St. Francis Senior Ministries
182 St. Francis Ave, Tiffin, OH 44883 · Seneca County · (419) 447-2723
54 certified beds, about 51 residents a day · Non profit - Church related · Medicare and Medicaid since 1997
CMS Care Compare ratings, data as of September 1, 2026 · CCN 366102 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 10, 2025, inspectors cited 2 health deficiencies (the Ohio average is 10.5, the national average 9.2).
None of its 22 health citations since September 2019 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.75 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 0.41 of those hours.
30.4% of nursing staff left within the year CMS measured (Ohio average 48.7%).
CMS links it to Csj Initiatives, an affiliated group of 2 nursing homes.
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.
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 22 health citations on file.
April 10, 2025Standard inspection · 2 citations
- F Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspectors wroteBased observation and staff interview the facility failed to ensure the facility was adequately maintained. This had the potential to affect all 52 residents residing in the facility. The facility census was 52.
- D Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspectors wroteBased on medical record review, review of the facility Self-Reported Incidents (SRIs), staff interview and review of facility policy, the facility failed to ensure staff implemented the facility's abuse policy related to immediate reporting of allegations of abuse to the Administrator. This affected one (#32) of one resident reviewed for abuse. The facility census was 52.
March 16, 2023Standard inspection · 10 citations
- F Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Inspectors wroteBased on staff interview and review of facility documentation, the facility failed to ensure facility daily staffing included a Registered Nurse (RN) for eight hours during a 24-hour period. This had the potential to affect all 79 residents residing in the facility.
- E Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on observation, staff interview, and review of the facility policy, the facility failed to ensure resident medications were kept secured and out of reach of cognitively impaired and independently mobile residents. This affected one resident (#327) and had the potential to affect four additional residents who were cognitively impaired and independently mobile (#29, #49, #68, and #177) on the two-east hall. The facility census was 79. Findings Include: Observation on 03/15/23 at 4:07 P.M. revealed a medication cart located on two east was unlocked and unattended with loose pills in a clear plastic medication cup on top of the medication cart. Licensed Practical Nurse (LPN) #373 was approximately eight feet from the medication cart with his back turned toward the medication cart talking and joking with a resident and their family. [...]
- E Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Inspectors wroteBased on resident and staff interview, record review, observation of meal service, review of the facility menu, recipe review, and review of facility policy, the facility failed to ensure residents who received pureed meals from the second floor kitchen received the correct serving sizes. This affected five (#20, #24, #33, #36, and #177) of five residents who received pureed meals on the second floor. In addition, the facility failed to follow the approved menu and recipe during meal service. This affected all residents except 14 (#5, #12, #15, #20, #24, #33, #36, #59, #60, #64, #68, #177, #179, and #180) identified by the facility as not having the food items for which the recipe was not followed. The facility census was 79.
- E Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on observation, resident and staff interview, and policy review, the facility failed to ensure residents were served meals palatable to taste and temperature. This had the potential to affect all residents except nine residents (#20, #24, #33, #36, #59, #60, #64, #68, and #177) who received alternative meals or were on a pureed diet. The facility census was 79.
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on medical record review, staff interview, and review of the facility guideline, the facility failed to notify the physician when a resident tested positive for COVID-19 and when a resident sustained an abrasion. This affected two residents (#6 and #7) of two residents reviewed for notification of change. The facility census was 79.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on observations, medical record review, and staff interview, the facility failed to ensure the resident's care plans were revised and updated with current interventions to address their care needs. This affected two (Residents #35 and #71) of 19 residents reviewed for care plan revisions. The facility census was 79.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, medical record review, resident and staff interview, and review of the facility policy, the facility failed to ensure residents who were dependent on staff for assistance received assistance with shaving and nail care. This affected one (#60) of one residents reviewed for activities of daily living (ADLs). The facility identified 73 residents who required assistance from staff with bathing and 70 residents who required assistance with dressing. The facility census was 79.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, medical record review, staff interview, and review of the facility's guideline and policy, the facility failed to ensure interventions were implemented timely to promote wound healing and prevent further skin injury. This affected one (Resident #7) of one resident for non-pressure related skin issues. The facility census was 79.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, medical record review, staff interview, review of the facility policy, and review of the manufacturer user manual, the facility failed to ensure skin pressure relieving interventions were implemented timely and in accordance with device instructions for use. This affected one (Resident #24) of three residents reviewed for the prevention and healing of skin breakdown. The facility identified two residents with pressure ulcers and 74 residents receiving preventative skin care. The facility census was 79.
- D Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on observations, medical record review, and staff interview, the facility failed to ensure residents were assessed and provided care and treatment to maintain normal bladder function, including timely incontinence care. This affected two (Residents #24 and #38) of two residents reviewed for bowel and bladder continence. The facility census was 79.
September 19, 2019Standard inspection · 10 citations
- E Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on medical record review and staff interview, the facility failed to issue written notice of the reasoning for transfer to the hospital to the resident and/or resident representative. This affected five (#9, #36, #49, #100 and #112) of five residents reviewed for hospitalizations. The facility census was 115.
- E 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 medical record review and staff interview, the facility failed to issue written notice of the reasoning for transfer to the hospital to the resident and/or resident representative. This affected five (#9, #36, #49, #100 and #112) of five residents reviewed for hospitalizations. The facility census was 115.
- D Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Inspectors wroteBased on electronic medical record review, paper medical record review, staff interview, and the facility policy, the facility failed to ensure advanced directive status was documented accurately in the electronic medical record. This affected one (#100) of 32 residents reviewed for advanced directives. The facility census was 115.
- D Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspectors wroteBased on medical record review, review of facility Self-Reported Incident (SRI), staff and resident interviews, and facility policy review, the facility failed to follow their abuse policy to immediately report to the Administrator and investigate an incident of unknown origin for one resident (#97) identified in 12 SRI's reviewed. The facility census was 115.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on medical record review, review of facility Self-Reported Incident (SRI), staff and resident interviews, and facility policy review, the facility failed to report an injury of unknown origin for one resident (#97) identified in 12 SRI's reviewed. The facility census was 115.
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on medical record review, review of facility Self-Reported Incident (SRI), staff and resident interviews, and facility policy review, the facility failed to investigate an incident of unknown origin for one resident (#97) identified in 12 SRI's reviewed. The facility census was 115.
- D Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Inspectors wroteBased on medical record review, interview and facility policy review the facility failed to complete a discharge summary for one (#121) of one resident reviewed for discharge summary. The facility census was 115.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on medical record review, observation and staff interview, the facility failed to provide ongoing assessment and monitoring of non-pressure wounds and failed to complete physician ordered treatments to the wounds. This affected one (#320) of nine residents identified by the facility with non-pressure wounds. The facility census was 115.
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on medical record review and staff interview, the facility failed to provide ongoing monitoring to validate the continued use of a statin medication for one (#63) of five residents reviewed for unnecessary medications. The facility census was 115.
- C Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Inspectors wroteBased on review of the facility's Quality Assessment and Assurance (QAA) meeting sign in documents and staff interview, the facility failed to ensure the medical director attended the QAA meetings on a quarterly basis. This had the potential to affect all 115 residents in the facility.
Fire safety inspections
21 fire safety citations on file: 10 on April 10, 2025, 6 on March 16, 2023, 5 on September 19, 2019.
Every fire safety citation21 citations
- F Meet requirements for sections of health care facilities separated by fire resistive construction.
- F Install emergency lighting that can last at least 1 1/2 hours.
- F Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F Provide properly protected cooking facilities.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F Provide a written emergency evacuation plan.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- F Provide properly protected cooking facilities.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- E Have properly installed electrical wiring and gas equipment.
- F Ensure proper usage of power strips and extension cords.
- E Have properly located and lighted "Exit" signs.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Properly select, install, inspect, or maintain portable fire extinguishes.
- C Conduct testing and exercise requirements.
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 | Ohio | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.75 | 3.69 | 3.86 |
| Registered nurses | 0.41 | 0.64 | 0.69 |
| All nursing staff on weekends | 3.26 | 3.28 | 3.42 |
| Nurse aides | 2.35 | ||
| Licensed practical nurses | 0.98 | ||
| Nursing staff turnover (share who left in a year) | 30.4% | 48.7% | 45.8% |
| Registered nurse turnover | 33.3% | 43.9% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.91 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
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 January to March 2026, nursing staff hours per resident were 3.95 on weekdays and 3.26 on weekends, 17% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 12.2% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.53 in April to June 2025 to 3.75 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.75 | 0.41 | 3.95 | 3.26 | 12.2% | 0 of 90 | 51 |
| Oct to Dec 2025 | 3.78 | 0.37 | 3.93 | 3.40 | 16.5% | 0 of 92 | 50 |
| Jul to Sep 2025 | 3.57 | 0.38 | 3.70 | 3.22 | 13.8% | 0 of 92 | 50 |
| Apr to Jun 2025 | 3.53 | 0.42 | 3.67 | 3.19 | 18.0% | 0 of 91 | 51 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Ohio, Jan to Mar 2026 | 3.64 | 0.60 | 3.80 | 3.24 | 4.6% | 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 | Ohio | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 3.3 | 5.3 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.5 | 0.2 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 10.6 | 3.2 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.8 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 3.6 | 6.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 0.4 | 3.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 10.4 | 8.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 25.2 | 24.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 10.2 | 12.9 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.9 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.0 | 1.8 | 1.8 |
Owners and operators
Legal business name: CSJI-TIFFIN INC. CMS links this home to Csj Initiatives, a group of 2 nursing homes averaging 4.5 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Csj Initiatives Inc | 5% or greater direct ownership interest | Organization | 100% | 03/01/2019 |
| Stoll, Gabriel | W-2 managing employee | Individual | 03/01/2019 | |
| Aldridge, Sara | Corporate director | Individual | 03/01/2019 | |
| Anderson, Eleanor | Corporate director | Individual | 03/01/2019 | |
| Arnone, Myra | Corporate director | Individual | 03/01/2019 | |
| Dariano, Kelli | Corporate director | Individual | 03/01/2019 | |
| Fabrizio, Dominic | Corporate director | Individual | 03/01/2019 | |
| Falter, Brian | Corporate director | Individual | 03/01/2019 | |
| Gannon, Denise | Corporate director | Individual | 03/01/2019 | |
| Griffin, Jill | Corporate director | Individual | 03/01/2019 | |
| Kucera, Jan | Corporate director | Individual | 03/01/2019 | |
| Mack, Shellie | Corporate director | Individual | 03/01/2019 | |
| O'Brien, Marguerite | Corporate director | Individual | 03/01/2019 | |
| Webb, Tyler | Corporate director | Individual | 03/01/2019 | |
| Fabrizio, Dominic | Corporate officer | Individual | 03/01/2019 | |
| O'Brien, Marguerite | Corporate officer | Individual | 03/01/2019 | |
| Slater, William | Corporate officer | Individual | 03/01/2019 | |
| Webb, Tyler | Corporate officer | Individual | 03/01/2019 | |
| Csj Initiatives Inc | Operational/managerial control | Organization | 03/01/2019 |
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 you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 5 problems in this area, most recently on March 16, 2023: "Provide care and assistance to perform activities of daily living for any resident who is unable."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 4 problems in this area, most recently on April 10, 2025: "Develop and implement policies and procedures to prevent abuse, neglect, and theft."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 4 problems in this area, most recently on March 16, 2023: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on March 16, 2023: "Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.26 hours per resident per day, below the Ohio average of 3.28.
Other nursing homes nearby
- Autumnwood Care Center Tiffin, 1.7 mi · 2 of 5 stars · 48 citations
- The Willows at Tiffin Tiffin, 1.8 mi · 5 of 5 stars · 6 citations
- St. Catherine's C C of Fostoria Fostoria, 12.3 mi · 3 of 5 stars · 22 citations
- Good Shepherd Home Fostoria, 12.4 mi · 4 of 5 stars · 33 citations
- Spring Creek Nursing and Rehabilitation Center LLC Green Springs, 12.8 mi · 1 of 5 stars · 44 citations
- Independence House Fostoria, 13.9 mi · 4 of 5 stars · 11 citations
- Majestic Care of Clyde Clyde, 17.3 mi · 2 of 5 stars · 49 citations
- Bethesda Care Center Fremont, 17.6 mi · 2 of 5 stars · 39 citations
Ohio contacts for a concern about a nursing home
These are the official offices in Ohio. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Ohio Department of Health, Nursing Homes and Facilities, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Ohio Office of the State Long-Term Care Ombudsman, 1-800-282-1206. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Ohio Long-Term Care Quality Navigator (Ohio Department of Aging), where Ohio publishes its own records on licensed homes.
Common questions
- What is St. Francis Senior Ministries's Medicare star rating?
- CMS rates St. Francis Senior Ministries 4 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did St. Francis Senior Ministries get at its last inspection?
- 2 health deficiencies at the standard inspection on April 10, 2025. The Ohio average is 10.5.
- Has St. Francis Senior Ministries been fined?
- CMS lists no fines in the last three years.
- Does St. Francis Senior Ministries 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 St. Francis Senior Ministries?
- CMS lists 19 owners and managers, and links the home to Csj Initiatives. Legal business name: CSJI-TIFFIN INC.
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.