Aviva at Fitzsimons
Aviva at Fitzsimons
4.2 (320 reviews)
Skilled Nursing Facility • 100 Licensed Beds
13525 East 23rd Avenue, Aurora, CO
CMS Medicare Ratings
Overall
Inspection
Staffing
Quality
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Aviva at Fitzsimons

Skilled Nursing Facility • 100 Licensed Beds
13525 East 23rd Avenue,
Aurora, CO
CMS Medicare Ratings
Overall
Inspection
Staffing
Quality
View details →
About

Aviva at Fitzsimons – Medicare Certified Since 2018

Aviva at Fitzsimons is a Medicare and Medicaid certified skilled nursing facility located in Aurora, Colorado. This facility has been serving the community for 8 years. A Medicare-certified skilled nursing facility provides 24-hour nursing care, rehabilitation services, and assistance with activities of daily living for patients who need skilled nursing or rehabilitation services on a daily basis.

This facility has 100 certified beds with a current occupancy rate of 69% (averaging 69 residents per day), which is below average. Skilled nursing facilities provide 24-hour nursing care for patients who need rehabilitation services after a hospital stay or ongoing care for chronic conditions. Services include skilled nursing, physical therapy, occupational therapy, speech therapy, and assistance with daily activities.

Staffing Levels: Based on CMS payroll data, this facility provides approximately 5.19 hours of total nursing care per resident per day (2.86 hours from CNAs, 0.88 hours from LPNs, 1.45 hours from RNs). Physical therapy staffing is 0.14 hours per resident per day. This represents above-average staffing compared to national benchmarks.

Medicare Quality Ratings: According to CMS, Aviva at Fitzsimons has an overall quality rating of 2 out of 5 stars, which is below average compared to other nursing homes nationwide. Individual category ratings are: health inspection: 2 stars, staffing: 1 stars, quality measures: 5 stars.

Medicare Coverage: Medicare covers skilled nursing facility care for up to 100 days following a qualifying hospital stay of at least 3 days. Days 1-20 are fully covered by Medicare, days 21-100 require a daily coinsurance payment. Many residents also use Medicaid, private insurance, or pay privately for long-term stays.

Questions to Ask: When visiting a nursing home, ask about: staff-to-resident ratios and RN coverage around the clock, how they handle medical emergencies, activities and therapy programs, how they communicate with families, their approach to falls prevention, and policies for managing resident complaints.

Visit Medicare Care Compare to view detailed ratings, inspection reports, staffing data, and compare this facility with others in the area.

Quality ratings and facility data are updated periodically by CMS. We recommend verifying current information at Medicare Care Compare.

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Local Comparison Snapshot

How Aviva at Fitzsimons compares to 89 facilities in Denver-Aurora-Lakewood, CO

Click a measure name to jump to details • Hover over for definitions

Measure
This Facility
Area Avg
Comparison
Overall Rating
Medicare 5-star rating
2
3.1
Quality Measures
Clinical outcomes & safety
5
4.3
Health Inspections
State survey results
2
2.5
Staffing
Nurse-to-resident ratio
1
3.1
Staffing Hours (per resident/day)
RN Hours
Registered nurses
1.45 hrs
0.84 hrs
LPN/LVN Hours
Licensed practical nurses
0.88 hrs
0.77 hrs
CNA Hours
Certified nursing assistants
2.86 hrs
2.20 hrs
Total Nursing Hours
CNA + LPN + RN combined
5.19 hrs
3.80 hrs
Agency/Contractor Usage
Lower agency use often indicates more stable, consistent care
RN Agency Use
% of RN hours from contractors
23 %
6.6 %
LPN/LVN Agency Use
% of LPN hours from contractors
26.3 %
10.0 %
CNA Agency Use
% of CNA hours from contractors
2.4 %
8.7 %
Staff Stability & Occupancy
Staff Turnover
Annual nursing staff turnover
62 %
45 %
Occupancy Rate
Percentage of beds filled
69 %
80 %
Financial Estimate
Based on CMS Cost Report data (for reference only)
Est. Daily Rate
Average cost per day
$1,187
$415
Estimate Only: This figure is calculated from cost reports and is for informational purposes only. Actual rates vary significantly. See details or contact the facility.
Better than Area
Near Average
Below Area Average

Data from CMS Medicare Compare and Payroll-Based Journal. Area averages based on 89 facilities in Denver-Aurora-Lakewood, CO.
Ratings and staffing data typically reflect the most recent quarterly reporting period available.

Medicare Star Ratings

Official CMS ratings based on health inspections, staffing, and quality measures

Data as of December 2025

What do Medicare star ratings measure?
Medicare rates nursing homes on a 1-5 star scale based on three key areas: health inspection results, staffing levels, and quality measures like falls and infections.
How often are ratings updated?
CMS updates nursing home ratings monthly. Ratings can change based on new inspection results, staffing data from payroll records, and clinical quality outcomes.
Overall Rating
2/5
Quality Measures
5/5
Health Inspections
2/5
Staffing
1/5

Star Ratings History

Quarterly performance from 2013-2026

View on Medicare.gov
Overall
Health Inspections
Quality
Staffing
Source: Centers for Medicare & Medicaid Services

How Does This Facility Compare?

Compared to 89 other nursing homes in Denver-Aurora-Lakewood, CO

Why compare to local facilities?
Local comparisons account for regional staffing markets and demographics. A facility performing above local averages often indicates strong management and quality care relative to area standards.
Aviva at Fitzsimons
Denver-Aurora-Lakewood, CO Average

Based on CMS Medicare star ratings. Higher ratings indicate better performance.

Staffing Hours per Resident Day

Aviva at Fitzsimons
Denver-Aurora-Lakewood, CO Average

Staffing data from CMS Payroll-Based Journal. Higher hours generally indicate more direct care time.

Staff Turnover Rate

Aviva at Fitzsimons
Denver-Aurora-Lakewood, CO Average

Lower turnover rates generally indicate a more stable workforce and better continuity of care.

Agency/Contract Staff Usage

Aviva at Fitzsimons
Denver-Aurora-Lakewood, CO Average

Lower agency usage often indicates better staff retention. High agency rates (>30%) may suggest staffing challenges.

Agency Staff Trends

Historical agency/contract staff usage by role

What does agency usage indicate?
Agency/contract staff fill temporary staffing gaps. Lower percentages typically indicate a stable, permanent workforce. Facilities with consistently high agency usage (>30%) may face staff retention challenges, though temporary spikes can occur during seasonal illness or transitions.
CNA
LPN
RN

Data from CMS Payroll-Based Journal (PBJ). Agency % = contractor hours / total hours.

Direct Care Staffing

Average minutes of direct nursing care per resident per day

Data as of December 2025

Understanding staffing levels: Higher staffing is associated with better quality outcomes. Research suggests around 4.1 hours of total nursing care per resident per day as a quality benchmark. Compare this facility's staffing to local averages to assess relative care levels.
172
minutes/day
CNAs
Certified Nursing Assistants
53
minutes/day
LPNs
Licensed Practical Nurses
87
minutes/day
RNs
Registered Nurses
8
minutes/day
PTs
Physical Therapists

Staffing Trends

Direct care minutes per resident per day

CNAs
LPNs
RNs
PTs
Source: Centers for Medicare & Medicaid Services

Occupancy Rate History

Average daily residents as a percentage of certified beds

Understanding occupancy: Higher occupancy can indicate strong community reputation and demand. Very low occupancy may affect financial stability, while extremely high occupancy could mean limited bed availability.
Aviva at Fitzsimons
Denver-Aurora-Lakewood, CO Average (80.2%)

Data from CMS Provider Info files. Occupancy = Average Residents per Day / Certified Beds.

Staff Turnover History

Annual percentage of nursing staff who left the facility

Data as of December 2025

Understanding turnover: Lower turnover rates generally indicate a more stable workforce and better continuity of care. High turnover can affect care quality and resident relationships. The national average for nursing homes is around 50-60%.
All Nursing Staff
Registered Nurses (RN)
Area Average

Data from CMS Payroll-Based Journal. Turnover = staff who left during the year / total staff.

Average Daily Rate

Average daily charge for care at this facility

Based on CMS Cost Report data (inpatient revenue ÷ total patient days)

FY 2023 Daily Rate
$1,187
per resident per day
Compared to 88 facilities in your area
Above local median ($415)
Daily Rate Trend (2018-2023)
Contact Facility for Actual Rates
This figure is an average calculated from cost reports and is for informational purposes only. Actual rates vary significantly based on level of care needed, room type, payer source (Medicare, Medicaid, private pay), and other factors. Please contact the facility directly for current pricing and availability.
How This Is Calculated
This average daily rate is calculated from CMS Cost Reports by dividing total inpatient revenue by total patient days. It represents an average across all payers and care levels. Higher rates may indicate more intensive care, specialized services, or regional cost factors.

Data Source: Financial data from CMS Skilled Nursing Facility Cost Reports. Data typically lags 1-2 years. This information is for educational purposes only and should not be the sole basis for financial or care decisions. CareListings does not guarantee accuracy.

Financial Health

Comprehensive financial indicators from CMS Cost Reports

Data from fiscal year 2023 (most recent available - cost report data lags ~2 years)

For-Profit Facility

Financial Summary

Metric This Facility Local Median Comparison
Operating Margin
Profitability ratio
-12% -5% Below
Net Income
Annual profit or loss
$-2,249,315 $-212,316 Below
Staff Cost per Resident
Daily salary expense per resident
$339/day $190/day Higher
Occupancy Rate
Bed utilization percentage
69% 82% Lower
Est. Daily Rate
Average revenue per patient day
$1187/day $415/day Higher
Total Beds
Licensed bed capacity
100 106 Smaller

Local comparisons based on 88 skilled nursing facilities in the Denver-Aurora-Lakewood, CO metro area

Revenue & Expenses

Net Patient Revenue
After adjustments & allowances
$18,735,615
Operating Expenses
Total operating costs
$21,070,449
Total Salaries
Staff compensation
$9,941,283
Contract Labor
Agency & temp staff
$2,683,911

Payer Mix

Medicare
19%
Medicaid
32%
Private Pay & Other
49%

Operating Margin Trend (2018-2023)

Understanding Financial Health
Operating Margin: Percentage of revenue remaining after operating costs. Positive = profitable operations.
Staff Investment: Higher spending per resident often correlates with better care quality.
Payer Mix: Shows revenue sources. Higher Medicare % typically means more post-acute/rehab care; higher Medicaid % indicates more long-term care residents.
Nonprofit/Government: May operate with lower margins while still providing quality care due to community mission.

Data Source: All financial data on this page comes from CMS Skilled Nursing Facility Cost Reports submitted by the facility to the Centers for Medicare & Medicaid Services. This information is provided for educational purposes only and should not be the sole basis for any financial or care decisions. Cost report data typically lags 1-2 years. CareListings does not guarantee the accuracy of this data.

Who Stays Here

Breakdown of residents by payment type

Based on fiscal year 2023 cost report data

Total Days
29,289
Medicare
Short-term skilled nursing
19%
Medicaid
Long-term care residents
32%
Private Pay / Other
Self-pay, insurance, VA
49%
Higher Medicare %
Indicates more short-term rehabilitation residents. Medicare typically covers up to 100 days of skilled nursing care after a hospital stay.
Higher Medicaid %
Indicates more long-term care residents. Medicaid covers nursing home care for those who qualify financially.

Average Length of Stay

How long residents typically stay at this facility

Based on fiscal year 2023 cost report data

Overall Average
81.13
days
Medicare Stays
41.03
days
Medicaid Stays
464.05
days
Total Admissions
463
Total Discharges
361
Medicare (Short-Term)
Medicare covers skilled nursing for rehabilitation after a hospital stay. Typical stays are 20-30 days for recovery from surgery, stroke, or illness.
Medicaid (Long-Term)
Medicaid covers long-term nursing home care for those who qualify. Many residents stay months or years, receiving ongoing daily care and support.

Join Our Caring Team

We're always looking for compassionate individuals who are dedicated to providing exceptional care for our residents. Explore career opportunities at Aviva at Fitzsimons.

Current Job Openings

Reviews

4.2 (320 reviews)
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Fancy Anasazi - Gallegos's profile photo

Aviva is by far One of the nicest places that I've been to as well as having the best staff. My dad went in there on hospice in December and now he is better than he was before. The employees are outstanding and the PT there is great. I think he wants to stay there and not come home. My dad loves it there and it's great because they keep them pretty busy with several activities a day with people that he can relate to. Thank you so much for taking such good care of my dad.

Michelle Lee's profile photo
Michelle Lee 4 months ago

My mom is happy with the care she’s receiving at Aviva. The facility is nice and comfortable which makes it pleasant for our family members and friends to visit my mom. I am particularly impressed with the fun energy and determination of Elsie and Qiqi on helping my mom get out of bed and walk, while also helping the nurses out keep her clean. They work well together and it makes my visit more enjoyable. Kudos to these 2 ladies. Good therapists and good care make all the difference.

Justine Wentworth's profile photo
Justine Wentworth 5 months ago

After a loved one broke their hip, we place them at Aviva to rehab. Their staff was fantastic, the facility was spotless, and the support and care shown to our family was wonderful. We loved the OT/PT team. The CNAs were AMAZING, assisting us quickly and with great care. The medical and social work team was instrumental in ensuring our loved one was cared for well. I definitely recommend this place!

Louis M. Gallegos Jr.'s profile photo

I am a 74-year-old Marine Vietnam Veteran, and I have been in Aviva since December 20, 2024. It is currently June 23, 2025, so I have been here for almost 7 months. After speaking to some of the residents who have been in other nursing facilities, I can say this facility is much better than the others I’ve heard about. I’ve talked to a lot of other residents. The staff here has been great. When I arrived, I was incapable of moving my hands and feet, and I could not adjust myself in bed. The only thing working was my mind. Since I’ve been here, the physical therapy and occupational therapy teams have gotten me walking, and I’m getting a lot better than I was when I first got here. The nurse’s assistants have been great; the nurses have been great. The menu is good, and you don’t have to order what’s on the menu, you can make up your own, and they will try to accommodate you. The activities are great; we have activities two to three times a day, and on Wednesday nights they have movies with popcorn. The social services team has been great at resolving problems that come up with residents. Everyone treats you with respect and tries to accommodate all your wishes. I have enjoyed my stay here at Aviva. So, I give Aviva a thumbs up on everything. Like I said, I am walking with a cane now, whereas before I could not move. I recommend Aviva for any elderly people who need help who cannot live at home without assistance.

Emilio Sabala's profile photo
Emilio Sabala 4 months ago

I’ve been living here for a little over a month now after transferring from another facility, and I’m absolutely loving it. The staff are amazing and incredibly helpful. I want to give a special shout-out to Dulce, the receptionist—she’s gone above and beyond to assist me with any issues I’ve had with my cellphone and computer, and even took the time to teach me how to use Amazon! Overall, everyone on the staff has been wonderful, and I’m truly enjoying my stay at Aviva at Fitzsimons.

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