Public Record
University Heights Care Center
Operated by Vivage Senior Living
From CMS
Facility profile
- CMS overall rating
- 2 / 5
- Certified beds
- 105
- Avg. residents per day
- 89.7
*CMS Five-Star
*CMS
*CMS
Inspection record
On record from CMS
- Health citations
- 50
- Fire safety findings
- 2
- Inspections on file
- 7
- Last inspection
- 2025-12-16
*CMS
*CMS
*CMS
*CMS
Citations
50 citations on record
Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
- 0925Generalpotential for harm
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- 0610Generalpotential for harm
Respond appropriately to all alleged violations.
- 0600Generalpotential for harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- 0677Generalpotential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
- 0679Generalpotential for harm
Provide activities to meet all resident's needs.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0699Generalpotential for harm
Provide care or services that was trauma informed and/or culturally competent.
- 0690Generalpotential for harm
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- 0686Generalpotential for harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- 0676Generalpotential for harm
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- 0552Generalpotential for harm
Ensure that residents are fully informed and understand their health status, care and treatments.
- 0849Generalpotential for harm
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
- 0761Generalpotential for harm
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- 0760Generalpotential for harm
Ensure that residents are free from significant medication errors.
- 0600Generalpotential for harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- 0744Generalpotential for harm
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
- 0689Generalpotential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0883Generalpotential for harm
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- 0697Generalpotential for harm
Provide safe, appropriate pain management for a resident who requires such services.
- 0554Generalpotential for harm
Allow residents to self-administer drugs if determined clinically appropriate.
- 0584Generalpotential for harm
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.
- 0585Generalpotential for harm
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
- 0600Generalpotential for harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- 0645Generalpotential for harm
PASARR screening for Mental disorders or Intellectual Disabilities
- 0660Generalpotential for harm
Plan the resident's discharge to meet the resident's goals and needs.
- 0685Generalpotential for harm
Assist a resident in gaining access to vision and hearing services.
- 0803Generalpotential for harm
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
- 0804Generalpotential for harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- 0806Generalpotential for harm
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0814Generalpotential for harm
Dispose of garbage and refuse properly.
- 0838Generalpotential for harm
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
- 0867Generalpotential for harm
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0600Seriousimmediate jeopardy
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- 0610Generalpotential for harm
Respond appropriately to all alleged violations.
- 0761Generalpotential for harm
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- 0758Generalpotential for harm
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.
- 0692Seriousactual harm
Provide enough food/fluids to maintain a resident's health.
- 0689Generalpotential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0688Generalpotential for harm
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.
- 0686Seriousactual harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- 0807Generalpotential for harm
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
- 0684Generalpotential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 0679Generalpotential for harm
Provide activities to meet all resident's needs.
- 0677Generalpotential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
- 0655Generalpotential for harm
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0558Generalpotential for harm
Reasonably accommodate the needs and preferences of each resident.
- 0804Generalpotential for harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspection history
Every health inspection on record
Each CMS health inspection of this facility, and the deficiencies the surveyors cited. Where the verbatim Form 2567 statement of deficiencies is on file, it links to the full report.
- View inspection reportInspection3 deficiencies
- View inspection reportInspection11 deficiencies
- View inspection reportInspection3 deficiencies
- View inspection reportInspection17 deficiencies
- View inspection reportInspectionFire Safety2 deficiencies
- View inspection reportInspection2 deficiencies
- View inspection reportInspection14 deficiencies
Ownership
Vivage Senior Living
12nursing homes nationwide, in CMS records
FAQ
Questions and answers
- What is University Heights Care Center?
- University Heights Care Center is a Medicare- and Medicaid-certified nursing home in Aurora, CO, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 065337.
- What is the CMS rating for University Heights Care Center?
- University Heights Care Center has a CMS overall rating of 2 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
- How many beds does University Heights Care Center have?
- University Heights Care Center is certified for 105 beds. It serves an average of 89.7 residents per day.
- How many citations does University Heights Care Center have?
- University Heights Care Center has 50 citations on record from CMS health inspections, each tied to a federal deficiency tag.
- When was University Heights Care Center last inspected?
- University Heights Care Center was last inspected on December 16, 2025. CMS surveys nursing homes about once a year and after complaints.
- What can I do if I have concerns about care at this facility?
- Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.
*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.
/nursing-home/065337-university-heights-care-center