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City Scape Rehabilitation & Care Center LLC
3345 Forest St, Denver, CO 80207
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
City Scape Rehabilitation & Care Center LLC is a For-profit, partnership nursing home in Denver, Colorado, certified for 60 beds and caring for about 56 residents a day.
CMS gives it 2 of 5 stars overall, below the Colorado median of 3; the health inspection rating is 1, staffing 2 and quality measures 5.
Inspectors recorded 36 health deficiencies across the three most recent survey cycles (13, 14, 9 by cycle, most recent first), 6 of them at the actual-harm or immediate-jeopardy level. That is 60.0 per 100 beds, more than the state median of 25.0.
CMS lists 2 penalties in the period covered: fines totalling $60K.
Reported nurse staffing is 3.6 hours per resident per day (0.8 RN), close to the Colorado median of 3.5; nursing staff turnover is 53.3%.
CMS flags that the facility carries the CMS abuse icon and has not had a standard health inspection in more than two years.
Compared with county, state and nation
| Measure | This facility | Denver Co. median | Colorado median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 36 | 28 | 22 | 28.7 |
| Citations per 100 beds | 60.0 | 27.4 | 25.0 | 26.8 |
| Total nurse hours per resident day | 3.6 | 3.3 | 3.5 | 3.9 |
| RN hours per resident day | 0.8 | 0.7 | 0.7 | 0.7 |
| Nursing staff turnover | 53.3% | 39.5% | 46.7% | 45.8% |
| Fines listed | $59,543 | $9,249 | $10,033 | — |
County and state figures are medians across facilities (23 in the county, 210 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Colorado average per facility for the same cycle, as published by CMS. Standard health survey dates: 16 Jul 2024, 2 Mar 2023.
Severity mix: G ×6 D ×15 E ×12 F ×2 C ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 1 Jul 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 2 Jul 2025 |
| 1 Jul 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 2 Jul 2025 |
| 1 May 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 2 May 2025 |
| 16 Jul 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Standard survey | 9 Aug 2024 |
| 16 Jul 2024 | F0622 | 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. | G | Complaint investigation | 9 Aug 2024 |
| 16 Jul 2024 | F0730 | Observe each nurse aide's job performance and give regular training. | E | Standard survey | 9 Aug 2024 |
| 16 Jul 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 9 Aug 2024 |
| 16 Jul 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 9 Aug 2024 |
| 16 Jul 2024 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Standard survey | 9 Aug 2024 |
| 16 Jul 2024 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E | Standard survey | 9 Aug 2024 |
| 16 Jul 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Complaint investigation | 9 Aug 2024 |
| 16 Jul 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 9 Aug 2024 |
| 16 Jul 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 9 Aug 2024 |
| 16 Jul 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 9 Aug 2024 |
| 16 Jul 2024 | F0849 | 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. | D | Standard survey | 9 Aug 2024 |
| 16 Jul 2024 | F0575 | 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. | C | Standard survey | 9 Aug 2024 |
| 30 Nov 2023 | F0680 | Ensure the activities program is directed by a qualified professional. | E | Complaint investigation | 10 Jan 2024 |
| 30 Nov 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 10 Jan 2024 |
| 2 Mar 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard survey | 25 Mar 2023 |
| 2 Mar 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard survey | 25 Mar 2023 |
| 2 Mar 2023 | F0730 | Observe each nurse aide's job performance and give regular training. | F | Standard survey | 25 Mar 2023 |
| 2 Mar 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 24 Mar 2023 |
| 2 Mar 2023 | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | E | Standard survey | 25 Mar 2023 |
| 2 Mar 2023 | F0679 | Provide activities to meet all resident's needs. | E | Standard survey | 25 Mar 2023 |
| 2 Mar 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 25 Mar 2023 |
| 2 Mar 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 25 Mar 2023 |
| 2 Mar 2023 | F0685 | Assist a resident in gaining access to vision and hearing services. | D | Standard survey | 25 Mar 2023 |
| 2 Mar 2023 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 25 Mar 2023 |
| 2 Mar 2023 | F0790 | Provide routine and 24-hour emergency dental care for each resident. | D | Standard survey | 25 Mar 2023 |
| 2 Dec 2021 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 31 Dec 2021 |
| 2 Dec 2021 | F0584 | 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. | E | Standard survey | 31 Dec 2021 |
| 2 Dec 2021 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 31 Dec 2021 |
| 2 Dec 2021 | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | E | Standard survey | 31 Dec 2021 |
| 2 Dec 2021 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard survey | 31 Dec 2021 |
| 2 Dec 2021 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 31 Dec 2021 |
| 2 Dec 2021 | F0825 | Provide or get specialized rehabilitative services as required for a resident. | D | Standard survey | 31 Dec 2021 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 1 Jul 2025 | Fine | $39,176 | |
| 16 Jul 2024 | Fine | $20,367 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Colorado average. Turnover: nursing staff 53.3%, RNs 50.0%; 2 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Colorado median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 6.6% | 11.1% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.5% | 0.9% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.3% | 3.0% | 2.8% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 5.2% | 11.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.0% | 3.0% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 26.4% | 18.8% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, partnership. Chain: Sweetwater Care (8 facilities).
No organisations are listed in the CMS ownership record for this facility.
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Denver County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Berkley Manor Care Center | Denver | 118 | 5 | 3 | 5 | 29 | 24.6 | $17K | 26 Feb 2026 |
| Briarwood Health Care Center | Denver | 201 | 5 | 4 | 4 | 22 | 10.9 | $9K | 16 Jul 2025 |
| Hallmark Nursing Center | Denver | 143 | 5 | 4 | 4 | 21 | 14.7 | $7K | 14 Nov 2024 |
| Parkview Care Center | Denver | 73 | 5 | 4 | 3 | 20 | 27.4 | — | 21 May 2026 |
| Sloan'S Lake Rehabilitation Center | Denver | 42 | 5 | 5 | 4 | 12 | 28.6 | — | 5 Mar 2026 |
| Suites At Clermont Park Care Center, The | Denver | 63 | 5 | 5 | 5 | 13 | 20.6 | — | 18 Feb 2026 |
| Health Center At Franklin Park | Denver | 86 | 4 | 3 | 5 | 27 | 31.4 | $10K | 26 Mar 2026 |
| Rowan Community, Inc | Denver | 65 | 4 | 2 | 5 | 28 | 43.1 | $5K | 4 Dec 2025 |
All 23 facilities in Denver County
Questions and answers
How many deficiencies has City Scape Rehabilitation & Care Center LLC been cited for?
36 health deficiencies across the three most recent survey cycles, 6 at the actual-harm or immediate-jeopardy level. The Colorado median is 22 per facility.
Has City Scape Rehabilitation & Care Center LLC been fined?
Yes. CMS lists fines totalling $60K in the period covered.
How does staffing at City Scape Rehabilitation & Care Center LLC compare?
Reported total nurse staffing is 3.6 hours per resident per day against a Colorado median of 3.5 and a national average of 3.9.
Who operates City Scape Rehabilitation & Care Center LLC?
It is part of the Sweetwater Care chain. Ownership type is for-profit, partnership. Individual owners and managers are not listed on this site.
When was City Scape Rehabilitation & Care Center LLC last inspected?
The most recent survey or investigation in the CMS record is dated 1 Jul 2025; the most recent standard health survey was 16 Jul 2024.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.