Aviva at Fitzsimons
13525 E 23rd Ave, Aurora, CO 80045 · Adams County · 100 certified beds · avg 73 residents/day · certified since Dec 27, 2018
Part of chain: VIVAGE SENIOR LIVING (6 facilities, chain avg rating 3.5★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Aug 26, 2025 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
All citations in the current public record (22)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Aug 26, 2025 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Jan 2, 2025 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint |
| Oct 8, 2024 | F · Potential for harm, facility-wide | The facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records. |
| Oct 8, 2024 | E · Potential for harm, repeated | The facility did not observe each nurse aide's job performance or provide regular training as required. |
| Oct 8, 2024 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Oct 8, 2024 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Oct 8, 2024 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint |
| Oct 8, 2024 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Oct 8, 2024 | D · Potential for harm, one-off | The facility did not have a policy covering how food brought in by family and visitors is used and stored safely. |
| Oct 11, 2023 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint |
| Jul 31, 2023 | F · Potential for harm, facility-wide | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Jul 31, 2023 | F · Potential for harm, facility-wide | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. |
| Jul 31, 2023 | E · Potential for harm, repeated | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. |
| Jul 31, 2023 | E · Potential for harm, repeated | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. |
| Jul 31, 2023 | E · Potential for harm, repeated | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. |
| Jul 31, 2023 | D · Potential for harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. |
| Jul 31, 2023 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Dec 10, 2019 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Dec 10, 2019 | D · Potential for harm, one-off | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. |
| Dec 10, 2019 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Dec 10, 2019 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Dec 10, 2019 | D · Potential for harm, one-off | The facility did not make sure special medical diets — like low-sodium or diabetic diets — were properly ordered by the resident's doctor or managed by a qualified dietitian as state law allows. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (7 → 7).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 5 | 0 | E |
| 2023 | 8 | 0 | F |
| 2024 | 7 | 0 | F |
| 2025 | 2 | 1 | G ▲ |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $7,008.
| Date | Type | Amount / length |
|---|---|---|
| Aug 26, 2025 | Fine | $7,008 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Colorado avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.01 | 3.89 | 3.95 | bottom 12% in Colorado; bottom 14% in the U.S. |
| Registered Nurse hours | 0.93 | 0.86 | 0.69 | top 33% in Colorado; top 19% in the U.S. |
| Weekend total nurse staffing | 2.81 | 3.44 | 3.50 | bottom 17% in Colorado; bottom 21% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 1.24 | 0.61 | 0.48 | top 4% in Colorado; top 3% in the U.S. |
| Total nursing staff turnover (%) | 61.4 | 47.1 | 45.8 | bottom 14% in Colorado; bottom 14% in the U.S. |
| RN turnover (%) | 61.3 | 44.6 | 42.9 | bottom 17% in Colorado; bottom 20% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.92, RN 1.51, weekend 4.59. Staffing rating: 2/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Brammeier, John | Individual | 5% or Greater Direct Ownership Interest | 6% | 08/22/2018 |
| KCP Aurora, LLC | Organization | 5% or Greater Direct Ownership Interest | 38% | 01/31/2021 |
| MFF Management, LLC | Organization | 5% or Greater Direct Ownership Interest | — | 10/01/2019 |
| Moc Aurora LLC | Organization | 5% or Greater Direct Ownership Interest | 38% | 01/31/2021 |
| Moskowitz, Jay | Individual | 5% or Greater Direct Ownership Interest | 19% | 08/22/2018 |
| Braghin, Fernando | Individual | Corporate Officer | NOT APPLICABLE | 01/31/2021 |
| Brammeier, John | Individual | Corporate Officer | NOT APPLICABLE | 12/31/2011 |
| Burmood, Ryan | Individual | W-2 Managing Employee | NOT APPLICABLE | 06/01/2020 |
| Koretke, Mary | Individual | W-2 Managing Employee | NOT APPLICABLE | 10/01/2018 |
| Moskowitz, Jay | Individual | Corporate Officer | NOT APPLICABLE | 12/31/2011 |
| QP Health Care Services LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 08/22/2018 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "How do your actual daily staffing levels compare to what's reported on Medicare's Care Compare website?"
- "How often do you evaluate your nurse aides and what ongoing training do they receive?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Veterans Community Living Center at Fitzsimons | 0.6 mi | Aurora, CO | ★★★☆☆ | 3/5 | |
| University Heights Care Center | 1.7 mi | Aurora, CO | ★★★☆☆ | 2/5 | abuse |
| Highland Park Rehabilitation & Care Center | 2.8 mi | Aurora, CO | ★★★★★ | 4/5 | |
| Lowry Hills Care and Rehabilitation | 2.9 mi | Aurora, CO | ★★☆☆☆ | 2/5 | |
| Center at Lowry, LLC | 3.8 mi | Denver, CO | ★★★☆☆ | 2/5 | |
| Garden Terrace Alzheimer's Center of Excellence | 4.2 mi | Aurora, CO | ★★★★☆ | 4/5 | |
| Advanced Health Care of Aurora | 4.6 mi | Aurora, CO | ★★★★★ | 4/5 | |
| Life Care Center of Aurora | 5.0 mi | Aurora, CO | ★★★★★ | 4/5 | |
| Hilltop Park Post Acute | 5.0 mi | Denver, CO | ★★☆☆☆ | 1/5 | |
| Berkley Manor Care Center | 5.3 mi | Denver, CO | ★★★★★ | 3/5 | |
| City Scape Rehabilitation & Care Center LLC | 5.4 mi | Denver, CO | ★★☆☆☆ | 1/5 | abuse |
| Crestmoor Care Center | 5.5 mi | Denver, CO | ★★★☆☆ | 2/5 | abuse |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 065430.