The Gardens of St. Francis
930 South Wynn Road · Oregon, OH · 43616 · 4196984331
60 certified beds Non profit - Corporation Chain: Commonspirit Health Part of a CCRC
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
No standard inspection in over 2 years
The inspection record here is older than usual — conditions may have changed since.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.68 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.60 | 0.55–0.75 |
| Weekend hours / resident-day | 3.23 | ≈ weekday level |
| Nursing turnover / year | 50% | median 45% |
| Fines (3-yr window) | 1 · $45,250 |
Inspection citations (39 in the current record)
-
Potential for harm · D March 7, 2024 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected March 8, 2024 · Pharmacy Service
-
Actual harm · G February 1, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 8, 2024 · Quality of Life and Care
-
Potential for harm · D February 1, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected March 8, 2024 · Resident Rights
-
Potential for harm · D February 1, 2024
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected March 8, 2024 · Resident Rights
-
Potential for harm · D February 1, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 8, 2024 · Quality of Life and Care
-
Potential for harm · D February 1, 2024
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected March 8, 2024 · Quality of Life and Care
-
Potential for harm · D February 1, 2024
Provide safe, appropriate pain management for a resident who requires such services.
Corrected March 8, 2024 · Quality of Life and Care
-
Potential for harm · D February 1, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected March 8, 2024 · Pharmacy Service
-
Potential for harm · D February 1, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected March 8, 2024 · Pharmacy Service
-
Potential for harm · D February 1, 2024
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.
Corrected March 8, 2024 · Pharmacy Service
-
Actual harm · G October 11, 2023 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected September 30, 2023 · Pharmacy Service
-
Potential for harm · D September 8, 2021
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected October 15, 2021 · Resident Rights
-
Potential for harm · D September 8, 2021
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected October 15, 2021 · Resident Rights
-
Potential for harm · D September 8, 2021
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected October 15, 2021 · Resident Rights
-
Potential for harm · E September 8, 2021
Honor 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.
Corrected October 15, 2021 · Resident Rights
-
Potential for harm · D September 8, 2021
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected October 15, 2021 · Resident Rights
-
Potential for harm · D September 8, 2021
Notify 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.
Corrected October 15, 2021 · Resident Rights
-
Potential for harm · D September 8, 2021
Ensure each resident receives an accurate assessment.
Corrected October 15, 2021 · Resident Assessment and Care Planning
-
Potential for harm · E September 8, 2021
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected October 15, 2021 · Resident Assessment and Care Planning
-
Potential for harm · D September 8, 2021
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected October 15, 2021 · Resident Assessment and Care Planning
-
Potential for harm · D September 8, 2021
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected October 15, 2021 · Quality of Life and Care
-
Potential for harm · E September 8, 2021
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 15, 2021 · Quality of Life and Care
-
Potential for harm · D September 8, 2021
Assist a resident in gaining access to vision and hearing services.
Corrected October 15, 2021 · Quality of Life and Care
-
Potential for harm · D September 8, 2021
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected October 15, 2021 · Quality of Life and Care
-
Potential for harm · D September 8, 2021
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 15, 2021 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 1, 2024 | Fine | $45,250 |
| February 1, 2024 | Payment Denial | 7 days |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 366312 · certified since May 9, 2005. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.