Veterans Community Living Center At Fitzsimons is an average performer in CMS ratings, earning a C grade with a score of 56/100. Located in Aurora, Colorado, the facility meets baseline standards across most quality metrics.
Staffing levels at Veterans Community Living Center At Fitzsimons exceed national averages, with 4.54 total nursing hours per resident per day — compared to the national average of 3.8 hours. RN coverage of 1.04 hours per resident per day also exceeds the national average of 0.7 hours.
Recent CMS inspections identified 18 deficiencies at Veterans Community Living Center At Fitzsimons, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: provide and implement an infection prevention and control program..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 4.54 | 3.8 | Above Average |
| Registered Nurses (RN) | 1.04 | 0.7 | Above Average |
| Licensed Practical Nurses (LPN) | 0.95 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.56 | 2.4 | Average |
| Weekend Total Nursing | 4.15 | 3.8 | Average |
| Weekend RN Hours | 0.86 | 0.7 | Above Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0880 Severity FProvide and implement an infection prevention and control program.Nov 20, 2024 · Infection Control Deficiencies
- Tag 0657 Severity EDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Nov 20, 2024 · Resident Assessment and Care Planning Deficiencies
- Tag 0790 Severity EProvide routine and 24-hour emergency dental care for each resident.Nov 20, 2024 · Quality of Life and Care Deficiencies
- Tag 0600 Severity EProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Nov 20, 2024 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0550 Severity DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Nov 20, 2024 · Resident Rights Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 3.5% | 4.5% | Better |
| Falls with major injury | 4.8% | 3.0% | Worse |
| On antipsychotic medication | 18.8% | 14.5% | Worse |
| Urinary tract infections | 3.3% | 2.5% | Worse |
| ADL decline (daily activities) | 20.0% | 14.0% | Worse |
| Excessive weight loss | 3.7% | 7.5% | Better |
| New/worsened incontinence | 24.3% | 45.0% | Better |
⚠️ Penalties & Fines
2 penalties recorded by CMS
Total fines: $79,467
How This Grade Was Calculated
This facility's grade of C is based on a score of 56 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 4★ → 32 pts (max 40)
- Health Inspection Rating: 3★ → 15 pts (max 25)
- Staffing Rating: 5★ → 20 pts (max 20)
- Quality Measures Rating: 2★ → 6 pts (max 15)
- Penalty deductions: -10 pts
- Fine deductions: -7 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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