4 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
13 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (4 deficiencies)
Aurora, CO
5-star overall rating with 4-star inspections with $8,746 in total fines with 4 recent health deficiencies with 13 fire-safety deficiencies in the latest cycle
1800 S Potomac St, Aurora, CO
(720) 213-1700
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
54
Certified beds
Average residents
48
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Advanced Health Care
Operator or chain grouping
Approved since
2007-12-20
CMS approved date
Coverage
Medicare
Participation flags
Staffing
RN hours / resident day
1.21
Registered nurse staffing
LPN hours / resident day
0.65
Licensed practical nurse staffing
Aide hours / resident day
3.27
Nurse aide staffing
Weekend hours
4.49
Weekend nurse staffing
RN turnover
40%
Annual RN turnover
Total nurse turnover
34%
Annual nurse turnover
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 97.7% |
76.4%
21.3 pts better
|
81.7%
16 pts better
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.8% |
12.8%
5 pts better
|
12.0%
4.2 pts better
|
Short Stay · 20240701-20250630 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.7% |
1.5%
0.8 pts better
|
1.6%
0.9 pts better
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 93.6% |
75.6%
18 pts better
|
79.7%
13.9 pts better
|
Short Stay · 2024Q3-2025Q2 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 21.1% |
20.3%
0.8 pts worse
|
23.9%
2.8 pts better
|
Short Stay · 20240701-20250630 |
Survey summary
Top issue: Pharmacy Service (2 deficiencies)
13 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (4 deficiencies)
Top issue: Infection Control (1 deficiency)
11 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Quality of Life and Care (1 deficiency)
6 fire-safety deficiencies
Top issue: Services (2 deficiencies)
Fire safety
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2024-12-30
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2024-11-27
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-12-30
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-12-30
Fire Safety
Ensure medical gas and vacuum systems have documented maintenance programs.
Corrected 2024-12-30
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2024-12-30
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-12-30
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-12-30
Fire Safety
Meet requirements for sections of health care facilities separated by fire resistive construction.
Corrected 2024-12-30
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-12-30
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-12-30
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-12-30
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-12-30
Fire Safety
Have exits that are accessible at all times.
Corrected 2023-06-17
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-06-01
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-06-27
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-07-17
Fire Safety
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
Corrected 2023-06-01
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-06-01
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-06-01
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-06-01
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-06-01
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-06-06
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2023-06-01
Fire Safety
Provide properly protected cooking facilities.
Corrected 2022-03-02
Fire Safety
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2022-03-21
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2022-03-21
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2022-03-15
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2022-02-28
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-03-15
Inspection history
Health
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.
Corrected 2025-12-12
Health
Provide and implement an infection prevention and control program.
Corrected 2024-11-17
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-11-17
Health
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.
Corrected 2024-11-17
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-05-26
Health
Provide and implement an infection prevention and control program.
Corrected 2023-05-26
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-02-09
Penalties and ownership
Fine · fine $8,746
Fine
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Organization
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
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Aurora, CO
5-star overall rating with 4-star inspections with 5 recent health deficiencies with 19 fire-safety deficiencies in the latest cycle
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