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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeColoradoMount St Francis Nursing Center

Mount St Francis Nursing Center

7550 Assisi Hts, Colorado Springs, CO 809197195981336
2/5Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
2/5
Staffing
4/5
Quality
2/5
Beds
110
certified
This facility has been flagged for abuse.

Key Findings

• 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.

Beds
110
Avg Residents/Day
98.8
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Jul 1, 1994
Sprinklers
Yes
Council
Resident
County
El Paso
Last Inspection
Mar 6, 2025
Deficiencies (Cycle 1)
5
Weighted Score
40.0
Infection Citations
0

Deficiency Citations (20)

F0730Potential for Harm

Observe each nurse aide's job performance and give regular training.

Survey: Mar 6, 2025Corrected: NoCycle: 1
F0761Potential for Harm

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.

Survey: Mar 6, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Mar 6, 2025Corrected: NoCycle: 1
F0600Potential for Harm

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: Mar 6, 2025Corrected: NoCycle: 1
F0622Potential for Harm

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.

Survey: Mar 6, 2025Corrected: NoCycle: 1
F0563Potential for Harm

Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.

Survey: Aug 17, 2023Corrected: NoCycle: 2
F0726Potential for Harm

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.

Survey: Aug 17, 2023Corrected: NoCycle: 2
F0804Potential for Harm

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Survey: Aug 17, 2023Corrected: NoCycle: 2
F0806Potential for Harm

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Survey: Aug 17, 2023Corrected: NoCycle: 2
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Aug 17, 2023Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Aug 17, 2023Corrected: NoCycle: 2
F0600Potential for Harm

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: Aug 17, 2023Corrected: NoCycle: 2
F0676Potential for Harm

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Survey: Aug 17, 2023Corrected: NoCycle: 2
F0695Potential for Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey: Aug 17, 2023Corrected: NoCycle: 2
F0744Potential for Harm

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Survey: Aug 17, 2023Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Nov 30, 2023Corrected: NoCycle: 3
F0882Potential for Harm

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Survey: Nov 30, 2023Corrected: NoCycle: 3
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Aug 15, 2019Corrected: NoCycle: 3
F0658Potential for Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey: Aug 15, 2019Corrected: NoCycle: 3
F0676Potential for Harm

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Survey: Aug 15, 2019Corrected: NoCycle: 3
Total Fines
$0
Number of Fines
0
Payment Denials
0
Total Penalties
0

No penalties on record.

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide2.23 hrs
National avg: 2.35 hrs
LPN0.55 hrs
National avg: 0.86 hrs
RN1.33 hrs
National avg: 0.68 hrs
Total Nursing4.11 hrs
National avg: 3.89 hrs
Weekend Total3.94 hrs
National avg: 0.00 hrs
Physical Therapist0.06 hrs
National avg: 0.07 hrs
Total Turnover
50.4%
RN Turnover
33.3%
Administrators Left
2

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
Non profit - Corporation
Recent Change
No

Owners & Managers (10)

NameRoleTypeOwnership %Since
COMMONSPIRIT HEALTH5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Nov 28, 2023
COMMONSPIRIT MOUNTAIN REGIONOPERATIONAL/MANAGERIAL CONTROLOrganizationN/ANov 28, 2023
CARPENTER, DEBRAOPERATIONAL/MANAGERIAL CONTROLIndividualN/ANov 28, 2023
MCGINN, THOMASCORPORATE DIRECTORIndividualN/ANov 28, 2023
MELFI, MITCHCORPORATE DIRECTORIndividualN/ANov 28, 2023
MORISSETTE, DANIELCORPORATE DIRECTORIndividualN/ANov 28, 2023
DONOHOE, THOMASCORPORATE OFFICERIndividualN/ANov 28, 2023
GAASCH, ANDREWCORPORATE OFFICERIndividualN/ANov 28, 2023
BEHRE, ALMAZW-2 MANAGING EMPLOYEEIndividualN/ANov 28, 2023
SHEPHERD, DAVIDW-2 MANAGING EMPLOYEEIndividualN/ANov 28, 2023

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Frequently Asked Questions

What is the CMS rating for Mount St Francis Nursing Center?▾
Mount St Francis Nursing Center has an overall CMS rating of 2 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 4/5, and quality measures rating of 2/5. This facility is rated below average.
Has Mount St Francis Nursing Center had any health inspection violations?▾
Mount St Francis Nursing Center had 5 deficiency citations in its most recent health inspection (Mar 6, 2025). The facility has no fines on record.
What are the staffing levels at Mount St Francis Nursing Center?▾
Mount St Francis Nursing Center provides 4.11 total nursing staff hours per resident per day, including 1.33 RN hours, 0.55 LPN hours, and 2.23 nurse aide hours. The total staff turnover rate is 50.4%.
How many beds does Mount St Francis Nursing Center have?▾
Mount St Francis Nursing Center has 110 certified beds with an average of 98.8 residents per day, resulting in approximately 90% occupancy. The facility is Non profit - Corporation owned and is part of the Commonspirit Health chain.
Are there other nursing homes near Mount St Francis Nursing Center?▾
Yes, there are 19 other nursing homes in Colorado Springs, Colorado with an average rating of 3/5. You can compare all facilities on the Colorado Springs nursing homes page.

Part of Commonspirit Health

This chain operates 19 facilities. View all →