Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around February 2027
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at The Springs At St. Andrews Village during CMS and state inspections, most recent first.
The facility failed to ensure that 23 out of 24 CNAs completed the required 12 hours of annual in-service training. The HRD admitted a lack of communication and tracking, while the DON and ED acknowledged the need for a monitoring system, which was initiated during the survey.
A resident with multiple diagnoses did not receive medications within the prescribed time frame on multiple occasions. The medications involved were administered late, and there were no progress notes documenting the reasons for these delays. Staff interviews revealed that emergencies with other residents sometimes caused the delays, and the importance of timely medication administration was emphasized.
The facility failed to conduct yearly CNA performance reviews and provide training based on the outcome for three CNAs. The previous administration did not prioritize these reviews, but the new team has made it a priority. The DON completed the evaluations during the survey.
The facility failed to ensure proper storage and labeling of medications and biologicals in two medication storage rooms and one medication cart. Expired medications were found with current ones, medications were stored at incorrect temperatures, and a dormitory-style refrigerator was used improperly. Additionally, used medication vials were found in the medication cart without proper labeling.
The facility failed to maintain an infection control program, as observed in one unit where a housekeeper did not allow cleaning solutions to remain wet for the required dwell time, failed to change gloves and perform hand hygiene, and used the same mop pad for both the bathroom and resident's room. Staff interviews revealed a lack of knowledge and training regarding proper infection control procedures.
Failure to Ensure CNAs Completed Required Annual Training
Penalty
Summary
The facility failed to ensure that certified nurse aides (CNAs) received the required 12 hours of annual in-service training to maintain their competence. Specifically, 23 out of 24 CNAs did not complete the mandated training. The facility's In-Service Training policy, revised in August 2022, aimed to ensure staff could enhance residents' quality of life and care. However, a review of training records revealed non-compliance. Interviews with the human resources director (HRD), director of nursing (DON), and executive director (ED) confirmed the deficiency. The HRD admitted a lack of communication regarding the training requirement and the absence of a staff development coordinator. The DON and ED acknowledged the need for a tracking system to monitor training completion, which was initiated during the survey.
Failure to Administer Medications Timely
Penalty
Summary
The facility failed to administer medications in a timely manner per physician orders for one resident. Specifically, the resident, who had diagnoses including congestive heart failure, chronic kidney disease, hypertension, and atrial fibrillation, did not receive their medications within the prescribed time frame on multiple occasions. The medications involved included Metoprolol succinate, Trazadone, Genteal ophthalmic gel, Finasteride, and Furosemide, all of which were administered late on various dates in March 2024. The delays ranged from 36 minutes to over three hours past the allowed administration time. The resident expressed concern during an interview, stating that the late administration of medications could affect their health. A review of the medication administration record (MAR) confirmed the resident's medications were consistently administered late, and there were no progress notes documenting the reasons for these delays. The facility's policy required medications to be administered within one hour of their prescribed time, and any deviations should be documented in the resident's medical record. Interviews with staff, including an LPN and the DON, revealed that medications should be administered within a one-hour window before or after the scheduled time to ensure their effectiveness. The LPN mentioned that emergencies with other residents sometimes caused delays. The DON emphasized the importance of timely medication administration as part of the seven rights of medication administration and noted that it was best practice to document any late administrations, although this was not always done.
Failure to Conduct Annual CNA Performance Reviews
Penalty
Summary
The facility failed to conduct yearly certified nurse aide (CNA) performance reviews and provide training based on the outcome of the reviews for three out of five CNAs reviewed. Specifically, the facility did not provide annual performance evaluations and reviews for CNA #1, CNA #2, and CNA #3. The facility's policy, revised in September 2020, mandates that job performance evaluations be conducted at least annually, and these evaluations should include remarks, suggestions, and any necessary actions such as further training. However, during the survey process, the facility was unable to provide the required performance evaluations for the mentioned CNAs. Interviews with the human resources director (HRD) and the director of nursing (DON) revealed that the previous administration team did not prioritize performance reviews. The HRD mentioned that the new administration team, which came together in 2023, has made it a priority to complete performance reviews timely. The DON confirmed that performance evaluations should have been completed annually and stated that she completed the evaluations for the three CNAs during the survey. The facility's average census was 35 residents, and they provided care for various common diseases, including psychiatric/mood disorders, circulatory system issues, and infectious diseases.
Improper Storage and Labeling of Medications and Biologicals
Penalty
Summary
The facility failed to ensure medications and biologicals were stored and labeled properly in two of three medication storage rooms and one of three medication carts. Specifically, expired medications were found stored with current medications in the medication storage rooms, and medications were stored at incorrect temperatures in medication storage refrigerators. Additionally, medications were improperly stored in a dormitory-style refrigerator/freezer combination, and used medication vials were found in the medication cart without proper labeling. During an observation of the first floor east wing medication cart, an open and used vial of ceftriaxone 1 gram injection was found without a resident name or date on it. The RN responsible for the cart acknowledged that the vial should have been disposed of after use. In the east wing medication storage room, expired bottles of vitamin D3, Iron, and Senokot were found, and the refrigerator temperature was recorded at 33 degrees Fahrenheit, which is below the recommended range. The refrigerator also had significant ice build-up, and various medications and vaccines were stored in it. In the second floor medication room, a dormitory-style refrigerator with ice build-up was observed storing medications such as Tuberculin and Novolog insulin. The LPN was unaware that medications should not be stored in such refrigerators. The DON confirmed that medications and vaccines should be stored according to manufacturer recommendations and acknowledged the issues with expired medications and improper storage practices. The DON also noted that the empty vial of antibiotics should have been disposed of immediately and that medication carts should be kept clean by the nurses.
Infection Control Deficiencies in Housekeeping Practices
Penalty
Summary
The facility failed to maintain an infection control program designed to provide a safe, sanitary, and comfortable environment to help prevent the development and transmission of disease and infection. Specifically, the facility did not ensure that resident rooms and bathrooms were cleaned in a sanitary manner, that surface disinfectants were used for the appropriate dwell time, that appropriate hand hygiene was performed by housekeeping staff, and that high-touch surfaces were cleaned daily. These deficiencies were observed in one of the two units surveyed. During observations, a housekeeper was seen cleaning a resident's room and bathroom without allowing the cleaning solution to remain wet on surfaces for the manufacturer-recommended dwell time of 10 minutes. The housekeeper also failed to change gloves and perform hand hygiene after cleaning the bathroom and before touching multiple items in the resident's room. Additionally, the housekeeper used the same mop pad to clean both the bathroom and the resident's room, further compromising the sanitary conditions. Interviews with staff revealed a lack of knowledge and training regarding the proper use of cleaning chemicals and infection control procedures. The housekeeper did not know the name of the cleaning solution or its dwell time and was not aware of the need to change gloves and perform hand hygiene between tasks. The human resource director, who was also the housekeeping manager, and the director of nursing, who was the facility's infection preventionist, were both unaware of the cleaning chemicals being used and the proper infection control procedures. The executive director confirmed that the housekeeping staff was using an unapproved chemical and that high-touch areas should be cleaned daily.
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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) |
|---|---|---|---|---|
| Life Care Center Of Aurora | 0.9 mi | — | 0 | 0 |
| Advanced Health Care Of Aurora | 1 mi | — | 1 | 0 |
| Hampden Hills Post Acute | 1.2 mi | — | 0 | 0 |
| Garden Terrace Alzheimer's Center Of Excellence | 1.4 mi | — | 2 | 0 |
| Beth Israel At Shalom Park | 3.1 mi | — | 10 | 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 August 2026) and official state health department websites.