AVIVA AT FITZSIMONS
13525 E 23RD AVE, AURORA, CO 80045 · CCN 065430
Ratings
- Overall
- ★★★☆☆ 3
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★★★★ 5
- Staffing
- ★★☆☆☆ 2
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 100
- Avg residents/day
- 74.4
- Phone
- 3033448282
Inspection history vs Colorado & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Colorado avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2024-10-08 | 8 | 8.7 | 9.5 | -0.7 better |
| 2 | 2023-07-31 | 8 | 8.7 | 9.8 | -0.7 better |
| 3 | 2019-12-10 | 12 | 7.5 | 9.3 | +4.5 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 1 |
| Nursing and physician services | 1 |
| Resident rights | 1 |
| Nutrition and dietary | 2 |
| Pharmacy service | 1 |
| Administration | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 5.05 | 63.5% |
| RN staffing (reported) | 1.29 | 68.0% |
| Total nurse staffing (adjusted) | 3.17 | — |
Fines & penalties
- Total fines
- $23,271
- Number of fines
- 3
- Number of penalties
- 3
- Payment denials
- 0
Chain
- Chain
- VIVAGE SENIOR LIVING
- Facilities in chain
- 17
- Chain avg overall
- 3.40 / 5
Inspection citations (28)3 actual harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-08-26 · Health
Actual harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-01-02 · Health · corrected 2025-01-31
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-10-08 · Health · corrected 2024-10-31
Potential for more than minimal harm
- EF0730Observe each nurse aide's job performance and give regular training.2024-10-08 · Health · corrected 2024-10-31
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2024-10-08 · Health · corrected 2024-10-31
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-10-08 · Health · corrected 2024-10-31
Potential for more than minimal harm
- DF0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.2024-10-08 · Health · corrected 2024-10-31
Potential for more than minimal harm
- FF0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.2024-10-08 · Health · corrected 2024-10-31
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2024-10-08 · Health · corrected 2024-10-31
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-10-11 · Health · corrected 2023-10-12
Potential for more than minimal harm
- EF0585Honor 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.2023-07-31 · Health · corrected 2023-08-03
Potential for more than minimal harm
- EF0679Provide activities to meet all resident's needs.2023-07-31 · Health · corrected 2023-08-03
Potential for more than minimal harm
- GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-07-31 · Health · corrected 2023-08-03
Actual harm
- DF0697Provide safe, appropriate pain management for a resident who requires such services.2023-07-31 · Health · corrected 2023-08-03
Potential for more than minimal harm
- EF0760Ensure that residents are free from significant medication errors.2023-07-31 · Health · corrected 2023-08-03
Potential for more than minimal harm
- DF0761Ensure 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.2023-07-31 · Health · corrected 2023-08-03
Potential for more than minimal harm
- FF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-07-31 · Health · corrected 2023-08-03
Potential for more than minimal harm
- FF0908Keep all essential equipment working safely.2023-07-31 · Health · corrected 2023-08-03
Potential for more than minimal harm
- EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2023-07-31 · Health · corrected 2023-08-03
Potential for more than minimal harm
- EF0573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.2023-04-06 · Health · corrected 2023-04-07
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-04-06 · Health · corrected 2023-04-07
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-04-06 · Health · corrected 2023-04-07
Actual harm
- DF0880Provide and implement an infection prevention and control program.2023-04-06 · Health · corrected 2023-04-07
Potential for more than minimal harm
- DF0585Honor 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.2019-12-10 · Health · corrected 2020-01-09
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2019-12-10 · Health · corrected 2020-01-02
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2019-12-10 · Health · corrected 2019-12-30
Potential for more than minimal harm
- DF0808Ensure 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.2019-12-10 · Health · corrected 2020-01-07
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2019-12-10 · Health · corrected 2019-12-30
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| KCP AURORA, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2021-01-31 |
| MFF MANAGEMENT, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2019-10-01 |
| MOC AURORA LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2021-01-31 |
| BRAMMEIER, JOHN | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2018-08-22 |
| FLANAGAN, MICHAEL | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2018-01-31 |
| MOSKOWITZ, JAY | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2018-08-22 |
| QP HEALTH CARE SERVICES LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-08-22 |
| BRAGHIN, FERNANDO | Individual | CORPORATE OFFICER | — | 2021-01-31 |
| BRAMMEIER, JOHN | Individual | CORPORATE OFFICER | — | 2011-12-31 |
| MOSKOWITZ, JAY | Individual | CORPORATE OFFICER | — | 2011-12-31 |
| BURMOOD, RYAN | Individual | W-2 MANAGING EMPLOYEE | — | 2020-06-01 |
| KORETKE, MARY | Individual | W-2 MANAGING EMPLOYEE | — | 2018-10-01 |
Other facilities in AURORA
| Name | Overall | Beds |
|---|---|---|
| BETH ISRAEL AT SHALOM PARK | ★★★★★ | 135 |
| SPRINGS AT ST ANDREWS VILLAGE, THE | ★★★★★ | 58 |
| ADVANCED HEALTH CARE OF AURORA | ★★★★★ | 54 |
| GARDEN TERRACE ALZHEIMER'S CENTER OF EXCELLENCE | ★★★★★ | 120 |
| LIFE CARE CENTER OF AURORA | ★★★★☆ | 166 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.