Elder Care Record

Ohio › Lucas County › Oregon

The Gardens of St. Francis

930 South Wynn Road, Oregon, OH 43616

CCN 366312 · Non-profit, corporation · 60 certified beds · chain Commonspirit Health

Continuing care retirement community
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

The Gardens of St. Francis is a Non-profit, corporation nursing home in Oregon, Ohio, certified for 60 beds and caring for about 57 residents a day.

CMS gives it 3 of 5 stars overall, equal to the Ohio median; the health inspection rating is 3, staffing 1 and quality measures 5.

Inspectors recorded 40 health deficiencies across the three most recent survey cycles (6, 9, 25 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 66.7 per 100 beds, more than the state median of 33.3.

CMS lists 2 penalties in the period covered: fines totalling $45K and 1 payment denial.

Reported nurse staffing is 1.5 hours per resident per day (0.3 RN), below the Ohio median of 3.6; nursing staff turnover is 65.6%.

40health deficiencies, 3 survey cycles2 at actual harm or worse
$45Kfines listed by CMS2 penalties in period
1.5nurse hours per resident per daystate median 3.6
94%occupancy (residents ÷ beds)57 residents a day

Compared with county, state and nation

MeasureThis facilityLucas Co. medianOhio medianUS average
Overall star rating3233.0
Health citations, 3 cycles40422728.7
Citations per 100 beds66.753.333.326.8
Total nurse hours per resident day1.53.53.63.9
RN hours per resident day0.30.50.60.7
Nursing staff turnover65.6%49.1%48.5%45.8%
Fines listed$45,250$0$0—

County and state figures are medians across facilities (34 in the county, 922 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)6
Cycle 29
Cycle 325

Dark bar: this facility. Grey bar: Ohio average per facility for the same cycle, as published by CMS. Standard health survey dates: 26 Mar 2026, 1 Feb 2024.

Severity mix: G ×2 D ×30 E ×5 F ×3

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
26 Mar 2026F0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.EStandard survey30 Apr 2026
26 Mar 2026F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.EStandard survey30 Apr 2026
26 Mar 2026F0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DStandard survey30 Apr 2026
26 Mar 2026F0645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard survey30 Apr 2026
26 Mar 2026F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey30 Apr 2026
26 Mar 2026F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey30 Apr 2026
7 Mar 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation8 Mar 2024
1 Feb 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GStandard survey8 Mar 2024
1 Feb 2024F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey8 Mar 2024
1 Feb 2024F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard survey8 Mar 2024
1 Feb 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey8 Mar 2024
1 Feb 2024F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey8 Mar 2024
1 Feb 2024F0697Provide safe, appropriate pain management for a resident who requires such services.DStandard survey8 Mar 2024
1 Feb 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey8 Mar 2024
1 Feb 2024F0759Ensure medication error rates are not 5 percent or greater.DStandard survey8 Mar 2024
1 Feb 2024F0761Ensure 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.DStandard survey8 Mar 2024
11 Oct 2023F0760Ensure that residents are free from significant medication errors.GComplaint investigation30 Sep 2023
8 Sep 2021F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey15 Oct 2021
8 Sep 2021F0880Provide and implement an infection prevention and control program.FStandard survey15 Oct 2021
8 Sep 2021F0886Perform COVID19 testing on residents and staff.FStandard survey15 Oct 2021
8 Sep 2021F0584Honor 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.EStandard survey15 Oct 2021
8 Sep 2021F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard survey15 Oct 2021
8 Sep 2021F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard survey15 Oct 2021
8 Sep 2021F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey15 Oct 2021
8 Sep 2021F0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DStandard survey15 Oct 2021
8 Sep 2021F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard survey15 Oct 2021
8 Sep 2021F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard survey15 Oct 2021
8 Sep 2021F0625Notify 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 survey15 Oct 2021
8 Sep 2021F0641Ensure each resident receives an accurate assessment.DStandard survey15 Oct 2021
8 Sep 2021F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey15 Oct 2021
8 Sep 2021F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey15 Oct 2021
8 Sep 2021F0685Assist a resident in gaining access to vision and hearing services.DStandard survey15 Oct 2021
8 Sep 2021F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey15 Oct 2021
8 Sep 2021F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey15 Oct 2021
8 Sep 2021F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey15 Oct 2021
8 Sep 2021F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard survey15 Oct 2021
8 Sep 2021F0758Implement 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.DStandard survey15 Oct 2021
8 Sep 2021F0803Ensure 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.DStandard survey15 Oct 2021
8 Sep 2021F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey15 Oct 2021
8 Sep 2021F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard survey15 Oct 2021

Penalties

DateTypeAmountDetail
1 Feb 2024Payment denial—7 days
1 Feb 2024Fine$45,250

Staffing

Total nursing1.48 h
Nurse aides0.87 h
LPN0.34 h
RN0.27 h
Weekend total1.27 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Ohio average. Turnover: nursing staff 65.6%, RNs 80.0%; 3 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityOhio medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay16.9%4.3%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.0%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.0%0.0%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay9.6%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.0%0.7%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay20.8%4.9%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay1.6%3.0%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay5.2%7.5%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: non-profit, corporation. Legal business name: Chi Living Communities. Chain: Commonspirit Health (18 facilities).

OrganisationRole in the CMS recordInterestSince
Sylvania Franciscan Health5% or greater direct ownership interest100%11/01/2014
Commonspirit Health5% or greater indirect ownership interest100%11/01/2014
Commonspirit HealthOperational/managerial controlNOT APPLICABLE11/01/2014
Concept Rehab, Inc.Operational/managerial controlNOT APPLICABLE01/05/2015
Forvis Mazars LLPOperational/managerial controlNOT APPLICABLE08/16/2019
Icp IncOperational/managerial controlNOT APPLICABLE02/01/2024
Ohio Newspapers, Inc.Operational/managerial controlNOT APPLICABLE07/01/2011
Prelude Systems, Inc.Operational/managerial controlNOT APPLICABLE04/01/2017
Ulrichpinciotti Design Group, LLCOperational/managerial controlNOT APPLICABLE07/01/2011
Commonspirit HealthAdp of the snfNOT APPLICABLE11/01/2014
Concept Rehab, Inc.Adp of the snfNOT APPLICABLE04/18/2025
Forvis Mazars LLPAdp of the snfNOT APPLICABLE04/18/2025
Icp IncAdp of the snfNOT APPLICABLE04/18/2025
Ohio Newspapers, Inc.Adp of the snfNOT APPLICABLE04/18/2025
Prelude Systems, Inc.Adp of the snfNOT APPLICABLE04/18/2025
Richter and AssociatesAdp of the snfNOT APPLICABLE02/01/2019
Sylvania Franciscan HealthAdp of the snfNOT APPLICABLE11/01/2014

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Lucas County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Lakes of Monclova Health Campus TheMaumee605431830.0—30 Apr 2026
Lakes of Sylvania, TheSylvania625531727.4—12 Feb 2026
Majestic Care of Toledo SNFToledo855422529.4$22K28 Apr 2026
Advanced Healthcare CenterToledo994323939.4—2 Jun 2026
Elizabeth Scott CommunityMaumee60444915.0—12 Sep 2024
Lutheran Village At WolfcreekHolland674322943.3—8 Sep 2025
Orchard VillaOregon1364333425.0—20 Mar 2025
Whitehouse Country ManorWhitehouse904323741.1—4 Jun 2025

All 34 facilities in Lucas County

Questions and answers

How many deficiencies has The Gardens of St. Francis been cited for?

40 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Ohio median is 27 per facility.

Has The Gardens of St. Francis been fined?

Yes. CMS lists fines totalling $45K in the period covered, plus 1 payment denial.

How does staffing at The Gardens of St. Francis compare?

Reported total nurse staffing is 1.5 hours per resident per day against a Ohio median of 3.6 and a national average of 3.9.

Who operates The Gardens of St. Francis?

It is part of the Commonspirit Health chain. Ownership type is non-profit, corporation. Organisations in the CMS ownership record include Sylvania Franciscan Health, Commonspirit Health and Commonspirit Health. Individual owners and managers are not listed on this site.

When was The Gardens of St. Francis last inspected?

The most recent survey or investigation in the CMS record is dated 26 Mar 2026; the most recent standard health survey was 26 Mar 2026.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.