Commonspirit Health

Phoebe J
PBJ Takeaway: Commonspirit Health

19 Facilities10 States16% For-ProfitAvg. Overall Rating: 2.9Avg. Staffing Rating: 3.3Staffing Rating: 3.3

Commonspirit Health operates 19 nursing homes across 10 states, with 16% classified as for-profit. Its average CMS overall rating is 2.9 stars.

Across the portfolio, facilities report an average of 5.30 total nurse HPRD, including 1.30 RN hours, above the national ratio of 3.77 HPRD.

37% of Commonspirit Health facilities meet PBJ320 high-riskPBJ320 assigns nursing homes as high-risk when CMS designates them as: Special Focus Facility (SFF), SFF candidate, 1-star overall rating, or with an abuse icon. criteria (e.g. special focus facility, one-star overall, abuse icon). CMS reports a total of 15 fines ($841,048) for the chain's nursing homes.

320 Consulting
Commonspirit Health Key Metrics
Providers
19
States
10
Avg. Rating
2.9
Total Fines
$841,048
High-Risk FacilitiesPBJ320 assigns nursing homes as high-risk when CMS designates them as: Special Focus Facility (SFF), SFF candidate, 1-star overall rating, or with an abuse icon. – Commonspirit Health
Special Focus Facilities (SFFs)
0
SFF Candidates
2
1-Star Overall
5
Cited for Abuse
2
Avg. CMS 5-Star Rating – Commonspirit Health
Overall
2.9
Health Inspection
2.7
Staffing
3.3
Quality Measures
4.1
Commonspirit Health Facilities

Nursing homes affiliated with this entity. Latest quarter staffing from CMS PBJ data. Click column headers to sort.

StateProviderCityTotal HPRDRN HPRDOverall RatingStaffing Rating
CACommunity Convalescent Center of San BernardinoSan Bernardino9.351.7954
OHProvidence Care Center 1 starSandusky3.210.5911
CABruceville Terrace - D/p Snf of Methodist HospitalSacramento5.131.7555
CAMarian Regional Medical Center D/p SnfSanta Maria6.152.1155
CASt. John'S Hospital Camarillo D/p SnfCamarillo8.551.6454
WIChi Franciscan Villa Abuse, 1 starSouth Milwaukee3.560.5411
WABailey-Boushay HouseSeattle3
OHSt Clare Commons 1 starPerrysburg3.160.6711
OHThe Gardens of St. FrancisOregon4.170.7632
OHFranciscan Care Ctr Sylvania 1 star, SFF CandidateToledo2.830.5611
COMount St Francis Nursing Center AbuseColorado Springs4.111.3324
OHSt Leonard HccCenterville4.380.9233
NDGarrison Mem Hosp Nsg FacGarrison5.792.2424
NEChi Health St. FrancisGrand Island8.153.2544
MNLakewood Care CenterBaudette4.780.7045
MNSt Francis HomeBreckenridge4.281.3055
KYMadonna Manor 1 starVilla Hills5.421.1213
IABishop Drumm Retirement Center SFF CandidateJohnston3.650.8224
CACommunity Hospital of San Bernardino Dp SnfSan Bernardino7.951.1333
Methodology

This dashboard uses CMS Payroll-Based Journal (PBJ) data (2017–2025), along with other public datasets (Provider Information, Affiliated Entity). State staffing standards via MACPAC (2022).

Metrics

  • Hours Per Resident Day (HPRD): Total staff hours ÷ average residents. Example: 350 hours for 100 residents = 3.5 HPRD.
  • Direct Care (excl. Admin, DON): Hours per resident day for direct care staff only (RN, LPN, CNA, NAtrn, MedAide), excluding administrative and supervisory roles.
  • Contract Staff %: Share of hours provided by contract staff.
  • Census: Average number of residents during the period.

Note: Some states set minimums (e.g., NJ, CA, NY at 3.5 HPRD); a federal 3.48 minimum was recently overturned (2025). A 2001 federal study linked 4.1 HPRD to better outcomes in that study. Staffing needs vary by resident acuity (case-mix), day, and shift. Estimates on PBJ Takeaway assume roughly 60% of staff are CNAs.

Data transparency

The PBJ Dashboard pulls directly from CMS data and is carefully vetted for accuracy. Still, sometimes a bug sneaks into the jelly. That could mean: a systemic CMS data reporting issue (e.g., Q2 2017 contract staffing, missing data in 2020 due to COVID) or there could be a coding error on our part. If you spot something that looks off, please let me know via the contact form so I can set things right.

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