Chi Health St Francis: Archive Data

(CMS 5-Star Rating: )

2116 WEST FAIDLEY AVENUE, GRAND ISLAND, NE 68803 (308-398-5880)

This is not the most recent data for Chi Health St Francis. For the most recent information, click here.

   The Most Important Data about Chi Health St Francis

We've looked at a lot of nursing homes, this is what we think you need to see first and if you don't want to spend a lot of time. (It's the tl;dr section.)

There is no indication of abuse occuring at Chi Health St Francis. (CMS flags facilities where abuse has either happened or is very likely.)

CMS 5-Star Overall Rating: (3 out of 5):
(The national average overall star rating is 3 stars.)

Current Trend: Improving

Total Nursing Hours Spent Per Resident Per Day: 7.70
(The national average is 3.79 )

The percentage of short-stay residents who were re-hospitalized after a nursing home admission is 29.23% .

Best Nursing Homes in NE

According to our analysis, Chi Health St Francis is ranked #7 out of 13 skilled nursing homes within a 25 mile radius. See detailed information from recent inspection reports, nursing hours analysis, surverys, and information on owners and operators. Click here to view the ranked list of nursing homes near Chi Health St Francis.

Also, take a look at our detailed analysis of the current situation for nursing in both the state and the city.

   General Data Card

These are the basic data points for the facility.

Data date: April 01, 2023

Address: 2116 WEST FAIDLEY AVENUE, GRAND ISLAND, NE 68803

Phone: 308-398-5880

Click for Map

Ranking: Chi Health St Francis is ranked #2 out of 5 facilities within a 10 mile radius and #7 out of 13 facilities within a 25 mile radius.

Medicare Provider Number: 285081

Participating in Medicare Since: August 20, 1987

No. of Certified Beds: 36

No. of Residents: 11

Occupancy: 30.56 % (as of 02/25/2024 )

Amount fined in recent period: $23,405.14

Complaints filed: 0

   What is this page all about?

Below is everything shred of information that we can find about F W Huston Medical Center, along with our best effort to make sense of the data. Our purpose here is to help you to make good decisions when picking a nursing home and to keep you informed once you have chosen a home. We know from personal experience that choosing a nursing home is not something you do once and then you forget about it. In fact, it gets worse. Once you select a nursing home and get through the initial steps of figuring out how to pay for it, then the real worries start. Are they taking good care of me or my loved one? This is the question that will keep you up at night: Can I really trust these people? We wish we could answer this question, we can't. What he can do is churn through the tons of data and try and help you to make sense of it. We hope it helps.

   Ratings History

   Review of Chi Health St Francis Ratings and Inspection Scores

CMS regularly inspects every skilled nursing facility. (The timing is supposed to be annually, but since the beginning of the Covid pandemic, these inspections have not occured as frequently.) The results of the multi-day inspection is reduced to a series of scores which are then translated into the star ratings. The health inspection scores are an absolute value, so you can compare one facility's score directly to another. The Overall Star rating is based on the facility's performance as compared to other facilities in the same state, so you cannot easily compare one facility's Overall star rating to a facility in another state.

It has been 16 months since the most recent inspection.

Ratings

Overall Rating 3:
Health Inspection Rating 2:
Quality Rating 3:
Staffing Rating 5:

Inspection Scores

Cycle 1 Score (as of November 15, 2021) 16
Cycle 2 Score (as of January 06, 2020) 104
Cycle 3 Score (as of September 27, 2018) 206
Weighted All Cycles Score 77

   What Goes Into the Nursing Home's 5-Star Rating

CMS has put a lot of effort into creating its very elaborate 5-Star Quality Rating System specifically to provide a quick way for residents and family members to easily understand how well a nursing home is performing and to make comparing nursing homes easier. The rating system allows people to easily compare facilities across numerous dimensions with the express purpose of identifying the best and best performing nursing homes. The rating system was initially developed in 2008 and the methodologies are regularly reviewed and updated.

The rating system has five separate ratings including:

  • Overall rating
  • Health Inspection rating
  • Staff rating
  • RN Staffing rating
  • Quality Measures rating

Nursing homes are rated from 1-star to 5-stars with 1-star being the worst rating and 5-star being the best rating. For the Health Inspection Rating the nursing homes in each state are ranked based on their weighted three year inspection score. The top 10 percent of nursing homes (those with the lowest scores) are awarded a 5-star rating; the bottom 20 percent (those with the highest scores) are awarded a 1-star rating. In between 1-star and 5-star, the remaining homes are divided equally into three tranches which correspond with the stars 2 to 4. The staff ratings and quality measure ratings follow a similar process but the divisions are based on a national ranking. The division between star ratings is called the “cut-rate”. Cut-rates are redefined periodically and are published by CMS. See the latest cut rates on this table.

Calculating the Overall Star Rating is done differently. According to CMS, the reason for adopting a different system is to give the Health Inspection Rating higher weight in the Overall Rating. So, since there are FIVE ratings and FIVE stars for each rating, there must also be a FIVE step process to calculate the Overall Rating (so symetrical!) :

  1. Begin with the Health Inspection Rating
  2. Add one star to the Health Inspection Rating if the Staffing Rating is at least four-stars and is higher than the Health Inspection Rating. (We will call this the "Adjusted Rating".)
  3. Subtract one star from the Health Inspection Rating if the Staffing Rating is one-star.
  4. Add a star to the Adjusted Rating if the Quality Measure Rating is 5-stars.
  5. Subtract one star from the Adjusted Rating if the Quality Measure Rating is 1-star.

Throughout the calculation of the Overall Rating, the rating cannot exceed 5-stars. The Overall Rating is capped at 2-stars if the Health Inspection rating is 1-star. No Overall Rating is awarded if the nursing home does not have a Health Inspection Rating (This effectively means that a nursing home is not rated until the home has been operating for more than two years.)

Changes in a nursing homes star rating can be due to the results of a new health inspection report, the processing of new complaints, the aging of older complaints, a new inspection control survey, a revisit, or the resolution of disputes that change the scope and or severity of deficiencies.

   Most Recent Nursing Home Inspections

CMS is required to inspect each senior nursing facility at least annually. These inspections take several days. Additional follow-up inspections as conducted as needed or for certain purposes. Inspections stopped for more than seven months in 2020 due to the Covid pandemic. That stoppage has caused all inspections to be delayed as the inspectors continue to deal with a backlog. The table below shows the latest inspections for Chi Health St Francis including health, fire, and inspection control inspections:

Inspection Type Inspection Date
Fire Safety Standard November 15, 2021
Fire Safety Standard January 02, 2020
Fire Safety Standard September 27, 2018
Health Standard November 15, 2021
Health Standard January 06, 2020
Health Standard September 27, 2018
Infection Control August 05, 2020
Infection Control June 19, 2020

   Owner and Operator Information for Chi Health St Francis

Our database of owners and operators shows all direct owners of the nursing nurse, any managers and directors, and the most adjacent indirect owners of the facility (that is, if the direct owner is company, then the owners of that company.) Lists of nursing home owners are available and you can search for nursing home owners and operators on our site.

Business Entity Name:

SAINT FRANCIS MEDICAL CENTER

Owners:

Managers and Directors:

   Analysis of Nursing Hours Spent Per Patient

CMS provides detailed information about how long nursing staff spends with residents. This data includes nursing subcategories of Registered Nurse, Licensed Practical Nurse, and non-nursing Certified Nursing Assistants. More hours spend per patient should can indicate a better facility or it could indicate more complicated situations.

The nursing staff of Chi Health St Francis spends MORE time on average with its residents than the state average for total nursing homes spent per resident and MORE time than the national average for total nursing homes spent per resident.

Type Facility State / National Avg
Registered Nurse (RN)
Hours 3.70 0.71 / 0.65
Case Mix 0.53 0.31 / 0.38
Adjusted 2.72 NA / NA
Licensed Practical Nurse (LPN)
Hours 0.31 0.69 / 0.88
Case Mix 0.85 NA / NA
Adjusted 0.27 NA / NA
Certified Nursing Assistants (CNA)
Hours 3.69 2.56 / 2.26
Case Mix 2.18 NA / NA
Adjusted 3.45 NA / NA
Total Licensed Staff
Hours 4.01 1.39 / 1.53
Physical Therapist (PT)
Hours 0.36 0.05 / 0.07
Total Nursing Homes Spent per Resident on Average
Hours 7.70 3.95 / 3.79
Case Mix 3.55 2.98 / 3.15
Adjusted 6.85 NA / NA

   Quality Measures

Quality measures are based both on patient survey information and on the results of actual claims that are filed with CMS. It is not clear what period is covered in the measures.

Desc. Perc./ State Avg. / Comparison
Percentage of short-stay residents who were rehospitalized after a nursing home admission (qm521)
This measure is considered when computing the 5-Star Overall Rating
29.2% / 20.2%
Worse
Percentage of short-stay residents who had an outpatient emergency department visit (qm522)
This measure is considered when computing the 5-Star Overall Rating
12.7% / 10.8%
Worse
Number of hospitalizations per 1000 long-stay resident days (qm551)
This measure is considered when computing the 5-Star Overall Rating
Not Available
Number of outpatient emergency department visits per 1000 long-stay resident days (qm552)
This measure is considered when computing the 5-Star Overall Rating
Not Available
Percentage of long-stay residents whose need for help with daily activities has increased (qm401) 3.8% / 14.7%
Better
Percentage of long-stay residents who lose too much weight (qm404) 3.4% / 5.8%
Better
Percentage of low risk long-stay residents who lose control of their bowels or bladder (qm405) Not Available
Percentage of long-stay residents with a catheter inserted and left in their bladder (qm406) 0.0% / 2.4%
Better
Percentage of long-stay residents with a urinary tract infection (qm407) 3.4% / 3.8%
Better
Percentage of long-stay residents who have depressive symptoms (qm408) 0.0% / 4.0%
Better
Percentage of long-stay residents who were physically restrained (qm409) 0.0% / 0.2%
Better
Percentage of long-stay residents experiencing one or more falls with major injury (qm410) 6.7% / 4.7%
Worse
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine (qm415) 100.0% / 91.3%
Better
Percentage of long-stay residents who received an antipsychotic medication (qm419) 23.3% / 18.7%
Worse
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine (qm430) 100.0% / 78.2%
Better
Percentage of short-stay residents who newly received an antipsychotic medication (qm434) 3.0% / 1.9%
Worse
Percentage of long-stay residents whose ability to move independently worsened (qm451) Not Available
Percentage of long-stay residents who received an antianxiety or hypnotic medication (qm452) 36.7% / 19.6%
Worse
Percentage of high risk long-stay residents with pressure ulcers (qm453) 4.3% / 6.3%
Better
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine (qm454) 100.0% / 95.8%
Better
Percentage of short-stay residents who made improvements in function (qm471) 93.1% / 79.3%
Better
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine (qm472) 96.4% / 72.5%
Better

   Hospitals Near Chi Health St Francis

Quite often skilled nursing facilities and hospitals work closely together to help patients recover or manage a terminal illness. Hospitals deals with acute care while nursing homes treat patients for a longer period of time. New residents at skilled nursing homes typically come from a hospital and nursing home residents may be readmitted to a hospital if their recovery does not proceed well. (Hospital readmission rates are closely monitored by CMS.) Consequently it is important that you consider which hospitals are near a nursing home which choosing one. Below is a list of hospitals near Chi Health St Francis.

This information is based on the most recent Hospital data. Historical data is not available.

Hospital 5-Star Overall Rating
MARY LANNING HEALTHCARE
715 N ST JOSEPH AVE
HASTINGS, NE 68901
3
GRAND ISLAND REGIONAL MEDICAL CENTER
3533 PRAIRIEVIEW STREET
GRAND ISLAND, NE 68803
3
CHI HEALTH ST. FRANCIS
2620 WEST FAIDLEY AVE
GRAND ISLAND, NE 68803
4
MEMORIAL HOSPITAL
1423 SEVENTH ST
AURORA, NE 68818
Not Available
MERRICK MEDICAL CENTER/LITZENBERG MEMORIAL COUNTY HOSPITAL
PO BOX 417, 2802 28TH ST
CENTRAL CITY, NE 68826
Not Available
HOWARD COUNTY MEDICAL CENTER
P O BOX 406, 1113 SHERMAN ST
ST PAUL, NE 68873
Not Available

   Medical Professionals Associated with Chi Health St Francis

These are the doctors who are affiliated with Chi Health St Francis. The data is from the most recent period. Historical data is not available.

   Other Local Nursing Homes

Below is a list of nursing homes in near Chi Health St Francis (including this home). This list is ranked based on the nursing home's health inspection scores (alse referred to as the "weighted all cycles score"). We also show the home's 5-star overall rating in the list. (If a nursing home has been flaged by CMS for abuse, we will added an icon () to the home to indicate this.)

The data is based on the dataset as of April 01, 2023.

Name Overall Rating
Memorial Community Care
(AURORA, NE)
Litzenberg Memorial County Hospital
(CENTRAL CITY, NE)
Chi Health St Francis
(GRAND ISLAND, NE)
Tiffany Square
(GRAND ISLAND, NE)
Brookefield Park
(ST PAUL, NE)
The Cedars at Broadwell
(GRAND ISLAND, NE)
Harvard Rest Haven
(HARVARD, NE)
Premier Estates of Kenesaw, LLC
(KENESAW, NE)
Westfield Quality Care of Aurora
(AURORA, NE)
The Oaks at Central City
(CENTRAL CITY, NE)
Emerald Nursing and Rehab Lakeview
(GRAND ISLAND, NE)
Good Samaritan Society - Grand Island Village
(GRAND ISLAND, NE)
Good Samaritan Society - Hastings Village
(HASTINGS, NE)
Tabitha at Prairie Commons
(GRAND ISLAND, NE)
N/A

   Detailed Analysis Pages:

Depending on the nursing home, this page can get really long. So, we have also broken up the data onto separate pages to allow you to find what you want more easily. We will keep adding to these pages as we continue to analyze the nursing home database.

CMS Five Star Ratings and Quality Measures for Chi Health St Francis

Five different rating results plus detailed inspection numbers and quality measures for Chi Health St Francis.

Covid Infections at Chi Health St Francis

This report is updated weekly and shows new and historical infection levels.

Nursing Hours Analysis for Chi Health St Francis

How long a nurse spends with a resident can be an important factor in their recovery. This page shows the average nursing hours spent per resident for RNs, LPNs, CNAs, PTs and all licensed staff.

Ownership Details for Chi Health St Francis

A list of all of the registered owners for Chi Health St Francis. This includes direct and indirect owners and managers.

Noted Deficiencies for Chi Health St Francis

A list of all of the deficiencies for the facility. This includes a description, type of deficiency, incident date and when the facility reports that the incident was corrected.

Comparison Ranking of Nearby Skilled Nursing Facilities

How does Chi Health St Francis compare to other skilled nursing facilities? This list shows the competitive set within a 25 mile radius.

Best Nursing Homes in GRAND ISLAND, NE

Homes that you should consider. A list ranking the best skilled nursing facilities in GRAND ISLAND based on their weighted inspection score as of April 01, 2023.

Worst Nursing Homes in GRAND ISLAND, NE

Homes that you avoid if possible. A list ranking the worst skilled nursing facilities in GRAND ISLAND based on their weighted inspection score as of April 01, 2023.