MOUNT ST FRANCIS NURSING CENTER

7550 ASSISI HTS
COLORADO SPRINGS, CO, 80919
7195981336
CCN: 065325
2
Overall
2
Health
4
Staffing
2
Quality
ChainCOMMONSPIRIT HEALTH
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
NameRole%
COMMONSPIRIT HEALTH5% OR GREATER DIRECT OWNERSHIP INTEREST100%
MORISSETTE, DANIELCORPORATE DIRECTORNOT APPLICABLE
MCGINN, THOMASCORPORATE DIRECTORNOT APPLICABLE
MELFI, MITCHCORPORATE DIRECTORNOT APPLICABLE
DONOHOE, THOMASCORPORATE OFFICERNOT APPLICABLE
GAASCH, ANDREWCORPORATE OFFICERNOT APPLICABLE
COMMONSPIRIT MOUNTAIN REGIONOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
CARPENTER, DEBRAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
SHEPHERD, DAVIDW-2 MANAGING EMPLOYEENOT APPLICABLE
BEHRE, ALMAZW-2 MANAGING EMPLOYEENOT 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/Day
4.11
3.68
RN Hrs/Resident/Day
1.33
0.54
LPN Hrs/Resident/Day
0.55
0.81
CNA Hrs/Resident/Day
2.23
2.33
PT Hrs/Resident/Day
0.06
0.12
Data as of 2026-03-01