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Chi Health St. FrancisCMS ratings, inspections and fines

Address
2116 West Faidley Avenue, Grand Island, NE 68803
CCN
285081
Ownership type
Non-profit, corporation
Certified beds
36
Chain
None in the CMS record
Residents per day
7
CMS flags
None in the CMS record
CMS star ratings
Overall rating3 of 5
Health inspection rating4 of 5
Staffing rating1 of 5
Quality measure rating3 of 5
Care Compare record (Medicare.gov)

The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.

CMS gives Chi Health St. Francis an overall rating of 3 of 5 stars. The last standard survey was on 20 Mar 2025. The latest survey cycle has 2 health citations. The median for nursing homes in Nebraska is 6. CMS lists no fines for this home in its penalties file.

Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.

Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .

Since the last CMS update

The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.

Ratings

CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.

CMS star ratings of Chi Health St. Francis, with medians
Rating (1 to 5 stars)This homeHall County medianNebraska medianUS average (CMS)
Overall rating31.03.03.0
Health inspection rating42.03.02.8
Staffing rating13.03.02.9
Quality measure rating32.03.03.6

A median is the middle value of the homes in the group: 6 homes in the county, 180 homes in the state. What the CMS star ratings measure

Citations by survey cycle

CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.

Health citations of Chi Health St. Francis in the last three survey cycles
Survey cycleStandard surveyCitationsNebraska median
Cycle 1 (latest)20 Mar 202526
Cycle 21 Feb 202435
Cycle 3No date24

Health citations

The record of one deficiency in an inspection. One inspection can give many citations.

Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.

Scope and severity of the 7 citations. Select a cell to show only its rows.
SeverityIsolatedPatternWidespread
Immediate jeopardy to resident health or safetyJ0K0L0
Actual harm that is not immediate jeopardyG0H0I0
No actual harm, potential for more than minimal harm
No actual harm, potential for minimal harmA0B0C0

Survey cycle 1 (latest): 2 citations

Standard survey of this cycle: .

Health citations of Chi Health St. Francis in survey cycle 1, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
20 Mar 2025F0625Notify 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.DStandard survey20 May 2025
20 Mar 2025F0729Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.FStandard survey20 May 2025

Survey cycle 2: 3 citations

Standard survey of this cycle: .

Health citations of Chi Health St. Francis in survey cycle 2, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
1 Feb 2024F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard survey21 Mar 2024
1 Feb 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey21 Mar 2024
1 Feb 2024F0880Provide and implement an infection prevention and control program.DStandard survey21 Mar 2024

Survey cycle 3: 2 citations

The CMS provider file has no standard survey date for this cycle.

Health citations of Chi Health St. Francis in survey cycle 3, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
13 Mar 2023F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedEStandard survey20 Apr 2023
13 Mar 2023F0923Have enough outside ventilation via a window or mechanical ventilation, or both.FStandard survey20 Apr 2023

The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report

Penalties

A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.

CMS lists no fine and no payment denial for this home in its penalties file.

Staffing

Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.

Nurse staffing hours per resident per day at Chi Health St. Francis
StaffThis homeNebraska medianNebraska average (CMS)
All nurse staffNo data3.903.98
Registered nurses (RN)No data0.600.67
Licensed practical nurses (LPN)No data0.67
Nurse aidesNo data2.64
All nurse staff, weekendsNo data3.403.49
Nurse staff turnover in a year
No data
Nurse staff turnover, Nebraska median
47.1%
RN turnover in a year
No data
Administrators who left in a year
No data

Homes report the hours to CMS in the Payroll-Based Journal.

Quality measures

A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.

Quality measures of Chi Health St. Francis, average of four quarters (2025Q2-2026Q1)
Measure (CMS text)ResidentsThis homeNebraska medianUS median
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay9.4%0.9%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay11.5%2.1%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay0.0%4.2%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay1.2%1.0%1.0%
Percentage of long-stay residents with pressure ulcersLong Stay0.0%3.7%4.2%

For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure

Ownership

An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.

Ownership type
Non-profit, corporation
Setting
In a hospital
Legal business name
Legal Business Name Not Available

The CMS ownership record of this home lists no organisation.

The site shows organisations only. It does not show the names of persons.

Other homes in Hall County

The 5 nearest other nursing homes in Hall County, Nebraska
Nursing homeCityOverall ratingCitations, latest cycleFinesLast standard survey
Adept Nursing & Rehab of Grand IslandGrand Island1 of 518$16,80121 May 2025
Tiffany SquareGrand Island2 of 54$04 Dec 2025
Good Samaritan Society - Grand Island VillageGrand Island1 of 510$10,03330 Dec 2025
Emerald Nursing & Rehab LakeviewGrand Island1 of 510$13,42629 Jan 2026
Eventide Prairie Commons Care CenterGrand Island1 of 56$10,2961 May 2025

All 6 nursing homes in Hall County

Official channels

Cite this page

Centers for Medicare & Medicaid Services, Care Compare. Record of Chi Health St. Francis (CCN 285081). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/chi-health-st-francis-grand-island-ne-285081/

Provenance

Licence
US government work, public domain
CMS processed the data on

A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.

Questions

When was Chi Health St. Francis last inspected?
The latest inspection with a citation in the CMS record was on 20 Mar 2025. It was a standard survey. It gave 2 citations. The standard survey before the last one was on 1 Feb 2024.
Who operates Chi Health St. Francis?
The CMS record gives the ownership type as non-profit, corporation. CMS lists no chain for the home. The CMS ownership file names no organisation for this home. This site does not show the names of persons.
Is Chi Health St. Francis a Special Focus Facility?
No. The CMS provider file lists no Special Focus status for this home. CMS lists 1 home in Nebraska as a Special Focus Facility and 5 as candidates.
Where does the data on this page come from?
The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.