Nursing HomeInspections

Mount St Francis Nursing Center

Nursing home in Colorado Springs, CO

Medicare & Medicaid certified2★ overall (CMS)CMS abuse icon

Call (719) 598-1336Send a messageMap ↗

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

CMS certification number 065325. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

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.

InspectionCitationSeverity
Mar 6, 2025Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection
D
Potential for more than minimal harm, isolated
Mar 6, 2025Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Resident Rights · complaint inspection
D
Potential for more than minimal harm, isolated
Mar 6, 2025Ensure 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…
Pharmacy Service
D
Potential for more than minimal harm, isolated
Mar 6, 2025Provide and implement an infection prevention and control program.
Infection Control
D
Potential for more than minimal harm, isolated
Mar 6, 2025Observe each nurse aide's job performance and give regular training.
Nursing and Physician Services
E
Potential for more than minimal harm, pattern
Nov 30, 2023Provide and implement an infection prevention and control program.
Infection Control · complaint inspection
E
Potential for more than minimal harm, pattern
Nov 30, 2023Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Infection Control · complaint inspection
F
Potential for more than minimal harm, widespread
Aug 17, 2023Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
Resident Rights
D
Potential for more than minimal harm, isolated
Aug 17, 2023Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection
D
Potential for more than minimal harm, isolated
Aug 17, 2023Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
Aug 17, 2023Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
Aug 17, 2023Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Nursing and Physician Services
D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 20. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

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

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

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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