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The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Ensconced on the scenic foothills of Colorado Springs, MT St. Francis Nursing Center is more than just a run-of-the-mill care facility. As a non-profit, sponsored ministry of the Sisters of Saint Francis of Colorado Springs, they serve people of all beliefs with dedication and excellence. The five-star Medicare rating is a testament to their quality of care, including rehabilitation, long-term care, end-of-life care, and round-the-clock admission. They go above and beyond basic medical care, offering a range of therapies, medication management, registered dietitian services, laundry and housekeeping, chaplain services, and a choice of menus.
The home understands that health and wellness goes beyond physical care. Their fitness classes, punctuated by golf cart rides and excursions, are conducted to encourage an active lifestyle and good mental health. They also offer spiritual services to those seeking emotional and spiritual support. At MT St. Francis Nursing Center, they pride themselves on creating a warm, welcoming haven where residents can live their best lives.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 23rd out of 177 homes in Colorado. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 1h 20m per day | ▲ 60% State avg: 50m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 33m per day | ▼ 20% State avg: 41m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 14m per day | ■ Avg State avg: 2h 13m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 52m per day | ▲ 18% State avg: 3h 17m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 3m per day | ▼ 40% State avg: 5m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 1h 6m per day | ▲ 83% State avg: 36m per day · National avg: 29m per day |
Higher than the Colorado average: 76.5%Mt St Francis Nursing Center is administrated by Angela Lal Whiting-Wagner.
In Colorado, the Department of Public Health and Environment, Health Facilities Division is the regulatory body that performs unannounced surveys and publishes facility inspection findings.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Colorado state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | CO Average | vs. CO Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 34 | 30 | This facility has 13% more total deficiencies than a typical Colorado nursing home (34 vs. CO avg 30).↑ 13% worse |
|
Deficiencies per year
Average deficiencies per year since 2019.
| 4.9 | 4.3 | This facility has 14% more deficiencies per year than a typical Colorado nursing home (4.9 vs. CO avg 4.3).↑ 14% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
This facility’s inspection record is problematic due to repeated failures to protect residents from abuse, inadequate infection control, and poor staff training, culminating in substantiated sexual abuse in its most recent complaint investigation on March 6, 2025. Inspectors cited seven deficiencies in that investigation, including failure to protect Resident #16 from sexual abuse by Resident #58, inadequate discharge procedures, medication storage issues, and poor infection control practices. Earlier inspections in 2023 also flagged multiple abuse incidents, deficient dementia and respiratory care, and persistent infection control lapses.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsColorado average 4.8
Last Health inspection on Mar 2025
Colorado average 24.8
Colorado average 5.2
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
12 of 20 citations resulted from standard inspections; 2 of 20 resulted from complaint investigations; and 6 of 20 came from combined inspections (standard and complaint).
100% better than Colorado averageColorado average: 0.4
100% better than Colorado averageColorado average: 2.1
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
13% worse than Colorado average
28% better than Colorado average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
11.9 hoursThis role is partially covered by contractors.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
12.2 hoursThis role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
11.7 hoursThis role is partially covered by contractors.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
11,351 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 46 | 32 | 78 | 19,965 | 92 | 100% | 11.7 |
| Registered Nurse | 20 | 17 | 37 | 8,112 | 92 | 100% | 11.9 |
| Licensed Practical Nurse | 6 | 7 | 13 | 3,927 | 90 | 98% | 12.2 |
| Other Dietary Services Staff | 6 | 0 | 6 | 2,330 | 92 | 100% | 7.7 |
| Clinical Nurse Specialist | 5 | 0 | 5 | 1,960 | 77 | 84% | 8 |
| Mental Health Service Worker | 2 | 0 | 2 | 1,012 | 64 | 70% | 8.2 |
| Dental Services Staff | 2 | 0 | 2 | 928 | 73 | 79% | 8 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 506 | 65 | 71% | 7.8 |
| Administrator | 1 | 0 | 1 | 496 | 62 | 67% | 8 |
| Nurse Practitioner | 2 | 0 | 2 | 488 | 61 | 66% | 8 |
| Physical Therapy Aide | 0 | 2 | 2 | 325 | 54 | 59% | 5.9 |
| Speech Language Pathologist | 0 | 2 | 2 | 300 | 40 | 43% | 7.5 |
| Occupational Therapy Aide | 1 | 0 | 1 | 248 | 35 | 38% | 7.1 |
| Qualified Social Worker | 0 | 3 | 3 | 101 | 22 | 24% | 4.4 |
| Physical Therapy Assistant | 0 | 2 | 2 | 72 | 22 | 24% | 3 |
| Occupational Therapy Assistant | 0 | 2 | 2 | 50 | 9 | 10% | 5.6 |
| Medical Director | 0 | 1 | 1 | 12 | 5 | 5% | 2.4 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
14.8
64% worse than Colorado averageColorado average: 9.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
28.5
52% worse than Colorado averageColorado average: 18.8
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
33.4%
108% worse than Colorado averageColorado average: 16.0%
Percent of long-stay residents whose ability to move independently worsened
23.9%
41% worse than Colorado averageColorado average: 17.0%
Percent of low risk long-stay residents who lose control of their bowels or bladder
28.2%
21% worse than Colorado averageColorado average: 23.2%
Percent of long-stay residents experiencing one or more falls with major injury
6.5%
94% worse than Colorado averageColorado average: 3.3%
Percent of long-stay high risk residents with pressure ulcers
5.3%
35% worse than Colorado averageColorado average: 3.9%
Percent of long-stay residents with a urinary tract infection
1.1%
24% better than Colorado averageColorado average: 1.4%
Percent of long-stay residents who lose too much weight
4.8%
8% better than Colorado averageColorado average: 5.2%
Percent of long-stay residents who have depressive symptoms
5.9%
18% better than Colorado averageColorado average: 7.2%
Percent of long-stay residents who received an antipsychotic medication
15.3%
19% better than Colorado averageColorado average: 18.8%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.7%
7% better than Colorado averageColorado average: 93.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
6% better than Colorado averageColorado average: 94.7%
Number of hospitalizations per 1,000 long-stay resident days.
1.66
28% worse than Colorado averageColorado average: 1.30
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.63
In line with Colorado averageColorado average: 1.67
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
91.3%
19% better than Colorado averageColorado average: 76.6%
Percent of short-stay residents who newly received an antipsychotic medication
6.5%
358% worse than Colorado averageColorado average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
85.2%
13% better than Colorado averageColorado average: 75.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
6% of new residents, usually for short-term rehab.
65% of new residents, often for short stays.
29% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
96Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Mt St Francis Nursing Center based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #44 / 182Payroll — State benchmarkedThis home is ranked 44th out of 182 homes in Colorado. Shows total annual staff payroll benchmarked to the Colorado average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents stay for extended periods and receive ongoing daily care.
8.3 miles from city center
Estimated distance in miles from Colorado Springs's city center to Mt St Francis Nursing Center's address, calculated via Google Maps.
— 4.06 miles to nearest hospital (UCHealth Grandview Hospital)
Add your location
Mt St Francis Nursing Center is located in Colorado Springs, Colorado.
Here are the financial assistance programs available to residents in Colorado.
The information below is reported by the Colorado Department of Public Health and Environment, Health Facilities Division.
| Advanced Health Care of Colorado Springs |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Colorado Springs (Southeast Colorado Springs) | 34 | 91.7% | +20% | 5.50 | +24% | +43% | $0 | 5 | 2.5 | - | 27 | A+ | 66 | Robert Beckman | $10.3M | $4.2M | 40.8% | 65407 | ||||
| Life Care Center of Colorado Springs |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Colorado Springs (Southeast Colorado Springs) | 121 | 71.7% | -6% | 4.05 | +9% | +5% | $0 | 15 | 3.8 | - | 86 | A+ | 63 | Vanessa Zabojnik | $12.9M | $7.7M | 59.5% | 65356 | ||||
| The Center at Centennial |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Colorado Springs (West Colorado Springs) | 80 | 90.2% | +18% | 4.04 | +18% | +5% | $0 | 21 | 4.2 | 3 | 64 | - | 45 | The Medical Center LLC | $29.3M | $9.3M | 31.8% | 65390 | ||||
| Liberty Heights |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. | Colorado Springs (Northgate) | 60 | 95.2% | +24% | 4.51 | +22% | +17% | $0 | 13 | 4.3 | - | 38 | - | 40 | Ccrc Ops Mb1-T LLC | $15.5M | $9.2M | 59.1% | 65305 | ||||
| Mt St Francis Nursing Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Colorado Springs (Northwest Colorado Springs) | 110 | 95.1% | +24% | 4.69 | +71% | +21% | $0 | 20 | 5.0 | - | 93 | - | 3 | Centura Health Corporation | $15.2M | $8.4M | 55.3% | 65325 |
Mt St Francis Nursing Center is in the Northwest Colorado Springs neighborhood of Colorado Springs.
The legal owner and operator of Mt St Francis Nursing Center is Catholic Health Initiatives Colorado.
Mt St Francis Nursing Center has a walk score of 3. Car-dependent. Most errands require a car, with limited nearby walkable options.
Mt St Francis Nursing Center's occupancy is 95%.
Angela Lal Whiting-Wagner is the administrator of Mt St Francis Nursing Center.
Mt St Francis Nursing Center has 110 beds.
Yes — there are 9 photos of Mt St Francis Nursing Center in the photo gallery on this page.
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