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Complaint Investigation

Aviva At Fitzsimons

August 26, 2025 · Aurora, CO · 13525 E 23rd Ave
Citations 1
CMS Rating 4/5
Beds 100
Provider ID 065430
Healthcare Facility
Aviva At Fitzsimons
Aurora, CO  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

AVIVA AT FITZSIMONS in AURORA, CO — inspection on August 26, 2025.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

Inspection Findings

FF0689
Quality of Life and Care Deficiencies
Actual Harm

him to his room.

The hospice nurse was interviewed on 8/26/25 at 2:30 p.m. via telephone.

The hospice nurse said the facility nurse called the hospice company around 6:30 p.m. (on 8/13/25).

She said it was determined by the facility nurse and the hospice company that Resident #1 had fallen around 4:30 p.m.

The hospice nurse said she arrived at the facility shortly before 9:00 p.m.

The hospice nurse said she did not know there was an urgent problem based on the information that was provided to her company from the facility.

The hospice nurse said she put her hand on Resident #1's right thigh and through his pants she could feel a bump.

The hospice nurse said she called for an ambulance and when the ambulance drivers arrived, they cut off Resident #1's pant leg from the bottom of the pants to above the knee.

The hospice nurse said the bump above the knee, under the skin on Resident #1's right thigh, appeared to be a bone.

The hospice nurse said the emergency medical services team (EMS) took Resident #1 to the hospital.The NHA was interviewed again on 8/26/25 at 4:00 p.m.

The NHA said she believed the facility had proper interventions in place to ensure the safety of all of the residents following the incident with Resident #1.

Facility ID:

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in AURORA, CO, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from AVIVA AT FITZSIMONS or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.