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Mount St Francis Nursing Center
7550 Assisi Hts, Colorado Springs, CO 80919 (opens Google Maps) · El Paso County · (719) 598-1336· 110 certified beds · avg 95 residents/day · certified since Jul 1, 1994 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Abuse citation flag (CMS)
Part of chain: COMMONSPIRIT HEALTH (18 facilities, chain avg rating 2.7★)
The abuse flag means inspectors cited this facility for abuse that caused harm to a resident within the past year, or potential for harm in each of the last two years. Source: CMS.
2/5
Health inspection rating (on-site)
inspected Mar 6, 2025
0
Serious findings on record
$0
Fines, last 3 years
4.15
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5 · how star ratings work →
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.
Inspection findings in the public record
Showing the latest 3 of 20 inspection findings. Open the full record below to read every finding.
The facility did not observe each nurse aide's job performance or provide regular training as required. F-0730
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint F-0600
The facility transferred or discharged a resident without a valid reason, or failed to provide the required documentation and information when moving a resident out. · from a complaint F-0622
View all 20 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Mar 6, 2025 | E · Potential for more than minimal harm, pattern | The facility did not observe each nurse aide's job performance or provide regular training as required. · F-0730 |
| Mar 6, 2025 | D · Potential for more than minimal harm, isolated | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint · F-0600 |
| Mar 6, 2025 | D · Potential for more than minimal harm, isolated | The facility transferred or discharged a resident without a valid reason, or failed to provide the required documentation and information when moving a resident out. · from a complaint · F-0622 |
| Mar 6, 2025 | D · Potential for more than minimal harm, isolated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761 |
| Mar 6, 2025 | D · Potential for more than minimal harm, isolated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880 |
| Nov 30, 2023 | F · Potential for more than minimal harm, widespread | The facility did not designate a qualified infection preventionist — a trained person responsible for running the infection prevention and control program. · from a complaint · F-0882 |
| Nov 30, 2023 | E · Potential for more than minimal harm, pattern | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint · F-0880 |
| Aug 17, 2023 | F · Potential for more than minimal harm, widespread | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812 |
| Aug 17, 2023 | E · Potential for more than minimal harm, pattern | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · F-0804 |
| Aug 17, 2023 | E · Potential for more than minimal harm, pattern | The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives. · F-0806 |
| Aug 17, 2023 | E · Potential for more than minimal harm, pattern | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880 |
| Aug 17, 2023 | D · Potential for more than minimal harm, isolated | The facility did not honor residents' right to receive the visitors they choose, at the times they choose. · F-0563 |
| Aug 17, 2023 | D · Potential for more than minimal harm, isolated | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint · F-0600 |
| Aug 17, 2023 | D · Potential for more than minimal harm, isolated | The facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have. · from a complaint · F-0676 |
| Aug 17, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · from a complaint · F-0695 |
| Aug 17, 2023 | D · Potential for more than minimal harm, isolated | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · F-0726 |
| Aug 17, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide the right treatment and services for residents with dementia or signs of dementia. Dementia care requires specific approaches, training, and patience. · from a complaint · F-0744 |
| Aug 15, 2019 | E · Potential for more than minimal harm, pattern | The facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have. · F-0676 |
| Aug 15, 2019 | D · Potential for more than minimal harm, isolated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · F-0656 |
| Aug 15, 2019 | D · Potential for more than minimal harm, isolated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658 |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (10 → 5).
All citationsSerious citations (G–L)
2019
All citations: 3
Serious citations (G–L): 0
2023
All citations: 12
Serious citations (G–L): 0
2025
All citations: 5
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 3 | 0 | E |
| 2023 | 12 | 0 | F |
| 2025 | 5 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityColorado averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 4.15
Colorado average: 3.89
U.S. average: 3.95
Registered Nurse hours
This facility: 1.40
Colorado average: 0.86
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.70
Colorado average: 3.44
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | Colorado avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.15 | 3.89 | 3.95 | top 30% in Colorado; top 34% in the U.S. |
| Registered Nurse hours | 1.40 | 0.86 | 0.69 | top 6% in Colorado; top 6% in the U.S. |
| Weekend total nurse staffing | 3.70 | 3.44 | 3.50 | top 30% in Colorado; top 33% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.91 | 0.61 | 0.48 | top 12% in Colorado; top 8% in the U.S. |
| Total nursing staff turnover (%) | 55.0 | 47.1 | 45.8 | bottom 26% in Colorado; bottom 25% in the U.S. |
| RN turnover (%) | 43.2 | 44.6 | 42.9 | top 46% in Colorado; bottom 47% in the U.S. |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.50, RN 1.18, weekend 3.12.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.50 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 2/5 · long-stay residents: 2/5 · short-stay residents: —/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Mount St Francis Nursing Center. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Commonspirit Health | Organization | 5% or Greater Direct Ownership Interest | 100% | 11/28/2023 |
| Behre, Almaz | Individual | W-2 Managing Employee | NOT APPLICABLE | 11/28/2023 |
| Carpenter, Debra | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/28/2023 |
| Commonspirit Mountain Region | Organization | Operational/Managerial Control | NOT APPLICABLE | 11/28/2023 |
| Donohoe, Thomas | Individual | Corporate Officer | NOT APPLICABLE | 11/28/2023 |
| Gaasch, Andrew | Individual | Corporate Officer | NOT APPLICABLE | 11/28/2023 |
| McGinn, Thomas | Individual | Corporate Director | NOT APPLICABLE | 11/28/2023 |
| Melfi, Mitch | Individual | Corporate Director | NOT APPLICABLE | 11/28/2023 |
| Morissette, Daniel | Individual | Corporate Director | NOT APPLICABLE | 11/28/2023 |
| Shepherd, David | Individual | W-2 Managing Employee | NOT APPLICABLE | 11/28/2023 |
All 10 owning or managing parties CMS has on file are shown — none excluded.
Other facilities in the same chain
CMS lists this facility under the chain Commonspirit Health — 18 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
- Bishop Drumm Retirement Center — Johnston, IA · overall 1/5SFF
- Madonna Manor — Villa Hills, KY · overall 1/5
- Lakewood Care Center — Baudette, MN · overall 4/5
- St Francis Home — Breckenridge, MN · overall 5/5
- Garrison Mem Hosp Nsg Fac — Garrison, ND · overall 2/5
- Franciscan Care Ctr Sylvania — Toledo, OH · overall 2/5SFF
- Providence Care Center — Sandusky, OH · overall 1/5
- St Clare Commons — Perrysburg, OH · overall 1/5
Listed by state, then facility name — not a ranking. Showing 8 of the 17 others, continuing from this facility's own place in that list.
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How often do you evaluate your nurse aides and what ongoing training do they receive?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "Under what circumstances would you discharge or transfer a resident, and what notice and appeal rights would we have?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Who is your infection preventionist, and what training do they have?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Could I join residents for a meal to see the food quality and temperature for myself?"
Also worth asking anywhere
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 55% total nursing staff turnover here — who on the care team has been with you longest?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (12 closest of 20 within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Center at Centennial, the | 4.7 mi | Colorado Springs, CO | ★★★★★ | 4/5 | |
| The Healthcare Resort of Colorado Springs | 5.5 mi | Colorado Springs, CO | ★★★☆☆ | 2/5 | |
| Gardens, the | 6.1 mi | Colorado Springs, CO | ★★★★★ | 5/5 | |
| Springs Village Care Center | 6.1 mi | Colorado Springs, CO | ★★☆☆☆ | 2/5 | |
| Liberty Heights | 6.4 mi | Colorado Springs, CO | ★★★★☆ | 2/5 | |
| Colonial Rehabilitation and Nursing, LLC | 6.7 mi | Colorado Springs, CO | ★☆☆☆☆ | 2/5 | abuse |
| Sundance Skilled Nursing and Rehabilitation | 6.9 mi | Colorado Springs, CO | ★★☆☆☆ | 2/5 | |
| Pikes Peak Post Acute | 7.2 mi | Colorado Springs, CO | ★☆☆☆☆ | 1/5 | abuse |
| Bear Creek Senior Living | 7.7 mi | Colorado Springs, CO | ★★★★☆ | 4/5 | |
| Kiowa Hills Rehabilitation and Nursing, LLC | 8.0 mi | Colorado Springs, CO | ★☆☆☆☆ | 1/5 | |
| Brookdale Skyline | 8.0 mi | Colorado Springs, CO | ★★★★★ | 3/5 | |
| The Center at Cordera | 8.1 mi | Colorado Springs, CO | ★★★★☆ | 3/5 |
Compare this facility with the 3 closest →
Other facilities in the same county
CMS records place this facility in El Paso, CO — 20 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
- Mountain View Post Acute — Colorado Springs, CO · overall 2/5abuse
- Sunny Vista Living Center — Colorado Springs, CO · overall 3/5
- Advanced Health Care of Colorado Springs — Colorado Springs, CO · overall 5/5
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 065325.
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