Centura Health-Penrose St Francis Health Services

Hospital in Colorado Springs, CO, Medicare certification number 060031. CMS publishes 67 quality measures for it.

Medicare certification

Provider of Services

CCN: 060031The number CMS certifies the facility under, not a provider identifier
Status: Active
Provider type: Hospital – Short-term
Listed by Care Compare as: Acute Care Hospitals
Ownership: Voluntary non-profit - Private
Control type: Private (not for profit)
Participating since: Jul 1, 1966
Last certification: Mar 14, 2025
Beds: 300
Overall star rating: 3 of 5Care Compare
Address: 2222 N Nevada Ave
Colorado Springs, CO 80907
(719) 776-5000

NPI records for this facility 2

Catholic Health Initiatives Colorado
- General Acute Care Hospital
- Colorado Springs, CO
- NPI 1801436415
Medicare enrollment
Catholic Health Initiatives Colorado
- General Acute Care Hospital
- Colorado Springs, CO
- NPI 1932112125
Medicare enrollment

Patient survey (HCAHPS) 9

Medicare Care Compare

Cleanliness - star rating Worse3 of 5
- State average 3.75 (computed here)
- National average 3.44 (computed here)
- Period from 10/01/2024
Communication about medicines - star rating Worse2 of 5
- State average 3.04 (computed here)
- National average 2.71 (computed here)
- Period from 10/01/2024
Discharge information - star rating Worse3 of 5
- State average 3.48 (computed here)
- National average 3.31 (computed here)
- Period from 10/01/2024
Doctor communication - star rating Worse2 of 5
- State average 3.34 (computed here)
- National average 3.12 (computed here)
- Period from 10/01/2024
Nurse communication - star rating Worse3 of 5
- State average 3.52 (computed here)
- National average 3.43 (computed here)
- Period from 10/01/2024
Overall hospital rating - star rating Worse3 of 5
- State average 3.66 (computed here)
- National average 3.29 (computed here)
- Period from 10/01/2024
Quietness - star rating Worse3 of 5
- State average 3.66 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024
Recommend hospital - star rating Worse3 of 5
- State average 4.04 (computed here)
- National average 3.64 (computed here)
- Period from 10/01/2024
Summary star rating Worse3 of 5
- State average 3.52 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024

Affiliated providers 810

Page 1 of 33Medicare Care Compare

Clinicians who list this facility as a hospital or facility affiliation in Care Compare.

Jade Abad, MD
- Medical Oncology Physician
- Colorado Springs, CO
- NPI 1942662358
Jennifer D Abbey, NP
- Nurse Practitioner
- Colorado Springs, CO
- NPI 1598316556
Eric Edward Abbott, D.O.
- Family Medicine Physician
- Colorado Springs, CO
- NPI 1255522876
Douglas Robert Adams, M.D.
- Orthopaedic Surgery Physician
- Colorado Springs, CO
- NPI 1760689707
Emma Nydia Adams, PA-C
- Surgical Physician Assistant
- Colorado Springs, CO
- NPI 1841574050
Kyle Moody Adams, M.D.
- Family Medicine Physician
- Colorado Springs, CO
- NPI 1508284431
Subodh Adhikari, M.D.
- Hospitalist Physician
- Colorado Springs, CO
- NPI 1457731861
Mohit Shiv Agarwal, MD
- Radiation Oncology Physician
- Sterling, CO
- NPI 1609371459
Maria I Aguilar, MD
- Neurology Physician
- Phoenix, AZ
- NPI 1518924190
Carmen Nieto Aguirre, PA-C
- Physician Assistant
- Colorado Springs, CO
- NPI 1669538161
Matthew Albrecht, PA-C
- Surgical Physician Assistant
- Columbia, MD
- NPI 1417346529
Mark Phillip Albright, MD
- Nephrology Physician
- Colorado Springs, CO
- NPI 1104824259
Alan Alex, D.O.
- Internal Medicine Physician
- Bridgeport, CT
- NPI 1326571886
Marsha Alger, M.D.
- Family Medicine Physician
- Colorado Springs, CO
- NPI 1902840028
Jenny D. Allard, M.D.
- Internal Medicine Physician
- Colorado Springs, CO
- NPI 1871606772
Amy Loudell Amoroso, NP
- Family Nurse Practitioner
- Colorado Springs, CO
- NPI 1073185047
Alexandra Anderson, PA-C
- Physician Assistant
- Colorado Springs, CO
- NPI 1346873536
Ian Jacob Anderson, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Detroit, MI
- NPI 1669884433
Julie Nicole Anderson, PA-C
- Physician Assistant
- Fresno, CA
- NPI 1073043972
Ryan John Anderson, D.O.
- Anesthesiology Physician
- Fort Carson, CO
- NPI 1598129256
Nathan Douglas Applegren, M.D.
- Anesthesiology Physician
- Greenwood Village, CO
- NPI 1023679651
Tori Applegren, MD
- Family Medicine Physician
- Colorado Springs, CO
- NPI 1073180360
Rishi Ariola-Tirella, M.D.
- Internal Medicine Physician
- Pueblo, CO
- NPI 1609162353
Jonathan Luke Arnholt, M.D.
- Otolaryngology Physician
- Colorado Springs, CO
- NPI 1235321993
Elizabeth Wesley Arnold, NP
- Adult Health Nurse Practitioner
- Colorado Springs, CO
- NPI 1063793446

Complications and deaths 20

Medicare Care Compare

Abdominopelvic accidental puncture or laceration rate As expected0.64
- State average 1.08 (computed here)
- National average 1.06
- No different than the national rate
- 2,119 patients
- Period from 07/01/2022
CMS Medicare PSI 90: Patient safety and adverse events composite As expected1.27
- State average 0.98 (computed here)
- National average 1
- No different than the national value
- Period from 07/01/2022
Death rate among surgical inpatients with serious treatable complications As expected153.14
- State average 172.29 (computed here)
- National average 173.3
- No different than the national rate
- 128 patients
- Period from 07/01/2022
Death rate for CABG surgery patients As expected2
- State average 2.06 (computed here)
- National average 2.4
- No different than the national rate
- 82 patients
- Period from 07/01/2022
Death rate for COPD patients As expected7.9
- State average 8.78 (computed here)
- National average 8.6
- No different than the national rate
- 114 patients
- Period from 07/01/2022
Death rate for heart attack patients As expected9.7
- State average 10.76 (computed here)
- National average 11.9
- No different than the national rate
- 229 patients
- Period from 07/01/2022
Death rate for heart failure patients As expected9.3
- State average 10.89 (computed here)
- National average 11.1
- No different than the national rate
- 517 patients
- Period from 07/01/2022
Death rate for pneumonia patients As expected14
- State average 14.58 (computed here)
- National average 15.2
- No different than the national rate
- 567 patients
- Period from 07/01/2022
Death rate for stroke patients As expected11.7
- State average 11.48 (computed here)
- National average 11.9
- No different than the national rate
- 547 patients
- Period from 07/01/2023
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate As expected3.5
- State average 3.78 (computed here)
- National average 3.9
- No different than the national rate
- 5,736 patients
- Period from 07/01/2024
Iatrogenic pneumothorax rate As expected0.21
- State average 0.22 (computed here)
- National average 0.21
- No different than the national rate
- 9,843 patients
- Period from 07/01/2022
In-hospital fall-associated fracture rate As expected0.26
- State average 0.27 (computed here)
- National average 0.27
- No different than the national rate
- 9,855 patients
- Period from 07/01/2022
Perioperative pulmonary embolism or deep vein thrombosis rate As expected3.01
- State average 3.35 (computed here)
- National average 3.52
- No different than the national rate
- 3,130 patients
- Period from 07/01/2022
Postoperative acute kidney injury requiring dialysis rate As expected1.96
- State average 1.7 (computed here)
- National average 1.67
- No different than the national rate
- 1,632 patients
- Period from 07/01/2022
Postoperative hemorrhage or hematoma rate As expected1.74
- State average 2.35 (computed here)
- National average 2.34
- No different than the national rate
- 2,877 patients
- Period from 07/01/2022
Postoperative respiratory failure rate As expected12.11
- State average 9.8 (computed here)
- National average 9.42
- No different than the national rate
- 1,539 patients
- Period from 07/01/2022
Postoperative sepsis rate As expected5.5
- State average 5.1 (computed here)
- National average 5.27
- No different than the national rate
- 1,589 patients
- Period from 07/01/2022
Postoperative wound dehiscence rate As expected1.74
- State average 1.76 (computed here)
- National average 1.77
- No different than the national rate
- 797 patients
- Period from 07/01/2022
Pressure ulcer rate Worse1.41
- State average 0.58 (computed here)
- National average 0.63
- Worse than the national rate
- 7,497 patients
- Period from 07/01/2022
Rate of complications for hip/knee replacement patients As expected4.7
- State average 4.15 (computed here)
- National average 4.1
- No different than the national rate
- 290 patients
- Period from 04/01/2023

Infections 6

Medicare Care Compare

Catheter Associated Urinary Tract Infections (ICU + select Wards) Better0.4
- State average 0.47
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
Central Line Associated Bloodstream Infection (ICU + select Wards) Better0.24
- State average 0.47
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
Clostridium Difficile (C.Diff) Better0.13
- State average 0.27
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
MRSA Bacteremia As expected0.66
- State average 0.49
- National average 1
- No different than national benchmark
- Period from 10/01/2024
SSI - Abdominal Hysterectomy As expected0.4
- State average 0.92
- National average 1
- No different than national benchmark
- Period from 10/01/2024
SSI - Colon Surgery Better0.11
- State average 0.73
- National average 1
- Better than the national benchmark
- Period from 10/01/2024

Outpatient imaging 2

Medicare Care Compare

Abdomen CT Use of Contrast Material 2.7
- State average 5.7 (computed here)
- National average 5.83 (computed here)
- Period from 07/01/2024
Breast Cancer Screening Recall Rates 7.8
- State average 8.56 (computed here)
- National average 8.08 (computed here)
- Period from 07/01/2024

Spending per patient 1

Medicare Care Compare

Medicare hospital spending per patient (Medicare Spending per Beneficiary) 1
- State average 0.96
- National average 0.99 (computed here)
- Period from 01/01/2024

Timely and effective care 16

Medicare Care Compare

Appropriate care for severe sepsis and septic shock 79
- State average 72
- National average 65
- 149 patients
- Period from 10/01/2024
Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better 201
- State average 140
- National average 168
- 502 patients
- Period from 10/01/2024
Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better 193
- State average 134
- National average 162
- 461 patients
- Period from 10/01/2024
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better 299
- State average 235
- National average 257
- 37 patients
- Period from 10/01/2024
Discharged on Antithrombotic Therapy 98
- State average 98.42 (computed here)
- National average 96.1 (computed here)
- 427 patients
- Period from 01/01/2024
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients 95
- State average 96
- National average 93
- 66 patients
- Period from 01/01/2024
Head CT results 68
- State average 66
- National average 69
- 19 patients
- Period from 10/01/2024
Healthcare workers given influenza vaccination 90
- State average 91
- National average 78
- 5,312 patients
- Period from 10/01/2024
Hospital Harm - Opioid Related Adverse Events 0
- State average 0.12 (computed here)
- National average 0.18 (computed here)
- 14,298 patients
- Period from 01/01/2024
Intensive Care Unit Venous Thromboembolism Prophylaxis 99
- State average 96.37 (computed here)
- National average 93.49 (computed here)
- 2,810 patients
- Period from 01/01/2024
Left before being seen 2
- State average 1
- National average 2
- 80,361 patients
- Period from 01/01/2024
Safe Use of Opioids - Concurrent Prescribing 17
- State average 14
- National average 15
- 7,542 patients
- Period from 01/01/2024
Septic Shock 3-Hour Bundle 91
- State average 78
- National average 73
- 33 patients
- Period from 10/01/2024
Septic Shock 6-Hour Bundle 96
- State average 91
- National average 87
- 24 patients
- Period from 10/01/2024
Severe Sepsis 3-Hour Bundle 87
- State average 85
- National average 81
- 149 patients
- Period from 10/01/2024
Severe Sepsis 6-Hour Bundle 93
- State average 95
- National average 93
- 84 patients
- Period from 10/01/2024

Measures CMS does not publish for this facility (14)

Anticoagulation Therapy for Atrial Fibrillation/Flutter — 5
Antithrombotic Therapy by End of Hospital Day 2 — 5
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better — 1
Emergency department volume — very high
Global Malnutrition Composite Score — 5
Global Malnutrition Composite Score: Malnutrition Diagnosis Documented — 5
Global Malnutrition Composite Score: Malnutrition Risk Screening — 5
Global Malnutrition Composite Score: Nutrition Assessment — 5
Global Malnutrition Composite Score: Nutritional Care Plan — 5
Hospital Harm - Severe Hyperglycemia — 5
Hospital Harm - Severe Hypoglycemia — 5
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery — 5
ST-Segment Elevation Myocardial Infarction (STEMI) — 1
Venous Thromboembolism Prophylaxis — 5

Unplanned visits 13

Medicare Care Compare

Acute Myocardial Infarction (AMI) 30-Day Readmission Rate As expected12.9
- State average 13.89 (computed here)
- National average 14.4
- No different than the national rate
- 402 patients
- Period from 07/01/2023
Heart failure (HF) 30-Day Readmission Rate As expected20.5
- State average 20.06 (computed here)
- National average 21.3
- No different than the national rate
- 926 patients
- Period from 07/01/2023
Hospital return days for heart attack patients -8.7
- State average -18.05 (computed here)
- National average 6.71 (computed here)
- Average days per 100 discharges
- 261 patients
- Period from 07/01/2022
Hospital return days for heart failure patients -38
- State average -22.89 (computed here)
- National average 4.02 (computed here)
- Average days per 100 discharges
- 589 patients
- Period from 07/01/2022
Hospital return days for pneumonia patients -31.5
- State average -5.83 (computed here)
- National average 5.65 (computed here)
- Average days per 100 discharges
- 580 patients
- Period from 07/01/2022
Pneumonia (PN) 30-Day Readmission Rate As expected15.6
- State average 16.88 (computed here)
- National average 17.3
- No different than the national rate
- 918 patients
- Period from 07/01/2023
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy As expected5.6
- State average 5.71 (computed here)
- National average 5.4
- No different than the national rate
- 36 patients
- Period from 01/01/2024
Rate of inpatient admissions for patients receiving outpatient chemotherapy As expected10.6
- State average 10.32 (computed here)
- National average 10.7
- No different than the national rate
- 36 patients
- Period from 01/01/2024
Rate of readmission after hip/knee replacement As expected6
- State average 5.61 (computed here)
- National average 5.8
- No different than the national rate
- 309 patients
- Period from 07/01/2023
Rate of readmission for CABG As expected10.9
- State average 10.15 (computed here)
- National average 11
- No different than the national rate
- 118 patients
- Period from 07/01/2023
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients As expected18.2
- State average 19.26 (computed here)
- National average 20
- No different than the national rate
- 245 patients
- Period from 07/01/2023
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) As expected13.2
- State average 13.14 (computed here)
- National average 13
- No different than the national rate
- 812 patients
- Period from 01/01/2022
Ratio of unplanned hospital visits after hospital outpatient surgery As expected1.2
- State average 1.08 (computed here)
- National average 1.01 (computed here)
- No different than expected
- 1,372 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (1)

Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) — 4

Units certified under this facility 1

Provider of Services

Parts of this facility that Medicare certifies under a number of their own, such as a psychiatric or rehabilitation unit.

Capron Neuro and Trauma Rehabilitation Center Inpatient rehabilitation facility, CCN 06T031, 18 measures, 7 providers

Sources for this page

Provider of Services: the certification, provider type, beds and status.
Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them, and the clinicians who list this facility as an affiliation.
NPPES NPI Registry: the NPI records connected to this certification and the names of the providers listed above.

Better and worse are CMS's own comparison with the national rate, not ours: for most measures a low score is the good one (deaths, infections) and for others a high one is, so measures where CMS states no comparison are left uncoloured. The exception is star ratings, which are read against the national average here. Quality measures are published by CMS and are not adjusted or re-scored here. Averages marked “computed here” are the mean of every facility reporting that measure, worked out by NPIMap because CMS publishes no comparison for it. Confirm anything you rely on at Medicare Care Compare.