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The Gardens of St. Francis

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930 South Wynn Road, Oregon, OH 43616 (opens Google Maps) · Lucas County · (419) 698-4331· 60 certified beds · avg 57 residents/day · certified since May 9, 2005 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

Part of chain: COMMONSPIRIT HEALTH (18 facilities, chain avg rating 2.7★)

3/5
Health inspection rating (on-site)
inspected Mar 26, 2026
2
Serious findings on record
most recent Feb 1, 2024
$45,250
Fines, last 3 years
1.16
Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

New to these records? How to read an inspection report →

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5 · how star ratings work →

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, isolated · Feb 1, 2024 · F-0689

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Mar 8, 2024 (Deficient, Provider has date of correction)

▲ Actual harm, isolated · Oct 11, 2023 · F-0760 · triggered by a complaint

The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.

Why it matters: A serious medication error can cause real harm, hospitalization, or worse.

Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Sep 30, 2023 (Past Non-Compliance)

Inspection findings in the public record

Showing the latest 3 of 40 inspection findings. Open the full record below to read every finding.

  1. E · Potential for more than minimal harm, pattern

    The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function. F-0605

  2. E · Potential for more than minimal harm, pattern

    The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. F-0883

  3. D · Potential for more than minimal harm, isolated

    The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. F-0561

View all 40 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

DateSeverityWhat the facility was cited for
Mar 26, 2026E · Potential for more than minimal harm, patternThe facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function. · F-0605
Mar 26, 2026E · Potential for more than minimal harm, patternThe facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. · F-0883
Mar 26, 2026D · Potential for more than minimal harm, isolatedThe facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. · F-0561
Mar 26, 2026D · Potential for more than minimal harm, isolatedThe facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. · F-0645
Mar 26, 2026D · Potential for more than minimal harm, isolatedThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684
Mar 26, 2026D · Potential for more than minimal harm, isolatedThe facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · F-0686
Mar 7, 2024D · Potential for more than minimal harm, isolatedThe facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint · F-0755
Feb 1, 2024▲ G · Actual harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689
Feb 1, 2024D · Potential for more than minimal harm, isolatedThe facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · F-0550
Feb 1, 2024D · Potential for more than minimal harm, isolatedThe facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. · F-0582
Feb 1, 2024D · Potential for more than minimal harm, isolatedThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684
Feb 1, 2024D · Potential for more than minimal harm, isolatedThe facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · F-0690
Feb 1, 2024D · Potential for more than minimal harm, isolatedThe facility did not provide safe and appropriate pain management for a resident who needed it. · F-0697
Feb 1, 2024D · Potential for more than minimal harm, isolatedThe facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755
Feb 1, 2024D · Potential for more than minimal harm, isolatedThe facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. · F-0759
Feb 1, 2024D · Potential for more than minimal harm, isolatedThe facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761
Oct 11, 2023▲ G · Actual harm, isolatedThe facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint · F-0760
Sep 8, 2021F · Potential for more than minimal harm, widespreadThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Sep 8, 2021F · Potential for more than minimal harm, widespreadThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880
Sep 8, 2021F · Potential for more than minimal harm, widespreadThe facility did not perform required COVID-19 testing on residents and staff. · F-0886
Sep 8, 2021E · Potential for more than minimal harm, patternThe facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584
Sep 8, 2021E · Potential for more than minimal harm, patternThe facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · F-0656
Sep 8, 2021E · Potential for more than minimal harm, patternThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684
Sep 8, 2021D · Potential for more than minimal harm, isolatedThe facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · F-0550
Sep 8, 2021D · Potential for more than minimal harm, isolatedThe facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. · F-0561
Sep 8, 2021D · Potential for more than minimal harm, isolatedThe facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · F-0580
Sep 8, 2021D · Potential for more than minimal harm, isolatedThe facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. · F-0623
Sep 8, 2021D · Potential for more than minimal harm, isolatedThe facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. · F-0625
Sep 8, 2021D · Potential for more than minimal harm, isolatedThe facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641
Sep 8, 2021D · Potential for more than minimal harm, isolatedThe facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · F-0657
Sep 8, 2021D · Potential for more than minimal harm, isolatedThe facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · F-0677
Sep 8, 2021D · Potential for more than minimal harm, isolatedThe facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids. · F-0685
Sep 8, 2021D · Potential for more than minimal harm, isolatedThe facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · F-0686
Sep 8, 2021D · Potential for more than minimal harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689
Sep 8, 2021D · Potential for more than minimal harm, isolatedThe facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755
Sep 8, 2021D · Potential for more than minimal harm, isolatedThe facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. · F-0756
Sep 8, 2021D · Potential for more than minimal harm, isolatedThe facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. · F-0758
Sep 8, 2021D · Potential for more than minimal harm, isolatedThe facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. · F-0803
Sep 8, 2021D · Potential for more than minimal harm, isolatedThe facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842
Sep 8, 2021D · Potential for more than minimal harm, isolatedThe facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. · F-0883

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (9 → 6).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2021
All citations: 23
Serious citations (G–L): 0
2023
All citations: 1
Serious citations (G–L): 1
2024
All citations: 10
Serious citations (G–L): 1
2026
All citations: 6
Serious citations (G–L): 0

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
2021230F
202311G ▲
2024101G ▲
202660E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

How to file a complaint about care →

1 fine totaling $45,250, plus 1 Medicare payment denial period.

Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.

DateTypeAmount / length
Feb 1, 2024Fine$45,250
Feb 1, 2024Payment Denial7 days from Mar 1, 2024

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityOhio averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 1.16
Ohio average: 3.45
U.S. average: 3.95
Registered Nurse hours
This facility: 0.21
Ohio average: 0.60
U.S. average: 0.69
Weekend total nurse staffing
This facility: 0.99
Ohio average: 3.07
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityOhio avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)1.163.453.95bottom 1% in Ohio; bottom 1% in the U.S.
Registered Nurse hours0.210.600.69bottom 1% in Ohio; bottom 3% in the U.S.
Weekend total nurse staffing0.993.073.50bottom 1% in Ohio; bottom 1% in the U.S.
Weekend RN hours (not acuity-adjusted)0.120.420.48bottom 1% in Ohio; bottom 3% in the U.S.
Total nursing staff turnover (%)65.648.745.8bottom 12% in Ohio; bottom 9% in the U.S.
RN turnover (%)80.043.942.9bottom 6% in Ohio; bottom 6% in the U.S.

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 1.48, RN 0.27, weekend 1.27.Comparing with Medicare Care Compare? Care Compare shows the raw figure (1.48 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 1/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for The Gardens of St. Francis. CMS inspection and staffing records do not tell us what this home will charge you.

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Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

Non profit - Corporation

Owner / managerTypeRoleStakeSince
Commonspirit HealthOrganization5% or Greater Indirect Ownership Interest100%11/01/2014
Sylvania Franciscan HealthOrganization5% or Greater Direct Ownership Interest100%11/01/2014
Bowles, JaxonIndividualOperational/Managerial ControlNOT APPLICABLE01/10/2022
Cecil, CaitlinIndividualCorporate DirectorNOT APPLICABLE06/18/2012
Cecil, CaitlinIndividualOperational/Managerial ControlNOT APPLICABLE06/18/2012
Cecil, CaitlinIndividualADP of the SNFNOT APPLICABLE06/18/2012
Commonspirit HealthOrganizationOperational/Managerial ControlNOT APPLICABLE11/01/2014
Commonspirit HealthOrganizationADP of the SNFNOT APPLICABLE11/01/2014
Concept Rehab, INC.OrganizationOperational/Managerial ControlNOT APPLICABLE01/05/2015
Concept Rehab, INC.OrganizationADP of the SNFNOT APPLICABLE04/18/2025
Cox, DarleneIndividualOperational/Managerial ControlNOT APPLICABLE05/09/2013
Dunaway, DeannaIndividualOperational/Managerial ControlNOT APPLICABLE02/01/2019
Finn, ChristinaIndividualCorporate DirectorNOT APPLICABLE07/01/2017
Finn, ChristinaIndividualOperational/Managerial ControlNOT APPLICABLE07/01/2017
Finn, ChristinaIndividualADP of the SNFNOT APPLICABLE07/01/2017
Forvis Mazars LLPOrganizationOperational/Managerial ControlNOT APPLICABLE08/16/2019
Forvis Mazars LLPOrganizationADP of the SNFNOT APPLICABLE04/18/2025
Grubbs, StaceyIndividualCorporate DirectorNOT APPLICABLE03/26/2012
Grubbs, StaceyIndividualOperational/Managerial ControlNOT APPLICABLE03/26/2012
Grubbs, StaceyIndividualADP of the SNFNOT APPLICABLE03/26/2012

Showing 20 of 78 parties CMS has on file for this facility; 58 are not displayed. The full list is in the CMS Ownership dataset.

Other facilities in the same chain

CMS lists this facility under the chain Commonspirit Health — 18 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

Listed by state, then facility name — not a ranking. Showing 8 of the 17 others, continuing from this facility's own place in that list.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

  • "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
  • "What systems do you use to prevent medication errors, and what happens when one occurs?"
  • "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
  • "What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
  • "What choices do residents have over their daily schedule, like meal times, bathing, and activities?"
  • "How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
  • "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
  • "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"

Also worth asking anywhere

  • "Your weekend nurse staffing is reported below the Ohio midpoint — how does the weekend schedule differ from a weekday?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS reports 66% total nursing staff turnover here — who on the care team has been with you longest?"
  • "The ownership record on file lists 78 owning or managing parties — who makes the decisions about staffing levels?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (12 closest of 44 within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Ayden Healthcare of Oregon1.4 miOregon, OH★★☆☆☆1/5
Orchard Villa2.7 miOregon, OH★★★★☆3/5
Arbors at Oregon2.8 miOregon, OH★★☆☆☆1/5
Majestic Care of Toledo SNF3.3 miToledo, OH★★★★★4/5
Majestic Care of Point Place7.0 miToledo, OH★☆☆☆☆1/5
Majestic Care of Perrysburg7.4 miPerrysburg, OH★★☆☆☆1/5
Merit House LLC8.5 miToledo, OH★★☆☆☆1/5
Advanced Healthcare Center8.7 miToledo, OH★★★★☆3/5
Genoa Retirement Village9.1 miGenoa, OH★★★★★4/5
Park Terrace Rehabilitation Center9.6 miToledo, OH★☆☆☆☆1/5
Ayden Healthcare of Toledo10.0 miToledo, OH★★☆☆☆1/5
Concord Care Center of Toledo10.2 miToledo, OH★★☆☆☆1/5

Compare this facility with the 3 closest →

Other facilities in the same county

CMS records place this facility in Lucas, OH — 34 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.

Listed by facility name — not a ranking. Homes already in the table above are not repeated here.

All facilities in Oregon →

Facility data as of CMS processing date 2026-08-01. CCN 366312.

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