MOUNT ST FRANCIS NURSING CENTER
7550 ASSISI HTS
COLORADO SPRINGS, CO, 80919
7195981336
CCN: 065325
2
Overall2
Health4
Staffing2
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
| Name | Role | % |
|---|---|---|
| COMMONSPIRIT HEALTH | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| MORISSETTE, DANIEL | CORPORATE DIRECTOR | NOT APPLICABLE |
| MCGINN, THOMAS | CORPORATE DIRECTOR | NOT APPLICABLE |
| MELFI, MITCH | CORPORATE DIRECTOR | NOT APPLICABLE |
| DONOHOE, THOMAS | CORPORATE OFFICER | NOT APPLICABLE |
| GAASCH, ANDREW | CORPORATE OFFICER | NOT APPLICABLE |
| COMMONSPIRIT MOUNTAIN REGION | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| CARPENTER, DEBRA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| SHEPHERD, DAVID | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
| BEHRE, ALMAZ | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
Health Deficiencies (20)
2025-03-06 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F761 · Pharmacy Service Deficiencies
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.
E
F730 · Nursing and Physician Services Deficiencies
Observe each nurse aide's job performance and give regular training.
D
F622 · Resident Rights Deficiencies
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
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2023-11-30 · Health
F
F882 · Infection Control Deficiencies
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
E
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
2023-08-17 · Health
E
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
F
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
F806 · Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
E
F804 · Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
D
F744 · Quality of Life and Care Deficiencies
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
D
F726 · Nursing and Physician Services Deficiencies
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
F695 · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
D
F676 · Quality of Life and Care Deficiencies
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
D
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
F563 · Resident Rights Deficiencies
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
2019-08-15 · Health
E
F676 · Quality of Life and Care Deficiencies
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
D
F658 · Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
D
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day3.68
4.11
RN Hrs/Resident/Day0.54
1.33
LPN Hrs/Resident/Day0.81
0.55
CNA Hrs/Resident/Day2.33
2.23
PT Hrs/Resident/Day0.12
0.06
Data as of 2026-03-01