CHI Health St. Francis Inspection Report, Violations & Safety Grade (Grand Island, Nebraska)

2116 West Faidley Avenue, Grand Island, Nebraska 68803

Phone: 3083985880

CMS Overall:3/5

Overview & Bed Count

Certified Beds

Avg Residents/Day

Ownership

Non profit - Corporation

Provider Type

Medicare and Medicaid

County

Hall

Sprinkler Systems

Yes

Special Focus

None

Abuse Icon

Overall3/5

Health4/5

Staffing1/5

Quality2/5

Metric	This Facility	Nebraska Avg	Difference
RN Hours per Resident per Day	0.00	0.69	-0.69
Total Nurse Hours per Resident per Day	0.00	4.12	-4.12
CMS Staffing Rating	1/5	3.3/5	-
Nursing Staff Turnover	N/A	48.5%	-

7 health citations on record

Date	Category	Description	Severity
2025-03-20	Nursing and Physician Services Deficiencies	Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.	F – Moderate Harm Potential
2025-03-20	Resident Rights Deficiencies	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.	D – Moderate Harm Potential
2024-02-01	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F – Moderate Harm Potential
2024-02-01	Resident Rights Deficiencies	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	D – Moderate Harm Potential
2024-02-01	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D – Moderate Harm Potential
2023-03-13	Environmental Deficiencies	Have enough outside ventilation via a window or mechanical ventilation, or both.	F – Moderate Harm Potential
2023-03-13	Resident Assessment and Care Planning Deficiencies	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted	E – Moderate Harm Potential

6 fire safety citations on record

Date	Category	Description	Severity
2025-03-20	Emergency Preparedness Deficiencies	Implement emergency and standby power systems.	F – Moderate Harm Potential
2025-03-20	Gas, Vacuum, and Electrical Systems Deficiencies	Have generator or other power source capable of supplying service within 10 seconds.	F – Moderate Harm Potential
2025-03-20	Gas, Vacuum, and Electrical Systems Deficiencies	Ensure that testing and maintenance of electrical equipment is performed.	F – Moderate Harm Potential
2024-02-01	Egress Deficiencies	Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.	E – Moderate Harm Potential
2024-02-01	Gas, Vacuum, and Electrical Systems Deficiencies	Ensure proper usage of power strips and extension cords.	E – Moderate Harm Potential
2023-03-13	Gas, Vacuum, and Electrical Systems Deficiencies	Ensure that testing and maintenance of electrical equipment is performed.	F – Moderate Harm Potential

Total Fine Amount (CMS)

Number of Fines

Total Penalties

No penalty records found.

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Our family advisors can help you find vetted, top-rated facilities in the Grand Island area at no cost.

Advisor service is free for families. We may receive referral compensation.