Fmol Health St Francis
An acute care hospital in Monroe, Louisiana 71201
309 Jackson Street, Monroe, Louisiana 71201. (318) 966-4000.
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The short answer
Record last released by CMS on Oct 20, 2026.
- 3of 5 CMS’s overall rating
- 4of 5 patient survey rating
- 1 deficiency cited in the last three years
- 328 beds
Each figure’s source sits beside it, in its section below.
What these words mean3
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
What did inspectors find?
The last inspection on record was on Aug 5, 2025: a complaint inspection.
1 deficiency cited in the last three years.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
When those deficiencies happened
1 deficiency in 1 month of the last 36. Last cited Jan 2024. Most serious: Standard-level. The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
Each deficiency, as cited
Rule titles as CMS’s inspectors cite them, set in sentence case.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
Jan 24, 2024: complaint inspection1 deficiency
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Patient Rights: Notice Of Grievance Decision
The inspectors’ words, 636 words
“PATIENT RIGHTS: NOTICE OF GRIEVANCE DECISION CFR(s): 482.13(a)(2)(iii) At a minimum: In its resolution of the grievance, the hospital must provide the patient with written notice of its decision that contains the name of the hospital contact person, the steps taken on behalf of the patient to investigate the grievance, the results of the grievance process, and the date of completion. This Standard is not met as evidenced by: 20310 Based on record review and interview, the hospital failed to provide a written notice of grievance resolution to the patient representative for 1 of 1 patient (#1) with a grievance in a total sample of 3 patients. Findings: Review of the hospital’s Grievance Policy revised 03/03/21 revealed, in part, the following: If a verbal patient care complaint cannot be resolved at the time of the complaint by staff present, is postponed for later resolution, is referred to other staff for resolution, requires investigation, and/or requires further action for resolution, then the complaint is a grievance. Whenever the patient or the patient’s representative requests their complaint be handled as a formal complaint or grievance, or when the patient requests a response from the hospital, then the complaint is a grievance. Procedure: ...4. A written response, acknowledgement of receipt, will be sent to the patient or their representative after a grievance has been submitted for review.... 6. Upon completion of the investigation, the hospital will, within the parameters permitted by law and regulation, provide the patient with a written notice of the medical center’s determination regarding the grievance, including the name of the facility, contact person, steps taken on behalf of the patient to investigate the grievance, the results of the grievance process and the date of completion. A grievance will be considered resolved when the patient is satisfied with the actions taken on their behalf. Review of the medical record for Patient #1 revealed she presented to the Emergency Department on 12/18/23 at 18:57 by ambulance from a local nursing home. On 12/19/23 at 07:30, she was found on the floor of her room in the Emergency Department. Review of the record revealed no documented evidence that the patient’s family was notified of the fall. On 01/23/24 at 2:15pm, during review of the medical record for patient #1, an interview with S1ED Director confirmed there was no documentation in the medical record that the patient’s responsible party was notified of the patient’s fall in the ED on 12/19/23. She further revealed that she had a phone conversation later in the day on 12/19/23 with S2 Patient Advocate and the patient’s daughter, who had called the hospital with concerns about how the patient had fallen and that she had not been notified. On 01/24/24 at 12:45pm, an interview with S2Patient Advocate, revealed she had received a phone call from the daughter of Patient #1 on 12/19/23, sometime after she was transferred from ED to the telemetry floor. The daughter was very upset about the fall in the ED that morning and that she had not been notified. The daughter also stated that she wanted to know how the fall happened. Review of the Grievance Log revealed no evidence that the complaint received by the daughter of Patient #1 had been investigated as a grievance. S2Patient Advocate confirmed that she noted the daughter’s concerns, consulted with S1ED Director, and the two of them called the daughter back later that day to discuss the situation with her. She confirmed she did not consider the complaint to be a grievance, but confirmed it was a complaint that required an investigation and follow-up with the daughter prior to resolution, as noted in the hospital’s grievance policy. She further confirmed that she did not provide a written notice to the daughter to acknowledge the complaint or the resolution after the investigation was complete.”
All 5 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Aug 5, 2025 | Complaint inspection | No deficiencies cited |
| Apr 1, 2025 | Complaint inspection | No deficiencies cited |
| Oct 21, 2024 | Complaint inspection | No deficiencies cited |
| Feb 14, 2024 | Complaint inspection | No deficiencies cited |
| Jan 24, 2024 | Complaint inspection | 1 deficiency cited |
How do patients fare?
- CMS’s overall CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System. for it is 3 of 5.
- Of the measures behind its CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System., CMS counts against the national value: mortality, 0 better and 0 worse of 8; safety of care, 3 better and 0 worse of 7; readmission, 0 better and 2 worse of 10.
- Patients rate it 4 of 5 in CMS’s patient survey (598 surveys completed, Oct 1, 2024 to Sep 30, 2025): 75% rated it 9 or 10 out of 10, and 76% would definitely recommend it.
- Infections, compared by CMS with the national benchmark (Oct 1, 2024 to Sep 30, 2025): central line bloodstream infections (CLABSI), better than the national benchmark; catheter urinary tract infections (CAUTI), better than the national benchmark; surgical site infections after colon surgery, no different than national benchmark; MRSA bloodstream infections, no different than national benchmark; C. diff infections, better than the national benchmark.
- CMS’s patient safety composite for serious complications, PSI 90, Jul 1, 2022 to Jun 30, 2024: no different than the national value.
- Deaths within 30 days, as CMS gives them (Jul 1, 2022 to Jun 30, 2025): heart attack 12.1%, heart failure 11.9%, pneumonia 14.4%, COPD 11%, stroke 9.8%, heart bypass surgery 2.7%. CMS gives no comparison with the national rate for them in this release.
- Readmissions within 30 days, as CMS gives them (Jul 1, 2023 to Jun 30, 2025): heart attack 14.7%, heart failure 22.2%, pneumonia 18%, COPD 19.2%, heart bypass surgery 11.9%, hip or knee replacement 5.6%. CMS gives no comparison with the national rate for them in this release.
- After outpatient care, compared by CMS: unplanned hospital visits after a colonoscopy, no different than the national rate; hospital admissions after outpatient chemotherapy, no different than the national rate; emergency visits after outpatient chemotherapy, no different than the national rate; unplanned hospital visits after outpatient surgery, no different than expected.
- Emergency department patients spent a median of 226 minutes there before leaving (Oct 1, 2024 to Sep 30, 2025), and 1% left before being seen.
- 64% of patients with severe sepsis or septic shock got the care CMS measures, SEP-1 (Oct 1, 2024 to Sep 30, 2025).
- Medicare’s spending per patient here is 1.08 times the national median (Jan 1, 2024 to Dec 31, 2024).
CMS, Hospital General Information, Patient survey (HCAHPS) - Hospital, Healthcare Associated Infections - Hospital, Timely and Effective Care - Hospital and Medicare Spending Per Beneficiary - Hospital. Released Aug 13, 2026. Updated quarterly.
CMS, Complications and Deaths - Hospital and Unplanned Hospital Visits - Hospital. Released Sep 30, 2026. Updated quarterly.
| Measure | Rating |
|---|---|
| Overall ratingCMS’s overall hospital quality star rating, 1 to 5 | 3 of 5 |
| Patient survey ratingCMS star rating from its survey of the hospital’s patients (HCAHPS), 1 to 5 | 4 of 5 |
Is it certified, and in good standing?
- Medicare-certified acute care hospital since Nov 4, 1968.
- Ownership: voluntary non-profit - private.
- It is accredited by The Joint Commission, whose surveys stand in for the state’s routine inspections.
- No For hospices, home health agencies, hospitals and dialysis facilities, CMS writes deficiencies at two levels. Standard is the usual one; condition-level is the more serious, when a problem is serious enough that the provider doesn’t meet a whole condition of taking part in Medicare. Source: CMS, State Operations Manual. deficiency on record in the last three years.
- It has an inpatient rehabilitation unit of 24 beds, which CMS lists apart as a rehabilitation facility.
- Voluntary non-profit - Private.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
Has it been penalized?
- CMS doesn’t publish fines or other penalties for hospitals.
- Not among the hospitals whose Medicare payments CMS cut under the Hospital-Acquired Condition Reduction Program for fiscal year 2026.
- 1 deficiency cited in the last three years came from an inspection that included a complaint investigation.
CMS, Hospital-Acquired Condition (HAC) Reduction Program. Released Aug 13, 2026. Updated yearly.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
What do patients say about their care?
- CMS doesn’t publish staffing levels for hospitals.
- In CMS’s patient survey, patients rate how well its nurses communicated 4 of 5.
- 78% of its health care workers got a flu shot (Oct 1, 2024 to Mar 31, 2025).
CMS, Patient survey (HCAHPS) - Hospital and Timely and Effective Care - Hospital. Released Aug 13, 2026. Updated quarterly.
Who owns it?
- Franciscan Missionaries of Our Lady Health System Inc. owns an unstated share directly since Nov 4, 1968; Fmol-North American Providence Inc. owns an unstated share directly since Nov 4, 1968.
- St Francis Medical Center Inc. runs it.
- 21 owners or officers are people: Ronald Berry (corporate officer); William B Liles (corporate officer); Thomas J Gullatt (corporate officer); Thomas J Gullatt (managing employee (on the payroll)); Thomas J Gullatt (runs it (operational or managerial control)); Rolf D Morstead (corporate officer); John Rea (corporate officer); Francis Malone (corporate officer); Janet Durden (corporate officer); Sherita Williams (corporate officer); Lawrence Holland (corporate officer); Carrie Baker (corporate officer); Tara Haney (corporate officer); Helen Cahill (corporate officer); John Jones (corporate officer); Henry H Hinkle (corporate officer); William Brian Mercer (corporate officer); Andrew D Leblanc (corporate officer); Andrew D Leblanc (managing employee (on the payroll)); Andrew D Leblanc (runs it (operational or managerial control)); William Smart (corporate officer).
- CMS’s Provider of Services file records no change of ownership.
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, Hospital All Owners and Hospital Enrollments. Released Sep 29, 2026. Updated monthly.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Franciscan Missionaries of Our Lady Health System Inc. | Owns 5% or more directly | Nov 4, 1968 | |
| Fmol-North American Providence Inc. | Owns 5% or more directly | Nov 4, 1968 | |
| St Francis Medical Center Inc. | Runs it (operational or managerial control) | Aug 15, 2013 |
How does it compare nearby?
- Of the 5 hospitals CMS lists in Ouachita Parish, 3 have an overall star rating from CMS: 2 rated 3 of 5, 1 rated 2 of 5.
- CMS rates this one 3 of 5.
CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.
| Place | Overall star rating |
|---|---|
| Monroe Surgical Hospital | Not given |
| Ochsner LSU Health Monroe | 3 |
| Glenwood Regional Medical Center | 2 |
| Freedom Behavioral Hospital of Monroe | Not given |
What the record doesn’t say
- CMS doesn’t publish fines or other penalties for hospitals, so none are shown. The one payment cut CMS publishes for each hospital, under its Hospital-Acquired Condition Reduction Program, is shown where it applies.
- Only complaints that led to a citation appear; complaints that didn’t aren’t published.
- Most hospitals are accredited by a private organisation (The Joint Commission, DNV and others) whose routine inspections stand in for the state’s; those reports aren’t public, and QCOR holds only the state’s surveys: no inspection on record here doesn’t mean none took place.
- QCOR says its hospital inspection data are complete only through September 17, 2026, while it moves to a new system.
- CMS doesn’t publish staffing levels for hospitals.
- In its September 2026 release CMS gives no comparison with the national rate for death and readmission rates, though it gives the rates.
Sources
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Centers for Medicare & Medicaid Services, Hospital General Information (xubh-q36u).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Patient survey (HCAHPS) - Hospital.
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Healthcare Associated Infections - Hospital (77hc-ibv8).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Complications and Deaths - Hospital (ynj2-r877).
Released Sep 30, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Unplanned Hospital Visits - Hospital (632h-zaca).
Released Sep 30, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Timely and Effective Care - Hospital (yv7e-xc69).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Medicare Spending Per Beneficiary - Hospital (rrqw-56er).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital-Acquired Condition (HAC) Reduction Program (yq43-i98g).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated yearly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Provider of Services File - Hospital & Non-Hospital Facilities (Hospital_and_other.DATA.Q3_2026.csv).
Released Oct 14, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, QCOR Hospital 2567 statements of deficiencies (Hospital_2567s_2010_to_2026YTD.xlsx).
Released Oct 20, 2026 and checked Oct 27, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital All Owners (Hospital_All_Owners_2026.09.29.csv).
Released Sep 29, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital Enrollments (Hospital_Enrollments_2026.09.29.csv).
Released Sep 29, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the hospital
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Replies
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Paid listing
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