THE GARDENS OF ST. FRANCIS
State inspectors recorded 1 citation(s) in the last three years where CMS determined a resident was actually harmed.
Serious inspection findings
2024-02-01 — ACTUAL HARM (tag F0689, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2023-10-11 — ACTUAL HARM (tag F0760, severity G)
Pharmacy Service Deficiencies · correction not recorded in CMS data
Ensure that residents are free from significant medication errors.
Staffing, from payroll records
Nursing hours / resident / day
1.39
state median 3.20
Weekend staffing gap
−13%
fewer nursing hours on weekends · state median −4%
RN hours / resident / day
0.20
registered nurses only
Contract (agency) staff
1%
share of all nursing hours
Days with zero RN hours reported
59
with residents present
Nursing staff turnover
66%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
2 enforcement action(s), totaling $45,250 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-02-01 | Fine | $45,250 |
| 2024-02-01 | Payment Denial | payment denial |
Ownership
Ownership type: Non profit - Corporation. Part of the COMMONSPIRIT HEALTH chain.
Other facilities under the same ownership, with their CMS overall ratings:
- COMMUNITY CONVALESCENT CENTER OF SAN BERNARDINO (SAN BERNARDINO, CA) —
- MOUNT ST FRANCIS NURSING CENTER (COLORADO SPRINGS, CO) —
- Bishop Drumm Retirement Center (Johnston, IA) —
- Madonna Manor (Villa Hills, KY) —
- ST FRANCIS HOME (BRECKENRIDGE, MN) —
- LAKEWOOD CARE CENTER (BAUDETTE, MN) —
- CHI Health St. Francis (Grand Island, NE) —
- GARRISON MEM HOSP NSG FAC (GARRISON, ND) —
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2026-03-26 | F0561 | Resident Rights Deficiencies | D | not recorded |
| 2026-03-26 | F0605 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | E | not recorded |
| 2026-03-26 | F0645 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2026-03-26 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-03-26 | F0686 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-03-26 | F0883 | Infection Control Deficiencies | E | not recorded |
| 2024-03-07 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-02-01 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2024-02-01 | F0582 | Resident Rights Deficiencies | D | not recorded |
| 2024-02-01 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-02-01 | F0689 | Quality of Life and Care Deficiencies | G | not recorded |
| 2024-02-01 | F0690 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-02-01 | F0697 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-02-01 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-02-01 | F0759 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-02-01 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2023-10-11 | F0760 | Pharmacy Service Deficiencies | G | not recorded |
| 2021-09-08 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2021-09-08 | F0561 | Resident Rights Deficiencies | D | not recorded |
| 2021-09-08 | F0580 | Resident Rights Deficiencies | D | not recorded |
| 2021-09-08 | F0584 | Resident Rights Deficiencies | E | not recorded |
| 2021-09-08 | F0623 | Resident Rights Deficiencies | D | not recorded |
| 2021-09-08 | F0625 | Resident Rights Deficiencies | D | not recorded |
| 2021-09-08 | F0641 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2021-09-08 | F0656 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2021-09-08 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2021-09-08 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2021-09-08 | F0684 | Quality of Life and Care Deficiencies | E | not recorded |
| 2021-09-08 | F0685 | Quality of Life and Care Deficiencies | D | not recorded |
| 2021-09-08 | F0686 | Quality of Life and Care Deficiencies | D | not recorded |
| 2021-09-08 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2021-09-08 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2021-09-08 | F0756 | Pharmacy Service Deficiencies | D | not recorded |
| 2021-09-08 | F0758 | Pharmacy Service Deficiencies | D | not recorded |
| 2021-09-08 | F0803 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2021-09-08 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2021-09-08 | F0842 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2021-09-08 | F0880 | Infection Control Deficiencies | F | not recorded |
| 2021-09-08 | F0883 | Infection Control Deficiencies | D | not recorded |
| 2021-09-08 | F0886 | Infection Control Deficiencies | F | not recorded |