Federal inspection record · CMS data as of October 1, 2026
The Springs At St. Andrews Village
2670 S Abilene St, Aurora, CO · (303) 695-9300
- Certified beds
- 58
- Residents per day
- 51
- Ownership
- For-Profit
- Chain
- The Ensign Group
- Medicare / Medicaid
- Medicare
- Certified since
- March 5, 2007
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.
-
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
The Springs At St. Andrews Village carries 56 inspection points. That is fewer than 56% 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
21 health citations on record since 2022. 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
Provide safe, appropriate pain management for a resident who requires such services.
Everything else, by area of care
Pharmacy Service6E
- E
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.
- D
Ensure medication error rates are not 5 percent or greater.
- D
Ensure that residents are free from significant medication errors.
- E
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.
- D
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
- 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.
Resident Rights3E
- 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 safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- E
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Quality of Life and Care3E
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Environmental3D
- D
Keep all essential equipment working safely.
- D
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- D
Have enough outside ventilation via a window or mechanical ventilation, or both.
Nursing and Physician Services2F
- F
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
- E
Observe each nurse aide's job performance and give regular training.
Infection Control2E
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Resident Assessment and Care Planning1E
- E
Ensure services provided by the nursing facility meet professional standards of quality.
Inspection history
2026-03-26
10 health deficiencies · 0 fire-safety deficiencies
Top issue: Environmental (3 deficiencies)
2024-03-27
5 health deficiencies · 19 fire-safety deficiencies
Top issue: Nursing and Physician Services (2 deficiencies)
2022-12-15
6 health deficiencies · 8 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 52 min of nursing staff time a day, 41 min of it from a registered nurse.
This home
3 h 52 min
Colorado average
3 h 42 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 53% of nursing staff and 78% 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
$9,243 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-03-26 | Fine | $9,243 |
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. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.3 pts better | 98.7% | 93.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine6.3 pts better | 100.0% | 93.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.1 pts better | 1.3% | 3.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms2.2 pts worse | 11.0% | 8.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.8 pts worse | 5.6% | 4.8% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication3.1 pts better | 8.5% | 11.6% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication10.8 pts better | 9.1% | 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 worsened11.9 pts worse | 23.6% | 11.7% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased5.7 pts better | 7.1% | 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 infection1.2 pts worse | 2.6% | 1.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence6.8 pts better | 13.8% | 20.6% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.5 pts better | 0.9% | 3.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine20.4 pts better | 97.4% | 77.0% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit3.5 pts better | 8.5% | 12.0% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.3 pts better | 0.3% | 1.6% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine18.5 pts better | 92.1% | 73.6% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission4.8 pts better | 15.7% | 20.5% | 23.4% |
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Who owns and runs it
5 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 |
|---|---|---|---|
| Burnam, Soon | Corporate Officer · Individual | 0% | 353 facilities |
| Dunyon, David | Corporate Officer · Individual | 0% | 12 facilities |
| Dunyon, David | Operational/Managerial Control · Individual | 0% | 12 facilities |
| Fitch, Craig | Corporate Officer · Individual | 0% | 9 facilities |
| Jorgensen, David | Corporate Director · Individual | 0% | 56 facilities |
·
Fire safety
27 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke10F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Install corridor and hallway doors that block smoke.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Construct fire resistant interior walls.
- D
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.
- D
Provide properly protected cooking facilities.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Install corridor and hallway doors that block smoke.
Egress7F
- F
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.
- F
Install emergency lighting that can last at least 1 1/2 hours.
- F
Have properly located and lighted "Exit" signs.
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D
Provide large enough exits.
- E
Install proper backup exit lighting.
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Miscellaneous4F
- F
Have simulated fire drills held at unexpected times.
- E
Have restrictions on the use of portable space heaters.
- D
Have restrictions on the use of highly flammable decorations.
- D
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems4F
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Have proper medical gas storage and administration areas.
- D
Ensure proper usage of power strips and extension cords.
Services2F
- F
Have properly installed electrical wiring and gas equipment.
- D
Have properly installed electrical wiring and gas equipment.
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Other homes nearby
-
Life Care Center Of Aurora
Aurora, CO · Life Care Centers Of America
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 59 min
- Fines
- $33,222
-
Advanced Health Care Of Aurora
Aurora, CO · Advanced Health Care
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 5 h 14 min
- Fines
- $0
-
Hampden Hills Post Acute
Aurora, CO · The Ensign Group
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 10 min
- Fines
- $0