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AVIVA AT FITZSIMONS

13525 E 23RD AVE
AURORA, CO 80045 · 3033448282 · Adams County

CMS Star Ratings

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

Facility Facts

Certified beds100
OwnershipFor profit - Limited Liability company
State rank#66

By the numbers

22
Health citations (3 cycles)
0
Immediate-jeopardy (J/K/L)
1
Actual-harm (G/H/I)
$7,008
Federal fines (CMPs)
The trend: Citations are rising — 8 in the most recent cycle versus 6 two cycles ago.

Recent Health Citations

Aug 26, 2025 · Health survey · F-tag 0689
G — Actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Details
Correction status: Correction not recorded in CMS data
Inspection cycle: 1
Survey origin: Complaint investigation
Jan 2, 2025 · Health survey · F-tag 0658
D — No actual harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Oct 8, 2024 · Health survey · F-tag 0813
D — No actual harm
Nutrition and Dietary Deficiencies
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Oct 8, 2024 · Health survey · F-tag 0759
D — No actual harm
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Oct 8, 2024 · Health survey · F-tag 0550
D — No actual harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Oct 8, 2024 · Health survey · F-tag 0880
E — No actual harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Oct 8, 2024 · Health survey · F-tag 0812
E — No actual harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Oct 8, 2024 · Health survey · F-tag 0730
E — No actual harm
Nursing and Physician Services Deficiencies
Observe each nurse aide's job performance and give regular training.
Oct 8, 2024 · Health survey · F-tag 0851
F — No actual harm
Administration Deficiencies
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Oct 11, 2023 · Health survey · F-tag 0550
D — No actual harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Jul 31, 2023 · Health survey · F-tag 0761
D — No actual harm
Pharmacy Service Deficiencies
Ensure 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.
Jul 31, 2023 · Health survey · F-tag 0697
D — No actual harm
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Jul 31, 2023 · Health survey · F-tag 0921
E — No actual harm
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Jul 31, 2023 · Health survey · F-tag 0679
E — No actual harm
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Jul 31, 2023 · Health survey · F-tag 0585
E — No actual harm
Resident Rights Deficiencies
Honor 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.
Jul 31, 2023 · Health survey · F-tag 0908
F — No actual harm
Environmental Deficiencies
Keep all essential equipment working safely.
Jul 31, 2023 · Health survey · F-tag 0842
F — No actual harm
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Dec 10, 2019 · Health survey · F-tag 0808
D — No actual harm
Nutrition and Dietary Deficiencies
Ensure 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.
Dec 10, 2019 · Health survey · F-tag 0658
D — No actual harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Dec 10, 2019 · Health survey · F-tag 0657
D — No actual harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Showing the 20 most recent citations. View the full inspection record on CMS Care Compare →

More facilities in Colorado →

How to read this page. Star ratings and citation counts come from the Centers for Medicare & Medicaid Services (CMS) Care Compare August 2026 dataset, covering the three most recent inspection cycles. Scope/severity letters: D–F no actual harm, G–I actual harm, J–L immediate jeopardy to resident health or safety.

Source: CMS Care Compare, August 2026 dataset. Updated quarterly. Figures come from public CMS records; contact info@theskilledreport.com for corrections.