University Heights Care Center

656 Dillon Way · Aurora, CO · 80011 · 3033440636

105 certified beds For profit - Corporation Chain: Vivage Senior Living

Why this verdict

  • Carries CMS’s abuse warning icon.
  • Inspection record is far worse than the national median (deficiency count and severity).
  • Inspection results have improved across recent cycles.

Red flags

CMS abuse warning

CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.

1 immediate-jeopardy citation in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

1 abuse-related citation at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

Total nurse staffing below 3.0 hours per resident-day

2.94 reported hours vs the 3.48 minimum CMS's own staffing study recommends.

Score breakdown

Inspection record 30% of score 37
Serious harm & abuse 20% 52
Staffing 20% 61
Federal penalties 15% 77
Trend 10% 85
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 1 of 5 Staffing: 4 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day2.943.48 min · 4.1 strong
RN hours / resident-day0.640.55–0.75
Weekend hours / resident-day2.52≈ weekday level
Nursing turnover / year27%median 45%
Fines (3-yr window)1 · $9,315

Inspection citations (50 in the current record)

  • Potential for harm · D December 16, 2025 · found via complaint

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

    Corrected December 17, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D December 16, 2025 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected December 17, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · F December 16, 2025 · found via complaint

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Corrected December 17, 2025 · Environmental

  • Potential for harm · D August 7, 2025

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Corrected August 28, 2025 · Resident Rights

  • Potential for harm · D August 7, 2025

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

    Corrected August 28, 2025 · Quality of Life and Care

  • Potential for harm · D August 7, 2025

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected August 28, 2025 · Quality of Life and Care

  • Potential for harm · D August 7, 2025

    Provide activities to meet all resident's needs.

    Corrected August 28, 2025 · Quality of Life and Care

  • Potential for harm · D August 7, 2025

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected August 28, 2025 · Quality of Life and Care

  • Potential for harm · D August 7, 2025

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected August 28, 2025 · Quality of Life and Care

  • Potential for harm · D August 7, 2025

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

    Corrected August 28, 2025 · Quality of Life and Care

  • Potential for harm · D August 7, 2025

    Ensure that residents are free from significant medication errors.

    Corrected August 28, 2025 · Pharmacy Service

  • Potential for harm · D August 7, 2025

    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 August 28, 2025 · Pharmacy Service

  • Potential for harm · D August 7, 2025

    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

    Corrected August 28, 2025 · Administration

  • Potential for harm · F August 7, 2025

    Provide and implement an infection prevention and control program.

    Corrected August 28, 2025 · Infection Control

  • Potential for harm · E March 26, 2025 · found via complaint

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

    Corrected March 27, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D March 26, 2025 · found via complaint

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

    Corrected March 27, 2025 · Quality of Life and Care

  • Potential for harm · D March 26, 2025 · found via complaint

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

    Corrected March 27, 2025 · Quality of Life and Care

  • Potential for harm · D January 24, 2024

    Allow residents to self-administer drugs if determined clinically appropriate.

    Corrected January 25, 2024 · Resident Rights

  • Potential for harm · E January 24, 2024

    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.

    Corrected January 25, 2024 · Resident Rights

  • Potential for harm · D January 24, 2024

    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.

    Corrected January 25, 2024 · Resident Rights

  • Potential for harm · D January 24, 2024

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

    Corrected January 25, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D January 24, 2024

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected January 25, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D January 24, 2024

    Plan the resident's discharge to meet the resident's goals and needs.

    Corrected January 25, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D January 24, 2024

    Assist a resident in gaining access to vision and hearing services.

    Corrected January 25, 2024 · Quality of Life and Care

  • Potential for harm · D January 24, 2024

    Provide safe, appropriate pain management for a resident who requires such services.

    Corrected January 25, 2024 · Quality of Life and Care

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
July 19, 2023Fine$9,315

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 065337 · certified since March 1, 1995. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.