Elder Care Record

Colorado › Adams County › Aurora

Aviva At Fitzsimons

13525 E 23rd Ave, Aurora, CO 80045

CCN 065430 · For-profit, limited liability company · 100 certified beds · chain Vivage Senior Living

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Certified for 100 beds, Aviva At Fitzsimons serves Aurora in Adams County, Colorado and has taken Medicare and Medicaid residents since 2018.

CMS gives it 4 of 5 stars overall, above the Colorado median of 3; the health inspection rating is 3, staffing 2 and quality measures 5.

Inspectors recorded 22 health deficiencies across the three most recent survey cycles (8, 8, 6 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 22.0 per 100 beds, about the same as the state median of 25.0.

CMS lists 1 penalty in the period covered: fines totalling $7K.

Reported nurse staffing is 4.9 hours per resident per day (1.5 RN), above the Colorado median of 3.5; nursing staff turnover is 61.4%.

22health deficiencies, 3 survey cycles1 at actual harm or worse
$7Kfines listed by CMS1 penalty in period
4.9nurse hours per resident per daystate median 3.5
73%occupancy (residents ÷ beds)73 residents a day

Compared with county, state and nation

MeasureThis facilityAdams Co. medianColorado medianUS average
Overall star rating4333.0
Health citations, 3 cycles22282228.7
Citations per 100 beds22.022.025.026.8
Total nurse hours per resident day4.93.43.53.9
RN hours per resident day1.50.70.70.7
Nursing staff turnover61.4%50.7%46.7%45.8%
Fines listed$7,008$16,146$10,033—

County and state figures are medians across facilities (14 in the county, 210 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)8
Cycle 28
Cycle 36

Dark bar: this facility. Grey bar: Colorado average per facility for the same cycle, as published by CMS. Standard health survey dates: 8 Oct 2024, 31 Jul 2023.

Severity mix: G ×1 D ×11 E ×7 F ×3

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
26 Aug 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigationPast Non-Compliance
2 Jan 2025F0658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint investigation31 Jan 2025
8 Oct 2024F0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.FStandard survey31 Oct 2024
8 Oct 2024F0730Observe each nurse aide's job performance and give regular training.EStandard survey31 Oct 2024
8 Oct 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey31 Oct 2024
8 Oct 2024F0880Provide and implement an infection prevention and control program.EStandard survey31 Oct 2024
8 Oct 2024F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation31 Oct 2024
8 Oct 2024F0759Ensure medication error rates are not 5 percent or greater.DStandard survey31 Oct 2024
8 Oct 2024F0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.DStandard survey31 Oct 2024
11 Oct 2023F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation12 Oct 2023
31 Jul 2023F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.FStandard survey3 Aug 2023
31 Jul 2023F0908Keep all essential equipment working safely.FStandard survey3 Aug 2023
31 Jul 2023F0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.EStandard survey3 Aug 2023
31 Jul 2023F0679Provide activities to meet all resident's needs.EStandard survey3 Aug 2023
31 Jul 2023F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EStandard survey3 Aug 2023
31 Jul 2023F0697Provide safe, appropriate pain management for a resident who requires such services.DStandard survey3 Aug 2023
31 Jul 2023F0761Ensure 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.DStandard survey3 Aug 2023
10 Dec 2019F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey30 Dec 2019
10 Dec 2019F0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.DStandard survey9 Jan 2020
10 Dec 2019F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey2 Jan 2020
10 Dec 2019F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey30 Dec 2019
10 Dec 2019F0808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.DStandard survey7 Jan 2020

Penalties

DateTypeAmountDetail
26 Aug 2025Fine$7,008

Staffing

Total nursing4.92 h
Nurse aides2.81 h
LPN0.59 h
RN1.51 h
Weekend total4.59 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Colorado average. Turnover: nursing staff 61.4%, RNs 61.3%; 1 administrator left in the reporting year.

Quality measures

MeasureResidentsThis facilityColorado medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay8.1%11.1%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.0%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay2.6%0.9%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay3.1%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay1.2%0.9%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay19.7%11.9%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay9.3%3.0%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay10.7%18.8%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, limited liability company. Legal business name: Msv Fitzsimons, Llc. Chain: Vivage Senior Living (6 facilities).

OrganisationRole in the CMS recordInterestSince
Kcp Aurora, LLC5% or greater direct ownership interest38%01/31/2021
Mff Management, LLC5% or greater direct ownership interestNO PERCENTAGE PROVIDED10/01/2019
Moc Aurora LLC5% or greater direct ownership interest38%01/31/2021
Qp Health Care Services LLCOperational/managerial controlNOT APPLICABLE08/22/2018

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Adams County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Center At Northridge, LLC, TheWestminster965541515.6—2 Apr 2024
Brighton Care CenterBrighton1084411312.0$39K7 Nov 2024
Ridgeview Post AcuteCommerce City1124321412.5—8 Apr 2026
Clear Creek Care CenterWestminster803242835.0—20 Oct 2025
Life Care Center of WestminsterWestminster1203232924.2$47K19 Mar 2026
Veterans Community Living Center At FitzsimonsAurora1803341810.0—21 Nov 2024
Irondale Post AcuteSFF CandidateCommerce City952142728.4$131K12 Feb 2026
Malley Transitional Care CenterNorthglenn1622212917.9$11K14 May 2026

All 14 facilities in Adams County

Questions and answers

How many deficiencies has Aviva At Fitzsimons been cited for?

22 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Colorado median is 22 per facility.

Has Aviva At Fitzsimons been fined?

Yes. CMS lists fines totalling $7K in the period covered.

How does staffing at Aviva At Fitzsimons compare?

Reported total nurse staffing is 4.9 hours per resident per day against a Colorado median of 3.5 and a national average of 3.9.

Who operates Aviva At Fitzsimons?

It is part of the Vivage Senior Living chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Kcp Aurora, LLC, Mff Management, LLC and Moc Aurora LLC. Individual owners and managers are not listed on this site.

When was Aviva At Fitzsimons last inspected?

The most recent survey or investigation in the CMS record is dated 26 Aug 2025; the most recent standard health survey was 8 Oct 2024.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.