Unclaimed
Mount St Francis Nursing Center in Colorado Springs, CO
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Ratings Deep Dive
5Deficiencies found in last inspections
0Penalties in last 3 years
0Fines issued
| Citation | Date | Description | Severity |
|---|---|---|---|
| F761 | Mar 6, 2025 | 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 |
| F880 | Mar 6, 2025 | Provide and implement an infection prevention and control program. | D |
| F600 | Mar 6, 2025 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D |
| F622 | Mar 6, 2025 | 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 |
| F730 | Mar 6, 2025 | Observe each nurse aide's job performance and give regular training. | E |
1.3RN Hours / Resident / Day
4.1Total Nurse Hours / Resident / Day
33.3%RN Turnover Rate
2.0Long-Stay QM Rating
—Short-Stay QM Rating
98.8Avg Residents Per Day
| Measure | Score | Type |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | — | Long Stay |
| Percentage of long-stay residents who lose too much weight | — | Long Stay |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | — | Long Stay |
| Percentage of long-stay residents with a urinary tract infection | — | Long Stay |
| Percentage of long-stay residents who have depressive symptoms | — | Long Stay |
| Percentage of long-stay residents who were physically restrained | — | Long Stay |
| Percentage of long-stay residents experiencing one or more falls with major injury | — | Long Stay |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | — | Long Stay |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | — | Short Stay |
| Percentage of short-stay residents who newly received an antipsychotic medication | — | Short Stay |
Ownership & Compliance
Ownership Info
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Ownership Info CMS
5% OR GREATER DIRECT OWNERSHIP INTERESTCOMMONSPIRIT HEALTH
OPERATIONAL/MANAGERIAL CONTROLCOMMONSPIRIT MOUNTAIN REGION
OPERATIONAL/MANAGERIAL CONTROLCARPENTER, DEBRA
CORPORATE DIRECTORMCGINN, THOMAS
CORPORATE DIRECTORMELFI, MITCH
CORPORATE DIRECTORMORISSETTE, DANIEL
CORPORATE OFFICERDONOHOE, THOMAS
CORPORATE OFFICERGAASCH, ANDREW
W-2 MANAGING EMPLOYEEBEHRE, ALMAZ
W-2 MANAGING EMPLOYEESHEPHERD, DAVID
Recent Penalties
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