City Scape Rehabilitation & Care Center LLC
3345 Forest St, Denver, CO 80207
City Scape Rehabilitation & Care Center LLC, a 60-bed for profit - partnership nursing facility in Denver, CO, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #172 of 209 rated homes in CO on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 6 inspection findings reached the actual-harm or immediate-jeopardy level.
CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.
Phone: 3033937600
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- 2 / 5
- Below average · CMS overall · nat'l 3.0
- #172 of 209
- In-state rank among rated CO homes
- 3.63
- Below average · nurse hrs/day · nat'l 3.86
- 36
- Inspection findings · 6 serious
If a nursing-home resident is in immediate danger, call 911.
For elder abuse or neglect concerns, contact your state's Adult Protective Services (search "APS" + your state) or call the Eldercare Locator at 1-800-677-1116. For facility advocacy, reach your Long-Term Care Ombudsman. CMS ratings and inspection data below are a research screen, not an emergency channel.
The verdict
City Scape Rehabilitation & Care Center LLC, a 60-bed for profit - partnership nursing facility in Denver, CO, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #172 of 209 rated homes in CO on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 6 inspection findings reached the actual-harm or immediate-jeopardy level.
- 2 / 5
- CMS overall · national 3.0
- #172 of 209
- In-state rank among rated CO homes
- 3.63
- Nurse hrs/resident-day · national 3.86
- 36
- Inspection findings · 6 serious
CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.
In-state ownership mix · peer inventory
How 210 CO nursing homes split by ownership sector
This facility is recorded as For profit - Partnership. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 065387
- Ownership
- For profit - Partnership
- Provider Type
- Medicare and Medicaid
- Beds
- 60
- Residents
- 56
- In Hospital
- No
- County
- Denver
- Last Inspection
- Jul 16, 2024
Staffing Data
How the 3.63 total nursing hours per resident-day are staffed:
- RN Hours
- 0.77 (nat'l avg: 0.69)
- LPN Hours
- 0.47
- CNA Hours
- 2.39
- Total Nursing Hours
- 3.63 (nat'l avg: 3.86)
- PT Hours
- 0.01
- Nursing Turnover
- 53.3%
- RN Turnover
- 50.0%
What the CMS Record Reveals About City Scape Rehabilitation & Care Center LLC
According to CMS Nursing Home Compare, City Scape Rehabilitation & Care Center LLC ranks #172 of 209 rated nursing homes in CO on overall stars (tie-broken by health+staffing+quality, then fewer fines). City Scape Rehabilitation & Care Center LLC operates 60 certified beds in Denver, CO with approximately 56 residents currently in care, and carries a CMS overall rating of 2 out of 5 stars (health inspection 1★ · staffing 2★ · quality 5★).
The inspection file contains 36 deficiency records from recent surveys, of which 6 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. This provider has been fined 2 times by CMS, for a combined $60K. Per resident day, this facility reports 3.63 total nursing hours (national average 3.86) and 0.77 RN hours.
Classified as "For profit - Partnership" ownership and operating as a "Medicare and Medicaid" provider, City Scape Rehabilitation & Care Center LLC falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 53.3% (CMS payroll-based measure).
Why sub-scores and the CMS methodology matter
The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.
For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.
Deficiency History (36 most recent)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Jul 2, 2025
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Jul 2, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: May 2, 2025
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.
Category: Resident Rights Deficiencies
Corrected: Aug 9, 2024
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.
Category: Administration Deficiencies
Corrected: Aug 9, 2024
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Aug 9, 2024
Ensure medication error rates are not 5 percent or greater.
Category: Pharmacy Service Deficiencies
Corrected: Aug 9, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Aug 9, 2024
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Category: Resident Rights Deficiencies
Corrected: Aug 9, 2024
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Category: Nursing and Physician Services Deficiencies
Corrected: Aug 9, 2024
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Category: Environmental Deficiencies
Corrected: Aug 9, 2024
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Aug 9, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: Aug 9, 2024
Observe each nurse aide's job performance and give regular training.
Category: Nursing and Physician Services Deficiencies
Corrected: Aug 9, 2024
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.
Category: Resident Rights Deficiencies
Corrected: Aug 9, 2024
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Aug 9, 2024
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Jan 10, 2024
Ensure the activities program is directed by a qualified professional.
Category: Quality of Life and Care Deficiencies
Corrected: Jan 10, 2024
Provide routine and 24-hour emergency dental care for each resident.
Category: Quality of Life and Care Deficiencies
Corrected: Mar 25, 2023
Provide safe, appropriate pain management for a resident who requires such services.
Category: Quality of Life and Care Deficiencies
Corrected: Mar 25, 2023
Assist a resident in gaining access to vision and hearing services.
Category: Quality of Life and Care Deficiencies
Corrected: Mar 25, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Category: Quality of Life and Care Deficiencies
Corrected: Mar 25, 2023
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Mar 25, 2023
Provide activities to meet all resident's needs.
Category: Quality of Life and Care Deficiencies
Corrected: Mar 25, 2023
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Category: Quality of Life and Care Deficiencies
Corrected: Mar 25, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: Mar 24, 2023
Observe each nurse aide's job performance and give regular training.
Category: Nursing and Physician Services Deficiencies
Corrected: Mar 25, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Mar 25, 2023
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Category: Quality of Life and Care Deficiencies
Corrected: Mar 25, 2023
Provide or get specialized rehabilitative services as required for a resident.
Category: Quality of Life and Care Deficiencies
Corrected: Dec 31, 2021
Provide safe and appropriate respiratory care for a resident when needed.
Category: Quality of Life and Care Deficiencies
Corrected: Dec 31, 2021
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Category: Resident Rights Deficiencies
Corrected: Dec 31, 2021
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Category: Quality of Life and Care Deficiencies
Corrected: Dec 31, 2021
Provide care and assistance to perform activities of daily living for any resident who is unable.
Category: Quality of Life and Care Deficiencies
Corrected: Dec 31, 2021
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.
Category: Resident Rights Deficiencies
Corrected: Dec 31, 2021
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Category: Resident Rights Deficiencies
Corrected: Dec 31, 2021
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 6.6% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.5% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.3% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 5.2% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.0% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 26.4% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | N/A | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 2.5% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 0.5% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 90.2% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 10.8% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 94.4% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 10.5% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 85.1% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | N/A | No |
Penalty History 2 penalties totaling $60K
| Date | Type | Amount |
|---|---|---|
| Jul 1, 2025 | Fine | $39K |
| Jul 16, 2024 | Fine | $20K |
Nationwide facilities with similar scale or staffing
Two data-derived peer sets for City Scape Rehabilitation & Care Center LLC, both outside CO so the neighborhoods are not the same-state geography list below.
Similar bed count
Nearest CMS certified bed counts outside CO (60 beds here).
Similar staffing hours
Nearest CMS adjusted total nurse hours per resident day outside CO (3.43 here).
Nearby Nursing Homes in CO
209 other nursing homes are on record in CO; 6 are shown here.
Accel at Longmont Health and Rehab, LLC
Longmont, CO
Adara Living
Broomfield, CO
Advanced Health Care of Aurora
Aurora, CO
Advanced Health Care of Colorado Springs
Colorado Springs, CO
Ahc of Lakewood, LLC
Lakewood, CO
Allison Care Center
Lakewood, CO
Understanding Nursing Home Data
What the CMS records show for City Scape Rehabilitation & Care Center LLC
The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.
- The CO registry aggregates state averages and the highest-rated homes in this cohort. View CO registry
- Peer homes near 60 beds show how CMS stars vary at a similar scale in CO. Compare a similar-size peer
- CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work
CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.
Frequently Asked Questions
What is the overall CMS rating for City Scape Rehabilitation & Care Center LLC?
Where does City Scape Rehabilitation & Care Center LLC rank among nursing homes in CO?
What are the staffing levels at City Scape Rehabilitation & Care Center LLC?
How many beds does City Scape Rehabilitation & Care Center LLC have?
Does City Scape Rehabilitation & Care Center LLC have any deficiencies on record?
Has City Scape Rehabilitation & Care Center LLC received any fines or penalties?
Who owns City Scape Rehabilitation & Care Center LLC?
When was City Scape Rehabilitation & Care Center LLC last inspected?
What quality measures are tracked for City Scape Rehabilitation & Care Center LLC?
Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.
Read our methodology - how this data is sourced, computed, and verified.
