nursing home in Denver, CO
City Scape Rehabilitation & Care Center LLC
3345 Forest St, Denver, CO 80207 · (303) 393-7600
★★★★★2
Below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★1
- Staffing★★★★★2
- Quality measures★★★★★5
- Abuse citation
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
City Scape Rehabilitation & Care Center LLC at a glance
City Scape Rehabilitation & Care Center LLC is a 60-bed for-profit nursing home in Denver, Colorado (Denver County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the Colorado average of 3.2.
Residents receive about 3.6 hours of nursing care per day (0.8 of them from registered nurses), close to the state average of 3.7 hours.
Its most recent standard health inspection (July 16, 2024) found 13 health citations. The Colorado average is 8.7.
Federal regulators fined it 2 times in the past three years, totaling $59,543.
Nursing staff turnover is 53.3% per year (state average 47.1%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Partnership
- Beds
- 60
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Sweetwater Care
- Medicare-certified since
- October 13, 2006
- Resident/family council
- Both
- County
- Denver County
- CMS Certification Number
- 065387
Ratings
| Measure | This facility | Colorado avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 3.2 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 5 | 2.7 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 3.2 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 5 / 5 | 4.1 / 5 | 3.6 / 5 | Better |
| Long-stay quality rating (higher is better) | 5 / 5 | 4.1 / 5 | 3.8 / 5 | Better |
Staffing
| Measure | This facility | Colorado avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.63 hrs | 3.72 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.77 hrs | 0.82 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 2.39 hrs | 2.21 hrs | 2.32 hrs | Average |
| Weekend nurse staff hours per resident per day (higher is better) | 2.92 hrs | 3.29 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 53.3% | 47.1% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 50% | 44.6% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 2 | 0 | 1 | Worse |
Inspections
| Measure | This facility | Colorado avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 13 | 9 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 2 | 2 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 116 | 74 | 80.6 | Worse |
Penalties
| Measure | This facility | Colorado avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $59,543 | $22,802 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
Size
| Measure | This facility | Colorado avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 60 | 94 | 107 | |
| Average residents per day | 56 | 75 | 86 | |
| Occupancy | 94% | 80.7% | 80.9% |
Long-stay residents
| Measure | This facility | Colorado avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 3.3% | 3.4% | 3.2% | Average |
| Long-stay residents with pressure ulcers (lower is better) | 4% | 3.4% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 26.4% | 20% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 0.5% | 1.4% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.6% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 6.6% | 13.4% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 5.2% | 13.3% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 2.5% | 4.7% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 0.5% | 8.8% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.1% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 10.8% | 11.5% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 10.5% | 21.2% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 94.4% | 94.7% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 90.2% | 93.5% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Colorado avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents given a pneumonia vaccine (higher is better) | 85.1% | 76.4% | 82% | Average |
Inspection citations
State inspectors cited this home for 36 health deficiencies and 10 fire safety deficiencies in the inspection records CMS currently publishes. 6 citations involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| July 1, 2025 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | G Actual harm, isolated | Corrected July 2, 2025 |
| July 1, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected July 2, 2025 |
| May 1, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected May 2, 2025 |
| July 16, 2024 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | E Potential harm, pattern | Corrected September 24, 2024 |
| July 16, 2024 Fire safety | Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293 | E Potential harm, pattern | Corrected August 27, 2024 |
| July 16, 2024 Fire safety | Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. Smoke Deficiencies · Tag K0343 | E Potential harm, pattern | Corrected October 1, 2024 |
| July 16, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected August 15, 2024 |
| July 16, 2024 Standard | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | G Actual harm, isolated | Corrected August 9, 2024 |
| July 16, 2024 Complaint | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. Resident Rights Deficiencies · Tag F0622 | G Actual harm, isolated | Corrected August 9, 2024 |
| July 16, 2024 Standard | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Nursing and Physician Services Deficiencies · Tag F0947 | E Potential harm, pattern | Corrected August 9, 2024 |
| July 16, 2024 Standard | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Tag F0925 | E Potential harm, pattern | Corrected August 9, 2024 |
| July 16, 2024 Standard | Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · Tag F0730 | E Potential harm, pattern | Corrected August 9, 2024 |
| July 16, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected August 9, 2024 |
| July 16, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected August 9, 2024 |
| July 16, 2024 Standard | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Administration Deficiencies · Tag F0849 | D Potential harm, isolated | Corrected August 9, 2024 |
| July 16, 2024 Standard | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected August 9, 2024 |
| July 16, 2024 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected August 9, 2024 |
| July 16, 2024 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected August 9, 2024 |
| July 16, 2024 Complaint | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Tag F0623 | D Potential harm, isolated | Corrected August 9, 2024 |
| July 16, 2024 Standard | Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. Resident Rights Deficiencies · Tag F0575 | C No harm, widespread | Corrected August 9, 2024 |
| November 30, 2023 Complaint | Ensure the activities program is directed by a qualified professional. Quality of Life and Care Deficiencies · Tag F0680 | E Potential harm, pattern | Corrected January 10, 2024 |
| November 30, 2023 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected January 10, 2024 |
| March 2, 2023 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected March 25, 2023 |
| March 2, 2023 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | G Actual harm, isolated | Corrected March 25, 2023 |
| March 2, 2023 Standard | Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · Tag F0730 | F Potential harm, widespread | Corrected March 25, 2023 |
| March 2, 2023 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected March 24, 2023 |
| March 2, 2023 Standard | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. Quality of Life and Care Deficiencies · Tag F0678 | E Potential harm, pattern | Corrected March 25, 2023 |
| March 2, 2023 Standard | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Tag F0679 | E Potential harm, pattern | Corrected March 25, 2023 |
| March 2, 2023 Standard | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0697 | D Potential harm, isolated | Corrected March 25, 2023 |
| March 2, 2023 Standard | Provide routine and 24-hour emergency dental care for each resident. Quality of Life and Care Deficiencies · Tag F0790 | D Potential harm, isolated | Corrected March 25, 2023 |
| March 2, 2023 Standard | Assist a resident in gaining access to vision and hearing services. Quality of Life and Care Deficiencies · Tag F0685 | D Potential harm, isolated | Corrected March 25, 2023 |
| March 2, 2023 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected March 25, 2023 |
| March 2, 2023 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected March 25, 2023 |
| December 2, 2021 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | F Potential harm, widespread | Corrected June 30, 2022 |
| December 2, 2021 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | F Potential harm, widespread | Corrected January 12, 2022 |
| December 2, 2021 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | D Potential harm, isolated | Corrected January 12, 2022 |
| December 2, 2021 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | D Potential harm, isolated | Corrected January 12, 2022 |
| December 2, 2021 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected January 12, 2022 |
| December 2, 2021 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | D Potential harm, isolated | Corrected December 23, 2021 |
| December 2, 2021 Standard | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Quality of Life and Care Deficiencies · Tag F0744 | E Potential harm, pattern | Corrected December 31, 2021 |
| December 2, 2021 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | E Potential harm, pattern | Corrected December 31, 2021 |
| December 2, 2021 Standard | 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. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected December 31, 2021 |
| December 2, 2021 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | E Potential harm, pattern | Corrected December 31, 2021 |
| December 2, 2021 Standard | Provide or get specialized rehabilitative services as required for a resident. Quality of Life and Care Deficiencies · Tag F0825 | D Potential harm, isolated | Corrected December 31, 2021 |
| December 2, 2021 Standard | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Tag F0561 | D Potential harm, isolated | Corrected December 31, 2021 |
| December 2, 2021 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected December 31, 2021 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 2 federal penalties in the past three years, including $59,543 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| July 1, 2025 | Fine | $39,176 |
| July 16, 2024 | Fine | $20,367 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| CHESLEY, AARON Individual | 5% or greater indirect ownership interest | 50% | 05/16/2025 |
| PAINTER, WILLIAM Individual | adp of the snf | NOT APPLICABLE | 05/16/2025 |
| REDDY, SNEHAL Individual | adp of the snf | NOT APPLICABLE | 05/16/2025 |
| PAINTER, WILLIAM Individual | operational/managerial control | NOT APPLICABLE | 05/16/2025 |
Other nursing homes near City Scape Rehabilitation & Care Center LLC
City Park Healthcare and Rehabilitation Center
1667 Saint Paul St, Denver, CO 80206 · 1.8 mi
For-profit · 125 beds · Part of The Ensign Group
- Abuse citation
★★★★★3AverageBriarwood Health Care Center
1440 Vine St, Denver, CO 80206 · 2.4 mi
For-profit · 201 beds · Part of Life Care Centers of America
★★★★★5Much above average- ★★★★★3Average
Health Center at Franklin Park
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★★★★★5Much above average- ★★★★★4Above average
Ridgeview Post Acute
5230 E 66th Way, Commerce City, CO 80022 · 3.6 mi
For-profit · 112 beds · Part of The Ensign Group
★★★★★4Above average
Frequently asked questions
What is City Scape Rehabilitation & Care Center LLC's rating?
City Scape Rehabilitation & Care Center LLC has 2 out of 5 stars on the CMS overall star rating. The average for Colorado nursing homes is 3.2 stars.
How many inspection citations did City Scape Rehabilitation & Care Center LLC receive?
Its most recent standard health inspection found 13 citations, compared with a Colorado average of 8.7. Every citation is listed on this page with its severity.
Does City Scape Rehabilitation & Care Center LLC accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns City Scape Rehabilitation & Care Center LLC?
It is for profit - partnership and part of Sweetwater Care. The ownership section on this page lists the owners and managers reported to CMS.
Where is City Scape Rehabilitation & Care Center LLC and how do I contact it?
City Scape Rehabilitation & Care Center LLC is at 3345 Forest St, Denver, CO 80207. Phone: (303) 393-7600.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.