The nursing home failed to ensure a qualified person was assigned to oversee infection prevention and control. Cited November 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 882 — 42 CFR §483.80 — S/S: F
Nursing home report
MOUNT ST FRANCIS NURSING CENTER
COLORADO SPRINGS, CO · Medicare-certified · 110 beds
Needs attention
Abuse citationNon-profitChain member
Data as of July 1, 2026
2 of 5 overall
Mount St Francis Nursing Center has an overall rating of 2 out of 5 stars, with 2-star health inspection and quality ratings but 4-star staffing. Reported staffing is 3.50 hours per resident day, below the federal benchmark of 4.1, there were no fines in the last 24 months, and it has a recent abuse citation.
Facility ratings
Health inspections
Staffing
3.4979 hrs/resident/day
Quality measures
Last inspection: March 6, 2025Penalties, last 24 months: $0recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4979.
Staffing detail
- Registered nurses
- 1.18
- Licensed practical nurses
- 0.33
- Nurse aides
- 1.98
- Weekend nursing
- 3.12
Hours per resident per day.
Total staff turnover: 55%
Registered nurse turnover: 43%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
15.5%15.5%No change
Residents with a fall causing major injury
10.1%5.5%Improving
Residents with pressure ulcers (bedsores)
5.3%4.8%No change
Residents with a urinary tract infection
0%2.2%Worsening
Residents who lost too much weight
3.9%5.1%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
44%16.7%Improving
Residents whose ability to walk got worse
30.3%19.1%Improving
Long-stay residents on antianxiety or sleep medication
16.7%11.4%Improving
Short-stay residents newly given an antipsychotic
—4.8%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
36.5%13.1%Improving
Residents with depressive symptoms
10.2%9.1%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%98.9%Worsening
Short-stay residents given the seasonal flu vaccine
—85.2%—
Short-stay residents given the pneumonia vaccine
89.7%88%Worsening
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited August 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to properly watch nurse aides' work and provide regular training. Cited March 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 730 — 42 CFR §483.35(e)(7) — S/S: E
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited November 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The home failed to make food and drinks appealing and served them at a safe, appetizing temperature. Cited August 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 804 — 42 CFR §483.60 — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 10 health deficiencies.
See what inspectors found
Operator & ownership
Recent ownership change · Nov 28, 2023
Now operated by Mount Saint Francis Nursing Center, previously Mount St. Francis Nursing Center.
- Ownership
- Non profit - Corporation
- Chain
- Part of COMMONSPIRIT HEALTH · 19 homes · 2.8 stars avg
- Occupancy
- 95.4 residents on an average day (87% of 110 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 32 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.