THE GARDENS OF ST. FRANCIS

930 SOUTH WYNN ROAD
OREGON, OH, 43616
4196984331
CCN: 366312
3
Overall
2
Health
2
Staffing
5
Quality
ChainCOMMONSPIRIT HEALTH
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
NameRole%
SYLVANIA FRANCISCAN HEALTH5% OR GREATER DIRECT OWNERSHIP INTEREST100%
COMMONSPIRIT HEALTH5% OR GREATER INDIRECT OWNERSHIP INTEREST100%
FINN, CHRISTINACORPORATE DIRECTORNOT APPLICABLE
GRUBBS, STACEYCORPORATE DIRECTORNOT APPLICABLE
HAZARD, TEDCORPORATE DIRECTORNOT APPLICABLE
MUNROE, KYLECORPORATE DIRECTORNOT APPLICABLE
NAGEL, JENNIFERCORPORATE DIRECTORNOT APPLICABLE
SNODGRASS, BARBARACORPORATE DIRECTORNOT APPLICABLE
WINE, MATTHEWCORPORATE DIRECTORNOT APPLICABLE
MURRIEL, SHELLYCORPORATE DIRECTORNOT APPLICABLE
CECIL, CAITLINCORPORATE DIRECTORNOT APPLICABLE
IFFLAND, ALISACORPORATE OFFICERNOT APPLICABLE
LIPSEY, PRENTICECORPORATE OFFICERNOT APPLICABLE
REHMER, HEATHERCORPORATE OFFICERNOT APPLICABLE
HAZARD, TEDOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
HOFFMAN, HEIDIOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
HOWARD, CASEYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
IFFLAND, ALISAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
KALINOWSKI, ROSANNEOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
KAUR-GREWAL, NAVNEETOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
LONGHIN-HOWARD, JOANOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
MCKNIGHT, ERINOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
MEACH, DONALDOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
MUNROE, KYLEOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
MURRIEL, SHELLYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
NAGEL, JENNIFEROPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
NARGES, DANIELOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
REHMER, HEATHEROPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
SOUKUP-MCFARLAND, DIANNEOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
STOINSKI, JENELOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
VOELKER, JENNIFEROPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
WINE, MATTHEWOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
WORTKETTER, KRISTYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
POLISETTY, SUDHEEROPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
COMMONSPIRIT HEALTHOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
CONCEPT REHAB, INC.OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
FORVIS MAZARS LLPOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
I C P INCOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
OHIO NEWSPAPERS, INC.OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
PRELUDE SYSTEMS, INC.OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
ULRICHPINCIOTTI DESIGN GROUP, LLCOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
BOWLES, JAXONOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
CECIL, CAITLINOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
COX, DARLENEOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
DUNAWAY, DEANNAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
FINN, CHRISTINAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
GRUBBS, STACEYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Penalties (2)
DateTypeAmount
2024-02-01Fine$45K
2024-02-01Payment Denial7 days
Health Deficiencies (39)
2024-03-07 · Health
D
F755 · Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
2024-02-01 · Health
D
F761 · Pharmacy Service Deficiencies
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
F759 · Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
D
F755 · Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
F697 · Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
D
F690 · Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
G
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
F582 · Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
D
F550 · Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
2023-10-11 · Health
G
F760 · Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
2021-09-08 · Health
F
F886 · Infection Control Deficiencies
Perform COVID19 testing on residents and staff.
D
F883 · Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
F
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F842 · Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F803 · Nutrition and Dietary Deficiencies
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.
D
F758 · Pharmacy Service Deficiencies
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.
D
F756 · Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
D
F755 · Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
F686 · Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
F685 · Quality of Life and Care Deficiencies
Assist a resident in gaining access to vision and hearing services.
E
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
F677 · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
F657 · Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
E
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
F641 · Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
D
F625 · Resident Rights Deficiencies
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.
D
F623 · Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
E
F584 · Resident Rights Deficiencies
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.
D
F580 · Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
F561 · Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
D
F550 · Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
2020-02-20 · Health
D
F692 · Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
D
F686 · Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
E
F570 · Resident Rights Deficiencies
Assure the security of all personal funds of residents deposited with the facility.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
4.17
3.68
RN Hrs/Resident/Day
0.76
0.54
LPN Hrs/Resident/Day
0.97
0.81
CNA Hrs/Resident/Day
2.43
2.33
PT Hrs/Resident/Day
0.05
0.12
Data as of 2026-03-01