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
2 of 5 overall
2 out of 5 stars overall. Health inspections and quality measures are 2 stars, staffing is 4 stars but reported nurse staffing is 3.91 hours per resident per day versus the 4.1 federal benchmark, there were no fines in the last 24 months, and there is a recent abuse citation.
Facility ratings
Health inspections
Staffing
3.9092 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 3.9092.
Staffing detail
- Registered nurses
- 1.20
- Licensed practical nurses
- 0.45
- Nurse aides
- 2.27
- Weekend nursing
- 3.49
Hours per resident per day.
Total staff turnover: 50%
Registered nurse turnover: 39%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
16.7%Improving
Residents with a fall causing major injury
7%Worsening
Residents with pressure ulcers (bedsores)
4.9%Worsening
Residents with a urinary tract infection
0.8%Steady
Residents who lost too much weight
5.2%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
32.5%Worsening
Residents whose ability to walk got worse
26.4%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
15.5%Steady
Short-stay residents newly given an antipsychotic
3.7%Steady
Residents with a long-term catheter
0.5%Steady
Residents with new or worsening incontinence
26.2%Worsening
Residents with depressive symptoms
8.4%Worsening
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
99.7%Improving
Short-stay residents given the seasonal flu vaccine
85.2%Steady
Short-stay residents given the pneumonia vaccine
88.3%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
- Ownership
- Non profit - Corporation
- Chain
- Part of COMMONSPIRIT HEALTH · 19 homes · 2.8 stars avg
- Occupancy
- 95.8 residents on an average day (87% of 110 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 31 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.