01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-03-26 | 6 | 2026-03-26 | 6 |
| Cycle 2 | 2024-02-01 | 9 | 2024-02-01 | 4 |
| Cycle 3 | 2021-09-08 | 25 | 2021-09-08 | 3 |
CMS CCN 3663122026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
The Gardens Of St. Francis
930 South Wynn Road · Oregon, OH 43616 · Lucas County
Certified beds60CMS provider file
Recent citation rows53current CMS citation release
Penalty rows2current 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
53 rows in the current release
2 rows carry G–L scope/severity codes; 0 carry J–L. 11 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-03-26 · HEALTHF0561Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Correction field: Deficient, Provider has date of correction · 2026-04-302026-03-26 · HEALTHF0605Severity E · pattern; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Correction field: Deficient, Provider has date of correction · 2026-04-302026-03-26 · HEALTHF0645Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Correction field: Deficient, Provider has date of correction · 2026-04-302026-03-26 · 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 · 2026-04-302026-03-26 · 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 · 2026-04-302026-03-26 · HEALTHF0883Severity E · pattern; potential for more than minimal harm
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Correction field: Deficient, Provider has date of correction · 2026-04-302026-03-26 · FIREK0311Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Have an enclosure around a vertical opening shaft.
Correction field: Deficient, Provider has date of correction · 2026-05-152026-03-26 · FIREK0324Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2026-05-152026-03-26 · 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 · 2026-05-152026-03-26 · FIREK0355Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Correction field: Deficient, Provider has date of correction · 2026-05-152026-03-26 · FIREK0712Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Correction field: Deficient, Provider has date of correction · 2026-05-152026-03-26 · FIREK0751Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
Have restrictions on the use of flammable curtains.
Correction field: Deficient, Provider has date of correction · 2026-05-152024-03-07 · HEALTHF0755Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2024-03-08 · complaint2024-02-01 · HEALTHF0550Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2024-03-082024-02-01 · HEALTHF0582Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Correction field: Deficient, Provider has date of correction · 2024-03-082024-02-01 · 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 · 2024-03-082024-02-01 · HEALTHF0689Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2024-03-082024-02-01 · 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 · 2024-03-082024-02-01 · HEALTHF0697Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Correction field: Deficient, Provider has date of correction · 2024-03-082024-02-01 · HEALTHF0755Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2024-03-082024-02-01 · HEALTHF0759Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Correction field: Deficient, Provider has date of correction · 2024-03-082024-02-01 · HEALTHF0761Severity D · isolated; 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 · 2024-03-082024-02-01 · FIREK0311Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Have an enclosure around a vertical opening shaft.
Correction field: Fire Safety Evaluation Survey · 2024-05-282024-02-01 · FIREK0324Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2024-03-0803 / 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 |
|---|---|---|---|
| 2024-02-01 | Fine | $45,250 | 0 |
| 2024-02-01 | Payment Denial | $0 | 7 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- SYLVANIA FRANCISCAN HEALTHOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 11/01/2014
- COMMONSPIRIT HEALTHOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST100% · since 11/01/2014
- LIPSEY, PRENTICEIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 11/01/2021
- MBANU, TERIKAIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 01/05/2024
- MELFI, MITCHIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 02/01/2019
- CECIL, CAITLINIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 06/18/2012
- FINN, CHRISTINAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2017
- GRUBBS, STACEYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 03/26/2012
- HAZARD, TEDIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 11/08/2017
- MUNROE, KYLEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 09/08/2015
- MURRIEL, SHELLYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 09/09/2024
- NAGEL, JENNIFERIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 11/12/2015
- SNODGRASS, BARBARAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 08/15/2016
- WINE, MATTHEWIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/01/2018
- IFFLAND, ALISAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 02/01/2019
- LIPSEY, PRENTICEIndividual · CORPORATE OFFICERNOT APPLICABLE · since 09/17/2021
- REHMER, HEATHERIndividual · CORPORATE OFFICERNOT APPLICABLE · since 06/25/2024
- COMMONSPIRIT HEALTHOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 11/01/2014
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 hours1.48per resident day
RN hours0.27per resident day
Weekend nurse hours1.27per resident day
Staff turnover65.6%CMS reported field
06 / LOCAL RECORDS
Open the Oregon ledger →