Federal inspection record · CMS data as of October 1, 2026

Veterans Community Living Center At Fitzsimons

1919 Quentin St, Aurora, CO · (720) 857-6400

CMS overall rating

3 of 5

Compare with a nearby home →
Certified beds
180
Residents per day
133
Ownership
For-Profit
Chain
No chain reported
Medicare / Medicaid
Medicare + Medicaid
Certified since
March 1, 2003

1

How this home got 3 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.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Colorado.

  2. 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.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    3 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Colorado homes

Veterans Community Living Center At Fitzsimons carries 70.75 inspection points. That is fewer than 43% of Colorado's 208 rated homes.

5★4★3★2★1★+7 homes above 18305102550100inspection points → fewer is better on the leftThis home · 70.75 pts · 3★

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

18 health citations on record since 2020. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 1 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 11 4 pts
E 4 8 pts
F 2 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

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)

  1. J

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    June 28, 2023 · Standard inspection · Quality of Life and Care · F689 · Corrected August 1, 2023

Everything else, by area of care

Quality of Life and Care7E
  1. E

    Provide routine and 24-hour emergency dental care for each resident.

    November 21, 2024 · Standard · F790 · Corrected January 3, 2025

  2. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    November 21, 2024 · Standard · F684 · Corrected January 3, 2025

  3. D

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    November 21, 2024 · Standard · F688 · Corrected January 3, 2025

  4. E

    Provide care or services that was trauma informed and/or culturally competent.

    June 28, 2023 · Standard · F699 · Corrected August 1, 2023

  5. D

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    June 28, 2023 · Standard · F688 · Corrected August 1, 2023

  6. D

    Provide activities to meet all resident's needs.

    January 20, 2020 · Standard · F679 · Corrected February 28, 2020

  7. D

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    January 20, 2020 · Standard · F698 · Corrected March 20, 2020

Freedom from Abuse, Neglect, and Exploitation2E
  1. E

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    November 21, 2024 · Complaint · F600 · Corrected January 3, 2025

  2. D

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    January 20, 2020 · Standard · F600 · Corrected February 28, 2020

Nutrition and Dietary2D
  1. D

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    November 21, 2024 · Standard · F806 · Corrected January 3, 2025

  2. D

    Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.

    June 28, 2023 · Standard · F807 · Corrected August 1, 2023

Pharmacy Service2D
  1. D

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    June 28, 2023 · Standard · F757 · Corrected August 1, 2023

  2. 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.

    June 28, 2023 · Standard · F758 · Corrected August 1, 2023

Infection Control1F
  1. F

    Provide and implement an infection prevention and control program.

    November 21, 2024 · Standard · F880 · Corrected January 3, 2025

Resident Assessment and Care Planning1E
  1. E

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    November 21, 2024 · Standard · F657 · Corrected January 3, 2025

Resident Rights1D
  1. D

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    November 21, 2024 · Standard · F550 · Corrected January 3, 2025

Administration1F
  1. F

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    June 28, 2023 · Standard · F867 · Corrected August 1, 2023

Inspection history

  1. 2024-11-21

    8 health deficiencies · 10 fire-safety deficiencies

    Top issue: Quality of Life and Care (3 deficiencies)

  2. 2023-06-28

    7 health deficiencies · 16 fire-safety deficiencies

    Top issue: Quality of Life and Care (3 deficiencies)

  3. 2020-01-20

    3 health deficiencies · 3 fire-safety deficiencies

    Top issue: Quality of Life and Care (2 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 4 h 45 min of nursing staff time a day, 1 h 9 min of it from a registered nurse.

This home

4 h 45 min

Colorado average

3 h 42 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 96% of nursing staff and 100% 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

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.2 pts worse1.61.41.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.6 pts better1.11.71.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.4 pts worse88.0%93.4%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.8 pts better98.5%93.7%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.8 pts worse4.2%3.4%3.2%
Percentage of long-stay residents who have depressive symptoms5.3 pts better3.5%8.8%13.5%
Percentage of long-stay residents who lose too much weight1.4 pts better3.4%4.8%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication5.1 pts better6.5%11.6%19.5%
Percentage of long-stay residents who received an antipsychotic medication8.8 pts better11.1%19.9%15.4%
Percentage of long-stay residents who were physically restrained0.7 pts worse0.8%0.1%0.1%
Percentage of long-stay residents whose ability to walk independently worsened1.9 pts worse13.6%11.7%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased8.1 pts worse20.9%12.8%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder7.1 pts worse7.6%0.5%0.7%
Percentage of long-stay residents with a urinary tract infection0.2 pts worse1.6%1.4%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.1 pts worse22.7%20.6%18.3%
Percentage of long-stay residents with pressure ulcers1.1 pts better2.3%3.4%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine22.1 pts worse54.9%77.0%82.3%
Percentage of short-stay residents who newly received an antipsychotic medication1.6 pts better0.0%1.6%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine3.2 pts worse70.4%73.6%80.1%

·

Who owns and runs it

4 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Hsu, CarrieOperational/Managerial Control · Individual0%2 facilities
Hsu, CarrieAdp Of The SNF · Individual0%2 facilities
Simmons, RanellOperational/Managerial Control · Individual0%1 facilities
Simmons, RanellAdp Of The SNF · Individual0%1 facilities

·

Fire safety

29 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke18F
  1. F

    Inspect, test, and maintain automatic sprinkler systems.

    November 21, 2024 · K353 · Corrected December 18, 2024

  2. F

    Properly select, install, inspect, or maintain portable fire extinguishes.

    November 21, 2024 · K355 · Corrected February 20, 2025

  3. F

    Install corridor and hallway doors that block smoke.

    November 21, 2024 · K363 · Corrected February 25, 2025

  4. D

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    November 21, 2024 · K321 · Corrected February 25, 2025

  5. D

    Install a fire alarm system that can be heard throughout the facility.

    November 21, 2024 · K341 · Corrected December 18, 2024

  6. F

    Provide properly protected cooking facilities.

    June 28, 2023 · K324 · Corrected February 9, 2024

  7. F

    Have approved installation, maintenance and testing program for fire alarm systems.

    June 28, 2023 · K345 · Corrected August 31, 2023

  8. F

    Follow proper procedures when the fire alarm was out of service for more than 4 hours.

    June 28, 2023 · K346 · Corrected August 31, 2023

  9. F

    Inspect, test, and maintain automatic sprinkler systems.

    June 28, 2023 · K353 · Corrected August 31, 2024

  10. F

    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

    June 28, 2023 · K354 · Corrected August 31, 2023

  11. F

    Properly select, install, inspect, or maintain portable fire extinguishes.

    June 28, 2023 · K355 · Corrected August 31, 2023

  12. F

    Install corridor and hallway doors that block smoke.

    June 28, 2023 · K363 · Corrected August 31, 2023

  13. F

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    June 28, 2023 · K372 · Corrected August 31, 2023

  14. F

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    June 28, 2023 · K374 · Corrected August 31, 2023

  15. D

    Have properly installed hallway dispensers for alcohol-based hand rub.

    June 28, 2023 · K325 · Corrected August 31, 2023

  16. F

    Have approved installation, maintenance and testing program for fire alarm systems.

    January 20, 2020 · K345 · Corrected March 3, 2020

  17. F

    Inspect, test, and maintain automatic sprinkler systems.

    January 20, 2020 · K353 · Corrected March 3, 2020

  18. F

    Install corridor and hallway doors that block smoke.

    January 20, 2020 · K363 · Corrected March 3, 2020

Services3F
  1. F

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    November 21, 2024 · K521 · Corrected February 17, 2025

  2. F

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    June 28, 2023 · K521 · Corrected April 3, 2024

  3. F

    Have elevators that firefighters can control in the event of a fire.

    June 28, 2023 · K531 · Corrected August 31, 2023

Miscellaneous3F
  1. F

    Have restrictions on the use of highly flammable decorations.

    November 21, 2024 · K753 · Corrected December 13, 2024

  2. D

    Have simulated fire drills held at unexpected times.

    November 21, 2024 · K712 · Corrected December 22, 2024

  3. F

    Have simulated fire drills held at unexpected times.

    June 28, 2023 · K712 · Corrected August 31, 2023

Gas, Vacuum, and Electrical Systems2F
  1. F

    Ensure medical gas and vacuum systems have documented maintenance programs.

    November 21, 2024 · K907 · Corrected December 13, 2024

  2. F

    Have proper medical gas storage and administration areas.

    November 21, 2024 · K923 · Corrected February 25, 2025

Egress2F
  1. F

    Have properly located and lighted "Exit" signs.

    June 28, 2023 · K293 · Corrected August 31, 2023

  2. E

    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.

    June 28, 2023 · K222 · Corrected August 31, 2023

·

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