CHI Health St. Francis
Open-data reference.
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
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
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)
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
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
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Mar 21, 2024
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
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
Have enough outside ventilation via a window or mechanical ventilation, or both.
Category: Environmental Deficiencies
Corrected: Apr 20, 2023
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.
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Understanding Nursing Home Data
Related Data from Other Sources
Doctors Nearby
Find physicians and specialists in Grand Island, NE on PlainDoctor
Hospitals Nearby
Hospital quality ratings and safety data for Grand Island, NE on PlainHospital
Medicare Plans
Compare Medicare plans and coverage options near Grand Island, NE on PlainMedicare
County Health Data
Health outcomes, access, and quality metrics for Hall on PlainHealth
Frequently Asked Questions
What is the overall CMS rating for CHI Health St. Francis?
What are the staffing levels at CHI Health St. Francis?
How many beds does CHI Health St. Francis have?
Does CHI Health St. Francis have any deficiencies on record?
Has CHI Health St. Francis received any fines or penalties?
Who owns CHI Health St. Francis?
When was CHI Health St. Francis last inspected?
What quality measures are tracked for CHI Health St. Francis?
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.
Read our methodology — how this data is sourced, computed, and verified.