Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Advanced Health Care Of Aurora during CMS and state inspections, most recent first.
A medication cart was left unlocked and unattended near the nurses' station while residents and housekeeping personnel were nearby. An RN was observed opening the cart, charting away from it, and leaving it unlocked for several minutes before returning to lock it. Staff stated medication carts should be locked when unattended, and the DON confirmed the facility policy was to keep medications locked at all times.
The facility failed to maintain effective infection control practices, as residents were not offered hand hygiene before meals, and an LPN used the same blood sugar testing supplies for multiple residents without changing them. Observations and interviews confirmed these lapses, highlighting a significant risk of cross-contamination and infection spread within the facility.
The facility failed to update comprehensive care plans for three residents, leading to deficiencies in addressing their medical needs. A resident's care plan did not reflect a new deep tissue injury or the use of a heel protector. Another resident's care plan was not updated after discontinuing a feeding tube and IV antibiotics, nor did it include fall prevention measures. A third resident's care plan failed to document a stage IV pressure injury and necessary treatment orders.
The facility failed to properly manage medication storage and temperature monitoring. Discontinued medications were not discarded, and loose pills were found in a medication cart. The medication refrigerator's temperature was inconsistently monitored, with missing documentation and recorded temperatures exceeding acceptable ranges without intervention. The DON confirmed the need for daily checks and immediate action on abnormalities.
Unlocked Medication Cart Left Unattended
Penalty
Summary
The facility failed to ensure medications and biologicals were stored in accordance with accepted professional standards in one of three medication carts. The facility policy stated that only licensed nurses and pharmacy personnel were allowed access to medications and that medication rooms, carts, and medication supplies were to be locked or attended by persons with authorized access. On observation, medication cart #5 was found unlocked when not in the direct line of sight of a nurse. One RN was observed tugging on the top drawer of the cart, which opened, and then pushing the lock in with his hand to secure it. Later, the same cart was observed unlocked and unattended near the nurses' station while residents and housekeeping personnel were nearby. An RN opened and closed a drawer, charted at the nurses' station, walked away from the cart leaving it unlocked, and returned several minutes later to lock it. Staff interviews confirmed that medication carts should be locked when unattended and that the cart should not have been left unlocked.
Inadequate Infection Control Practices in LTC Facility
Penalty
Summary
The facility failed to maintain an effective infection control program, as evidenced by the lack of hand hygiene offered to residents before meals. Observations revealed that residents in the dining room, including those in wheelchairs, were not provided with hand hygiene opportunities before eating. Additionally, meal trays delivered to resident rooms did not include hand sanitizing packets, and staff did not encourage or assist residents with hand hygiene. Interviews with residents confirmed that they were not offered hand hygiene before meals, and staff interviews corroborated the lack of adherence to hand hygiene protocols. The facility also failed to ensure that point of care (POC) testing supplies were not contaminated between residents. An LPN was observed using a disposable plastic cup containing blood sugar testing supplies for multiple residents without changing the supplies between uses. The same cup and supplies were used in different resident rooms and then stored in the medication cart, posing a risk of cross-contamination. The LPN acknowledged the inappropriate practice during an interview, and the DON confirmed that supplies should not be shared among residents. These deficiencies highlight a significant lapse in the facility's infection prevention and control measures, as they did not adhere to established guidelines and policies. The lack of hand hygiene before meals and the improper handling of POC testing supplies could contribute to the spread of infectious diseases within the facility, compromising the safety and well-being of the residents.
Failure to Update Comprehensive Care Plans for Residents
Penalty
Summary
The facility failed to develop comprehensive care plans for three residents, which led to deficiencies in addressing their specific medical needs. Resident #4, who was admitted with a pressure ulcer, did not have her care plan updated to reflect a new deep tissue injury on her right heel. Additionally, the intervention of using a soft heel protecting boot was not included in her care plan, despite being used as a protective measure. Interviews with staff, including the infection preventionist, confirmed that the pressure injury and the use of the heel protector should have been documented in the care plan. Resident #11 experienced significant changes in her medical condition, including the discontinuation of a feeding tube and IV antibiotics, and a transition to oral feeding. However, her care plan was not updated to reflect these changes, nor did it include interventions following a fall she experienced at the facility. Interviews with the registered dietitian and the director of nursing revealed that the care plan should have been revised to include the new diet orders and fall prevention measures. Resident #26, who had severe cognitive impairments, was admitted with a pressure injury on the sacrum. The comprehensive care plan failed to document the presence of a stage IV pressure injury and did not include the wound physician's treatment orders or recommendations for turning the resident. The director of nursing acknowledged that the care plan should have been updated to reflect these changes in the resident's condition.
Medication Storage and Temperature Monitoring Deficiencies
Penalty
Summary
The facility failed to ensure proper storage and management of medications, as observed in the medication storage room and one of the medication carts. Specifically, medications that had been discontinued were not discarded from the medication cart, and loose pills were found in a drawer of the cart, with the LPN unable to identify them. Additionally, the medication refrigerator's temperature was not consistently monitored or documented, with several days missing records and instances of recorded temperatures exceeding the acceptable range without any documented interventions. The facility's policy requires medications to be stored securely and under proper temperature controls, with refrigerator temperatures monitored and recorded twice daily. However, the August, September, and October logs showed numerous days without temperature documentation, and abnormal temperatures were recorded without any corrective actions. The DON confirmed that medications should be removed from the cart on the day they are discontinued and that refrigerator temperatures should be checked daily, with any abnormalities reported and addressed.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Aurora
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Garden Terrace Alzheimer's Center Of Excellence | 0.3 mi | ★★★★★ | 2 | 0 |
| Life Care Center Of Aurora | 0.6 mi | ★★★★★ | 25 | 0 |
| The Springs At St. Andrews Village | 1 mi | ★★★★★ | 10 | 0 |
| Hampden Hills Post Acute | 2.2 mi | ★★★★★ | 0 | 0 |
| University Heights Care Center | 3.1 mi | ★★★★★ | 3 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.