Mount ST Francis Nursing Center

Nursing Home · Colorado Springs, CO

CMS overall rating 2/5 Abuse citation Non profit - Corporation

CMS certification number065325
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).

Contact & location

7550 Assisi HTS
Colorado Springs, CO 80919
El Paso County
Phone
(719) 598-1336
ZIP code
80919 – all care providers

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Facility details

Certified beds
110
Residents per day
95.4 (87% occupied)
Ownership
Non profit - Corporation
Legal name
Catholic Health Initiatives Colorado
Chain
Commonspirit Health (18 facilities, avg 2.7★)
Medicare certified since
July 1, 1994
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 2/5
State avg 3.1
Health inspections★★★★★ 2/5
State avg 2.7
Staffing★★★★★ 4/5
State avg 3.1
Quality measures★★★★★ 2/5
State avg 4.1
Long-stay quality★★★★★ 2/5
Short-stay qualityNot rated

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.50 (state 3.72 · U.S. 3.86)
Registered nurses (RN)
1.18 (state 0.82 · U.S. 0.69)
Licensed practical nurses
0.33 (state 0.68 · U.S. 0.86)
Nurse aides
1.98 (state 2.22 · U.S. 2.32)
Weekend total
3.12 (state 3.30 · U.S. 3.42)
Nursing staff turnover
55.0 (state 47.1 · U.S. 45.8)%
RN turnover
43.2 (state 44.6 · U.S. 42.9)%
Administrators who left
2 in the last year

Inspections

Last standard inspection
March 6, 2025
Health deficiencies (last cycle)
5.0 (state 8.6 · U.S. 9.3)
From complaints
2
Citations on record (3 years)
20 health · 4 fire safety
DateCitationSeverityStatus
2025-03-06 Observe each nurse aide's job performance and give regular training.
F0730 · Nursing and Physician Services Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-04-05
2025-03-06 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-04-05
2025-03-06 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.
F0622 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-04-05
2025-03-06 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.
F0761 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-04-05
2025-03-06 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-04-05
2023-11-30 Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
F0882 · Infection Control Deficiencies · complaint inspection		 F
No actual harm, potential for more than minimal harm		 Corrected 2024-01-17
2023-11-30 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-01-05
2023-08-17 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2023-09-16
2023-08-17 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-09-16
2023-08-17 Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
F0806 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-10-30
2023-08-17 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-09-16
2023-08-17 Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
F0563 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-11-15
2023-08-17 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-09-28
2023-08-17 Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
F0676 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-09-16
2023-08-17 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-09-16
2023-08-17 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.
F0726 · Nursing and Physician Services Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-09-16
2023-08-17 Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
F0744 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-09-16
2019-08-15 Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
F0676 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2019-09-18
2019-08-15 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2019-09-18
2019-08-15 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2019-09-18

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

No federal fines or payment denials in the last three years.

Ownership & management

NameRoleSince
Commonspirit Health (organization)5%+ Direct Ownership Interest · 100%
McGinn, Thomas (individual)Corporate Director · NOT APPLICABLE
Melfi, Mitch (individual)Corporate Director · NOT APPLICABLE
Morissette, Daniel (individual)Corporate Director · NOT APPLICABLE
Donohoe, Thomas (individual)Corporate Officer · NOT APPLICABLE
Gaasch, Andrew (individual)Corporate Officer · NOT APPLICABLE
Carpenter, Debra (individual)Operational/managerial Control · NOT APPLICABLE
Commonspirit Mountain Region (organization)Operational/managerial Control · NOT APPLICABLE
Behre, Almaz (individual)W-2 Managing Employee · NOT APPLICABLE
Shepherd, David (individual)W-2 Managing Employee · NOT APPLICABLE

Frequently asked questions

What is the rating of Mount ST Francis Nursing Center?

Mount ST Francis Nursing Center has a 2-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.1-star average in Colorado.

How many beds does Mount ST Francis Nursing Center have?

It has 110 certified beds and cares for about 95 residents per day.

Has Mount ST Francis Nursing Center been fined?

CMS lists no federal fines or payment denials in the last three years.

Who owns Mount ST Francis Nursing Center?

It is part of Commonspirit Health and is classified as non profit - corporation. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Mount ST Francis Nursing Center?

(719) 598-1336. The facility is located at 7550 Assisi HTS, Colorado Springs, CO 80919.

Other nursing homes in Colorado Springs

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Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.