| Aviva at Fitzsimons | |
| 13525 E 23rd Ave, Aurora, Colorado 80045 | |
| (303) 344-8282 | |
| Name | Aviva at Fitzsimons |
|---|---|
| Location | 13525 E 23rd Ave, Aurora, Colorado |
| Certified By | Medicare |
| No. of Certified Beds | 100 |
| Occupancy Rate | 72.7% |
| Medicare ID (CCN) | 065430 |
| Legal Business Name | Msv Fitzsimons, LLC |
| Ownership Type | For Profit - Limited Liability Company |
| Chain | Vivage Senior Living (6 nursing homes) |
| Chain Average Overall Rating | 3.5 out of 5 |
| NPI Number | 1891273892 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Msv Fitzsimons, LLC |
| Doing Business As | Aviva at Fitzsimons |
| Address | 13525 E 23rd Ave, Aurora, CO 80045 |
| Phone Number | 303-344-8282 |
| NPI Number | 1518589480 |
| Match | Possible same name, address or phone number |
| Organization Name | Msv Fitzsimons, LLC |
| Doing Business As | Aviva at Fitzsimons |
| Address | 13525 E 23rd Ave, Aurora, CO 80045 |
| Phone Number | 303-344-8282 |
| NPI Number | 1861017469 |
| Match | Possible same name, address or phone number |
| Organization Name | Aurora Nursing and Rehab Center |
| Address | 13801 E Yale Ave, Aurora, CO 80014 |
| Phone Number | 801-601-1450 |
| NPI Number | 1891247714 |
| Match | Possible same name, address or phone number |
| Organization Name | Aurora /transitional /care, LLC |
| Address | 13525 E 23rd Ave, Aurora, CO 80045 |
| Phone Number | 801-601-1450 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 4.92 | 3.86 |
| Registered nurse (RN) hours per resident per day | 1.51 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.59 | 0.86 |
| Nurse aide hours per resident per day | 2.81 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 4.59 | 3.42 |
| RN hours per resident per day on the weekend | 1.24 | 0.48 |
| Physical therapist hours per resident per day | 0.13 | 0.07 |
| Total nursing staff turnover | 61.4% | 45.8% |
| Registered nurse turnover | 61.3% | 42.9% |
| Number of administrators who have left the nursing home | 1 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 1 |
| Total Amount of Fines in Dollars | $7,008 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 1 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Aug 26, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Complaint inspection | Actual harm, isolated | Past non-compliance (already corrected) |
| Jan 2, 2025 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Jan 31, 2025 |
| Oct 8, 2024 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. F0851, Administration, Standard inspection | Potential for harm, widespread | Corrected by Oct 31, 2024 |
| Oct 8, 2024 | Observe each nurse aide's job performance and give regular training. F0730, Nursing and Physician Services, Standard inspection | Potential for harm, pattern | Corrected by Oct 31, 2024 |
| Oct 8, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Oct 31, 2024 |
| Oct 8, 2024 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Oct 31, 2024 |
| Oct 8, 2024 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Oct 31, 2024 |
| Oct 8, 2024 | Ensure medication error rates are not 5 percent or greater. F0759, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Oct 31, 2024 |
| Oct 8, 2024 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. F0813, Nutrition and Dietary, Standard inspection | Potential for harm, isolated | Corrected by Oct 31, 2024 |
| Oct 11, 2023 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Oct 12, 2023 |
| Jul 31, 2023 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842, Resident Assessment and Care Planning, Standard inspection | Potential for harm, widespread | Corrected by Aug 3, 2023 |
| Jul 31, 2023 | Keep all essential equipment working safely. F0908, Environmental, Standard inspection | Potential for harm, widespread | Corrected by Aug 3, 2023 |
| Jul 31, 2023 | 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. F0585, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Aug 3, 2023 |
| Jul 31, 2023 | Provide activities to meet all resident's needs. F0679, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Aug 3, 2023 |
| Jul 31, 2023 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. F0921, Environmental, Standard inspection | Potential for harm, pattern | Corrected by Aug 3, 2023 |
| Jul 31, 2023 | Provide safe, appropriate pain management for a resident who requires such services. F0697, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Aug 3, 2023 |
| Jul 31, 2023 | 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. F0761, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Aug 3, 2023 |
| Dec 10, 2019 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Dec 30, 2019 |
| Dec 10, 2019 | 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. F0585, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Jan 9, 2020 |
| Dec 10, 2019 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Jan 2, 2020 |
| Dec 10, 2019 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Dec 30, 2019 |
| Dec 10, 2019 | 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. F0808, Nutrition and Dietary, Standard inspection | Potential for harm, isolated | Corrected by Jan 7, 2020 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 8.11 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 7.18 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 2.56 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 0 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.08 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 71.79 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 68.68 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.22 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 19.74 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 14.36 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 81.82 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 50.83 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 9.25 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 16.12 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 10.68 | 15.38 |
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