01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-03-26 | 10 | 2026-03-26 | 0 |
| Cycle 2 | 2024-03-27 | 5 | 2024-03-27 | 19 |
| Cycle 3 | 2022-12-15 | 6 | 2022-12-15 | 8 |
CMS CCN 0653882026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
The Springs At St. Andrews Village
2670 S Abilene St · Aurora, CO 80014 · Arapahoe County
Certified beds58CMS provider file
Recent citation rows48current 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
48 rows in the current release
1 rows carry G–L scope/severity codes; 0 carry J–L. 9 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-03-26 · 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 · 2026-04-102026-03-26 · HEALTHF0584Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2026-04-10 · complaint2026-03-26 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2026-04-102026-03-26 · HEALTHF0697Severity G · isolated actual 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 · 2026-04-102026-03-26 · 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 · 2026-04-102026-03-26 · HEALTHF0760Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Correction field: Deficient, Provider has date of correction · 2026-04-102026-03-26 · HEALTHF0761Severity E · pattern; 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 · 2026-04-102026-03-26 · HEALTHF0908Severity D · isolated; potential for more than minimal harm
Environmental Deficiencies
Keep all essential equipment working safely.
Correction field: Deficient, Provider has date of correction · 2026-04-10 · complaint2026-03-26 · HEALTHF0921Severity D · isolated; 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 · 2026-04-10 · complaint2026-03-26 · HEALTHF0923Severity D · isolated; potential for more than minimal harm
Environmental Deficiencies
Have enough outside ventilation via a window or mechanical ventilation, or both.
Correction field: Deficient, Provider has date of correction · 2026-04-10 · complaint2024-03-27 · HEALTHF0658Severity E · pattern; 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 · 2024-04-182024-03-27 · 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 · 2024-04-182024-03-27 · HEALTHF0761Severity E · pattern; 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 · 2024-04-182024-03-27 · HEALTHF0880Severity D · isolated; 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 · 2024-04-182024-03-27 · HEALTHF0947Severity F · widespread; potential for more than minimal harm
Nursing and Physician Services Deficiencies
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Correction field: Deficient, Provider has date of correction · 2024-04-182024-03-27 · FIREK0211Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Correction field: Deficient, Provider has date of correction · 2024-06-112024-03-27 · FIREK0222Severity F · widespread; potential for more than minimal harm
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Correction field: Waiver has been granted · 2024-10-012024-03-27 · FIREK0231Severity D · isolated; potential for more than minimal harm
Egress Deficiencies
Provide large enough exits.
Correction field: Waiver has been granted · 2024-10-012024-03-27 · 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 · 2024-06-102024-03-27 · FIREK0293Severity F · widespread; potential for more than minimal harm
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Correction field: Deficient, Provider has date of correction · 2024-06-112024-03-27 · FIREK0321Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2024-06-102024-03-27 · FIREK0331Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Construct fire resistant interior walls.
Correction field: Deficient, Provider has date of correction · 2024-06-112024-03-27 · FIREK0345Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Waiver has been granted · 2024-09-202024-03-27 · FIREK0353Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Waiver has been granted · 2024-10-0103 / 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 |
|---|---|---|---|
| 2026-03-26 | Fine | $14,220 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- JORGENSEN, DAVIDIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 02/05/2024
- BURNAM, SOONIndividual · CORPORATE OFFICERNOT APPLICABLE · since 02/05/2024
- DUNYON, DAVIDIndividual · CORPORATE OFFICERNOT APPLICABLE · since 02/05/2024
- FITCH, CRAIGIndividual · CORPORATE OFFICERNOT APPLICABLE · since 02/05/2024
- DUNYON, DAVIDIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 06/01/2024
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 hours3.64per resident day
RN hours0.60per resident day
Weekend nurse hours3.20per resident day
Staff turnover60.0%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 rowsAviva At Fitzsimons100 beds · CMS overall 4/538 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 rows