Veterans Community Living Center at Fitzsimons
1919 Quentin St · Aurora, CO · 80045 · 7208576400
180 certified beds For profit - Individual
Why this verdict
- Staffing levels are well below research benchmarks for safe care.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Cited under the freedom-from-abuse rule
Cited 2 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
RN staffing in the bottom 10% nationally
0.00 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Total nurse staffing below 3.0 hours per resident-day
0.37 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 3 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 0.37 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.00 | 0.55–0.75 |
| Weekend hours / resident-day | 0.47 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 2 · $79,467 |
Inspection citations (18 in the current record)
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Potential for harm · D November 21, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected January 3, 2025 · Resident Rights
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Potential for harm · E November 21, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected January 3, 2025 · Resident Assessment and Care Planning
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Potential for harm · D November 21, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 3, 2025 · Quality of Life and Care
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Potential for harm · D November 21, 2024
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.
Corrected January 3, 2025 · Quality of Life and Care
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Potential for harm · E November 21, 2024
Provide routine and 24-hour emergency dental care for each resident.
Corrected January 3, 2025 · Quality of Life and Care
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Potential for harm · D November 21, 2024
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected January 3, 2025 · Nutrition and Dietary
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Potential for harm · F November 21, 2024
Provide and implement an infection prevention and control program.
Corrected January 3, 2025 · Infection Control
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Potential for harm · E November 21, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected January 3, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J June 28, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 1, 2023 · Quality of Life and Care
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Potential for harm · D June 28, 2023
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.
Corrected August 1, 2023 · Quality of Life and Care
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Potential for harm · E June 28, 2023
Provide care or services that was trauma informed and/or culturally competent.
Corrected August 1, 2023 · Quality of Life and Care
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Potential for harm · D June 28, 2023
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected August 1, 2023 · Pharmacy Service
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Potential for harm · D June 28, 2023
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.
Corrected August 1, 2023 · Pharmacy Service
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Potential for harm · D June 28, 2023
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Corrected August 1, 2023 · Nutrition and Dietary
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Potential for harm · F June 28, 2023
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected August 1, 2023 · Administration
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Potential for harm · D January 20, 2020
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected February 28, 2020 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 20, 2020
Provide activities to meet all resident's needs.
Corrected February 28, 2020 · Quality of Life and Care
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Potential for harm · D January 20, 2020
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected March 20, 2020 · Quality of Life and Care
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| July 28, 2023 | Fine | $34,467 |
| June 28, 2023 | Fine | $45,000 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 065380 · certified since March 1, 2003. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.