Mount St Francis Nursing Center faces challenges in its CMS ratings, earning a D grade with a score of 48/100. The facility ranks in the 42th percentile among Colorado nursing homes, suggesting significant room for improvement.
Staffing at Mount St Francis Nursing Center is near the national average, with 4.11 total nursing hours per resident per day (national average: 3.8 hours).
Recent inspections identified 20 deficiencies at Mount St Francis Nursing Center. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 4.11 | 3.8 | Average |
| Registered Nurses (RN) | 1.33 | 0.7 | Above Average |
| Licensed Practical Nurses (LPN) | 0.55 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 2.23 | 2.4 | Average |
| Weekend Total Nursing | 3.94 | 3.8 | Average |
| Weekend RN Hours | 1.09 | 0.7 | Above Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0730 Severity EObserve each nurse aide's job performance and give regular training.Mar 5, 2025 · Nursing and Physician Services Deficiencies
- Tag 0761 Severity DEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologiMar 5, 2025 · Pharmacy Service Deficiencies
- Tag 0880 Severity DProvide and implement an infection prevention and control program.Mar 5, 2025 · Infection Control Deficiencies
- Tag 0600 Severity DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Mar 5, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0622 Severity DNot transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is trMar 5, 2025 · Resident Rights Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 4.8% | 4.5% | Average |
| Falls with major injury | 6.8% | 3.0% | Worse |
| On antipsychotic medication | 17.0% | 14.5% | Worse |
| Urinary tract infections | 1.1% | 2.5% | Better |
| ADL decline (daily activities) | 31.6% | 14.0% | Worse |
| Excessive weight loss | 4.6% | 7.5% | Better |
| New/worsened incontinence | 27.3% | 45.0% | Better |
How This Grade Was Calculated
This facility's grade of D is based on a score of 48 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 2★ → 16 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 4★ → 16 pts (max 20)
- Quality Measures Rating: 2★ → 6 pts (max 15)
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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