Starfile

Starfile / Colorado

CITY PARK HEALTHCARE AND REHABILITATION CENTER

1667 SAINT PAUL ST, DENVER, CO 80206 · CCN 065009

Abuse icon

Ratings

Overall
★★☆☆☆ 2
Health inspection
★★☆☆☆ 2
Quality measures
★★★★★ 5
Staffing
★☆☆☆☆ 1

Facility

Ownership type
For profit - Partnership
Certified beds
125
Avg residents/day
117.8
Phone
3033992040

Inspection history vs Colorado & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityColorado avgNational avgvs state
12023-10-12198.79.5+10.3 worse
22022-07-14118.79.8+2.3 worse
32021-04-15267.59.3+18.5 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation4
Quality of life and care8
Resident assessment and care planning2
Resident rights2
Nutrition and dietary1
Pharmacy service1
Infection control1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)2.9753.4%
RN staffing (reported)0.5171.4%
Total nurse staffing (adjusted)3.00

Fines & penalties

Total fines
$12,735
Number of fines
1
Number of penalties
1
Payment denials
0

Chain

Chain
THE ENSIGN GROUP
Facilities in chain
329
Chain avg overall
3.20 / 5

Inspection citations (56)1 immediate jeopardy1 actual harm

  1. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-12-10 · Health · corrected 2025-12-11

    Potential for more than minimal harm

  2. GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-10-30 · Health · corrected 2025-11-24

    Actual harm

  3. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-03-18 · Health · corrected 2024-04-12

    Potential for more than minimal harm

  4. EF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2024-01-11 · Health · corrected 2024-02-23

    Potential for more than minimal harm

  5. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2024-01-11 · Health · corrected 2024-02-23

    Potential for more than minimal harm

  6. DF0760Ensure that residents are free from significant medication errors.2024-01-11 · Health · corrected 2024-02-23

    Potential for more than minimal harm

  7. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2023-10-12 · Health · corrected 2023-11-11

    Potential for more than minimal harm

  8. DF0584Honor 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.2023-10-12 · Health · corrected 2023-11-11

    Potential for more than minimal harm

  9. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-10-12 · Health · corrected 2023-11-15

    Potential for more than minimal harm

  10. EF0602Protect each resident from the wrongful use of the resident's belongings or money.2023-10-12 · Health · corrected 2023-11-11

    Potential for more than minimal harm

  11. DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2023-10-12 · Health · corrected 2023-11-15

    Potential for more than minimal harm

  12. DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2023-10-12 · Health · corrected 2023-11-11

    Potential for more than minimal harm

  13. EF0646Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.2023-10-12 · Health · corrected 2023-11-11

    Potential for more than minimal harm

  14. DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2023-10-12 · Health · corrected 2023-11-11

    Potential for more than minimal harm

  15. DF0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.2023-10-12 · Health · corrected 2023-11-11

    Potential for more than minimal harm

  16. DF0679Provide activities to meet all resident's needs.2023-10-12 · Health · corrected 2023-11-11

    Potential for more than minimal harm

  17. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-10-12 · Health · corrected 2023-11-11

    Potential for more than minimal harm

  18. DF0697Provide safe, appropriate pain management for a resident who requires such services.2023-10-12 · Health · corrected 2023-12-21

    Potential for more than minimal harm

  19. DF0742Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.2023-10-12 · Health · corrected 2023-11-11

    Potential for more than minimal harm

  20. DF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2023-10-12 · Health · corrected 2023-11-11

    Potential for more than minimal harm

  21. EF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2023-10-12 · Health · corrected 2023-11-29

    Potential for more than minimal harm

  22. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-10-12 · Health · corrected 2023-11-11

    Potential for more than minimal harm

  23. EF0880Provide and implement an infection prevention and control program.2023-10-12 · Health · corrected 2023-11-11

    Potential for more than minimal harm

  24. FF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2023-06-01 · Health · corrected 2023-07-01

    Potential for more than minimal harm

  25. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2022-07-14 · Health · corrected 2022-08-12

    Potential for more than minimal harm

  26. DF0610Respond appropriately to all alleged violations.2022-07-14 · Health · corrected 2022-08-12

    Potential for more than minimal harm

  27. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-07-14 · Health · corrected 2022-08-12

    Potential for more than minimal harm

  28. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2022-07-14 · Health · corrected 2022-08-12

    Potential for more than minimal harm

  29. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2022-07-14 · Health · corrected 2022-08-18

    Potential for more than minimal harm

  30. DF0695Provide safe and appropriate respiratory care for a resident when needed.2022-07-14 · Health · corrected 2022-08-12

    Potential for more than minimal harm

  31. DF0759Ensure medication error rates are not 5 percent or greater.2022-07-14 · Health · corrected 2022-08-12

    Potential for more than minimal harm

  32. DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2022-07-14 · Health · corrected 2022-08-12

    Potential for more than minimal harm

  33. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-07-14 · Health · corrected 2022-08-12

    Potential for more than minimal harm

  34. DF0880Provide and implement an infection prevention and control program.2022-07-14 · Health · corrected 2022-08-12

    Potential for more than minimal harm

  35. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2021-04-15 · Health · corrected 2021-05-14

    Potential for more than minimal harm

  36. FF0570Assure the security of all personal funds of residents deposited with the facility.2021-04-15 · Health · corrected 2021-05-14

    Potential for more than minimal harm

  37. EF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2021-04-15 · Health · corrected 2021-05-14

    Potential for more than minimal harm

  38. EF0610Respond appropriately to all alleged violations.2021-04-15 · Health · corrected 2021-05-14

    Potential for more than minimal harm

  39. EF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2021-04-15 · Health · corrected 2021-05-14

    Potential for more than minimal harm

  40. DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2021-04-15 · Health · corrected 2021-05-14

    Potential for more than minimal harm

  41. DF0679Provide activities to meet all resident's needs.2021-04-15 · Health · corrected 2021-05-14

    Potential for more than minimal harm

  42. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2021-04-15 · Health · corrected 2021-05-14

    Potential for more than minimal harm

  43. DF0685Assist a resident in gaining access to vision and hearing services.2021-04-15 · Health · corrected 2021-05-14

    Potential for more than minimal harm

  44. DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2021-04-15 · Health · corrected 2021-05-14

    Potential for more than minimal harm

  45. KF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2021-04-15 · Health · corrected 2021-05-14

    Immediate jeopardy

  46. EF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2021-04-15 · Health · corrected 2021-05-14

    Potential for more than minimal harm

  47. EF0695Provide safe and appropriate respiratory care for a resident when needed.2021-04-15 · Health · corrected 2021-05-14

    Potential for more than minimal harm

  48. DF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2021-04-15 · Health · corrected 2021-05-14

    Potential for more than minimal harm

  49. EF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2021-04-15 · Health · corrected 2021-05-14

    Potential for more than minimal harm

  50. EF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2021-04-15 · Health · corrected 2021-05-14

    Potential for more than minimal harm

  51. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2021-04-15 · Health · corrected 2021-05-14

    Potential for more than minimal harm

  52. FF0810Provide special eating equipment and utensils for residents who need them and appropriate assistance.2021-04-15 · Health · corrected 2021-05-14

    Potential for more than minimal harm

  53. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2021-04-15 · Health · corrected 2021-05-14

    Potential for more than minimal harm

  54. FF0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.2021-04-15 · Health · corrected 2021-05-14

    Potential for more than minimal harm

  55. FF0865Have a plan that describes the process for conducting QAPI and QAA activities.2021-04-15 · Health · corrected 2021-05-14

    Potential for more than minimal harm

  56. EF0880Provide and implement an infection prevention and control program.2021-04-15 · Health · corrected 2021-04-30

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
ENDURA HEALTHCARE LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2024-02-05
THE ENSIGN GROUP INCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST100%2024-02-05
ONSHIFT INCOrganizationOPERATIONAL/MANAGERIAL CONTROL2024-08-01
ROCKY MOUNTAIN RESPIRATORY RESOURCEOrganizationOPERATIONAL/MANAGERIAL CONTROL2024-08-01
GAHM, GREGORYIndividualOPERATIONAL/MANAGERIAL CONTROL2024-08-01
WONDMAGEGN, FASILIndividualOPERATIONAL/MANAGERIAL CONTROL2024-08-01
JORGENSEN, DAVIDIndividualCORPORATE DIRECTOR2024-02-05
BURNAM, SOONIndividualCORPORATE OFFICER2024-02-05
GRAHAM, JOSEPHIndividualCORPORATE OFFICER2024-02-05
KEETCH, CHADIndividualCORPORATE OFFICER2011-03-01
SATO, AMIIndividualCORPORATE OFFICER2024-09-09

Other facilities in DENVER

NameOverallBeds
SUITES AT CLERMONT PARK CARE CENTER, THE★★★★★63
SOUTH VALLEY POST ACUTE REHABILITATION★★★★★106
BERKLEY MANOR CARE CENTER★★★★★118
PARKVIEW CARE CENTER★★★★★73
SLOAN'S LAKE REHABILITATION CENTER★★★★★42

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.