Aviva at Fitzsimons
13525 E 23rd Ave, Aurora, CO 80045
Aviva at Fitzsimons, a 100-bed for profit - limited liability company nursing facility in Aurora, CO, holds a 4-star CMS overall rating - well above the 3.0-star national average, ranking #81 of 209 rated homes in CO on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.
CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.
Phone: 3033448282
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- 4 / 5
- Above average · CMS overall · nat'l 3.0
- #81 of 209
- In-state rank among rated CO homes
- 4.92
- Well above average · nurse hrs/day · nat'l 3.86
- 22
- Inspection findings · 1 serious
The verdict
Aviva at Fitzsimons, a 100-bed for profit - limited liability company nursing facility in Aurora, CO, holds a 4-star CMS overall rating - well above the 3.0-star national average, ranking #81 of 209 rated homes in CO on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.
- 4 / 5
- CMS overall · national 3.0
- #81 of 209
- In-state rank among rated CO homes
- 4.92
- Nurse hrs/resident-day · national 3.86
- 22
- Inspection findings · 1 serious
CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.
In-state ownership mix · peer inventory
How 210 CO nursing homes split by ownership sector
This facility is recorded as For profit - Limited Liability company. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 065430
- Ownership
- For profit - Limited Liability company
- Provider Type
- Medicare
- Beds
- 100
- Residents
- 73
- In Hospital
- No
- County
- Adams
- Last Inspection
- Oct 8, 2024
Staffing Data
How the 4.92 total nursing hours per resident-day are staffed:
- RN Hours
- 1.51 (nat'l avg: 0.69)
- LPN Hours
- 0.59
- CNA Hours
- 2.81
- Total Nursing Hours
- 4.92 (nat'l avg: 3.86)
- PT Hours
- 0.13
- Nursing Turnover
- 61.4%
- RN Turnover
- 61.3%
What the CMS Record Reveals About Aviva at Fitzsimons
According to CMS Nursing Home Compare, Aviva at Fitzsimons ranks #81 of 209 rated nursing homes in CO on overall stars (tie-broken by health+staffing+quality, then fewer fines). Aviva at Fitzsimons operates 100 certified beds in Aurora, CO with approximately 73 residents currently in care, and carries a CMS overall rating of 4 out of 5 stars (health inspection 3★ · staffing 2★ · quality 5★).
The inspection file contains 22 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. This provider has been fined 1 time by CMS, for a combined $7K. Staffing is reported at 4.92 total nursing hours per resident day (national average 3.86), with RN coverage at 1.51 per resident day.
Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare" provider, Aviva at Fitzsimons falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 61.4% (CMS payroll-based measure).
Why sub-scores and the CMS methodology matter
The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.
For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.
Deficiency History (22 most recent)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jan 31, 2025
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Category: Nutrition and Dietary Deficiencies
Corrected: Oct 31, 2024
Ensure medication error rates are not 5 percent or greater.
Category: Pharmacy Service Deficiencies
Corrected: Oct 31, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Category: Resident Rights Deficiencies
Corrected: Oct 31, 2024
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Oct 31, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: Oct 31, 2024
Observe each nurse aide's job performance and give regular training.
Category: Nursing and Physician Services Deficiencies
Corrected: Oct 31, 2024
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Category: Administration Deficiencies
Corrected: Oct 31, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Category: Resident Rights Deficiencies
Corrected: Oct 12, 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.
Category: Pharmacy Service Deficiencies
Corrected: Aug 3, 2023
Provide safe, appropriate pain management for a resident who requires such services.
Category: Quality of Life and Care Deficiencies
Corrected: Aug 3, 2023
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Category: Environmental Deficiencies
Corrected: Aug 3, 2023
Provide activities to meet all resident's needs.
Category: Quality of Life and Care Deficiencies
Corrected: Aug 3, 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.
Category: Resident Rights Deficiencies
Corrected: Aug 3, 2023
Keep all essential equipment working safely.
Category: Environmental Deficiencies
Corrected: Aug 3, 2023
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Aug 3, 2023
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.
Category: Nutrition and Dietary Deficiencies
Corrected: Jan 7, 2020
Ensure services provided by the nursing facility meet professional standards of quality.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Dec 30, 2019
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jan 2, 2020
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.
Category: Resident Rights Deficiencies
Corrected: Jan 9, 2020
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: Dec 30, 2019
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 8.1% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.6% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.1% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 19.7% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 9.3% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 10.7% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.2% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 7.2% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 0.0% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 71.8% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 14.4% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 81.8% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 16.1% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 68.7% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 50.8% | No |
Penalty History 1 penalties totaling $7K
| Date | Type | Amount |
|---|---|---|
| Aug 26, 2025 | Fine | $7K |
Nationwide facilities with similar scale or staffing
Two data-derived peer sets for Aviva at Fitzsimons, both outside CO so the neighborhoods are not the same-state geography list below.
Similar bed count
Nearest CMS certified bed counts outside CO (100 beds here).
Similar staffing hours
Nearest CMS adjusted total nurse hours per resident day outside CO (3.01 here).
Nearby Nursing Homes in CO
209 other nursing homes are on record in CO; 6 are shown here.
Accel at Longmont Health and Rehab, LLC
Longmont, CO
Adara Living
Broomfield, CO
Advanced Health Care of Aurora
Aurora, CO
Advanced Health Care of Colorado Springs
Colorado Springs, CO
Ahc of Lakewood, LLC
Lakewood, CO
Allison Care Center
Lakewood, CO
Understanding Nursing Home Data
What the CMS records show for Aviva at Fitzsimons
The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.
- The CO registry aggregates state averages and the highest-rated homes in this cohort. View CO registry
- Peer homes near 100 beds show how CMS stars vary at a similar scale in CO. Compare a similar-size peer
- CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work
CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.
Frequently Asked Questions
What is the overall CMS rating for Aviva at Fitzsimons?
Where does Aviva at Fitzsimons rank among nursing homes in CO?
What are the staffing levels at Aviva at Fitzsimons?
How many beds does Aviva at Fitzsimons have?
Does Aviva at Fitzsimons have any deficiencies on record?
Has Aviva at Fitzsimons received any fines or penalties?
Who owns Aviva at Fitzsimons?
When was Aviva at Fitzsimons last inspected?
What quality measures are tracked for Aviva at Fitzsimons?
Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.
Read our methodology - how this data is sourced, computed, and verified.
