City Scape Rehabilitation & Care Center LLC

3345 Forest St · Denver, CO · 80207 · 3033937600

60 certified beds For profit - Partnership Chain: Sweetwater Care

Why this verdict

  • Carries CMS’s abuse warning icon.
  • Inspection record is far worse than the national median (deficiency count and severity).
  • 6 citations involved actual harm to residents.

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Red flags

CMS abuse warning

CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.

2 abuse-related citations at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

4 actual-harm citations in the most recent cycle

Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.

$59,543 in federal fines in the last 24 months

2 fines — CMS fines are reserved for verified, serious non-compliance.

Score breakdown

Inspection record 30% of score 35
Serious harm & abuse 20% 30
Staffing 20% 77
Federal penalties 15% 52
Trend 10% 55
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 1 of 5 Staffing: 4 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day4.003.48 min · 4.1 strong
RN hours / resident-day0.780.55–0.75
Weekend hours / resident-day3.40≈ weekday level
Nursing turnover / year46%median 45%
Fines (3-yr window)2 · $59,543

Inspection citations (36 in the current record)

  • Actual harm · G July 1, 2025 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected July 2, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Actual harm · G July 1, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected July 2, 2025 · Quality of Life and Care

  • Potential for harm · D May 1, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected May 2, 2025 · Quality of Life and Care

  • Actual harm · G July 16, 2024

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected August 9, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Actual harm · G July 16, 2024 · found via 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.

    Corrected August 9, 2024 · Resident Rights

  • Potential for harm · D July 16, 2024

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected August 9, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E July 16, 2024

    Observe each nurse aide's job performance and give regular training.

    Corrected August 9, 2024 · Nursing and Physician Services

  • Potential for harm · D July 16, 2024

    Ensure medication error rates are not 5 percent or greater.

    Corrected August 9, 2024 · Pharmacy Service

  • Potential for harm · E July 16, 2024

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected August 9, 2024 · Nutrition and Dietary

  • Potential for harm · D July 16, 2024

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected August 9, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D July 16, 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.

    Corrected August 9, 2024 · Administration

  • Potential for harm · E July 16, 2024

    Provide and implement an infection prevention and control program.

    Corrected August 9, 2024 · Infection Control

  • Potential for harm · E July 16, 2024

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Corrected August 9, 2024 · Environmental

  • Potential for harm · E July 16, 2024

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    Corrected August 9, 2024 · Nursing and Physician Services

  • Potential for harm · D July 16, 2024 · found via complaint

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Corrected August 9, 2024 · Resident Rights

  • No harm found · C July 16, 2024

    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.

    Corrected August 9, 2024 · Resident Rights

  • Potential for harm · D November 30, 2023 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected January 10, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E November 30, 2023 · found via complaint

    Ensure the activities program is directed by a qualified professional.

    Corrected January 10, 2024 · Quality of Life and Care

  • Actual harm · G March 2, 2023

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected March 25, 2023 · Quality of Life and Care

  • Actual harm · G March 2, 2023

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected March 25, 2023 · Quality of Life and Care

  • Potential for harm · D March 2, 2023

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected March 25, 2023 · Resident Assessment and Care Planning

  • Potential for harm · E March 2, 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.

    Corrected March 25, 2023 · Quality of Life and Care

  • Potential for harm · E March 2, 2023

    Provide activities to meet all resident's needs.

    Corrected March 25, 2023 · Quality of Life and Care

  • Potential for harm · D March 2, 2023

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected March 25, 2023 · Quality of Life and Care

  • Potential for harm · D March 2, 2023

    Assist a resident in gaining access to vision and hearing services.

    Corrected March 25, 2023 · Quality of Life and Care

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
July 1, 2025Fine$39,176
July 16, 2024Fine$20,367

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 065387 · certified since October 13, 2006. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.