Home / Nebraska / Grand Island
Chi Health St. Francis
2116 West Faidley Avenue, Grand Island, NE 68803 · Hall County · (308) 398-5880
36 certified beds, about 7 residents a day · Non profit - Corporation · Medicare and Medicaid since 1987
Inside a hospital Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
4 of 5
Staffing
1 of 5
CMS note: This facility did not submit staffing data.
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 285081 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on March 20, 2025, inspectors cited 2 health deficiencies (the Nebraska average is 7.4, the national average 9.2).
None of its 7 health citations since March 2023 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
203/23
302/24
203/25
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 7 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
3D
1E
3F
Potential for minimal harm
0A
0B
0C
March 20, 2025Standard inspection · 2 citations
- F Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.04(A)(iii)(2)(a) The facility failed to verify that the Central Registry (Maintains all reports of child abuse and neglect opened for investigation, classified as either Court Substantiated or Agency Substantiated) check was completed for 1 out of 10 Nursing Assistant (NA-A) sampled staff employees files. This had the potential to affect all 15 residents in the facility.
- D 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.
Inspectors wroteBased on record review and interview, the facility failed to notify/provide the resident/resident's legal representative of the bed hold policy at the time of the transfer to the hospital and failed to provide written documentation of the bed hold policy to the legal representative for one (Resident 16) of 8 sampled residents. The facility's census was 15.
February 1, 2024Standard inspection · 3 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteLicensure Reference Number 175 NAC 12.006.11E Based on observation, interview, and record review the facility failed to ensure items stored in the facility's refrigerators and freezers were sealed, labeled, and dated, ensure expired items were discarded, ensure kitchen staff performed handwashing for at least 20 seconds, and failed to ensure the temperature of the food was taken after being reheated in the microwave to prevent the potential for foodborne illness, and failed to ensure the thermometer probe was sanitized before use and between food items when the temperature was taken of the prepared food to prevent cross contamination. This had the potential to affect 15 of the 16 residents that consumed food from the kitchen. The total facility census was 16.
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.04C3a(6) Based on interview and record review, the facility failed to notify the provider of a significant weight loss for 1 (Resident 70) of 2 sampled residents. The facility identified a census of 16. Findings Are: A record review of Resident 70's demographic information printed on 1/30/24 revealed Resident 70 admitted into the facility on 1/13/24. The demographic information revealed Resident 70 had diagnoses of: Covid-19 (a mild to severe respiratory illness that is caused by a coronavirus), Congestive Heart Failure (CHF- a serious condition in which the heart doesn't pump blood as efficiently as it should) exacerbation, and Acute on Chronic heart failure and Diabetes Mellitus (a metabolic disease, involving inappropriately elevated blood glucose levels). [...]
- D Provide and implement an infection prevention and control program.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.17B Licensure Reference Number 175 NAC 12-006.17D Based on observation, interview, and record review, the facility failed to perform hand hygiene and gloves changes between completing J-tube site cares, medication administration and oral suctioning for Resident 4, and the facility failed to clean or change Resident 3's nebulizer kit and mask to prevent the potential for cross contamination. The facility identified a census of 16. Findings Are: A. A record review of the demographic information revealed Resident 4 had been accepted into the facility on 5/1/20 with a primary diagnosis of a gunshot wound to the head with complications. [...]
March 13, 2023Standard inspection · 2 citations
- F Have enough outside ventilation via a window or mechanical ventilation, or both.
Inspectors wroteLicensure Reference Number 175NAC 12-007.04D Based on observations, record review, and interview the facility failed to ensure that bathroom exhaust vent fans were operational in 16 of 16 occupied rooms. This affected all facility residents. The facility census was 16.
- E Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Inspectors wroteLicensure Reference Number 175NAC 12-006.09C1a Based on record review and interview the facility failed to ensure that the resident /resident representative received a written summary of the preliminary care plan (either the baseline or the comprehensive care plan) (a written initial plan of care required to be developed within 48 hours of admission detailing the instructions needed to provide initial effective and person-centered quality care for a resident) as required for 5 residents (Residents 66, 11, 69, 5, and 13) of 5 residents reviewed. This prevented the resident/resident representative from identifying additional areas of care required. The facility census was 16.
Fire safety inspections
6 fire safety citations on file: 3 on March 20, 2025, 2 on February 1, 2024, 1 on March 13, 2023.
Every fire safety citation6 citations
- F Implement emergency and standby power systems.
- F Have generator or other power source capable of supplying service within 10 seconds.
- F Ensure that testing and maintenance of electrical equipment is performed.
- E Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- E Ensure proper usage of power strips and extension cords.
- F Ensure that testing and maintenance of electrical equipment is performed.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Nebraska | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | not reported | 3.98 | 3.86 |
| Registered nurses | not reported | 0.67 | 0.69 |
| All nursing staff on weekends | not reported | 3.48 | 3.42 |
| Nurse aides | not reported | ||
| Licensed practical nurses | not reported | ||
| Nursing staff turnover (share who left in a year) | not reported | 48.7% | 45.8% |
| Registered nurse turnover | not reported | 44.1% | 42.9% |
| Administrators who left | not reported |
CMS note on this home's staffing data: This facility did not submit staffing data.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In October to December 2025, nursing staff hours per resident were 8.35 on weekdays and 7.41 on weekends, 11% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 7.76 in April to June 2025 to 8.09 in October to December 2025.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Oct to Dec 2025 | 8.09 | 3.42 | 8.35 | 7.41 | 0.0% | 0 of 92 | 13 |
| Jul to Sep 2025 | 8.15 | 3.25 | 8.37 | 7.56 | 0.0% | 0 of 92 | 15 |
| Apr to Jun 2025 | 7.76 | 3.31 | 8.02 | 7.09 | 0.0% | 0 of 91 | 15 |
| United States, Oct to Dec 2025 | 3.76 | 0.62 | 3.93 | 3.34 | 5.3% | 0.5% of days | |
| Nebraska, Oct to Dec 2025 | 4.09 | 0.68 | 4.28 | 3.61 | 7.1% | 0.4% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Nebraska | US |
|---|---|---|---|
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 9.4 | 1.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 11.5 | 2.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 0.0 | 4.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.2 | 2.0 | 1.6 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 0.0 | 4.0 | 4.6 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 39.7 | 20.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 18.0 | 11.4 | 12.0 |
Owners and operators
Legal business name: Legal Business Name Not Available.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Ownership data not available |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on March 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."
- How many nurses and aides work each shift, nights and weekends included?Inspectors cited 1 problem in this area, most recently on March 20, 2025: "Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on February 1, 2024: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on February 1, 2024: "Provide and implement an infection prevention and control program."
Other nursing homes nearby
- Adept Nursing & Rehab of Grand Island Grand Island, 0.1 mi · 1 of 5 stars · 33 citations
- Tiffany Square Grand Island, 0.6 mi · 2 of 5 stars · 18 citations
- Good Samaritan Society - Grand Island Village Grand Island, 0.7 mi · 1 of 5 stars · 23 citations
- Emerald Nursing & Rehab Lakeview Grand Island, 2.6 mi · 1 of 5 stars · 22 citations
- Eventide Prairie Commons Care Center Grand Island, 2.8 mi · 1 of 5 stars · 16 citations
- Westfield Quality Care of Aurora Aurora, 18.5 mi · 1 of 5 stars · 22 citations
- Memorial Community Care Aurora, 18.8 mi · 5 of 5 stars · 10 citations
- Brookefield Park St. Paul, 21.2 mi · 4 of 5 stars · 10 citations
Nebraska contacts for a concern about a nursing home
These are the official offices in Nebraska. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Nebraska Department of Health and Human Services, Licensure Unit, Long Term Care Facilities, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Nebraska Long-Term Care Ombudsman Program, (800) 942-7830. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
Common questions
- What is Chi Health St. Francis's Medicare star rating?
- CMS rates Chi Health St. Francis 3 out of 5 stars overall, with 4 for health inspections, 1 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Chi Health St. Francis get at its last inspection?
- 2 health deficiencies at the standard inspection on March 20, 2025. The Nebraska average is 7.4.
- Has Chi Health St. Francis been fined?
- CMS lists no fines in the last three years.
- Does Chi Health St. Francis accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Chi Health St. Francis?
- CMS lists 1 owner or manager. Legal business name: Legal Business Name Not Available.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.