Hearth Record

The Gardens of St. Francis

A nursing home in Oregon, Ohio 43616

930 South Wynn Road, Oregon, Ohio 43616. (419) 698-4331.

CMS’s own record, on Care Compare

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The short answer

Record last released by CMS on Oct 28, 2026.

The last 24 months 16 citations in 3 months of the last 36. Last cited Mar 2026. Most serious: actual harm (G). Every month

Each figure’s source sits beside it, in its section below.

What these words mean7
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.
Scope and severity (A to L)
CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
Nurse staffing hours
The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
Fines and payment denials
A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
Capacity
The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.

What did inspectors find?

6 health citations at the latest inspection cycle

The Ohio average is 10.5.

Last standard inspection Mar 26, 2026.

Most serious in three years: actual harm (G), at a standard inspection on Feb 1, 2024

Source:

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

When those citations happened

16 citations in 3 months of the last 36. Last cited Mar 2026. Most serious: actual harm (G). The last 3 years, to Nov 5, 2026.

16 citations 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.

All 16 citations in the last three years

Grouped by inspection, newest first. Each carries , from A, the least serious, to L, the most. 1 came from complaint inspections.

Source:

CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Mar 26, 2026: standard inspection6 citations
  • Honor the resident’s right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Rule F0561. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 30, 2026.

  • Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident’s ability to function.

    Rule F0605. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 30, 2026.

  • PASARR screening for Mental disorders or Intellectual Disabilities

    Rule F0645. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 30, 2026.

  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Rule F0684. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 30, 2026.

  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Rule F0686. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 30, 2026.

  • Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Rule F0883. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 30, 2026.

Mar 7, 2024: complaint inspection1 citation
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Rule F0755. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 8, 2024.

Feb 1, 2024: standard inspection9 citations
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Rule F0689. G: actual harm. Correction date, as CMS recorded it: Mar 8, 2024.

  • Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Rule F0550. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 8, 2024.

  • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Rule F0582. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 8, 2024.

  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Rule F0684. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 8, 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.

    Rule F0690. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 8, 2024.

  • Provide safe, appropriate pain management for a resident who requires such services.

    Rule F0697. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 8, 2024.

  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Rule F0755. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 8, 2024.

  • Ensure medication error rates are not 5 percent or greater.

    Rule F0759. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 8, 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.

    Rule F0761. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 8, 2024.

Is it certified, and in good standing?

  • Certified for Medicare and Medicaid since May 9, 2005.
  • Not on CMS’s special focus list.
  • No abuse icon from CMS.
  • No change of ownership in the last 12 months.
  • CMS lists its ownership as non profit, corporation.
  • 60 certified beds.
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Has it been fined or penalized?

  • 1 fine in the last three years, $45,250 in all.
  • 1 Medicare payment denial in the last three years.
  • 1 citation in the last three years came from complaint inspections.
Source:

CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Fines and payment denials, newest first
DateKindAmount
Feb 1, 2024Medicare payment denialNot given
Feb 1, 2024Fine$45,250

Who does the caring?

4.57 nurse hours per resident per day

The Ohio average is 3.71.

CMS publishes staffing about four months after the fact.

Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

Staffing measures
MeasureThis homeOhio average
Nurse hours per resident per day4.573.71
Of which registered nurses0.940.64
At weekends3.863.29
Nursing staff turnover67.2%49%
Registered nurse turnover81.3%44.4%
Administrators who left4Not given

Who owns it?

  • Sylvania Franciscan Health owns 100% directly since Nov 1, 2014.
  • Commonspirit Health and Ulrichpinciotti Design Group, LLC and Concept Rehab, Inc. and Ohio Newspapers, Inc. and Icp Inc. and Prelude Systems, Inc. and Forvis Mazars LLP run it.
  • 60 owners or officers are people: Ted Hazard (corporate director); Ted Hazard (runs it (operational or managerial control)); Ted Hazard (additional disclosable party (controls, leases property to, or provides services to the home)); Joan Longhin-Howard (runs it (operational or managerial control)); Joan Longhin-Howard (additional disclosable party (controls, leases property to, or provides services to the home)); Heidi Hoffman (runs it (operational or managerial control)); Caitlin Cecil (corporate director); Caitlin Cecil (runs it (operational or managerial control)); Caitlin Cecil (additional disclosable party (controls, leases property to, or provides services to the home)); Stacey Grubbs (corporate director); Stacey Grubbs (runs it (operational or managerial control)); Stacey Grubbs (additional disclosable party (controls, leases property to, or provides services to the home)); Erin Mcknight (runs it (operational or managerial control)); Darlene Cox (runs it (operational or managerial control)); Dianne Mcfarland (runs it (operational or managerial control)); Dianne Mcfarland (additional disclosable party (controls, leases property to, or provides services to the home)); Donald Meach (runs it (operational or managerial control)); Terika Richardson Mbanu (on the governing body (managing control)); Navneet Kaur-Grewal (runs it (operational or managerial control)); Sudheer K Polisetty (runs it (operational or managerial control)); Sudheer K Polisetty (additional disclosable party (controls, leases property to, or provides services to the home)); Mitch Melfi (on the governing body (managing control)); Daniel Narges (runs it (operational or managerial control)); Rachel Norment (additional disclosable party (controls, leases property to, or provides services to the home)); Jennifer Nagel (corporate director); Jennifer Nagel (runs it (operational or managerial control)); Jennifer Nagel (additional disclosable party (controls, leases property to, or provides services to the home)); Casey Howard (runs it (operational or managerial control)); Casey Howard (additional disclosable party (controls, leases property to, or provides services to the home)); Jaxon Bowles (runs it (operational or managerial control)); Gina Lucas (additional disclosable party (controls, leases property to, or provides services to the home)); Rosanne Kalinowski (runs it (operational or managerial control)); Jennifer Voelker (runs it (operational or managerial control)); Jennifer Voelker (additional disclosable party (controls, leases property to, or provides services to the home)); Heather Rehmer (corporate officer); Heather Rehmer (runs it (operational or managerial control)); Heather Rehmer (additional disclosable party (controls, leases property to, or provides services to the home)); Prentice Lipsey (corporate officer); Prentice Lipsey (on the governing body (managing control)); Barbara Snodgrass (corporate director); Barbara Snodgrass (additional disclosable party (controls, leases property to, or provides services to the home)); Matthew Wine (corporate director); Matthew Wine (runs it (operational or managerial control)); Matthew Wine (additional disclosable party (controls, leases property to, or provides services to the home)); Christina Finn (corporate director); Christina Finn (runs it (operational or managerial control)); Christina Finn (additional disclosable party (controls, leases property to, or provides services to the home)); Jenel Stoinski (runs it (operational or managerial control)); Jenel Stoinski (additional disclosable party (controls, leases property to, or provides services to the home)); Kristy Wortketter (runs it (operational or managerial control)); Alisa Iffland (corporate officer); Alisa Iffland (runs it (operational or managerial control)); Alisa Iffland (additional disclosable party (controls, leases property to, or provides services to the home)); Shelly Murriel (corporate director); Shelly Murriel (runs it (operational or managerial control)); Shelly Murriel (additional disclosable party (controls, leases property to, or provides services to the home)); Kyle Munroe (corporate director); Kyle Munroe (runs it (operational or managerial control)); Kyle Munroe (additional disclosable party (controls, leases property to, or provides services to the home)); Deanna Dunaway (runs it (operational or managerial control)).
  • Part of Commonspirit Health (18 homes in CMS’s data).
  • No private-equity firm among the owners CMS lists.
  • No real-estate investment trust among the owners CMS lists.
Source:

CMS, All Owners. Checked Nov 5, 2026. Updated monthly.

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Organisations CMS lists
OrganisationRoleShareSince
Sylvania Franciscan HealthOwns 5% or more directly100%Nov 1, 2014
Commonspirit HealthOwns 5% or more through other companies100%Nov 1, 2014
Sylvania Franciscan HealthAdditional disclosable party (controls, leases property to, or provides services to the home)Nov 1, 2014
Commonspirit HealthRuns it (operational or managerial control)Nov 1, 2014
Commonspirit HealthAdditional disclosable party (controls, leases property to, or provides services to the home)Nov 1, 2014
Ulrichpinciotti Design Group, LLCRuns it (operational or managerial control)Jul 1, 2011
Concept Rehab, Inc.Runs it (operational or managerial control)Jan 5, 2015
Concept Rehab, Inc.Additional disclosable party (controls, leases property to, or provides services to the home)Apr 18, 2025
Ohio Newspapers, Inc.Runs it (operational or managerial control)Jul 1, 2011
Ohio Newspapers, Inc.Additional disclosable party (controls, leases property to, or provides services to the home)Apr 18, 2025
Icp Inc.Runs it (operational or managerial control)Feb 1, 2024
Icp Inc.Additional disclosable party (controls, leases property to, or provides services to the home)Apr 18, 2025
Prelude Systems, Inc.Runs it (operational or managerial control)Apr 1, 2017
Prelude Systems, Inc.Additional disclosable party (controls, leases property to, or provides services to the home)Apr 18, 2025
Forvis Mazars LLPRuns it (operational or managerial control)Aug 16, 2019
Forvis Mazars LLPAdditional disclosable party (controls, leases property to, or provides services to the home)Apr 18, 2025
Richter and AssociatesAdditional disclosable party (controls, leases property to, or provides services to the home)Feb 1, 2019

How do residents fare?

  • CMS rates its quality measures 5 of 5 (Ohio average 4.5).
Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

CMS’s star ratings, from 1 to 5
MeasureRating
Overall rating4 of 5
Health inspections3 of 5
Staffing2 of 5
Quality measures5 of 5

How does it compare nearby?

  • Among the 12 nearest homes, within 10.0 miles, this one had the 10th most health citations at the latest inspection cycle (6; the middle value was 13).
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

The 12 nearest, by straight-line distance
PlaceMiles awayCitations, latest cycle
The Gardens of St. Francis This nursing home6
Ayden Healthcare of Oregon1.325
Orchard Villa2.79
Arbors at Oregon2.812
Majestic Care of Toledo SNF3.34
Majestic Care of Point Place7.018
Majestic Care of Perrysburg7.423
Merit House LLC8.524
Advanced Healthcare Center8.78
Genoa Retirement Village9.15
Park Terrace Rehabilitation Center9.627
Ayden Healthcare of Toledo10.014

What the record doesn’t say

  • Complaints that didn’t lead to a citation aren’t published.
  • Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
  • CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
  • Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.

Sources

  • Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).

    Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).

    Released Oct 28, 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.

Source:

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

From the home

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

Replies

None. Replies aren’t open yet. When they open, the home 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 home”, 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.

1 of 4

Every fact names its source.

Who published it, when, and how often it changes sit beside each fact, with a link to the agency’s own file.

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