MOUNT ST FRANCIS NURSING CENTER
7550 ASSISI HTS, COLORADO SPRINGS, CO 80919 · CCN 065325
Abuse icon
Ratings
- Overall
- ★★☆☆☆ 2
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★☆☆☆ 2
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- Non profit - Corporation
- Certified beds
- 110
- Avg residents/day
- 98.8
- Phone
- 7195981336
Inspection history vs Colorado & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Colorado avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-03-06 | 5 | 8.7 | 9.5 | -3.7 better |
| 2 | 2023-08-17 | 10 | 8.7 | 9.8 | +1.3 worse |
| 3 | 2019-08-15 | 5 | 7.5 | 9.3 | -2.5 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Nursing and physician services | 1 |
| Resident rights | 1 |
| Pharmacy service | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.11 | 50.4% |
| RN staffing (reported) | 1.33 | 33.3% |
| Total nurse staffing (adjusted) | 4.62 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Chain
- Chain
- COMMONSPIRIT HEALTH
- Facilities in chain
- 19
- Chain avg overall
- 2.90 / 5
Inspection citations (20)
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-03-06 · Health · corrected 2025-04-05
Potential for more than minimal harm
- DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2025-03-06 · Health · corrected 2025-04-05
Potential for more than minimal harm
- EF0730Observe each nurse aide's job performance and give regular training.2025-03-06 · Health · corrected 2025-04-05
Potential for more than minimal harm
- DF0761Ensure 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.2025-03-06 · Health · corrected 2025-04-05
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-03-06 · Health · corrected 2025-04-05
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2023-11-30 · Health · corrected 2024-01-05
Potential for more than minimal harm
- FF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.2023-11-30 · Health · corrected 2024-01-17
Potential for more than minimal harm
- DF0563Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.2023-08-17 · Health · corrected 2023-11-15
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-08-17 · Health · corrected 2023-09-28
Potential for more than minimal harm
- DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2023-08-17 · Health · corrected 2023-09-16
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-08-17 · Health · corrected 2023-09-16
Potential for more than minimal harm
- DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2023-08-17 · Health · corrected 2023-09-16
Potential for more than minimal harm
- DF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2023-08-17 · Health · corrected 2023-09-16
Potential for more than minimal harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2023-08-17 · Health · corrected 2023-09-16
Potential for more than minimal harm
- EF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2023-08-17 · Health · corrected 2023-10-30
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-08-17 · Health · corrected 2023-09-16
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2023-08-17 · Health · corrected 2023-09-16
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2019-08-15 · Health · corrected 2019-09-18
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2019-08-15 · Health · corrected 2019-09-18
Potential for more than minimal harm
- EF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2019-08-15 · Health · corrected 2019-09-18
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| COMMONSPIRIT HEALTH | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2023-11-28 |
| COMMONSPIRIT MOUNTAIN REGION | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-11-28 |
| CARPENTER, DEBRA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-11-28 |
| MCGINN, THOMAS | Individual | CORPORATE DIRECTOR | — | 2023-11-28 |
| MELFI, MITCH | Individual | CORPORATE DIRECTOR | — | 2023-11-28 |
| MORISSETTE, DANIEL | Individual | CORPORATE DIRECTOR | — | 2023-11-28 |
| DONOHOE, THOMAS | Individual | CORPORATE OFFICER | — | 2023-11-28 |
| GAASCH, ANDREW | Individual | CORPORATE OFFICER | — | 2023-11-28 |
| BEHRE, ALMAZ | Individual | W-2 MANAGING EMPLOYEE | — | 2023-11-28 |
| SHEPHERD, DAVID | Individual | W-2 MANAGING EMPLOYEE | — | 2023-11-28 |
Other facilities in COLORADO SPRINGS
| Name | Overall | Beds |
|---|---|---|
| CENTER AT CENTENNIAL, THE | ★★★★★ | 80 |
| SUNDANCE SKILLED NURSING AND REHABILITATION | ★★★★★ | 68 |
| LIFE CARE CENTER OF COLORADO SPRINGS | ★★★★★ | 121 |
| GARDENS, THE | ★★★★★ | 45 |
| ADVANCED HEALTH CARE OF COLORADO SPRINGS | ★★★★★ | 34 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.