Public Record
Mount St Francis Nursing Center
From CMS
Facility profile
- CMS overall rating
- 2 / 5
- Certified beds
- 110
- Avg. residents per day
- 95.8
*CMS Five-Star
*CMS
*CMS
Inspection record
On record from CMS
- Citations on record
- 24
- Inspections on file
- 5
- Last inspection
- 2025-03-06
*CMS
*CMS
*CMS
Citations
24 citations on record
Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
- 0730Generalpotential for harm
Observe each nurse aide's job performance and give regular training.
- 0761Generalpotential for harm
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.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0600Generalpotential for harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- 0622Generalpotential for harm
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.
- 0001Generalpotential for harm
Establish an Emergency Preparedness Program (EP).
- 0015Generalpotential for harm
Address subsistence needs for staff and patients.
- 0036Generalpotential for harm
Establish emergency prep training and testing.
- 0039Generalpotential for harm
Conduct testing and exercise requirements.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0882Generalpotential for harm
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
- 0726Generalpotential for harm
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.
- 0804Generalpotential for harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- 0806Generalpotential for harm
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0600Generalpotential for harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- 0676Generalpotential for harm
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- 0744Generalpotential for harm
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
- 0563Generalpotential for harm
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
- 0695Generalpotential for harm
Provide safe and appropriate respiratory care for a resident when needed.
- 0676Generalpotential for harm
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- 0656Generalpotential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- 0658Generalpotential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Inspection history
Every health inspection on record
Each CMS health inspection of this facility, and the deficiencies the surveyors cited. Where the verbatim Form 2567 statement of deficiencies is on file, it links to the full report.
- View inspection reportInspection9 deficiencies
- View inspection reportInspection9 deficiencies
- View inspection reportInspection2 deficiencies
- View inspection reportInspection10 deficiencies
- View inspection reportInspection3 deficiencies
FAQ
Questions and answers
- What is Mount St Francis Nursing Center?
- Mount St Francis Nursing Center is a Medicare- and Medicaid-certified nursing home in Colorado Springs, CO, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 065325.
- What is the CMS rating for Mount St Francis Nursing Center?
- Mount St Francis Nursing Center has a CMS overall rating of 2 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
- How many beds does Mount St Francis Nursing Center have?
- Mount St Francis Nursing Center is certified for 110 beds. It serves an average of 95.8 residents per day.
- How many citations does Mount St Francis Nursing Center have?
- Mount St Francis Nursing Center has 24 citations on record from CMS health inspections, each tied to a federal deficiency tag.
- When was Mount St Francis Nursing Center last inspected?
- Mount St Francis Nursing Center was last inspected on March 6, 2025. CMS surveys nursing homes about once a year and after complaints.
- What can I do if I have concerns about care at this facility?
- Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.
*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.
/nursing-home/065325-mount-st-francis-nursing-center