CHI Health St. Francis

Grand Island, NE · 36 beds · Non profit - Corporation

92 Trust Score

Grade: A LOW Risk → Stable

Red Flags

No red flags identified.

Green Flags

✓ 4-star health inspection rating
✓ 4-star staffing rating
✓ Below-average deficiency count (2 vs 7 state avg)
✓ No fines or penalties on record
✓ Above-average RN staffing (2.76 hrs vs 0.77 state avg)

Quick Facts

★★★★☆

CMS Overall

★★★★☆

Health Inspection

0.3x state avg

Deficiencies

Fines (3-yr)

★★★★☆

Staffing

Violation Timeline

March 19, 2025

2 deficiencyies

F0625 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

Show details

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.

F0729 Potential Harm Scope/Severity: F

Nursing and Physician Services Deficiencies

Show details

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

January 31, 2024

3 deficiencyies

F0580 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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

F0812 Potential Harm Scope/Severity: F

Nutrition and Dietary Deficiencies

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

F0880 Potential Harm Scope/Severity: D

Infection Control Deficiencies

Show details

Provide and implement an infection prevention and control program.

March 12, 2023

2 deficiencyies

F0655 Potential Harm Scope/Severity: E

Resident Assessment and Care Planning Deficiencies

Show details

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

F0923 Potential Harm Scope/Severity: F

Environmental Deficiencies

Show details

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

See full violation history →

Staffing

2.76

RN hrs/res/day

0.57

LPN hrs/res/day

3.57

CNA hrs/res/day

6.40

Weekend hrs/res/day

46%

Total nurse turnover

50%

RN turnover

A nurse checks on each resident roughly every 3.5 hours on average.

Fines & Penalties

No fines or penalties on record.

Ownership

Non profit - Corporation Chain: COMMONSPIRIT HEALTH

CHI NEBRASKA

5% OR GREATER DIRECT OWNERSHIP INTEREST

Since since 08/01/2013

100% Organization
COMMONSPIRIT HEALTH

5% OR GREATER INDIRECT OWNERSHIP INTEREST

Since since 08/01/2013

100% Organization
KUIPER, EVERT

OPERATIONAL/MANAGERIAL CONTROL

Since since 01/17/2022

Individual
O'TOOL, NICK

OPERATIONAL/MANAGERIAL CONTROL

Since since 01/07/2023

Individual
BACON, KELLY

CORPORATE DIRECTOR

Since since 07/15/2021

Individual
BARNEY, WILLIAM

CORPORATE DIRECTOR

Since since 07/01/2020

Individual
FITZGERALD, KEVIN

CORPORATE DIRECTOR

Since since 07/15/2021

Individual
GUPTA, KIRTIBALA

CORPORATE DIRECTOR

Since since 07/15/2021

Individual
HEIMANN, NADINE

CORPORATE DIRECTOR

Since since 07/01/2019

Individual
HRUZA, SUZANNE

CORPORATE DIRECTOR

Since since 09/18/2014

Individual
KUIPER, EVERT

CORPORATE DIRECTOR

Since since 01/17/2022

Individual
MORGAN, HEATHER

CORPORATE DIRECTOR

Since since 07/01/2020

Individual
PETERSDORF, JOHN

CORPORATE DIRECTOR

Since since 01/21/2021

Individual
SOUKUP, MAURITA

CORPORATE DIRECTOR

Since since 07/01/2017

Individual
WILSON, MARDELL

CORPORATE DIRECTOR

Since since 10/15/2020

Individual
YATES, WILLIAM

CORPORATE DIRECTOR

Since since 10/01/2015

Individual
HANNON, EDWARD

CONTRACTED MANAGING EMPLOYEE

Since since 05/23/2017

Individual