Aviva at Fitzsimons

13525 E 23rd Ave · Aurora, CO · 80045 · 3033448282

100 certified beds For profit - Limited Liability company Chain: Vivage Senior Living

  • Staffing hours comfortably above national benchmarks.

The composite number cleared 71 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.

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Red flags

65% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 47
Serious harm & abuse 20% 88
Staffing 20% 88
Federal penalties 15% 62
Trend 10% 69
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 3 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day5.083.48 min · 4.1 strong
RN hours / resident-day1.470.55–0.75
Weekend hours / resident-day4.68≈ weekday level
Nursing turnover / year65%median 45%
Fines (3-yr window)2 · $14,743

Inspection citations (24 in the current record)

  • Actual harm · G August 26, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Past Non-Compliance · Quality of Life and Care

  • Potential for harm · D January 2, 2025 · found via complaint

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected January 31, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E October 8, 2024

    Observe each nurse aide's job performance and give regular training.

    Corrected October 31, 2024 · Nursing and Physician Services

  • Potential for harm · D October 8, 2024

    Ensure medication error rates are not 5 percent or greater.

    Corrected October 31, 2024 · Pharmacy Service

  • Potential for harm · E October 8, 2024

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected October 31, 2024 · Nutrition and Dietary

  • Potential for harm · D October 8, 2024

    Have a policy regarding use and storage of foods brought to residents by family and other visitors.

    Corrected October 31, 2024 · Nutrition and Dietary

  • Potential for harm · F October 8, 2024

    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

    Corrected October 31, 2024 · Administration

  • Potential for harm · E October 8, 2024

    Provide and implement an infection prevention and control program.

    Corrected October 31, 2024 · Infection Control

  • Potential for harm · D October 8, 2024 · found via complaint

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected October 31, 2024 · Resident Rights

  • Potential for harm · D October 11, 2023 · found via complaint

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected October 12, 2023 · Resident Rights

  • Actual harm · G July 31, 2023 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected August 3, 2023 · Quality of Life and Care

  • Potential for harm · D July 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.

    Corrected August 3, 2023 · Pharmacy Service

  • Potential for harm · E July 31, 2023 · found via complaint

    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.

    Corrected August 3, 2023 · Resident Rights

  • Potential for harm · E July 31, 2023 · found via complaint

    Provide activities to meet all resident's needs.

    Corrected August 3, 2023 · Quality of Life and Care

  • Potential for harm · D July 31, 2023 · found via complaint

    Provide safe, appropriate pain management for a resident who requires such services.

    Corrected August 3, 2023 · Quality of Life and Care

  • Potential for harm · F July 31, 2023 · found via complaint

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected August 3, 2023 · Resident Assessment and Care Planning

  • Potential for harm · F July 31, 2023 · found via complaint

    Keep all essential equipment working safely.

    Corrected August 3, 2023 · Environmental

  • Potential for harm · E July 31, 2023 · found via complaint

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Corrected August 3, 2023 · Environmental

  • Potential for harm · E July 31, 2023 · found via complaint

    Ensure that residents are free from significant medication errors.

    Corrected August 3, 2023 · Pharmacy Service

  • Potential for harm · D December 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.

    Corrected January 9, 2020 · Resident Rights

  • Potential for harm · D December 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.

    Corrected January 2, 2020 · Resident Assessment and Care Planning

  • Potential for harm · D December 10, 2019

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected December 30, 2019 · Resident Assessment and Care Planning

  • Potential for harm · D December 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.

    Corrected January 7, 2020 · Nutrition and Dietary

  • Potential for harm · E December 10, 2019

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected December 30, 2019 · Nutrition and Dietary

Federal penalties

DateTypeAmount / length
August 26, 2025Fine$7,008
July 31, 2023Fine$7,735

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 065430 · certified since December 27, 2018. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.