Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

CHI Health St. Francis

Grand Island, NE · 36 certified beds · Last Life Safety survey March 20, 2025

CMS Certification Number 285081 · first certified August 1987

Ownership

Independently operated (no chain recorded by CMS) · Non profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

6
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
1
Tags cited more than once
Across separate surveys
1
Inspection & testing records
Of the citations on file

Position within NE

6 citations — more than 5% of the 180 certified nursing homes in NE. Compared within NE rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 3 citations; the earlier surveys in the window averaged 1.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Well past the typical window (March 2026 to May 2026), and past the point by which nine in ten NE facilities have been surveyed. This facility’s last Life Safety survey was March 2025. Facilities in NE are typically surveyed 12–14 months after the last one (median 13), measured over 271 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

Get an email about CHI Health St. Francis

One email when it happens. No account; stop it any time with one click.

Which alerts

Emergency preparedness

1 of the 6 citations on file is Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

2 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 6 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.
  • F-0923 Have enough outside ventilation via a window or mechanical ventilation, or both.

How that compares

Citations on file over three years

Compared with the median facility in NE, and nationally. Surveyors differ markedly between states, so the NE figure is the meaningful one.

This facility6NE median15National median11
Citations on file over three years, compared
MeasureCitations
This facility6
Median facility in NE15
Median facility nationally11

Survey history

Citations at each Life Safety survey
12023-0322024-0232025-03
Citations at each Life Safety survey
Survey dateCitations
March 13, 20231
February 1, 20242
March 20, 20253

Most-cited tags

Most-cited tags at this facility
K-09212K-09201E-00411K-02231K-09181
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0921Ensure that testing and maintenance of electrical equipment is performed.22025-03-20
K-0920Ensure proper usage of power strips and extension cords.12024-02-01
E-0041Implement emergency and standby power systems.12025-03-20
K-0223Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.12024-02-01
K-0918Have generator or other power source capable of supplying service within 10 seconds.12025-03-20

What the citations cover

Citations by CMS category
  • Gas, Vacuum, and Electrical Systems Deficiencies 4
  • Emergency Preparedness Deficiencies 1
  • Egress Deficiencies 1
Citations by CMS category
CategoryCitations
Gas, Vacuum, and Electrical Systems Deficiencies4
Emergency Preparedness Deficiencies1
Egress Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

March 20, 2025 — 3 citations

Citations issued on March 20, 2025
TagWhat the surveyor checksStatus
E-0041Implement emergency and standby power systems.Deficient, Provider has date of correction (May 15, 2025)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (May 15, 2025)
K-0921Ensure that testing and maintenance of electrical equipment is performed.Deficient, Provider has date of correction (May 15, 2025)

February 1, 2024 — 2 citations

Citations issued on February 1, 2024
TagWhat the surveyor checksStatus
K-0223Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.Deficient, Provider has date of correction (February 22, 2024)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (February 22, 2024)

March 13, 2023 — 1 citation

Citations issued on March 13, 2023
TagWhat the surveyor checksStatus
K-0921Ensure that testing and maintenance of electrical equipment is performed.Deficient, Provider has date of correction (April 20, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.