, 2024
Operator & ownership
- Ownership
- Non profit - Corporation
- Chain
- Part of COMMONSPIRIT HEALTH · 19 homes · 2.8 stars avg
- Occupancy
- 59.1 residents on an average day (98% of 60 beds)
- Resident voice
- Resident & family councils
- Medicare history
- Certified for 21 years
The most recent standard health inspection was more than two years ago.
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.