The Springs at St. Andrews Village

Name: The Springs at St. Andrews Village
Address: 2670 S ABILENE ST, Aurora, CO, 80014, US
Telephone: 3036959300

2670 S Abilene St, Aurora, CO 80014 · Arapahoe County · 58 certified beds · avg 54 residents/day · certified since Mar 5, 2007

Part of chain: THE ENSIGN GROUP (342 facilities, chain avg rating 3.2★)

3/5

Health inspection rating (on-site)

Serious findings on record

$14,220

Fines, last 3 years

3.07

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5

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 · Mar 26, 2026 · F-0697

The facility did not provide safe and appropriate pain management for a resident who needed it.

Why it matters: Untreated pain causes needless suffering and can lead to depression, poor sleep, and declining health.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Apr 10, 2026 (Deficient, Provider has date of correction)

All citations in the current public record (21)

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
Mar 26, 2026	▲ G · Actual harm, one-off	The facility did not provide safe and appropriate pain management for a resident who needed it.
Mar 26, 2026	E · Potential for harm, repeated	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.
Mar 26, 2026	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.
Mar 26, 2026	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint
Mar 26, 2026	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Mar 26, 2026	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.
Mar 26, 2026	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Mar 26, 2026	D · Potential for harm, one-off	The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. · from a complaint
Mar 26, 2026	D · Potential for harm, one-off	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · from a complaint
Mar 26, 2026	D · Potential for harm, one-off	The facility did not have enough fresh-air ventilation, whether through windows, mechanical systems, or both. · from a complaint
Mar 27, 2024	F · Potential for harm, facility-wide	The facility did not make sure its nurse aides had the skills needed to care for residents, including training in dementia care and abuse prevention.
Mar 27, 2024	E · Potential for harm, repeated	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Mar 27, 2024	E · Potential for harm, repeated	The facility did not observe each nurse aide's job performance or provide regular training as required.
Mar 27, 2024	E · Potential for harm, repeated	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.
Mar 27, 2024	D · Potential for harm, one-off	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.
Dec 15, 2022	E · Potential for harm, repeated	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
Dec 15, 2022	E · Potential for harm, repeated	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Dec 15, 2022	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.
Dec 15, 2022	D · Potential for harm, one-off	The facility did not provide proper care for residents with a colostomy, urostomy, or ileostomy — surgical openings in the abdomen that let waste leave the body into a pouch. These require regular, skilled attention to stay clean and healthy.
Dec 15, 2022	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Dec 15, 2022	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.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (5 → 10).

Year	Citations	Serious (G–L)	Worst severity that year
2022	6	0	E
2024	5	0	F
2026	10	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 $14,220.

Date	Type	Amount / length
Mar 26, 2026	Fine	$14,220

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)	3.07	3.89	3.95	bottom 14% in Colorado; bottom 16% in the U.S.
Registered Nurse hours	0.51	0.86	0.69	bottom 13% in Colorado; bottom 39% in the U.S.
Weekend total nurse staffing	2.70	3.44	3.50	bottom 12% in Colorado; bottom 16% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.48	0.61	0.48	bottom 39% in Colorado; top 35% in the U.S.
Total nursing staff turnover (%)	60.0	47.1	45.8	bottom 17% in Colorado; bottom 17% in the U.S.
RN turnover (%)	69.2	44.6	42.9	bottom 10% in Colorado; bottom 12% 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 3.64, RN 0.60, weekend 3.20. Staffing rating: 1/5.

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 - Corporation

Owner / manager	Type	Role	Stake	Since
Burnam, Soon	Individual	Corporate Officer	NOT APPLICABLE	02/05/2024
Dunyon, David	Individual	Corporate Officer	NOT APPLICABLE	02/05/2024
Dunyon, David	Individual	Operational/Managerial Control	NOT APPLICABLE	06/01/2024
Fitch, Craig	Individual	Corporate Officer	NOT APPLICABLE	02/05/2024
Jorgensen, David	Individual	Corporate Director	NOT APPLICABLE	02/05/2024

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How do you assess and manage residents' pain, especially for those who have trouble communicating?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"What is your current medication error rate, and what have you changed to bring errors down?"
"What systems do you use to prevent medication errors, and what happens when one occurs?"
"How do you inspect and maintain essential equipment, and how quickly are repairs made?"
"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
Life Care Center of Aurora	0.9 mi	Aurora, CO	★★★★★	4/5
Advanced Health Care of Aurora	1.0 mi	Aurora, CO	★★★★★	4/5
Hampden Hills Post Acute	1.2 mi	Aurora, CO	★★☆☆☆	2/5
Garden Terrace Alzheimer's Center of Excellence	1.4 mi	Aurora, CO	★★★★☆	4/5
Beth Israel at Shalom Park	3.1 mi	Aurora, CO	★★★★★	5/5
University Heights Care Center	4.1 mi	Aurora, CO	★★★☆☆	2/5	abuse
Lowry Hills Care and Rehabilitation	4.2 mi	Aurora, CO	★★☆☆☆	2/5
Highland Park Rehabilitation & Care Center	4.4 mi	Aurora, CO	★★★★★	4/5
Crestmoor Care Center	4.8 mi	Denver, CO	★★★☆☆	2/5	abuse
Holly Heights Care and Rehabilitation	4.8 mi	Denver, CO	★★★☆☆	2/5
Highline Post Acute	4.8 mi	Denver, CO	★☆☆☆☆	1/5
Center at Lowry, LLC	4.8 mi	Denver, CO	★★★☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Aurora →

Facility data as of CMS processing date 2026-08-01. CCN 065388.

The Care File

Visit checklist — The Springs at St. Andrews Village

2670 S Abilene St, Aurora, CO 80014 · 3036959300

Health inspection rating 3/5 · CMS overall 3/5· Fines (3y): $14,220

Most serious findings on record:

▲ Mar 26, 2026 (F-0697, Actual harm, one-off): The facility did not provide safe and appropriate pain management for a resident who needed it.

Questions for the administrator:

☐ "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "What is your current medication error rate, and what have you changed to bring errors down?"
☐ "What systems do you use to prevent medication errors, and what happens when one occurs?"
☐ "How do you inspect and maintain essential equipment, and how quickly are repairs made?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 065388 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)