Nursing homes › Colorado › Colorado Springs › Mount St Francis Nursing Center
7550 Assisi Hts, Colorado Springs, CO 80919 · (719) 598-1336 · 110 certified beds
Save this provider to compare the same published fields across up to four providers of the same care type.
Open your comparisonCMS overall star rating: this provider 2/5; median among 209 providers with a published value in the same state and provider category: 3/5.
CareRecords calculates this unweighted median from the loaded source snapshot. Providers with missing values are excluded. It is a descriptive reference, not a new quality rating or recommendation. Individual reporting periods may differ; do not compare different rating systems.
How to compare records without mistaking missing data for good performance →
Per CMS filings, this facility is affiliated with Commonspirit Health, a group operating 18 facilities in 9 states. Group record: average rating 2.7/5, 2 abuse citation icons, 2 facilities on the Special Focus list, $1,218,755 in federal fines. This facility rates below its group average (2.7/5).
Total nurse staffing: 3.50 (Colorado median: 3.49). RN hours: 1.18. Weekend total: 3.12. Nursing staff turnover: 55%.
In the downloaded CMS dataset: 20 deficiency citations. Below: up to 40 most recent citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-03-06 | Observe each nurse aide's job performance and give regular training. | E | Health | 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. | D | complaint | 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. | D | complaint | 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. | D | Health | corrected 2025-04-05 |
| 2025-03-06 | Provide and implement an infection prevention and control program. | D | Health | 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. | F | complaint | corrected 2024-01-17 |
| 2023-11-30 | Provide and implement an infection prevention and control program. | E | complaint | 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. | F | Health | corrected 2023-09-16 |
| 2023-08-17 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Health | 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. | E | Health | corrected 2023-10-30 |
| 2023-08-17 | Provide and implement an infection prevention and control program. | E | Health | 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. | D | Health | 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. | D | complaint | 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. | D | complaint | corrected 2023-09-16 |
| 2023-08-17 | Provide safe and appropriate respiratory care for a resident when needed. | D | complaint | 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. | D | Health | corrected 2023-09-16 |
| 2023-08-17 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | complaint | corrected 2023-09-16 |
No federal fines or payment denials in this downloaded dataset.
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| COMMONSPIRIT HEALTH | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 11/28/2023 |
| MCGINN, THOMAS | Corporate Director | Individual | NOT APPLICABLE | since 11/28/2023 |
| MELFI, MITCH | Corporate Director | Individual | NOT APPLICABLE | since 11/28/2023 |
| MORISSETTE, DANIEL | Corporate Director | Individual | NOT APPLICABLE | since 11/28/2023 |
| DONOHOE, THOMAS | Corporate Officer | Individual | NOT APPLICABLE | since 11/28/2023 |
| GAASCH, ANDREW | Corporate Officer | Individual | NOT APPLICABLE | since 11/28/2023 |
| COMMONSPIRIT MOUNTAIN REGION | Operational/Managerial Control | Organization | NOT APPLICABLE | since 11/28/2023 |
| CARPENTER, DEBRA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 11/28/2023 |
How to cite this page: CareRecords, “Mount St Francis Nursing Center — compliance, penalty and ownership record” (CCN 065325), compiled from the CMS Provider Data Catalog, August 2026 release. https://carerecords.org/nursing-home/mount-st-francis-nursing-center-colorado-springs-co/
Source: CMS Provider Data Catalog (August 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 065325. Corrections: data@carerecords.org.