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CHI Health St. Francis

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CHI Health St. Francis is a non profit - corporation facility in Grand Island, NE with 36 certified beds and a 4-star overall CMS rating. The facility has 7 deficiency records on file.

2116 West Faidley Avenue, Grand Island, NE 68803

Phone: 3083985880

Overall Rating

4/5

Health Inspection

4/5

Staffing

4/5

Quality Measures

4/5

Long-Stay Quality

N/A

Facility Information

Provider Number
285081
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
Beds
36
Residents
15
In Hospital
Yes
County
Hall
Last Inspection
Mar 20, 2025

Staffing Data

RN Hours
3.25 (nat'l avg: 0.68)
LPN Hours
0.67
CNA Hours
4.22
Total Nursing Hours
8.15 (nat'l avg: 3.89)
PT Hours
0.45
Nursing Turnover
45.7%
RN Turnover
50.0%

What the CMS Record Reveals About CHI Health St. Francis

CHI Health St. Francis operates 36 certified beds in Grand Island, NE with approximately 15 residents currently in care, and carries a CMS overall rating of 4 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (4★), staffing levels (4★), and quality measures (4★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 7 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues — if any — did not rise to the enforcement threshold. Staffing is reported at 8.15 total nursing hours per resident day (national average 3.89), with RN coverage at 3.25 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "Non profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider embedded within a hospital campus, CHI Health St. Francis falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 45.7%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (7 most recent)

F — Widespread - Minimal harm Mar 20, 2025 Tag: 0729

Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.

Category: Nursing and Physician Services Deficiencies

Corrected: May 20, 2025

D — Isolated - Minimal harm Mar 20, 2025 Tag: 0625

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Category: Resident Rights Deficiencies

Corrected: May 20, 2025

D — Isolated - Minimal harm Feb 1, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Mar 21, 2024

F — Widespread - Minimal harm Feb 1, 2024 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Mar 21, 2024

D — Isolated - Minimal harm Feb 1, 2024 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: Mar 21, 2024

F — Widespread - Minimal harm Mar 13, 2023 Tag: 0923

Have enough outside ventilation via a window or mechanical ventilation, or both.

Category: Environmental Deficiencies

Corrected: Apr 20, 2023

E — Pattern - Minimal harm Mar 13, 2023 Tag: 0655

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 20, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay N/A Yes
Percentage of long-stay residents who lose too much weight Long Stay 4.8% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 12.9% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 4.8% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay N/A No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 0.0% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 100.0% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 98.8% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 1.3% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay N/A Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 22.7% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay N/A No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 94.6% No
Percentage of long-stay residents with pressure ulcers Long Stay 0.0% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay N/A No
Percentage of long-stay residents who received an antipsychotic medication Long Stay N/A Yes

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for CHI Health St. Francis?
CHI Health St. Francis has an overall CMS rating of 4 out of 5 stars. This rating combines health inspection results (4★), staffing levels (4★), and quality measures (4★).
What are the staffing levels at CHI Health St. Francis?
CHI Health St. Francis reports 8.15 total nursing hours per resident day (national average: 3.89). RN hours are 3.25 per resident day (national average: 0.68). Nursing staff turnover is 45.7%.
How many beds does CHI Health St. Francis have?
CHI Health St. Francis has 36 certified beds with approximately 15 residents. The facility is located at 2116 West Faidley Avenue, Grand Island, NE 68803.
Does CHI Health St. Francis have any deficiencies on record?
Yes, CHI Health St. Francis has 7 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has CHI Health St. Francis received any fines or penalties?
No, CHI Health St. Francis has no fines or penalties on record.
Who owns CHI Health St. Francis?
CHI Health St. Francis is classified as "Non profit - Corporation" ownership. The facility type is "Medicare and Medicaid" and is located within a hospital.
When was CHI Health St. Francis last inspected?
The most recent health inspection for CHI Health St. Francis was on Mar 20, 2025. The facility received a health inspection rating of 4 out of 5 stars.
What quality measures are tracked for CHI Health St. Francis?
CHI Health St. Francis is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial