01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-04-10 | 2 | 2025-04-10 | 10 |
| Cycle 2 | 2023-03-16 | 10 | 2023-03-16 | 6 |
| Cycle 3 | 2019-09-19 | 10 | 2019-09-19 | 5 |
CMS CCN 3661022026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
St Francis Senior Ministries
182 St Francis Ave · Tiffin, OH 44883 · Seneca County
Certified beds54CMS provider file
Recent citation rows43current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
43 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 5 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-04-10 · HEALTHF0607Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Correction field: Deficient, Provider has date of correction · 2025-05-142025-04-10 · HEALTHF0921Severity F · widespread; potential for more than minimal harm
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Correction field: Deficient, Provider has date of correction · 2025-05-142025-04-10 · FIREK0131Severity F · widespread; potential for more than minimal harm
Construction Deficiencies
Meet requirements for sections of health care facilities separated by fire resistive construction.
Correction field: Deficient, Provider has date of correction · 2025-05-142025-04-10 · FIREK0291Severity F · widespread; potential for more than minimal harm
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Correction field: Deficient, Provider has date of correction · 2025-05-142025-04-10 · FIREK0321Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2025-05-142025-04-10 · FIREK0324Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2025-05-142025-04-10 · FIREK0353Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2025-05-142025-04-10 · FIREK0372Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Correction field: Deficient, Provider has date of correction · 2025-05-142025-04-10 · FIREK0521Severity F · widespread; potential for more than minimal harm
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Correction field: Deficient, Provider has date of correction · 2025-05-142025-04-10 · FIREK0711Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
Provide a written emergency evacuation plan.
Correction field: Deficient, Provider has date of correction · 2025-05-142025-04-10 · FIREK0741Severity E · pattern; potential for more than minimal harm
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Correction field: Deficient, Provider has date of correction · 2025-05-142025-04-10 · FIREK0918Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2025-05-142023-03-16 · HEALTHF0580Severity D · isolated; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2023-04-172023-03-16 · HEALTHF0657Severity D · isolated; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2023-04-172023-03-16 · HEALTHF0677Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2023-04-172023-03-16 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2023-04-172023-03-16 · HEALTHF0686Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2023-04-172023-03-16 · HEALTHF0690Severity D · isolated; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2023-04-172023-03-16 · HEALTHF0727Severity F · widespread; potential for more than minimal harm
Nursing and Physician Services Deficiencies
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Correction field: Deficient, Provider has date of correction · 2023-04-172023-03-16 · HEALTHF0761Severity E · pattern; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2023-04-172023-03-16 · HEALTHF0803Severity E · pattern; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2023-04-172023-03-16 · HEALTHF0804Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Correction field: Deficient, Provider has date of correction · 2023-04-172023-03-16 · FIREK0222Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Correction field: Deficient, Provider has date of correction · 2023-04-172023-03-16 · FIREK0324Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2023-04-1703 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- CSJ INITIATIVES INCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 03/01/2019
- STOLL, GABRIELIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 03/01/2019
- ALDRIDGE, SARAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 03/01/2019
- ANDERSON, ELEANORIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 03/01/2019
- ARNONE, MYRAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 03/01/2019
- DARIANO, KELLIIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 03/01/2019
- FABRIZIO, DOMINICIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 03/01/2019
- FALTER, BRIANIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 03/01/2019
- GANNON, DENISEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 03/01/2019
- GRIFFIN, JILLIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 03/01/2019
- KUCERA, JANIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 03/01/2019
- MACK, SHELLIEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 03/01/2019
- O'BRIEN, MARGUERITEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 03/01/2019
- WEBB, TYLERIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 03/01/2019
- FABRIZIO, DOMINICIndividual · CORPORATE OFFICERNOT APPLICABLE · since 03/01/2019
- O'BRIEN, MARGUERITEIndividual · CORPORATE OFFICERNOT APPLICABLE · since 03/01/2019
- SLATER, WILLIAMIndividual · CORPORATE OFFICERNOT APPLICABLE · since 03/01/2019
- WEBB, TYLERIndividual · CORPORATE OFFICERNOT APPLICABLE · since 03/01/2019
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.75per resident day
RN hours0.41per resident day
Weekend nurse hours3.26per resident day
Staff turnover30.4%CMS reported field
06 / LOCAL RECORDS
Open the Tiffin ledger →