The Springs At St. Andrews Village
THE SPRINGS AT ST. ANDREWS VILLAGE in AURORA, CO — inspection on March 26, 2026.
Found 10 citations. 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
Federal health inspectors cited THE SPRINGS AT ST. ANDREWS VILLAGE in AURORA, CO for a deficiency under regulatory tag F-F0550 during a standard health inspection conducted on 2026-03-26.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 10 deficiencies cited during this inspection of THE SPRINGS AT ST. ANDREWS VILLAGE.
Correction Status: Deficient, Provider has plan of correction.
The facility reported correction as of 2026-04-10.
3/26/26 at approximately 11:30 a.m. the MTD provided a training in-service sheet, dated 3/26/26, on
clinical resource. Of the facility's six housekeeping staff, one was trained; of the facilities 28 CNAs,
nurses, one was trained. -The MTD did not provide documentation of a plan to ensure all staff were trained and understood the electronic work order system.
065388 03/26/2026
The Springs at St.
Andrews Village 2670 S Abilene St Aurora, CO 80014
Federal health inspectors cited THE SPRINGS AT ST. ANDREWS VILLAGE in AURORA, CO for a deficiency under regulatory tag F-F0684 during a standard health inspection conducted on 2026-03-26.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 10 deficiencies cited during this inspection of THE SPRINGS AT ST. ANDREWS VILLAGE.
Correction Status: Deficient, Provider has plan of correction.
The facility reported correction as of 2026-04-10.
Federal health inspectors cited THE SPRINGS AT ST. ANDREWS VILLAGE in AURORA, CO for a deficiency under regulatory tag F-F0697 during a standard health inspection conducted on 2026-03-26.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide safe, appropriate pain management for a resident who requires such services.
Scope/Severity Level G: isolated, actual harm that is not immediate jeopardy.
Actual harm to residents was documented as a result of this deficiency.
This was one of 10 deficiencies cited during this inspection of THE SPRINGS AT ST. ANDREWS VILLAGE.
Correction Status: Deficient, Provider has plan of correction.
The facility reported correction as of 2026-04-10.
Federal health inspectors cited THE SPRINGS AT ST. ANDREWS VILLAGE in AURORA, CO for a deficiency under regulatory tag F-F0759 during a standard health inspection conducted on 2026-03-26.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: Ensure medication error rates are not 5 percent or greater.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 10 deficiencies cited during this inspection of THE SPRINGS AT ST. ANDREWS VILLAGE.
Correction Status: Deficient, Provider has plan of correction.
The facility reported correction as of 2026-04-10.
Federal health inspectors cited THE SPRINGS AT ST. ANDREWS VILLAGE in AURORA, CO for a deficiency under regulatory tag F-F0760 during a standard health inspection conducted on 2026-03-26.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: Ensure that residents are free from significant medication errors.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 10 deficiencies cited during this inspection of THE SPRINGS AT ST. ANDREWS VILLAGE.
Correction Status: Deficient, Provider has plan of correction.
The facility reported correction as of 2026-04-10.
Federal health inspectors cited THE SPRINGS AT ST. ANDREWS VILLAGE in AURORA, CO for a deficiency under regulatory tag F-F0761 during a standard health inspection conducted on 2026-03-26.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: 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.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 10 deficiencies cited during this inspection of THE SPRINGS AT ST. ANDREWS VILLAGE.
Correction Status: Deficient, Provider has plan of correction.
The facility reported correction as of 2026-04-10.
facility's laundry room was in appropriate operational condition.Findings include:I.
Observations On
washing machine #1, four floor tiles were detached with water underneath them. A portable blower (industrial dryer) was set up behind washing machine #1 and pointed towards the detached tiles.Behind washing machine #3 was a puddle of water underneath a supply hose. A rolled up blanket was tucked to the left side of washing machine #3 and another blanket was tucked in the front of washing machine #3.
Underneath the blankets, water was observed.II.
Staff interviewsThe laundry aide was interviewed on 3/25/26 at 9:00 a.m.
The laundry aide said she had worked at the facility in the laundry room for seven months.
She said the leak behind the washing machines had been going on the entire time she had worked in the facility and the maintenance director (MTD) was aware of the issue.
The laundry aide said she put a new rolled up blanket in the front and the side of washing machine #3 every morning to prevent the water from coming out onto the floor and creating a fall hazard. A representative with the facility's laundry chemical supply provider was interviewed on 3/25/26 at 12:45 p.m.
The representative said his company managed the laundry chemicals and any repairs to the equipment associated with the chemicals and refilling the chemicals.
The representative said he had repaired the supply hose on washing machine #3 when he came out on 3/25/26 at 11:30 a.m. (during the survey) as a favor because it only needed a new washer (a simple mechanical component that is used in conjunction with a bolt, screw, or nut). He said his company was not responsible for any mechanical repairs to the washing machines, including the supply hose.
He said when he came out to the facility on 1/15/26, he did observe water behind the washing machines but could not recall if he had told anyone.
The MTD was interviewed on 3/26/26 at 9:40 a.m.
The MTD said that he supervised the housekeepers, the laundry staff and any as needed (PRN) maintenance staff. He said he was responsible for basic inspections of the washers and dryers in the laundry room.
The MTD said the technician from the facility's laundry chemical supply provider had come out on 3/25/26 (during the survey) and replaced a washer in the supply hose of washing machine #3 (where the leak was coming from). He said the laundry chemical supply provider was responsible for refilling the laundry chemicals and any service to the equipment which distributed those chemicals into the washing machines.
The MTD said the supply hose maintenance was a facility responsibility.
The MTD could not explain why he had not made the repairs himself prior to the survey.
The MTD said he and the laundry aide had put the portable blower behind the washing machines to address the water coming from the leak in the supply hose, but he could not recall exactly when the blower had been put back there. He said he was aware of the detached tiles behind the washing machines and said the tiles had been that way since the facility's acquisition by another corporation on 6/1/24.
The MTD said he conducted monthly inspections of the laundry room machines and washing machine #3 had been leaking on and off since February 2026. He said he should have gone to the home repair store and purchased supplies to repair the leaking hose but he had not done so.
The MTD said that the laundry aide had put blankets around washing machine #3 to prevent water from leaking outward and causing safety and trip hazards, however, he said this was not an appropriate way to address a leak.
065388 03/26/2026
The Springs at St.
Andrews Village 2670 S Abilene St Aurora, CO 80014
resident's personal bathroom ceiling to the exhaust vent and around the vent of peeled and missing
discolored, bubbled and peeling paint. B.
Staff interviews and observationsroom [ROOM NUMBER]
the damage to the bathroom walls in the rooms as being caused by water damage and said he had not been aware of the damage and the staff had not submitted a work order for the damage. He said a few months prior, there was a toilet leaking on the second floor that probably was the cause of the water damage, but he could not pull up the work order for the toilet to show when that leak was reported and repaired.
The MTD and the regional plant resource were interviewed together on 3/26/26 at 9:40 a.m.
The MTD said his housekeepers cleaned the residents'personal bathrooms daily but had never reported to him the water damage to the walls in room [ROOM NUMBER] and room [ROOM NUMBER].
He said after observing the water damage, during the survey, he believed it resulted from the second floor's previously leaking toilet.
The regional plant resource was able to pull the work order report showing the ticket for the leaking toilet was opened on 1/17/26 and completed 1/19/26.
065388 03/26/2026
The Springs at St.
Andrews Village 2670 S Abilene St Aurora, CO 80014
During the observation, the MTD held tissue paper up to the vents, however the tissue papers were not pulled into the vents in room [ROOM NUMBER], room [ROOM NUMBER] or room [ROOM NUMBER]. In room [ROOM NUMBER], the MTD removed the vent cover and had to put his hand, up to the wrist, into the vent opening to detect any sense of air flow.
The MTD said he was unable to explain the reason for the decreased air flow in the resident personal bathrooms. On 3/25/26 at approximately 10:00 a.m., the MTD provided a work history report of inspections he had completed on the exhaust fans.
The work history report revealed an inspection was completed on the exhaust fans on 3/20/26. -However, the report did not reveal which specific resident personal bathroom exhaust fans were inspected.