Hearth Record

Saint Francis Hospital, Inc.

An acute care hospital in Tulsa, Oklahoma 74136

6161 South Yale, Tulsa, Oklahoma 74136. (918) 494-8467.

CMS’s own record, on Care Compare

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The short answer

Record last released by CMS on Oct 20, 2026.

The last 24 months 5 deficiencies in 3 months of the last 36. Last cited Jun 2025. Most serious: Standard-level. Every month

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 Feb 18, 2026: a complaint inspection.

5 deficiencies cited in the last three years.

Source:

CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.

When those deficiencies happened

5 deficiencies in 3 months of the last 36. Last cited Jun 2025. Most serious: Standard-level. The last 3 years, to Nov 5, 2026.

5 deficiencies by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 Dec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOctNov

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

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.

Source:

CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.

Jun 4, 2025: complaint inspection1 deficiency

  • Rn Supervision Of Nursing Care

    The inspectors’ words, 366 words

    “RN SUPERVISION OF NURSING CARE CFR(s): 482.23(b)(3) A registered nurse must supervise and evaluate the nursing care for each patient. This Standard is not met as evidenced by: 42140 Based on record review and interview, the hospital failed to ensure: 1. Patient assessment for two (Patients #1 and #4) of four patient records reviewed. 2. Nursing intervention for one (Patient #1) of four patient records reviewed. PATIENT ASSESSMENT Review of the medical record showed an order for daily weight and did not show the patient was weighed daily. Specifically: Patient #1 1. A physician order dated 03/25/25 at 12:05 AM read in part, “Obtain Weight ...Frequency: Routine Daily 03/25/25 0600 [6:00 AM] - Until Specified.” 2. No documented weight for the following dates for 11 missed days: 03/28/25 03/29/25 04/03/25 04/04/25 04/05/25 04/06/25 04/07/25 04/09/25 04/10/25 04/11/25 04/12/25 Patient #4 1. A physician order dated 04/08/25 at 5:39 AM read in part, “Obtain Weight ...Frequency: Routine Daily 04/08/25 0600 [6:00 AM] - Until Specified.” 2. No documented weight for the following dates for two missed days: 04/11/25 04/12/25 On 06/04/25 at 1:38 PM, Staff A reviewed the medical records for Patients #1 and #4 and stated: 1. The patients were not weighed daily per the order. 2. Obtaining the daily weight was important for assessing fluid, renal and cardiovascular status. NURSING INTERVENTION Patient #1 Review of the medical record showed the patient had no bowel movement for eight days and did not show physician notification by nursing. Specifically: 1. A medical progress note dated 04/09/25 at 11:21 AM showed an assessment and plan for constipation. 2. A nursing assessment entry dated 04/12/25 at 2:01 PM read in part, “Last BM Date 04/11/25” 3. Stool occurrence entries from 04/12/25 to 04/19/25 read in part, “0.” 4. A nursing assessment entry dated 04/21/25 at 1:49 PM read in part, “Last BM Date 04/20/25.” On 06/04/25 at 2:18 PM, Staff A reviewed the medical record and stated: 1. The nurses were expected to communicate with the physician for an adjustment in the patient’s medication regimen for constipation and did not. 2. Nurses used end of shift notes to communicate to physicians, but physicians were not obligated to read them.”

    Rule A0395. Standard-level. From a complaint.

Jan 3, 2025: complaint inspection2 deficiencies

  • Patient Rights: Free From Abuse/Harassment

    The inspectors’ words, 161 words

    “PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT CFR(s): 482.13(c)(3) The patient has the right to be free from all forms of abuse or harassment. This Standard is not met as evidenced by: 42140 Based on record review and interview, the hospital failed to ensure the prevention of workplace violence against patients for one (Patient #3) of nine patients. Findings: Patient #3 Review of an internal document dated 11/30/24 read in part, “witnessed the bedside nurse put a pillow over the patient face and held it there for about 10 seconds to stop the patient from yelling.” Review of body worn camera footage “2024-11-30 0413 D01B01411” at approximately the 17:47 minute mark, showed Staff P stated, “all I was trying to do was just threaten her to be ...quiet.” Review of an internal document dated 12/03/24 showed Staff P was terminated from employment. On 12/12/24 at approximately 2:32 PM, Staff D stated Staff P was terminated for an act of violence toward a patient.”

    Rule A0145. Standard-level. From a complaint.

  • Nursing Care Plan

    The inspectors’ words, 175 words

    “NURSING CARE PLAN CFR(s): 482.23(b)(4) The hospital must ensure that the nursing staff develops, and keeps current, a nursing care plan for each patient that reflects the patient’s goals and the nursing care to be provided to meet the patient’s needs. The nursing care plan may be part of an interdisciplinary care plan. This Standard is not met as evidenced by: 42140 Based on record review and interview, the hospital failed to ensure a nursing care plan specific to the patient’s needs for one (Patient #9) of nine patients. Findings: Patient #9 Review of a policy titled “Patient Plan of Care” read in part, “The plan of care should be individualized to address specific patient/family needs.” Review of a history and physical dated 10/30/24 showed the patient with possible pneumonia and acute respiratory failure. Review of the nursing care plan for 10/30/24 through 11/04/24 showed no problem to reflect ineffective breathing pattern or its resolution. On 12/13/24 at 12:28 PM, Staff J stated there should have been a respiratory problem included on the care plan.”

    Rule A0396. Standard-level. From a complaint.

Nov 20, 2024: complaint inspection2 deficiencies

  • Staffing And Delivery Of Care

    The inspectors’ words, 331 words

    “STAFFING AND DELIVERY OF CARE CFR(s): 482.23(b) The nursing service must have adequate numbers of licensed registered nurses, licensed practical (vocational) nurses, and other personnel to provide nursing care to all patients as needed. There must be supervisory and staff personnel for each department or nursing unit to ensure, when needed, the immediate availability of a registered nurse for care of any patient. This Standard is not met as evidenced by: 50779 Based on Record review and interview, the hospital failed to ensure organized nursing services were available and supervised to provide services per the facilities policies and procedures for: 1. Six (Patients #2, 12, 13, 16, 17, and 18) of 20 patients needing nursing assessments. 2. Seven (Patients # 2, 11, 12, 13, 16, 17, and 18) of 20 patients needing nursing shift assessments, and 3. Six (patients 1, 6, 11, 13, 14, and 15) of 20 patients needing pain reassessments. Findings: A policy titled, “16464168 Nursing Assessment and Documentation” stated in part that the admission assessment was completed by the RN within 24 hours of admission to the facility. A policy title, “Nursing Assessment and Nursing Process” stated that the admission assessment would be completed within 24 hours of admission and that shift assessments would be completed at least once a shift. Pts #2, 12, 13, 16, 17 and 18 A review of the clinical records showed no nursing admission assessment. Pts #2, 11, 12, 13, 16, 17, and 18 A review of the clinical record records showed no nursing shift assessments. Pts #1, 6, 11, 13, 14, and 15 A reviw of the clincial records showed no pain reassessments. During an interview with employee Y on 11/20/2024 at 10:00 a.m. employee Y stated: 1. They didn’t know why the assessments were not completed for patients #1, 2, 6, 11, 12, 13, 14, 15, 16, 17, and 18. 2. An admission assessment should have been completed on every patient admitted to the hospital within 24 hours of admission. -”

    Rule A0392. Standard-level. From a complaint.

  • Administration Of Drugs

    The inspectors’ words, 271 words

    “ADMINISTRATION OF DRUGS CFR(s): 482.23(c)(1), (c)(1)(i) & (c)(2) (1) Drugs and biologicals must be prepared and administered in accordance with Federal and State laws, the orders of the practitioner or practitioners responsible for the patient’s care as specified under §482.12(c), and accepted standards of practice. (i) Drugs and biologicals may be prepared and administered on the orders of other practitioners not specified under §482.12(c) only if such practitioners are acting in accordance with State law, including scope of practice laws, hospital policies, and medical staff bylaws, rules, and regulations. (2) All drugs and biologicals must be administered by, or under supervision of, nursing or other personnel in accordance with Federal and State laws and regulations, including applicable licensing requirements, and in accordance with the approved medical staff policies and procedures. This Standard is not met as evidenced by: 50779 Based on record review and interview, the facility failed to ensure one of 20 (Pt #6) patient’s administration of pain medication was consistent with orders for the pain level reported. findings: Pt #6 A review of orders showed Tylenol for pain rated between 1-4. A review of clinical documentation showed: 1. on 10/06/2024 employee AA assessed the patients pain level as a “5,” 2. Employee AA administered Tylenol for the patient’s pain. Documentation showed no orders for pain rated above four (on 1-10 scale) and no documented communication/coordination by Employee AA for additional orders for pain medication rated higher than four. On 11/19/2024 at 1:15 p.m., Employee C stated that it was error on the nurse’s part and the nurse should have called the provider for a new order for pain medication.”

    Rule A0405. Standard-level. From a complaint.

All 8 inspections in the last three years
Inspections on record
DateVisitWhat the record says
Feb 18, 2026Complaint inspectionNo deficiencies cited
Jul 21, 2025Complaint inspectionNo deficiencies cited
Jun 4, 2025Complaint inspection1 deficiency cited
Mar 25, 2025Complaint inspectionNo deficiencies cited
Jan 3, 2025Complaint inspection2 deficiencies cited
Nov 20, 2024Complaint inspection2 deficiencies cited
Aug 23, 2024Complaint inspectionNo deficiencies cited
Apr 24, 2024Complaint inspectionNo deficiencies cited

How do patients fare?

  • CMS’s overall for it is 5 of 5.
  • Of the measures behind its , CMS counts against the national value: mortality, 2 better and 0 worse of 8; safety of care, 4 better and 0 worse of 8; readmission, 1 better and 0 worse of 11.
  • Patients rate it 3 of 5 in CMS’s patient survey (3,423 surveys completed, Oct 1, 2024 to Sep 30, 2025): 73% rated it 9 or 10 out of 10, and 81% 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, worse than the national benchmark; surgical site infections after abdominal hysterectomy, no different than national benchmark; MRSA bloodstream infections, better than the 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 9.4%, pneumonia 12.1%, COPD 7.4%, stroke 11.3%, heart bypass surgery 1.3%. 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 13.2%, heart failure 20.8%, pneumonia 15.9%, COPD 20%, heart bypass surgery 10%, hip or knee replacement 5.5%. 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 230 minutes there before leaving (Oct 1, 2024 to Sep 30, 2025), and 3% left before being seen.
  • 48% 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 1.03 times the national median (Jan 1, 2024 to Dec 31, 2024).
Source:

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.

Ratings and measures, as published
MeasureRating
Overall ratingCMS’s overall hospital quality star rating, 1 to 55 of 5
Patient survey ratingCMS star rating from its survey of the hospital’s patients (HCAHPS), 1 to 53 of 5

Is it certified, and in good standing?

  • Medicare-certified acute care hospital since Jul 1, 1966.
  • Ownership: voluntary non-profit - private.
  • It is accredited by The Joint Commission, whose surveys stand in for the state’s routine inspections.
  • No deficiency on record in the last three years.
  • It has an inpatient rehabilitation unit of 22 beds, which CMS lists apart as a rehabilitation facility.
  • Voluntary non-profit - Private.
Source:

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.
  • 5 deficiencies cited in the last three years came from inspections that included a complaint investigation.
Source:

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 3 of 5.
  • 90% of its health care workers got a flu shot (Oct 1, 2024 to Mar 31, 2025).
Source:

CMS, Patient survey (HCAHPS) - Hospital and Timely and Effective Care - Hospital. Released Aug 13, 2026. Updated quarterly.

Who owns it?

  • Saint Francis Health System Inc. owns an unstated share directly since Jul 1, 1966.
  • Saint Francis Health System Inc. runs it.
  • 21 owners or officers are people: Laura Stuemky (corporate director); Judith Z Kishner (corporate director); William K Warren (corporate director); Barry L Steichen (corporate officer); Barry L Steichen (corporate director); Barry L Steichen (managing employee (on the payroll)); Sailatha P Thomas (corporate director); Thomas Cooper (corporate director); Michael D Case (corporate director); Gary Kastl (corporate director); David A Konderla (corporate officer); Michael J Lissau (corporate officer); Mike Cooke (corporate director); Jeffrey Scott Smith (other role (CMS gives no detail)); John Kelly C Warren (corporate director); Deborah Dage (corporate officer); Deborah Dage (managing employee (on the payroll)); Douglas Williams (corporate officer); Cliff A Robertson (corporate officer); Cliff A Robertson (corporate director); Cliff A Robertson (managing employee (on the payroll)).
  • CMS’s Provider of Services file records 1 change of ownership.
  • No private-equity firm among the owners CMS lists.
  • No real-estate investment trust among the owners CMS lists.
Source:

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.

Organisations CMS lists
OrganisationRoleShareSince
Saint Francis Health System Inc.Owns 5% or more directlyJul 1, 1966
Saint Francis Health System Inc.Runs it (operational or managerial control)Jul 1, 1966

How does it compare nearby?

  • Of the 16 hospitals CMS lists in Tulsa County, 10 have an overall star rating from CMS: 5 rated 5 of 5, 1 rated 4 of 5, 3 rated 3 of 5, 1 rated 2 of 5.
  • CMS rates this one 5 of 5.
Source:

CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.

12 compared
PlaceOverall star rating
Laureate Psychiatric Clinic and Hospital, Inc.Not given
Hillcrest Medical Center3
Oklahoma State University Medical Center2
Ascension St John Medical Center3
Hillcrest Hospital South3
Oklahoma Surgical Hospital, LLC5
Tulsa Spine & Specialty HospitalNot given
Saint Francis Hospital South, LLC5
St John Owasso5
Bailey Medical Center, LLC5
Ascension St John Broken Arrow4
Council Oak Comprehensive HealthcareNot 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

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.

Source:

This copy of the record was made on Nov 5, 2026.

From the hospital

The public record above comes first. Anything the hospital adds will appear here, below it, and say who wrote it.

Replies

None. Replies aren’t open yet. When they open, the hospital will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.

Paid listing

None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the hospital”, and paying will never change a finding, a rating or the order of results.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

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