C76

AVIVA AT FITZSIMONS

Grade C 76/100 composite score

For profit - Limited Liability company

CMS Star Ratings

Overall
3/5
Health Insp.
2/5
Quality
5/5
Staffing
2/5
RN Staffing
Not rated

Certified Beds

100

Ownership

For profit - Limited Liability company

Total Fines

$9,256

Last Survey

N/A

13525 E 23RD AVE, AURORA, CO 80045
3033448282

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.81h
LPN
0.52h
CNA
1.85h
Total
3.17h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

KCP AURORA, LLC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Jan 2021

MFF MANAGEMENT, LLC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Oct 2019

MOC AURORA LLC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Jan 2021

BRAMMEIER, JOHN

Individual5% OR GREATER DIRECT OWNERSHIP INTERESTSince Aug 2018

FLANAGAN, MICHAEL

Individual5% OR GREATER DIRECT OWNERSHIP INTERESTSince Jan 2018

MOSKOWITZ, JAY

Individual5% OR GREATER DIRECT OWNERSHIP INTERESTSince Aug 2018

QP HEALTH CARE SERVICES LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Aug 2018

BRAGHIN, FERNANDO

IndividualCORPORATE OFFICERSince Jan 2021

BRAMMEIER, JOHN

IndividualCORPORATE OFFICERSince Dec 2011

MOSKOWITZ, JAY

IndividualCORPORATE OFFICERSince Dec 2011

BURMOOD, RYAN

IndividualW-2 MANAGING EMPLOYEESince Jun 2020

KORETKE, MARY

IndividualW-2 MANAGING EMPLOYEESince Oct 2018

Penalties & Fines (2)

$9,256total fines
DateTypeDescriptionAmount
Jul 31, 2023Fine$7,735
Apr 6, 2023Fine$1,521

Health Inspection Deficiencies (28)

August 26, 2025Health1 deficiency1 severe
0689GActual harm, Isolated

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

Quality of Life and Care Deficiencies

January 2, 2025Health1 deficiency
0658DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected Jan 31, 2025
October 8, 2024Health7 deficiencies
0730EMinimal harm, Pattern

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

Nursing and Physician Services Deficiencies

Corrected Oct 31, 2024
0759DMinimal harm, Isolated

Ensure medication error rates are not 5 percent or greater.

Pharmacy Service Deficiencies

Corrected Oct 31, 2024
0812EMinimal harm, Pattern

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

Nutrition and Dietary Deficiencies

Corrected Oct 31, 2024
0813DMinimal harm, Isolated

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

Nutrition and Dietary Deficiencies

Corrected Oct 31, 2024
0851FMinimal harm, Widespread

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

Administration Deficiencies

Corrected Oct 31, 2024
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Oct 31, 2024
0550DMinimal harm, Isolated

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

Resident Rights Deficiencies

Corrected Oct 31, 2024
October 11, 2023Health1 deficiency
0550DMinimal harm, Isolated

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

Resident Rights Deficiencies

Corrected Oct 12, 2023
July 31, 2023Health9 deficiencies1 severe
0761DMinimal harm, Isolated

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.

Pharmacy Service Deficiencies

Corrected Aug 3, 2023
0585EMinimal harm, Pattern

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.

Resident Rights Deficiencies

Corrected Aug 3, 2023
0679EMinimal harm, Pattern

Provide activities to meet all resident's needs.

Quality of Life and Care Deficiencies

Corrected Aug 3, 2023
0697DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Aug 3, 2023
0842FMinimal harm, Widespread

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

Resident Assessment and Care Planning Deficiencies

Corrected Aug 3, 2023
0908FMinimal harm, Widespread

Keep all essential equipment working safely.

Environmental Deficiencies

Corrected Aug 3, 2023
0921EMinimal harm, Pattern

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

Environmental Deficiencies

Corrected Aug 3, 2023
0684GActual harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Aug 3, 2023
0760EMinimal harm, Pattern

Ensure that residents are free from significant medication errors.

Pharmacy Service Deficiencies

Corrected Aug 3, 2023
April 6, 2023Health4 deficiencies1 severe
0573EMinimal harm, Pattern

Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

Resident Rights Deficiencies

Corrected Apr 7, 2023
0686DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Apr 7, 2023
0689GActual harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Apr 7, 2023
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Apr 7, 2023
December 10, 2019Health5 deficiencies
0585DMinimal harm, Isolated

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.

Resident Rights Deficiencies

Corrected Jan 9, 2020
0657DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected Jan 2, 2020
0658DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected Dec 30, 2019
0808DMinimal harm, Isolated

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.

Nutrition and Dietary Deficiencies

Corrected Jan 7, 2020
0812EMinimal harm, Pattern

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

Nutrition and Dietary Deficiencies

Corrected Dec 30, 2019

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Frequently Asked Questions

What is the CareGrader rating for AVIVA AT FITZSIMONS?

AVIVA AT FITZSIMONS in AURORA, Colorado has a CareGrader grade of C (Average), with a composite score of 76.3 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for AVIVA AT FITZSIMONS?

AVIVA AT FITZSIMONS has an overall CMS star rating of 3 out of 5, a health inspection rating of 2/5, and a staffing rating of 2/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does AVIVA AT FITZSIMONS have?

AVIVA AT FITZSIMONS has 28 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

Has AVIVA AT FITZSIMONS been fined?

Yes. AVIVA AT FITZSIMONS has $9,256 in total fines from CMS enforcement actions across 2 penalties.

How many beds does AVIVA AT FITZSIMONS have?

AVIVA AT FITZSIMONS has 100 certified beds with approximately 74 current residents (74% occupancy). The facility is located at 13525 E 23RD AVE, AURORA, Colorado 80045. It is a for profit - limited liability company facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.