UNIVERSITY HEIGHTS REHAB AND CARE COMMUNITY

πŸ“ 656 DILLON WAY, aurora, CO 80011 πŸ“ž 3033440636 πŸ›οΈ 88 beds

Overall Rating

⭐
1/5

Health Inspection

⭐
1/5

Staffing

⭐⭐⭐
3/5

Quality Measures

⭐⭐
2/5

Inspection History Overview

112
Total Violations
10 years of data
$76,935
Total Fines
5 penalties
5
Inspections
Since 2014
21
Quality Metrics
Tracked measures

Health Violations by Year

2025 3 violations

Tag 0600 E Mar 26, 2025

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

βœ“ Corrected: Mar 27, 2025
Tag 0689 D Mar 26, 2025

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

βœ“ Corrected: Mar 27, 2025
Tag 0744 D Mar 26, 2025

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

βœ“ Corrected: Mar 27, 2025

2024 17 violations

Tag 0554 D Jan 24, 2024

Allow residents to self-administer drugs if determined clinically appropriate.

βœ“ Corrected: Jan 25, 2024
Tag 0584 E Jan 24, 2024

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

βœ“ Corrected: Jan 25, 2024
Tag 0585 D Jan 24, 2024

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.

βœ“ Corrected: Jan 25, 2024
Tag 0600 D Jan 24, 2024

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

βœ“ Corrected: Jan 25, 2024
Tag 0645 D Jan 24, 2024

PASARR screening for Mental disorders or Intellectual Disabilities

βœ“ Corrected: Jan 25, 2024
Tag 0660 D Jan 24, 2024

Plan the resident's discharge to meet the resident's goals and needs.

βœ“ Corrected: Jan 25, 2024
Tag 0685 D Jan 24, 2024

Assist a resident in gaining access to vision and hearing services.

βœ“ Corrected: Jan 25, 2024
Tag 0697 D Jan 24, 2024

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

βœ“ Corrected: Jan 25, 2024
Tag 0803 E Jan 24, 2024

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

βœ“ Corrected: Jan 25, 2024
Tag 0804 E Jan 24, 2024

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

βœ“ Corrected: Jan 25, 2024
Tag 0806 E Jan 24, 2024

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

βœ“ Corrected: Jan 25, 2024
Tag 0812 F Jan 24, 2024

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

βœ“ Corrected: Jan 25, 2024
Tag 0814 F Jan 24, 2024

Dispose of garbage and refuse properly.

βœ“ Corrected: Jan 25, 2024
Tag 0838 F Jan 24, 2024

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies.

βœ“ Corrected: Jan 25, 2024
Tag 0867 F Jan 24, 2024

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

βœ“ Corrected: Jan 25, 2024
Tag 0880 F Jan 24, 2024

Provide and implement an infection prevention and control program.

βœ“ Corrected: Jan 25, 2024
Tag 0883 F Jan 24, 2024

Develop and implement policies and procedures for flu and pneumonia vaccinations.

βœ“ Corrected: Jan 25, 2024

2023 2 violations

Tag 0600 J Jul 19, 2023

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

βœ“ Corrected: Jul 19, 2023
Tag 0610 D Jul 19, 2023

Respond appropriately to all alleged violations.

βœ“ Corrected: Jul 19, 2023

2022 14 violations

Tag 0558 D Sep 29, 2022

Reasonably accommodate the needs and preferences of each resident.

βœ“ Corrected: Sep 30, 2022
Tag 0655 D Sep 29, 2022

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

βœ“ Corrected: Sep 30, 2022
Tag 0677 D Sep 29, 2022

Provide care and assistance to perform activities of daily living for any resident who is unable.

βœ“ Corrected: Sep 30, 2022
Tag 0679 D Sep 29, 2022

Provide activities to meet all resident's needs.

βœ“ Corrected: Sep 30, 2022
Tag 0684 D Sep 29, 2022

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

βœ“ Corrected: Sep 30, 2022
Tag 0686 G Sep 29, 2022

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

βœ“ Corrected: Sep 30, 2022
Tag 0688 D Sep 29, 2022

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

βœ“ Corrected: Sep 30, 2022
Tag 0689 D Sep 29, 2022

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

βœ“ Corrected: Sep 30, 2022
Tag 0692 G Sep 29, 2022

Provide enough food/fluids to maintain a resident's health.

βœ“ Corrected: Sep 30, 2022
Tag 0758 D Sep 29, 2022

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

βœ“ Corrected: Sep 30, 2022
Tag 0761 E Sep 29, 2022

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.

βœ“ Corrected: Sep 30, 2022
Tag 0804 E Sep 29, 2022

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

βœ“ Corrected: Sep 30, 2022
Tag 0807 D Sep 29, 2022

Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.

βœ“ Corrected: Sep 30, 2022
Tag 0880 E Sep 29, 2022

Provide and implement an infection prevention and control program.

βœ“ Corrected: Sep 30, 2022

2021 4 violations

Tag 0600 G Jun 22, 2021

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

βœ“ Corrected: Jun 23, 2021
Tag 0759 D Jun 22, 2021

Ensure medication error rates are not 5 percent or greater.

βœ“ Corrected: Jun 23, 2021
Tag 0760 G Jun 22, 2021

Ensure that residents are free from significant medication errors.

βœ“ Corrected: Jun 22, 2021
Tag 0880 E Jun 22, 2021

Provide and implement an infection prevention and control program.

βœ“ Corrected: Jun 23, 2021

2020 26 violations

Tag 0557 D Sep 18, 2020

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

βœ“ Corrected: Oct 22, 2020
Tag 0585 D Sep 18, 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.

βœ“ Corrected: Oct 22, 2020
Tag 0600 D Sep 18, 2020

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

βœ“ Corrected: Oct 22, 2020
Tag 0609 D Sep 18, 2020

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

βœ“ Corrected: Oct 22, 2020
Tag 0610 D Sep 18, 2020

Respond appropriately to all alleged violations.

βœ“ Corrected: Oct 22, 2020
Tag 0657 E Sep 18, 2020

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

βœ“ Corrected: Oct 22, 2020
Tag 0658 D Sep 18, 2020

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

βœ“ Corrected: Oct 22, 2020
Tag 0660 E Sep 18, 2020

Plan the resident's discharge to meet the resident's goals and needs.

βœ“ Corrected: Oct 22, 2020
Tag 0661 D Sep 18, 2020

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

βœ“ Corrected: Oct 22, 2020
Tag 0684 E Sep 18, 2020

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

βœ“ Corrected: Oct 22, 2020
Tag 0689 G Sep 18, 2020

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

βœ“ Corrected: Oct 22, 2020
Tag 0744 D Sep 18, 2020

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

βœ“ Corrected: Oct 22, 2020
Tag 0745 E Sep 18, 2020

Provide medically-related social services to help each resident achieve the highest possible quality of life.

βœ“ Corrected: Oct 22, 2020
Tag 0758 D Sep 18, 2020

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

βœ“ Corrected: Oct 22, 2020
Tag 0880 F Sep 18, 2020

Provide and implement an infection prevention and control program.

βœ“ Corrected: Oct 22, 2020
Tag 0947 D Sep 18, 2020

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

βœ“ Corrected: Oct 22, 2020
Tag 0880 F Apr 27, 2020

Provide and implement an infection prevention and control program.

βœ“ Corrected: Jun 1, 2020
Tag 0880 E Apr 8, 2020

Provide and implement an infection prevention and control program.

βœ“ Corrected: May 18, 2020
Tag 0550 D Mar 3, 2020

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

βœ“ Corrected: May 1, 2020
Tag 0585 E Mar 3, 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.

βœ“ Corrected: Jun 5, 2020

2019 16 violations

Tag 0690 D Oct 17, 2019

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

βœ“ Corrected: Oct 23, 2019
Tag 0660 D Sep 19, 2019

Plan the resident's discharge to meet the resident's goals and needs.

βœ“ Corrected: Oct 21, 2019
Tag 0661 D Sep 19, 2019

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

βœ“ Corrected: Oct 21, 2019
Tag 0554 D May 21, 2019

Allow residents to self-administer drugs if determined clinically appropriate.

βœ“ Corrected: Jun 21, 2019
Tag 0576 C May 21, 2019

Ensure residents have reasonable access to and privacy in their use of communication methods.

βœ“ Corrected: Jun 21, 2019
Tag 0584 E May 21, 2019

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

βœ“ Corrected: Jun 21, 2019
Tag 0679 D May 21, 2019

Provide activities to meet all resident's needs.

βœ“ Corrected: Jun 21, 2019
Tag 0684 D May 21, 2019

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

βœ“ Corrected: Jun 21, 2019
Tag 0688 D May 21, 2019

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

βœ“ Corrected: Jun 21, 2019
Tag 0695 E May 21, 2019

Provide safe and appropriate respiratory care for a resident when needed.

βœ“ Corrected: Jun 21, 2019
Tag 0759 E May 21, 2019

Ensure medication error rates are not 5 percent or greater.

βœ“ Corrected: Jun 21, 2019
Tag 0760 D May 21, 2019

Ensure that residents are free from significant medication errors.

βœ“ Corrected: Jun 21, 2019
Tag 0804 E May 21, 2019

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

βœ“ Corrected: Jun 21, 2019
Tag 0806 E May 21, 2019

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

βœ“ Corrected: Jun 21, 2019
Tag 0842 D May 21, 2019

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

βœ“ Corrected: Jun 28, 2019
Tag 0880 F May 21, 2019

Provide and implement an infection prevention and control program.

βœ“ Corrected: Jun 21, 2019

2018 17 violations

Tag 0550 E Dec 4, 2018

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

βœ“ Corrected: Jan 15, 2019
Tag 0565 E Dec 4, 2018

Honor the resident's right to organize and participate in resident/family groups in the facility.

βœ“ Corrected: Jan 15, 2019
Tag 0584 E Dec 4, 2018

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

βœ“ Corrected: Jan 18, 2019
Tag 0803 E Dec 4, 2018

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

βœ“ Corrected: Jan 15, 2019
Tag 0810 D Dec 4, 2018

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

βœ“ Corrected: Jan 19, 2019
Tag 0689 G Jul 3, 2018

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

βœ“ Corrected: May 30, 2018
Tag 0552 D Jan 29, 2018

Ensure that residents are fully informed and understand their health status, care and treatments.

βœ“ Corrected: Feb 19, 2018
Tag 0623 B Jan 29, 2018

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

βœ“ Corrected: Feb 19, 2018
Tag 0658 D Jan 29, 2018

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

βœ“ Corrected: Feb 19, 2018
Tag 0686 D Jan 29, 2018

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

βœ“ Corrected: Feb 19, 2018
Tag 0689 G Jan 29, 2018

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

βœ“ Corrected: Feb 19, 2018
Tag 0690 D Jan 29, 2018

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

βœ“ Corrected: Feb 19, 2018
Tag 0697 G Jan 29, 2018

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

βœ“ Corrected: Feb 19, 2018
Tag 0732 C Jan 29, 2018

Post nurse staffing information every day.

βœ“ Corrected: Feb 19, 2018
Tag 0842 D Jan 29, 2018

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

βœ“ Corrected: Feb 19, 2018
Tag 0880 E Jan 29, 2018

Provide and implement an infection prevention and control program.

βœ“ Corrected: Feb 19, 2018
Tag 0881 D Jan 29, 2018

Implement a program that monitors antibiotic use.

βœ“ Corrected: Feb 19, 2018

2017 7 violations

Tag 0156 D Sep 6, 2017

Give residents a notice of rights, rules, services and charges.

βœ“ Corrected: Oct 11, 2017
Tag 0166 D Sep 6, 2017

Try to resolve each resident's complaints quickly.

βœ“ Corrected: Oct 11, 2017
Tag 0241 E Sep 6, 2017

Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

βœ“ Corrected: Sep 29, 2017
Tag 0244 E Sep 6, 2017

Listen to the resident groups and act on their complaints and suggestions that affect resident care and life.

βœ“ Corrected: Sep 29, 2017
Tag 0312 D Sep 6, 2017

Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.

βœ“ Corrected: Oct 11, 2017
Tag 0363 E Sep 6, 2017

Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed.

βœ“ Corrected: Oct 11, 2017
Tag 0368 E Sep 6, 2017

1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day.

βœ“ Corrected: Oct 12, 2017

2016 6 violations

Tag 0221 D Aug 16, 2016

Keep each resident free from physical restraints, unless needed for medical treatment.

βœ“ Corrected: Sep 16, 2016
Tag 0225 D Aug 16, 2016

1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.

βœ“ Corrected: Sep 16, 2016
Tag 0242 D Aug 16, 2016

Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care.

βœ“ Corrected: Sep 16, 2016
Tag 0279 D Aug 16, 2016

Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: Sep 16, 2016
Tag 0323 D Aug 16, 2016

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

βœ“ Corrected: Sep 16, 2016
Tag 0514 D Aug 16, 2016

Keep accurate, complete and organized clinical records on each resident that meet professional standards.

βœ“ Corrected: Sep 16, 2016

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2022 1 penalties totaling $3,679

$3,679
Fine
September 29, 2022
Average: $3,679 | Range: $3,679 - $3,679

2021 2 penalties totaling $14,685

$9,750
Fine
August 13, 2021
$4,935
Fine
June 22, 2021
Average: $7,343 | Range: $4,935 - $9,750

2020 1 penalties totaling $52,068

$52,068
Fine
September 18, 2020
Average: $52,068 | Range: $52,068 - $52,068

2018 1 penalties totaling $6,503

$6,503
Fine
July 3, 2018
Average: $6,503 | Range: $6,503 - $6,503

Fire Safety Deficiencies

Unknown Date

No description available

Inspection Survey Reports

Health

January 24, 2024
0.00

Health

July 19, 2023
0.00

Health

September 29, 2022
0.00

Health

June 22, 2021
0.00

Health

May 21, 2019
0.00

Quality Measures

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Ownership Information

For profit - Corporation
Independent (Not part of a chain)
065337
065337
3033440636
Adams

Historical Ownership Records

August 25, 2025
Individual
August 25, 2025
Individual
August 25, 2025
Organization