Colorado › El Paso County › Colorado Springs
Mount St Francis Nursing Center
7550 Assisi Hts, Colorado Springs, CO 80919
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 110 beds, Mount St Francis Nursing Center serves Colorado Springs in El Paso County, Colorado and has taken Medicare and Medicaid residents since 1994.
CMS gives it 2 of 5 stars overall, below the Colorado median of 3; the health inspection rating is 2, staffing 4 and quality measures 2.
Inspectors recorded 20 health deficiencies across the three most recent survey cycles (5, 10, 5 by cycle, most recent first), none at the actual-harm level. That is 18.2 per 100 beds, fewer than the state median of 25.0.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.5 hours per resident per day (1.2 RN), close to the Colorado median of 3.5; nursing staff turnover is 55.0%.
CMS flags that the facility carries the CMS abuse icon.
Compared with county, state and nation
| Measure | This facility | El Paso Co. median | Colorado median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 20 | 21 | 22 | 28.7 |
| Citations per 100 beds | 18.2 | 25.0 | 25.0 | 26.8 |
| Total nurse hours per resident day | 3.5 | 3.5 | 3.5 | 3.9 |
| RN hours per resident day | 1.2 | 0.9 | 0.7 | 0.7 |
| Nursing staff turnover | 55.0% | 54.0% | 46.7% | 45.8% |
| Fines listed | $0 | $9,110 | $10,033 | — |
County and state figures are medians across facilities (20 in the county, 210 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Colorado average per facility for the same cycle, as published by CMS. Standard health survey dates: 6 Mar 2025, 17 Aug 2023.
Severity mix: D ×12 E ×6 F ×2
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 6 Mar 2025 | F0730 | Observe each nurse aide's job performance and give regular training. | E | Standard survey | 5 Apr 2025 |
| 6 Mar 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 5 Apr 2025 |
| 6 Mar 2025 | F0622 | 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 | Complaint investigation | 5 Apr 2025 |
| 6 Mar 2025 | F0761 | 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. | D | Standard survey | 5 Apr 2025 |
| 6 Mar 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 5 Apr 2025 |
| 30 Nov 2023 | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | Complaint investigation | 17 Jan 2024 |
| 30 Nov 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 5 Jan 2024 |
| 17 Aug 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 16 Sep 2023 |
| 17 Aug 2023 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 16 Sep 2023 |
| 17 Aug 2023 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | E | Standard survey | 30 Oct 2023 |
| 17 Aug 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 16 Sep 2023 |
| 17 Aug 2023 | F0563 | Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | D | Standard survey | 15 Nov 2023 |
| 17 Aug 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 28 Sep 2023 |
| 17 Aug 2023 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Complaint investigation | 16 Sep 2023 |
| 17 Aug 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 16 Sep 2023 |
| 17 Aug 2023 | F0726 | 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 | Standard survey | 16 Sep 2023 |
| 17 Aug 2023 | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Complaint investigation | 16 Sep 2023 |
| 15 Aug 2019 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | E | Standard survey | 18 Sep 2019 |
| 15 Aug 2019 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 18 Sep 2019 |
| 15 Aug 2019 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 18 Sep 2019 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Colorado average. Turnover: nursing staff 55.0%, RNs 43.2%; 2 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Colorado median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 32.3% | 11.1% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.5% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.1% | 0.9% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 7.1% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 4.8% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 24.4% | 11.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.0% | 3.0% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 16.2% | 18.8% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: non-profit, corporation. Legal business name: Catholic Health Initiatives Colorado. Chain: Commonspirit Health (18 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Commonspirit Health | 5% or greater direct ownership interest | 100% | 11/28/2023 |
| Commonspirit Mountain Region | Operational/managerial control | NOT APPLICABLE | 11/28/2023 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in El Paso County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Advanced Health Care of Colorado Springs | Colorado Springs | 34 | 5 | 5 | 3 | 2 | 5.9 | — | 16 Mar 2023 |
| Brookdale Skyline | Colorado Springs | 82 | 5 | 3 | 5 | 17 | 20.7 | $9K | 10 Dec 2025 |
| Center At Centennial, The | Colorado Springs | 80 | 5 | 4 | 3 | 20 | 25.0 | — | 23 Oct 2024 |
| Gardens, The | Colorado Springs | 45 | 5 | 5 | 4 | 3 | 6.7 | — | 11 Dec 2025 |
| Life Care Center of Colorado Springs | Colorado Springs | 121 | 5 | 4 | 5 | 10 | 8.3 | $32K | 26 Feb 2026 |
| Bear Creek Senior Living | Colorado Springs | 45 | 4 | 4 | 4 | 11 | 24.4 | $7K | 11 Feb 2026 |
| Liberty Heights | Colorado Springs | 42 | 4 | 2 | 5 | 16 | 38.1 | $25K | 15 Apr 2026 |
| The Center At Cordera | Colorado Springs | 80 | 4 | 3 | 3 | 35 | 43.8 | $9K | 14 Apr 2026 |
All 20 facilities in El Paso County
Questions and answers
How many deficiencies has Mount St Francis Nursing Center been cited for?
20 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Colorado median is 22 per facility.
Has Mount St Francis Nursing Center been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Mount St Francis Nursing Center compare?
Reported total nurse staffing is 3.5 hours per resident per day against a Colorado median of 3.5 and a national average of 3.9.
Who operates Mount St Francis Nursing Center?
It is part of the Commonspirit Health chain. Ownership type is non-profit, corporation. Organisations in the CMS ownership record include Commonspirit Health and Commonspirit Mountain Region. Individual owners and managers are not listed on this site.
When was Mount St Francis Nursing Center last inspected?
The most recent survey or investigation in the CMS record is dated 6 Mar 2025; the most recent standard health survey was 6 Mar 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.