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
Little Sisters of the Poor - Sacred Heart Home
Registered name: THE GARDENS OF ST. FRANCIS
OREGON, OH · Medicare-certified · 60 beds
In good standing
Non-profitChain member
Data as of July 1, 2026
3 of 5 overall
Little Sisters of the Poor - Sacred Heart Home in Oregon, OH has an overall 3-star rating. The main concern is staffing: it is rated 1 star with 1.48 nurse hours per resident per day, well below the federal benchmark of 4.1; there were no fines in the last 24 months, and recent inspection citations included accidents, medication errors, and food handling issues.
Facility ratings
Health inspections
Staffing
1.4844 hrs/resident/day
Quality measures
Last inspection: March 26, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 1.4844.
Staffing detail
- Registered nurses
- 0.27
- Licensed practical nurses
- 0.34
- Nurse aides
- 0.87
- Weekend nursing
- 1.27
Hours per resident per day.
Total staff turnover: 66%
Registered nurse turnover: 80%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
0%10.7%Worsening
Residents with a fall causing major injury
4.5%11.8%Worsening
Residents with pressure ulcers (bedsores)
1.2%4.1%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
5.4%2.8%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
11.4%40%Worsening
Residents whose ability to walk got worse
—20.8%—
Long-stay residents on antianxiety or sleep medication
13.5%16.2%Worsening
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
15.5%30.1%Worsening
Residents with depressive symptoms
22.5%36.7%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—89.8%—
Long-stay residents given the pneumonia vaccine
65.9%58.8%Worsening
Short-stay residents given the seasonal flu vaccine
—49.3%—
Short-stay residents given the pneumonia vaccine
50%20.7%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 6 health deficiencies.
See what inspectors found
- 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
Recent ownership change · Feb 1, 2019
Now operated by The Gardens of St. Francis, previously Sacred Heart Home.
- Ownership
- Non profit - Corporation
- Chain
- Part of COMMONSPIRIT HEALTH · 19 homes · 2.8 stars avg
- Occupancy
- 56.5 residents on an average day (94% of 60 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 21 years
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.