Aviva At Fitzsimons faces challenges in its CMS ratings, earning a D grade with a score of 40/100. The facility ranks in the 29th percentile among Colorado nursing homes, suggesting significant room for improvement.
Staffing levels at Aviva At Fitzsimons exceed national averages, with 5.05 total nursing hours per resident per day — compared to the national average of 3.8 hours. RN coverage of 1.29 hours per resident per day also exceeds the national average of 0.7 hours.
Recent inspections identified 28 deficiencies at Aviva At Fitzsimons. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 5.05 | 3.8 | Above Average |
| Registered Nurses (RN) | 1.29 | 0.7 | Above Average |
| Licensed Practical Nurses (LPN) | 0.82 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.94 | 2.4 | Above Average |
| Weekend Total Nursing | 4.68 | 3.8 | Above Average |
| Weekend RN Hours | 0.96 | 0.7 | Above Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0689 Severity GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Aug 25, 2025 · Quality of Life and Care Deficiencies
- Tag 0658 Severity DEnsure services provided by the nursing facility meet professional standards of quality.Jan 1, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0851 Severity FElectronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.Oct 7, 2024 · Administration Deficiencies
- Tag 0730 Severity EObserve each nurse aide's job performance and give regular training.Oct 7, 2024 · Nursing and Physician Services Deficiencies
- Tag 0812 Severity EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Oct 7, 2024 · Nutrition and Dietary 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 | 7.7% | 4.5% | Worse |
| Falls with major injury | 1.4% | 3.0% | Better |
| On antipsychotic medication | 3.3% | 14.5% | Better |
| Urinary tract infections | 1.4% | 2.5% | Better |
| ADL decline (daily activities) | 12.8% | 14.0% | Average |
| Excessive weight loss | 5.1% | 7.5% | Better |
| New/worsened incontinence | 18.0% | 45.0% | Better |
⚠️ Penalties & Fines
3 penalties recorded by CMS
Total fines: $23,271
How This Grade Was Calculated
This facility's grade of D is based on a score of 40 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 3★ → 24 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 2★ → 8 pts (max 20)
- Quality Measures Rating: 5★ → 15 pts (max 15)
- Penalty deductions: -15 pts
- Fine deductions: -2 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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