• CMS rates this facility 2/5 stars (below average)
• Has 110 certified beds with an average of 98.8 residents per day (90% occupancy)
• Last health inspection found 5 deficiencies (inspected Mar 6, 2025)
• No fines on record
• Total nursing staff: 4.11 hours per resident per day
• Staff turnover rate: 50.4% (high)
• Part of the Commonspirit Health chain (19 facilities)
Mount St Francis Nursing Center is a 2-star Medicare and Medicaid certified nursing home in Colorado Springs, Colorado with 110 certified beds. It has been operating since 1994. The facility scored below average compared to Colorado facilities.
Observe each nurse aide's job performance and give regular training.
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 locked compartments, separately locked, compartments for controlled drugs.
Provide and implement an infection prevention and control program.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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.
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
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.
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Provide and implement an infection prevention and control program.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Provide safe and appropriate respiratory care for a resident when needed.
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Provide and implement an infection prevention and control program.
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Ensure services provided by the nursing facility meet professional standards of quality.
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
No penalties on record.
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| COMMONSPIRIT HEALTH | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | Nov 28, 2023 |
| COMMONSPIRIT MOUNTAIN REGION | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Nov 28, 2023 |
| CARPENTER, DEBRA | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Nov 28, 2023 |
| MCGINN, THOMAS | CORPORATE DIRECTOR | Individual | N/A | Nov 28, 2023 |
| MELFI, MITCH | CORPORATE DIRECTOR | Individual | N/A | Nov 28, 2023 |
| MORISSETTE, DANIEL | CORPORATE DIRECTOR | Individual | N/A | Nov 28, 2023 |
| DONOHOE, THOMAS | CORPORATE OFFICER | Individual | N/A | Nov 28, 2023 |
| GAASCH, ANDREW | CORPORATE OFFICER | Individual | N/A | Nov 28, 2023 |
| BEHRE, ALMAZ | W-2 MANAGING EMPLOYEE | Individual | N/A | Nov 28, 2023 |
| SHEPHERD, DAVID | W-2 MANAGING EMPLOYEE | Individual | N/A | Nov 28, 2023 |
This chain operates 19 facilities. View all →