MOUNT ST FRANCIS NURSING CENTER
MOUNT ST FRANCIS NURSING CENTER, in COLORADO SPRINGS, Colorado, holds 110 certified beds and has been certified for Medicare and Medicaid since 1994-07-01, averaging 95.4 residents a day.
Has MOUNT ST FRANCIS NURSING CENTER been cited for violations?
CMS lists 20 health-inspection deficiencies for MOUNT ST FRANCIS NURSING CENTER since 2019-08-15, 17 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is F; the most recent health inspection was 2025-03-06.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2025-03-06 | F0730 | Observe each nurse aide's job performance and give regular training. | E |
| 2025-03-06 | F0600, F0622, F0761, F0880 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / 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. / 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. / Provide and implement an infection prevention and control program. | D |
| 2023-11-30 | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F |
| 2023-11-30 | F0880 | Provide and implement an infection prevention and control program. | E |
| 2023-08-17 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2023-08-17 | F0804, F0806, F0880 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. / Provide and implement an infection prevention and control program. | E |
| 2023-08-17 | F0563, F0600, F0676, F0695, F0726, F0744 | Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. / Provide safe and appropriate respiratory care for a resident when needed. / 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. / Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D |
| 2019-08-15 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | E |
| 2019-08-15 | F0656, F0658 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure services provided by the nursing facility meet professional standards of quality. | D |
How is MOUNT ST FRANCIS NURSING CENTER staffed relative to the CO average?
| Measure | This facility | CO average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.49792 | 3.72368 |
| Total nursing staff turnover (%) | 55.0 | 47.1 |
| Average number of residents per day | 95.4 | 74.8 |
Who owns MOUNT ST FRANCIS NURSING CENTER, and what chain is it in?
MOUNT ST FRANCIS NURSING CENTER is registered with CMS as Non profit - Corporation, operates under the legal business name CATHOLIC HEALTH INITIATIVES COLORADO and belongs to the COMMONSPIRIT HEALTH chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | COMMONSPIRIT HEALTH | since 11/28/2023 |
| W-2 MANAGING EMPLOYEE | BEHRE, ALMAZ, SHEPHERD, DAVID | since 11/28/2023 |
| CORPORATE DIRECTOR | MCGINN, THOMAS, MELFI, MITCH, MORISSETTE, DANIEL | since 11/28/2023 |
| CORPORATE OFFICER | DONOHOE, THOMAS, GAASCH, ANDREW | since 11/28/2023 |
| OPERATIONAL/MANAGERIAL CONTROL | COMMONSPIRIT MOUNTAIN REGION, CARPENTER, DEBRA | since 11/28/2023 |
Were you or a family member harmed at MOUNT ST FRANCIS NURSING CENTER?