Public Record
The Springs at St. Andrews Village
Operated by The Ensign Group
From CMS
Facility profile
- CMS overall rating
- 4 / 5
- Certified beds
- 58
- Avg. residents per day
- 52.4
*CMS Five-Star
*CMS
*CMS
Inspection record
On record from CMS
- Health citations
- 26
- Fire safety findings
- 37
- Inspections on file
- 7
- Last inspection
- 2026-03-26
*CMS
*CMS
*CMS
*CMS
Citations
26 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.
- 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.
- 0550Generalpotential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- 0923Generalpotential for harm
Have enough outside ventilation via a window or mechanical ventilation, or both.
- 0908Generalpotential for harm
Keep all essential equipment working safely.
- 0921Generalpotential for harm
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- 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.
- 0759Generalpotential for harm
Ensure medication error rates are not 5 percent or greater.
- 0697Seriousactual harm
Provide safe, appropriate pain management for a resident who requires such services.
- 0684Generalpotential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 0947Generalpotential for harm
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
- 0658Generalpotential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
- 0730Generalpotential for harm
Observe each nurse aide's job performance and give regular training.
- 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.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0580Generalpotential for harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- 0684Generalpotential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 0691Generalpotential for harm
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
- 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.
- 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.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0804Generalpotential for harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- 0550Generalpotential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- 0790Generalpotential for harm
Provide routine and 24-hour emergency dental care for each resident.
- 0692Seriousactual harm
Provide enough food/fluids to maintain a resident's health.
- 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.
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 reportInspection10 deficiencies
- View inspection reportInspectionFire Safety19 deficiencies
- View inspection reportInspection5 deficiencies
- View inspection reportInspection6 deficiencies
- View inspection reportInspectionFire Safety8 deficiencies
- View inspection reportInspection5 deficiencies
- View inspection reportInspectionFire Safety10 deficiencies
Ownership
The Ensign Group
338nursing homes nationwide, in CMS records
33 in Colorado, 305 in other states.
Counted from the chain CMS itself discloses for this home, which matches CMS Care Compare. ReadyRule's own common-control analysis is a separate and broader lens, and the two can differ.
FAQ
Questions and answers
- What is The Springs at St. Andrews Village?
- The Springs at St. Andrews Village 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 065388.
- What is the CMS rating for The Springs at St. Andrews Village?
- The Springs at St. Andrews Village has a CMS overall rating of 4 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
- How many beds does The Springs at St. Andrews Village have?
- The Springs at St. Andrews Village is certified for 58 beds. It serves an average of 52.4 residents per day.
- How many citations does The Springs at St. Andrews Village have?
- The Springs at St. Andrews Village has 26 citations on record from CMS health inspections, each tied to a federal deficiency tag.
- When was The Springs at St. Andrews Village last inspected?
- The Springs at St. Andrews Village was last inspected on March 26, 2026. 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.
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