Federal inspection record · CMS data as of October 1, 2026
Aviva At Fitzsimons
13525 E 23rd Ave, Aurora, CO · (303) 344-8282
- Certified beds
- 100
- Residents per day
- 74
- Ownership
- For-Profit
- Chain
- Vivage Senior Living
- Medicare / Medicaid
- Medicare
- Certified since
- December 27, 2018
1
How this home got 4 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Colorado.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Colorado homes
Aviva At Fitzsimons carries 65 inspection points. That is fewer than 47% of Colorado's 208 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Colorado: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–22 pts
- 4★ 22–44 pts
- 3★ 44–70.75 pts
- 2★ 70.75–104 pts
- 1★ over 104 pts
Bars show every rated home in Colorado by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
23 health citations on record since 2019. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Resident Rights5E
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
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.
- D
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.
Resident Assessment and Care Planning4F
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- F
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Nutrition and Dietary4E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Pharmacy Service2D
- D
Ensure medication error rates are not 5 percent or greater.
- D
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.
Environmental2F
- F
Keep all essential equipment working safely.
- E
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Quality of Life and Care2E
- E
Provide activities to meet all resident's needs.
- D
Provide safe, appropriate pain management for a resident who requires such services.
Administration1F
- F
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Nursing and Physician Services1E
- E
Observe each nurse aide's job performance and give regular training.
Infection Control1E
- E
Provide and implement an infection prevention and control program.
Inspection history
2024-10-08
8 health deficiencies · 5 fire-safety deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
2023-07-31
9 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2019-12-10
6 health deficiencies · 8 fire-safety deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 59 min of nursing staff time a day, 1 h 39 min of it from a registered nurse.
This home
4 h 59 min
Colorado average
3 h 42 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 59% of nursing staff and 61% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$7,008 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-08-26 | Fine | $7,008 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.1 pts better | 1.3 | 1.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.3 pts better | 0.4 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine24.6 pts worse | 68.8% | 93.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine9.5 pts worse | 84.2% | 93.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.4 pts worse | 3.8% | 3.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms8.1 pts better | 0.7% | 8.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.4 pts worse | 7.2% | 4.8% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication0.3 pts better | 11.3% | 11.6% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication9.4 pts better | 10.5% | 19.9% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened4.1 pts better | 7.6% | 11.7% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased9.2 pts better | 3.6% | 12.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.5 pts better | 0.0% | 0.5% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1 pts worse | 2.4% | 1.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence8.7 pts better | 11.9% | 20.6% | 18.3% |
| Percentage of long-stay residents with pressure ulcers7.3 pts worse | 10.7% | 3.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine4.6 pts worse | 72.4% | 77.0% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit8 pts better | 4.0% | 12.0% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.1 pts better | 0.5% | 1.6% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine0.8 pts worse | 72.8% | 73.6% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission2.8 pts better | 17.7% | 20.5% | 23.4% |
·
Who owns and runs it
12 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Braghin, Fernando | Corporate Officer · Individual | 0% | 1 facilities |
| Brammeier, John | 5% Or Greater Direct Ownership Interest · Individual | 0% | 7 facilities |
| Brammeier, John | Corporate Officer · Individual | 0% | 7 facilities |
| Burmood, Ryan | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Flanagan, Michael | 5% Or Greater Direct Ownership Interest · Individual | 0% | 15 facilities |
| Kcp Aurora, LLC | 5% Or Greater Direct Ownership Interest · Organization | 0% | 1 facilities |
| Koretke, Mary | W-2 Managing Employee · Individual | 0% | 16 facilities |
| Mff Management, LLC | 5% Or Greater Direct Ownership Interest · Organization | 0% | 1 facilities |
| Moc Aurora LLC | 5% Or Greater Direct Ownership Interest · Organization | 0% | 1 facilities |
| Moskowitz, Jay | 5% Or Greater Direct Ownership Interest · Individual | 0% | 16 facilities |
| Moskowitz, Jay | Corporate Officer · Individual | 0% | 16 facilities |
| Qp Health Care Services LLC | Operational/Managerial Control · Organization | 0% | 7 facilities |
·
Fire safety
16 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke7F
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Install corridor and hallway doors that block smoke.
- F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
- D
Install a fire alarm system that can be heard throughout the facility.
Gas, Vacuum, and Electrical Systems4F
- F
Have a battery powered remote alarm panel in a location accessible by operating personnel.
- F
Have proper medical gas storage and administration areas.
- F
Ensure proper storage of liquid oxygen.
- D
Have proper medical gas storage and administration areas.
Egress3F
- F
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- F
Install emergency lighting that can last at least 1 1/2 hours.
- D
Install emergency lighting that can last at least 1 1/2 hours.
Services1F
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Miscellaneous1F
- F
Have simulated fire drills held at unexpected times.
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Other homes nearby
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★★★★★
- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 45 min
- Fines
- $0
-
University Heights Care Center
Aurora, CO · Long Peak Operating Company · Abuse icon
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 4 min
- Fines
- $0
-
Highland Park Rehabilitation & Care Center
Aurora, CO · Sweetwater Care · Abuse icon
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 40 min
- Fines
- $0