C72

MOUNT ST FRANCIS NURSING CENTER

Grade C 72/100 composite score

Non profit - CorporationAbuse Citation

CMS Star Ratings

Overall
2/5
Health Insp.
2/5
Quality
2/5
Staffing
4/5
RN Staffing
Not rated

Certified Beds

110

Ownership

Non profit - Corporation

Total Fines

None

Last Survey

N/A

7550 ASSISI HTS, COLORADO SPRINGS, CO 80919
7195981336

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
1.50h
LPN
0.62h
CNA
2.51h
Total
4.62h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

COMMONSPIRIT HEALTH

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Nov 2023

100%

COMMONSPIRIT MOUNTAIN REGION

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Nov 2023

CARPENTER, DEBRA

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Nov 2023

MCGINN, THOMAS

IndividualCORPORATE DIRECTORSince Nov 2023

MELFI, MITCH

IndividualCORPORATE DIRECTORSince Nov 2023

MORISSETTE, DANIEL

IndividualCORPORATE DIRECTORSince Nov 2023

DONOHOE, THOMAS

IndividualCORPORATE OFFICERSince Nov 2023

GAASCH, ANDREW

IndividualCORPORATE OFFICERSince Nov 2023

BEHRE, ALMAZ

IndividualW-2 MANAGING EMPLOYEESince Nov 2023

SHEPHERD, DAVID

IndividualW-2 MANAGING EMPLOYEESince Nov 2023

Penalties & Fines

No penalties or fines on record.

Health Inspection Deficiencies (20)

March 6, 2025Health5 deficiencies
0730EMinimal harm, Pattern

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

Nursing and Physician Services Deficiencies

Corrected Apr 5, 2025
0761DMinimal harm, Isolated

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.

Pharmacy Service Deficiencies

Corrected Apr 5, 2025
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Apr 5, 2025
0600DMinimal harm, Isolated

Protect 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 Deficiencies

Corrected Apr 5, 2025
0622DMinimal harm, Isolated

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.

Resident Rights Deficiencies

Corrected Apr 5, 2025
November 30, 2023Health2 deficiencies
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Jan 5, 2024
0882FMinimal harm, Widespread

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

Infection Control Deficiencies

Corrected Jan 17, 2024
August 17, 2023Health10 deficiencies
0563DMinimal harm, Isolated

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

Resident Rights Deficiencies

Corrected Nov 15, 2023
0726DMinimal harm, Isolated

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.

Nursing and Physician Services Deficiencies

Corrected Sep 16, 2023
0804EMinimal harm, Pattern

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

Nutrition and Dietary Deficiencies

Corrected Sep 16, 2023
0806EMinimal harm, Pattern

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

Nutrition and Dietary Deficiencies

Corrected Oct 30, 2023
0812FMinimal harm, Widespread

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

Nutrition and Dietary Deficiencies

Corrected Sep 16, 2023
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Sep 16, 2023
0600EMinimal harm, Pattern

Protect 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 Deficiencies

Corrected Sep 28, 2023
0676DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Sep 16, 2023
0695DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Sep 16, 2023
0744DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Sep 16, 2023
August 15, 2019Health3 deficiencies
0656DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected Sep 18, 2019
0658DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected Sep 18, 2019
0676EMinimal harm, Pattern

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

Quality of Life and Care Deficiencies

Corrected Sep 18, 2019

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Frequently Asked Questions

What is the CareGrader rating for MOUNT ST FRANCIS NURSING CENTER?

MOUNT ST FRANCIS NURSING CENTER in COLORADO SPRINGS, Colorado has a CareGrader grade of C (Average), with a composite score of 71.8 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for MOUNT ST FRANCIS NURSING CENTER?

MOUNT ST FRANCIS NURSING CENTER has an overall CMS star rating of 2 out of 5, a health inspection rating of 2/5, and a staffing rating of 4/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does MOUNT ST FRANCIS NURSING CENTER have?

MOUNT ST FRANCIS NURSING CENTER has 20 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). This facility has abuse citations on record. View the full inspection timeline above for details on each deficiency.

How many beds does MOUNT ST FRANCIS NURSING CENTER have?

MOUNT ST FRANCIS NURSING CENTER has 110 certified beds with approximately 98 current residents (89% occupancy). The facility is located at 7550 ASSISI HTS, COLORADO SPRINGS, Colorado 80919. It is a non profit - corporation facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.