Avenue at Aurora

In the surveyor’s words

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

• Actual harm, isolatedF689Dec 4, 2025

  Based on observation, record review, review of facility fall investigations, review of hospital records, interviews and policy review, the facility failed to develop and implement a comprehensive, individualized and effective fall prevention program to ensure Resident #98's safety and supervisory needs were met to decrease the resident's risk of falls including a fall with major injury. The facility also failed to ensure fall safety interventions were in place as planned for Resident #53. This affected two (Resident #53 and #98) of three residents reviewed for falls. The facility census was 96. […]

• No harm, potential for more than minimal, widespreadF725May 20, 2024

  Based on observation, interview, record review, and policy review, the facility failed to provide sufficient staff to provide the needed care and services to all residents. This had the potential to affect all 91 residents in the facility. The facility census was 91. Findings include: Review of Resident Council Minutes dated 03/25/24 revealed residents stated call light response times were at times longer than they would like, however residents were unable to give time of day, night or weekend, weekday. […]

• No harm, potential for more than minimal, widespreadF812Sep 21, 2023

  Based on observation, interview, and record review the facility failed to ensure the kitchen was maintained in a clean and sanitary condition and staff properly wore hair restraints while in the kitchen. This had the potential to affect all residents except one resident (#73) who received nothing by mouth. The facility census was 84. Findings include: Tour of the kitchen on 09/18/23 from 8:57 A.M. through 9:10 A.M. with Certified Dietary Manager (CDM) #309 revealed observation of a clear container of thickener with a small, clear plastic bowl stored in it. Next to the prep table where the container of thickener was located was a silver rack where the spices were stored, on the bottom shelf of the rack were plastic tubs stored upside down. […]

• No harm, potential for more than minimal, widespreadF880Aug 12, 2021

  Based on interview, observation, record review, review of the Centers for Disease Control and Prevention (CDC) guidance and policy review, the facility failed to ensure staff covered or changed their N95 masks or cleansed their goggles after exiting a room of a resident on droplet isolation precautions. This affected two residents (Resident #287 and #289) of four residents (Resident #2, #287, #288 and #289) on droplet isolation droplet precautions. This had the potential to affect all 82 residents. Findings include: 1. Review of the medical record for Resident #289 revealed an admitted [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of the immunization record for Resident #289 revealed he did not have the COVID-19 vaccination. […]

• No harm, potential for more than minimal, isolatedF842Jan 20, 2026

  Based on record review, observation, interview and review of facility policy, the facility failed to ensure medications were accurately documented as administered. This affected one resident (Resident #83) of three residents who were observed for medication administration. The facility census was 96.Findings include:Review of the medical record for Resident #83 revealed an admission date of 08/20/25. Pertinent diagnoses included sepsis with an unspecified organism, urinary tract infection, chronic obstructive pulmonary disease (COPD), metabolic encephalopathy, gastroesophageal reflux disease (GERD), unspecified atrial fibrillation, unspecified heart failure, diastolic congestive heart failure, and anxiety. […]