Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

THE SPRINGS AT ST. ANDREWS VILLAGE

AURORA, CO · 58 certified beds · Last Life Safety survey March 26, 2026

CMS Certification Number 065388 · first certified March 2007

Ownership

Operated by THE ENSIGN GROUP · For profit - Corporation

  • Ownership changed June 1, 2024 (change of ownership)from AURORA NURSING AND REHAB CENTER
27
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
6
Tags cited more than once
Across separate surveys
14
Inspection & testing records
Of the citations on file

Position within CO

27 citations — more than 82% of the 210 certified nursing homes in CO. Compared within CO rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 0 citations; the earlier surveys in the window averaged 13.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens September 2027 — about 11 months from now. This facility’s last Life Safety survey was March 2026. Facilities in CO are typically surveyed 17–24 months after the last one (median 19), measured over 177 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

4 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Physical environment (health survey)

6 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 27 Life Safety citations above. The Physical Environment Index

  • F-0584 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  • F-0908 Keep all essential equipment working safely.
  • F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
  • F-0923 Have enough outside ventilation via a window or mechanical ventilation, or both.
  • F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

Compared with the median facility in CO, and nationally. Surveyors differ markedly between states, so the CO figure is the meaningful one.

This facility27CO median16National median11
Citations on file over three years, compared
MeasureCitations
This facility27
Median facility in CO16
Median facility nationally11

Survey history

Citations at each Life Safety survey
82022-12192024-0302026-03
Citations at each Life Safety survey
Survey dateCitations
December 15, 20228
March 27, 202419
March 26, 20260

Most-cited tags

Most-cited tags at this facility
K-03532K-02112K-03212K-03632K-05112K-07122K-03721K-09201
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0353Inspect, test, and maintain automatic sprinkler systems.22024-03-27
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.22024-03-27
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.22024-03-27
K-0363Install corridor and hallway doors that block smoke.22024-03-27
K-0511Have properly installed electrical wiring and gas equipment.22024-03-27
K-0712Have simulated fire drills held at unexpected times.22024-03-27
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.12024-03-27
K-0920Ensure proper usage of power strips and extension cords.12024-03-27

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 10
  • Egress Deficiencies 7
  • Gas, Vacuum, and Electrical Systems Deficiencies 4
  • Miscellaneous Deficiencies 4
  • Other 2
Citations by CMS category
CategoryCitations
Smoke Deficiencies10
Egress Deficiencies7
Gas, Vacuum, and Electrical Systems Deficiencies4
Miscellaneous Deficiencies4
Services Deficiencies2

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

March 27, 2024 — 19 citations

Citations issued on March 27, 2024
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (June 11, 2024)
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.Waiver has been granted (October 1, 2024)
K-0231Provide large enough exits.Waiver has been granted (October 1, 2024)
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (June 10, 2024)
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (June 11, 2024)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (June 10, 2024)
K-0331Construct fire resistant interior walls.Deficient, Provider has date of correction (June 11, 2024)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Waiver has been granted (September 20, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Waiver has been granted (October 1, 2024)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (June 11, 2024)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (June 11, 2024)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (June 11, 2024)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (June 11, 2024)
K-0753Have restrictions on the use of highly flammable decorations.Deficient, Provider has date of correction (June 11, 2024)
K-0781Have restrictions on the use of portable space heaters.Deficient, Provider has date of correction (June 11, 2024)
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.Deficient, Provider has date of correction (June 11, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Waiver has been granted (May 15, 2024)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (June 11, 2024)
K-0923Have proper medical gas storage and administration areas.Waiver has been granted (October 1, 2024)

December 15, 2022 — 8 citations

Citations issued on December 15, 2022
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (January 25, 2023)
K-0281Install proper backup exit lighting.Deficient, Provider has date of correction (January 25, 2023)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (January 25, 2023)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (January 25, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (January 25, 2023)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (January 25, 2023)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (February 23, 2023)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (January 25, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.