Nursing HomeInspections

The Gardens of St. Francis

Nursing home in Oregon, OH

Medicare & Medicaid certified4★ overall (CMS)

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Public-record details

Address
930 South Wynn Road, Oregon, OH 43616
Phone
(419) 698-4331
Listed under
Nonprofit, 4–5 star overall rating, Part of a retirement community
Medicare CCN
366312
Overall star rating
4 of 5 ★★★★☆
Health inspection rating
3 of 5
Staffing rating
2 of 5
Quality measures rating
5 of 5
Certified beds
60
Average residents per day
55
Ownership
Nonprofit, corporation
Legal business name
Chi Living Communities
Chain
Commonspirit Health (18 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
May 9, 2005
Changed ownership in last 12 months
No
Continuing care retirement community
Yes
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 366312. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: Mar 26, 2026. CMS lists 40 health citations for this facility across its last three standard inspection cycles and complaint inspections (Sep 8, 2021 to Mar 26, 2026): 2 from complaint inspections, 2 at the “actual harm” level or higher.

InspectionCitationSeverity
Mar 26, 2026Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights		D
Potential for more than minimal harm, isolated
Mar 26, 2026PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Mar 26, 2026Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Mar 26, 2026Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Mar 26, 2026Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation		E
Potential for more than minimal harm, pattern
Mar 26, 2026Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control		E
Potential for more than minimal harm, pattern
Mar 7, 2024Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · complaint inspection		D
Potential for more than minimal harm, isolated
Feb 1, 2024Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights		D
Potential for more than minimal harm, isolated
Feb 1, 2024Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights		D
Potential for more than minimal harm, isolated
Feb 1, 2024Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Feb 1, 2024Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Feb 1, 2024Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 40. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Oct 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $45,250 and 1 denial of Medicare payment for new admissions in the last three years.

Feb 1, 2024Fine: $45,250
Feb 1, 2024Payment denial for 7 days from Mar 1, 2024

Source: CMS Penalties file, processed Oct 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
4.57 hours
Registered nurse (RN) time per resident per day
0.94 hours
Nurse aide time per resident per day
2.58 hours
Total nurse staffing on weekends
3.86 hours
Nursing staff turnover (yearly)
67%
RN turnover (yearly)
81%
Administrators who left in the past year
4

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Oregon

Orchard Villa2841 Munding Drive · Oregon, OH 43616 · (419) 697-4100 · For-profit33 health citations in 3 inspection cycles · last standard inspection Mar 20, 2025 · no CMS fines in 3 yrsMedicare & Medicaid certified4★ overall (CMS)
Arbors at Oregon904 Isaac Streets Drive · Oregon, OH 43616 · (419) 691-2483 · For-profit46 health citations in 3 inspection cycles · last standard inspection Jun 25, 2026 · $36,224 in CMS fines (3 yrs)Medicare & Medicaid certified3★ overall (CMS)
Ayden Healthcare of Oregon3953 Navarre Ave · Oregon, OH 43616 · (419) 698-4521 · For-profit50 health citations in 3 inspection cycles · last standard inspection May 2, 2024 · no CMS fines in 3 yrsMedicare & Medicaid certified2★ overall (CMS)

All 4 in Oregon →

Public record, not an endorsement. This listing was compiled from public records as of 2026-11-07 and may be incomplete or out of date. Nursing Home Inspections does not vet, employ, recommend or guarantee nursing homes; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Nursing Home Inspections is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error