Veterans Community Living Center At Fitzsimons

Inspection Results

Nursing Homes Colorado Aurora Veterans Community Living Center At Fitzsimons

Veterans Community Living Center At Fitzsimons has been cited for a total of 49 deficiencies since we began saving each survey. We believe it is worthwhile to show how things are and were. Some improve and some get worse. Rather than a snapshot, we take s longer view than most. A longer view, we believe, paints a better and more worthwhile picture. We start from them most recent and go back as you scroll down.

Tip: Surveys happen throughout the year and you may want to check with the location or here to see if more recent data is available for Veterans Community Living Center At Fitzsimons.

Since we bagan longer term (multi year tracking, numbers will naturally be higher than 3 (or so surverys).
There are 228 nursing homes in Colorado with a total of 10,232 deficiencies resulting in an average of 44.88 deficiencies per nursing home.

The following table describes how deficiencies are scored. An easy way to remember the severity of a deficiency's scope is that the further along in the alphabet (A through L) the scope value is, the more severe the deficiency is.
Additionally, A through F means no actual harm has happened.

Table describing the severity and scope of deficiencies

Learn more about:
How Nursing Home Inspections are Conducted SNF, CCRS, and ALFs Estate Planning

Deficiency Cited, Scope, survery date, stems from a complaint, and Date of Correction

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.

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2023-06-28

Corrected:

2023-08-01

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

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2023-06-28

Corrected:

2023-08-01

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

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2023-06-28

Corrected:

2023-08-01

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

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2023-06-28

Corrected:

2023-08-01

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.

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2023-06-28

Corrected:

2023-08-01

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

Category:

Nutrition and Dietary Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2023-06-28

Corrected:

2023-08-01

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

Category:

Administration Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2023-06-28

Corrected:

2023-08-01

Provide and implement an infection prevention and control program.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2020-06-25

Corrected:

2020-08-21

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

Category:

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2020-01-20

Corrected:

2020-02-28

Provide activities to meet all resident's needs.

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2020-01-20

Corrected:

2020-02-28

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

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2020-01-20

Corrected:

2020-03-20

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

Category:

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2020-01-20

Corrected:

2020-02-28

Provide activities to meet all resident's needs.

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2020-01-20

Corrected:

2020-02-28

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

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2020-01-20

Corrected:

2020-03-20

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Category:

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-01-24

Corrected:

2019-03-29

Respond appropriately to all alleged violations.

Category:

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-01-24

Corrected:

2019-03-29

Ensure each resident receives an accurate assessment.

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-01-24

Corrected:

2019-03-29

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

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-01-24

Corrected:

2019-03-29

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.

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-01-24

Corrected:

2019-03-29

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

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-01-24

Corrected:

2019-03-29

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

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-01-24

Corrected:

2019-04-03

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-01-24

Corrected:

2019-03-29

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category:

Nutrition and Dietary Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-01-24

Corrected:

2019-03-29

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies.

Category:

Administration Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-01-24

Corrected:

2019-04-04

Provide and implement an infection prevention and control program.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-01-24

Corrected:

2019-04-04

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Category:

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-01-24

Corrected:

2019-03-29

Respond appropriately to all alleged violations.

Category:

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-01-24

Corrected:

2019-03-29

Ensure each resident receives an accurate assessment.

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-01-24

Corrected:

2019-03-29

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

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-01-24

Corrected:

2019-03-29

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.

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-01-24

Corrected:

2019-03-29

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

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-01-24

Corrected:

2019-03-29

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

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-01-24

Corrected:

2019-04-03

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-01-24

Corrected:

2019-03-29

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category:

Nutrition and Dietary Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-01-24

Corrected:

2019-03-29

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies.

Category:

Administration Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-01-24

Corrected:

2019-04-04

Provide and implement an infection prevention and control program.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-01-24

Corrected:

2019-04-04

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

Category:

Resident Rights Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2017-05-25

Corrected:

2017-07-12

1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.

Category:

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2017-05-25

Corrected:

2017-07-12

Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

Category:

Resident Rights Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2017-05-25

Corrected:

2017-07-12

Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care.

Category:

Resident Rights Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2017-05-25

Corrected:

2017-07-12

Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2017-05-25

Corrected:

2017-07-13

Ensure services provided by the nursing facility meet professional standards of quality.

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2017-05-25

Corrected:

2017-07-12

Provide necessary care and services to maintain or improve the highest well being of each resident .

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2017-05-25

Corrected:

2017-07-12

Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2017-05-25

Corrected:

2017-07-12

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

Category:

Environmental Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2017-05-25

Corrected:

2017-07-12

Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2017-05-25

Corrected:

2017-08-03

Store, cook, and serve food in a safe and clean way.

Category:

Nutrition and Dietary Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2017-05-25

Corrected:

2017-07-12

Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2017-05-25

Corrected:

2017-07-12

Have a program that investigates, controls and keeps infection from spreading.

Category:

Environmental Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2017-05-25

Corrected:

2017-07-12

Learn more about Veterans Community Living Center At Fitzsimons at the following resources

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Veterans Community Living Center At Fitzsimons

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