Westfield Quality Care of Aurora

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

33.8% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that worse than the national rate. This is CMS’s risk-adjusted rate over 32 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

No payroll-based (PBJ) staffing hours are on file for this home — and the record suggests that is because it did not report them. CMS rates its staffing 1 of 5, which is the rating CMS assigns when a home does not report. Every Medicare-certified nursing home is required to submit its actual payroll data quarterly, and that submission is what makes staffing numbers auditable rather than a claim. A home that does not file is not the same as a home with no data yet: ask this home directly what its nurse-to-resident ratios and weekend RN coverage are, why its payroll data is not filed, and weigh the independent health-inspection score heavily in the meantime.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

22 citations, most serious first. The 11 most serious are shown; the remaining 11 are one tap away and print in full.

• Immediate jeopardy · J2024-04-15 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference Number 175 NAC 12-006.09 Based on record review, observations, and interviews, the facility failed to complete control testing on the facility glucometers (a machine that is used to monitor blood sugar levels) each night in order to maintain accurate blood sugar readings for the administration of sliding scale insulins and to ensure the accuracy of all blood sugars being monitored in the facility. This affected 6 residents who received Sliding Scale Insulin. (Residents 8, 9, 17, 30, 31, and 34). The facility failed to ensure that thorough skin checks were implemented for 1 Resident (Resident 30), of 4 sampled Residents. The facility census was 53. Findings are: A. Record Review of the Medline Evencare Proview Users glucometer manual reviewed at the facility dated 2018 states the following: The purpose of the control solution testing is to validate that the EVENCARE ProView Meter is working properly with the test strips. You should perform a control solution test when: 1.) Using the meter for…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-03-04 · tag F0610 — failed to investigate and act on abuse reports — pattern
  Respond appropriately to all alleged violations.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference Number 175 NAC 12-006.02(H)Based on observations, record review, and interview the facility failed to ensure a thorough investigation for 3 of 3 resident to resident abuse incidents affecting Residents 3, 4, 6, 1, and 2; and failed to develop interventions to protect other residents from further adverse behaviors for 2 residents (Residents 6 and 1). The facility census was 54.Findings are:A.Record review of the facility policy titled Abuse, Neglect, and Exploitation dated June 2025 revealed that it is the facility policy to provide protections for the health, welfare, and rights of each resident by developing and implementing written policies and procedures that prohibit and prevent abuse and neglect. An immediate investigation is warranted when suspicion of abuse, neglect or exploitation, or reports of abuse, neglect, or exploitation occur. Written procedures for investigations include:1- Identifying staff responsible for the investigation.2- Exercising caution in handling evidence.3-…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2025-04-07 · tag F0801 — widespread
  Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure Reference Number 175NAC 12-006.04(H)(ii)(2) Based on observation, record review, and interview the facility failed to ensure that it employed a Certified Dietary Manager (CDM) (a CDM has completed education to be a nationally recognized expert in managing dietary operations and ensuring food safety) to oversee the facility food service. This affected all facility residents. The facility census was 50. Findings are: Record review of the facility Dietary Manager Job Description dated 2018 revealed that minimum requirements include one of the following: Certification as a Dietary Manager (Certified Dietary Manager) or Certification as a Food Service Manager. Major duties and responsibilities include maintaining a clean and sanitary environment; overseeing safe and timely meal preparation including the provision of meals and or supplements in accordance with resident's needs-preference-and care plan; monitoring regular and therapeutic diets including texture of foods and liquids to meet the specialized needs of residents. The employee acknowledgement on the job description was…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2025-04-07 · tag F0804 — failed to serve food at safe, palatable temperature — widespread
  Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure Reference Number 175 NAC 12-006.11(D) Based on observation, record review, and interview; the facility failed to ensure that foods were held at the required temperatures during meal service to ensure meals were palatable and at an appetizing temperature; and the facility failed to ensure that pureed foods (a cooked food item that has been ground with a blender into a smooth, soft, pudding-like consistency for residents with difficulty chewing or swallowing) were prepared to maintain nutritive value for 1 of 1 residents (Resident 43). The facility census was 50. Findings are: A. Record review of the facility policy titled Food Temperatures dated 2021 revealed that the temperatures of all food items will be taken and properly recorded prior to service of each meal. All hot food items must be cooked to appropriate internal temperatures, held, and served at a temperature of at least 135 degrees Fahrenheit (F). Temperatures should be taken periodically to assure hot foods stay above 135F during the holding and plating process and until food leaves the service area. Record…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2025-04-07 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure Reference Number 175 NAC 12-006.11(E) Based on observation, interview, and record review; the facility failed to ensure that dietary staff performed hand washing to prevent the potential for cross contamination and food borne illness during food preparation and food service; the facility failed to maintain held foods within the required safe temperature range during meal service to prevent the potential for foodborne illness; the facility failed to perform daily testing of sanitizer chemical concentration to ensure sanitizer was at the required levels for use; and the facility failed to maintain dietary equipment and areas free of soiling and debris. This had the potential to affect all residents who resided within the facility. The facility census was 50. Findings are: A. Record review of the facility policy titled General Food Preparation and Handling dated 2021 revealed that food items will be prepared to conserve nutritive value and keep free of harmful organisms and substances. The kitchen surfaces and equipment will be cleaned and sanitized as appropriate. Bare hands…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2025-04-07 · tag F0880 — failed to prevent and control infections — widespread
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference Number 175 NAC 12-006.19(C) Based on observations, interviews, and record review, the facility failed to properly handle clean and soiled linens throughout the building, this had the potential to affect all facility residents. The facility failed to [NAME] resident care equipment in a manner to prevent transfer of microorganisms for 2 of 3 sampled residents, Resident 7 and Resident 30, and failed to clean and disinfect glucometers between resident use for 2 of 3 sampled residents, Resident #0 and Resident #34. The facility census was 50. Findings are: A. An observation on 04/01/2025 at 12:45 PM, Housekeeper-J (HSK-J) was observed pulling a cart down the 200-hall, bumping into the fire door, pulling it closed. The cart was observed to be open, with its flap to cover one side of the cart pulled up and over, exposing the full cart of clean linens. HSK-J continues to pull the cart to the SPA room, where the linens were placed into the room for resident use. HSK-J was observed to not use hand…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-04-07 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference Number 175NAC 1-009.01(B) Licensure Reference Number 175NAC 12-006.19 Based on observation, record review, and interview; the facility failed to ensure resident rooms were kept free of soiling and debris for 19 of 24 residents (Residents 38, 3, 2, 12, 47, 37, 28, 22,16, 23, 35, 43, 44, 21, 15, 34, 49, 26, and 29); and the facility failed to maintain facility toilet seats in a cleanable condition for 3 of 24 residents (Residents 47, 34, and 49). The facility census was 50. Findings are: A. Record review of the undated facility admission Packet revealed that the facility agrees to provide the following service for the prevailing basic monthly rate: Furnish room, meals, linens, laundry service, nursing care, housekeeping and maintenance, restorative care, assistance with social service needs and recreational activity programs. Record review of the facility Resident Rights dated 2012 revealed that the nursing facility must care for residents in a manner and in an environment that promotes…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-04-07 · tag F0759 — failed to keep medication error rate low — pattern
  Ensure medication error rates are not 5 percent or greater.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference Number 175 NAC 12-006.10(D) Based on observation, record review, and interview; the facility failed to have a medication error rate of 5% or less. This affected 4 (Resident 9, 45, 48, and 49) of 7 sampled residents. The facility census was 50. Findings are: A record review of a facility policy titled Medication Administration and dated 04/2025 revealed to administer medications with in 60 minutes prior to or after the scheduled time and ensure that the six rights of medication administration are followed including the right time. A. A record review of a Medication Administration Record dated 04/02/2025 revealed Resident 9 was admitted to the facility on [DATE] with diagnoses of Hypothyroidism (a deficiency of thyroid hormone). The resident had an order to receive Levothyroxin (thyroid hormone supplement) tablet 25 micrograms once daily with directions to administer the medication 30 minutes prior to other medications and or eating and Levothyroxin (thyroid hormone supplement) tablet 200…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-04-07 · tag F0803 — failed to meet residents' dietary needs — pattern
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure Reference Number 175NAC 12-006.11(A)(i) Based on observation, record review, and interview; the facility failed to ensure that facility menus were followed to provide the required food portions to meet resident nutritional needs for 14 of 15 residents observed (Residents 49, 44, 32,16, 40, 19, 1, 22, 47, 8, 15, 39, 13, and 6). The facility census was 50. Findings are: Record review of the facility policy titled Open Style Dining dated 3/2/21 revealed that individuals will be provided choices of what to eat, when to eat, and who to dine with. The policy revealed that nursing and/or food and nutrition services staff will offer food and beverage choices to the individual at the point of service and report an individual's food and beverage choices to the staff members responsible for serving the food. Food and nutrition services staff will serve food and beverage choices made with consideration given to any dietary restrictions and/or texture modifications. The director of food and nutrition services (Dietary Manager) will observe the meals served for preferences, portion…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-04-07 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure Reference Number 175 NAC 12-006.05(S) Based on observation, record review, and interview; the facility failed to promote or maintain dignity for 1 (Resident 37) of 2 sampled residents. The facility census was 50. Findings are: A record review of the facility supplied admission packet revealed a document labeled Nursing Facility Resident Rights dated 2012. Review of this document revealed the resident has the right to be cared for in a manner and environment that maintains or enhances a resident's dignity. A record review of a facility policy titled Abuse, Neglect and Exploitation dated 09/13/2022 revealed it is the policy of the facility to provide protections for the health, welfare and rights of each resident. A record review of an admission Record dated 04/01/2025 indicated that the facility admitted Resident 37 on 01/24/2024 with diagnoses of Alzheimer's disease (a degenerative brain disease of unknown cause that usually starts in late middle age or in old age, that results in progressive memory loss, impaired thinking, disorientation, and changes in personality and…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-04-07 · tag F0552 — isolated
  Ensure that residents are fully informed and understand their health status, care and treatments.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure Reference Number 175 NAC 12-006.05(D) Based on record review and interview, the facility failed to inform and or educate the resident and or their representative in advance of the risks or possible side effects of the use of psychotropic medication for 2 (Resident 35 and Resident 49) of 2 sampled residents. The facility census was 50. Findings are: A record review of a facility policy titled Use of Psychotropic Medication (a medication that affects the brain and central nervous system to alter mood, behavior, thoughts, and perception) dated 04/2024 revealed Residents and or representatives shall be educated on the risks and benefits of psychotropic drug use. A. A record review of an admission Record revealed the facility admitted Resident 35 on 12/21/2023 with diagnoses of neurocognitive disorder with Lewy bodies (a degenerative brain disorder) and anxiety disorder (an abnormal and overwhelming sense of apprehension and fear often marked by physical signs, by doubt concerning the reality and nature of the threat, and by self-doubt about one's capacity to cope with it). A…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

$41,980 in federal fines across 1 penalty.

• $41,980 — penalty dated 2024-04-15

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Who owns this facility

CMS files one row per role, so the 17 rows in the source record cover these 16 parties — each is shown once here with every role it holds. Nothing is omitted.

5 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2024. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2024). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in NE