01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2024-10-08 | 8 | 2024-10-08 | 5 |
| Cycle 2 | 2023-07-31 | 8 | 2023-07-31 | 3 |
| Cycle 3 | 2019-12-10 | 6 | 2019-12-10 | 8 |
CMS CCN 0654302026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Aviva At Fitzsimons
13525 E 23Rd Ave · Aurora, CO 80045 · Adams County
Certified beds100CMS provider file
Recent citation rows38current CMS citation release
Penalty rows1current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
38 rows in the current release
1 rows carry G–L scope/severity codes; 0 carry J–L. 7 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-08-26 · HEALTHF0689Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Past Non-Compliance · complaint2025-01-02 · HEALTHF0658Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2025-01-31 · complaint2024-10-08 · HEALTHF0550Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2024-10-31 · complaint2024-10-08 · HEALTHF0730Severity E · pattern; potential for more than minimal harm
Nursing and Physician Services Deficiencies
Observe each nurse aide's job performance and give regular training.
Correction field: Deficient, Provider has date of correction · 2024-10-312024-10-08 · HEALTHF0759Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Correction field: Deficient, Provider has date of correction · 2024-10-312024-10-08 · HEALTHF0812Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2024-10-312024-10-08 · HEALTHF0813Severity D · isolated; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Correction field: Deficient, Provider has date of correction · 2024-10-312024-10-08 · HEALTHF0851Severity F · widespread; potential for more than minimal harm
Administration Deficiencies
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Correction field: Deficient, Provider has date of correction · 2024-10-312024-10-08 · HEALTHF0880Severity E · pattern; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2024-10-312024-10-08 · FIREK0223Severity F · widespread; potential for more than minimal harm
Egress Deficiencies
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Correction field: Deficient, Provider has date of correction · 2024-11-302024-10-08 · FIREK0291Severity F · widespread; potential for more than minimal harm
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Correction field: Deficient, Provider has date of correction · 2024-11-302024-10-08 · FIREK0353Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2024-11-302024-10-08 · FIREK0916Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Correction field: Waiver has been granted · 2024-11-302024-10-08 · FIREK0923Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Correction field: Deficient, Provider has date of correction · 2024-11-302023-10-11 · HEALTHF0550Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2023-10-12 · complaint2023-07-31 · HEALTHF0585Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2023-08-032023-07-31 · HEALTHF0679Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Correction field: Deficient, Provider has date of correction · 2023-08-032023-07-31 · HEALTHF0697Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Correction field: Deficient, Provider has date of correction · 2023-08-032023-07-31 · HEALTHF0761Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2023-08-032023-07-31 · HEALTHF0842Severity F · widespread; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Correction field: Deficient, Provider has date of correction · 2023-08-032023-07-31 · HEALTHF0908Severity F · widespread; potential for more than minimal harm
Environmental Deficiencies
Keep all essential equipment working safely.
Correction field: Deficient, Provider has date of correction · 2023-08-032023-07-31 · HEALTHF0921Severity E · pattern; potential for more than minimal harm
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Correction field: Deficient, Provider has date of correction · 2023-08-032023-07-31 · FIREK0372Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Correction field: Deficient, Provider has date of correction · 2023-09-112023-07-31 · FIREK0521Severity F · widespread; potential for more than minimal harm
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Correction field: Waiver has been granted · 2023-09-1103 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2025-08-26 | Fine | $7,008 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- KCP AURORA, LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST38% · since 01/31/2021
- MFF MANAGEMENT, LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED · since 10/01/2019
- MOC AURORA LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST38% · since 01/31/2021
- BRAMMEIER, JOHNIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST6% · since 08/22/2018
- MOSKOWITZ, JAYIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST19% · since 08/22/2018
- BURMOOD, RYANIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 06/01/2020
- KORETKE, MARYIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 10/01/2018
- BRAGHIN, FERNANDOIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/31/2021
- BRAMMEIER, JOHNIndividual · CORPORATE OFFICERNOT APPLICABLE · since 12/31/2011
- MOSKOWITZ, JAYIndividual · CORPORATE OFFICERNOT APPLICABLE · since 12/31/2011
- QP HEALTH CARE SERVICES LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 08/22/2018
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours4.92per resident day
RN hours1.51per resident day
Weekend nurse hours4.59per resident day
Staff turnover61.4%CMS reported field
06 / LOCAL RECORDS
Open the Aurora ledger →Other published facilities nearby
Advanced Health Care Of Aurora54 beds · CMS overall 5/537 citation rowsBeth Israel At Shalom Park135 beds · CMS overall 5/520 citation rowsGarden Terrace Alzheimer'S Center Of Excellence120 beds · CMS overall 4/512 citation rowsHampden Hills Post Acute218 beds · CMS overall 2/542 citation rowsHighland Park Rehabilitation & Care Center110 beds · CMS overall 5/538 citation rowsLife Care Center Of Aurora166 beds · CMS overall 5/548 citation rowsLowry Hills Care And Rehabilitation108 beds · CMS overall 2/587 citation rowsThe Springs At St. Andrews Village58 beds · CMS overall 3/548 citation rows