Mount St Francis Nursing Center
Nursing home in Colorado Springs, CO
Medicare & Medicaid certified2★ overall (CMS)CMS abuse icon
Public-record details
- Address
- 7550 Assisi Hts, Colorado Springs, CO 80919
- Phone
- (719) 598-1336
- Listed under
- Nonprofit, No fines in 3 years
- Medicare CCN
- 065325
- Overall star rating
- 2 of 5 ★★☆☆☆
- Health inspection rating
- 2 of 5
- Staffing rating
- 4 of 5
- Quality measures rating
- 2 of 5
- Certified beds
- 110
- Average residents per day
- 95
- Ownership
- Nonprofit, corporation
- Legal business name
- Catholic Health Initiatives Colorado
- Chain
- Commonspirit Health (18 facilities)
- Certified for
- Medicare and Medicaid
- First approved by Medicare/Medicaid
- Jul 1, 1994
- Changed ownership in last 12 months
- No
- Continuing care retirement community
- No
- Located inside a hospital
- No
- Resident or family council
- Resident council
- Sprinklers in all required areas
- Yes
Inspection record
Most recent standard health inspection: Mar 6, 2025. CMS lists 20 health citations for this facility across its last three standard inspection cycles and complaint inspections (Aug 15, 2019 to Mar 6, 2025): 8 from complaint inspections, 0 at the “actual harm” level or higher. CMS shows its abuse icon for this facility, which it uses for nursing homes cited for abuse at the harm level recently or at the potential-harm level in each of the last two years.
| Inspection | Citation | Severity |
|---|---|---|
| Mar 6, 2025 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D |
| Mar 6, 2025 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D |
| Mar 6, 2025 | 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… | D |
| Mar 6, 2025 | Provide and implement an infection prevention and control program. | D |
| Mar 6, 2025 | Observe each nurse aide's job performance and give regular training. | E |
| Nov 30, 2023 | Provide and implement an infection prevention and control program. | E |
| Nov 30, 2023 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F |
| Aug 17, 2023 | Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | D |
| Aug 17, 2023 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D |
| Aug 17, 2023 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D |
| Aug 17, 2023 | Provide safe and appropriate respiratory care for a resident when needed. | D |
| Aug 17, 2023 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D |
Fines and payment denials
CMS records no fines or payment denials for this facility in the last three years.
Staffing
- Total nurse staffing per resident per day
- 3.50 hours
- Registered nurse (RN) time per resident per day
- 1.18 hours
- Nurse aide time per resident per day
- 1.98 hours
- Total nurse staffing on weekends
- 3.12 hours
- Nursing staff turnover (yearly)
- 55%
- RN turnover (yearly)
- 43%
- Administrators who left in the past year
- 2
A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.
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