64/100
Average
7550 Assisi Hts, Colorado Springs, CO 80919
These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.
Abuse icon on record
CMS flags this facility for citations of abuse that caused harm, or potential for harm, to residents.
Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.
Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
Grade ceiling applied
Hours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Last standard health inspection: March 6, 2025 (1 year ago).
Nursing and Physician Services Deficiencies
Observe each nurse aide's job performance and give regular training.
No actual harm, potential for more than minimal harm
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.
No actual harm, potential for more than minimal harm
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.
No actual harm, potential for more than minimal harm
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...
No actual harm, potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
No actual harm, potential for more than minimal harm
Infection Control Deficiencies
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
No actual harm, potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
No actual harm, potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
No actual harm, potential for more than minimal harm
Part of COMMONSPIRIT HEALTH, which operates 19 homes. Staffing budgets are usually set at chain level, not in the building.
| Owner | Type | Role | Since |
|---|---|---|---|
| BEHRE, ALMAZ | Individual | W-2 MANAGING EMPLOYEE | — |
| SHEPHERD, DAVID | Individual | W-2 MANAGING EMPLOYEE | — |
| MCGINN, THOMAS | Individual | CORPORATE DIRECTOR | — |
| MELFI, MITCH | Individual | CORPORATE DIRECTOR | — |
| MORISSETTE, DANIEL | Individual | CORPORATE DIRECTOR | — |
| DONOHOE, THOMAS | Individual | CORPORATE OFFICER | — |
| GAASCH, ANDREW | Individual | CORPORATE OFFICER | — |
| COMMONSPIRIT MOUNTAIN REGION | Organization | OPERATIONAL/MANAGERIAL CONTROL | — |
| CARPENTER, DEBRA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| COMMONSPIRIT HEALTH | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — |
No family reviews yet for Mount St Francis Nursing Center. If you or a relative have experience of this home, other families would find it useful.
Be the first to reviewEvery review is confirmed by email and read by a moderator before it appears. We remove reviews written by or for a facility. If something is wrong right now, report a concern — that routes you to your state ombudsman, who can actually intervene.
Mount St Francis Nursing Center holds an ElderGrade of C (64 out of 100), which we describe as "average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
Residents receive an average of 3.50 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
No. None of the 20 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.
Yes, Mount St Francis Nursing Center is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.