Anna Maria of Aurora

In the surveyor’s words

From the most serious findings on record at Anna Maria of Aurora, in the surveyor’s own words.

• Actual harm, isolatedF689Dec 9, 2024

  Based on closed record review, interview and review of facility policy, the facility failed to provide adequate assistance/supervision and develop and implement a comprehensive, individualized and effective fall prevention program for Resident #91 to prevent falls with injury and failed to ensure the resident was adequately and timely assessed post fall. Actual harm occurred beginning on 09/27/24 when Resident #91, who was at high risk for falls, had a history of multiple falls and was cognitively impaired with poor safety awareness, sustained a witnessed fall resulting in injury in the rehab gym when Physical Therapy Assistant (PTA) #432 walked away from Resident #91 during treatment to get equipment and the resident fell while being left unattended. […]

• No harm, potential for more than minimal, widespreadF812Dec 22, 2025

  Based on observation, review of the kitchen cleaning logs, interviews and facility policy review, the facility failed to ensure the kitchen was maintained in a clean sanitary manner. The facility also failed to ensure the unit refrigerators for resident use were maintained as required. This had the potential to affect all 87 residents who received meals from the facility kitchen. The facility indicated there were no residents who received nothing by mouth. The facility census was 87.Findings include:1. Initial kitchen tour on 12/15/25 at 8:45 A.M. with Dietary Manager (DM) #700 revealed the following concerns:A. […]

• No harm, potential for more than minimal, widespreadF814Dec 22, 2025

  Based on observation, staff interview and facility policy review, the facility failed to ensure the dumpster/refuse area was maintained in a clean and sanitary condition. This had the potential to affect all residents residing in the facility. The facility census was 87.Findings include:Observation during the initial kitchen tour completed on 12/15/25 at 9:16 A.M. with Dietary Manager (DM) #700 revealed the dumpster lid was open, the dumpster was overflowing, and there were four bags of garbage on the ground surrounding the dumpster. […]

• No harm, potential for more than minimal, patternF761Dec 22, 2025

  Based on observation, interview, and facility policy review, the facility failed to maintain clean medication storage in the North and South medication carts. This affected 50 residents (Residents #01, #04, #05, #07, #09, #11, #13, #17, #18, #20, #22, #23, #27, #29, #32, #35, #37, #38, #40, #42, #43, #45, #46, #47, #48, #49, #51, #52, #53, #54, #59, #63, #64, #68, #69, #70, #74, #76, #78, #79, #80, #81, #82, #83, #85, #86, #87, #88, #99, #100) out of 50 residents on the North and South medication carts, and had the potential to affect all 87 residents residing in the facility.Findings include:Observation on 12/16/25 at 7:55 A.M. […]

• No harm, potential for more than minimal, patternF761Aug 24, 2023

  Based on observation, interview, and facility policy review the facility failed to securely store medications. This had the potential to affect the four independently ambulatory residents (#59, #53, #24, and #48) in non-secured units. The facility census was 90. Findings include: On entry into the facility on [DATE] at 8:00 A.M., the surveyor observed a large, full paper bag on a table in the unmonitored breezeway inside the unlocked main entrance. The bag was stapled shut and labeled 'return to pharmacy.' Observation on 08/21/23 at 8:30 A.M. alongside the interim Director of Nursing revealed the bag contained 43 medication cards and one medication bottle. All of these items contained at least one remaining pill. Interview with the Interim Director of Nursing on 08/21/23 at 8:39 A.M. […]