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.
| Cycle | Inspection date | This facility | Colorado avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2023-10-12 | 19 | 8.7 | 9.5 | +10.3 worse |
| 2 | 2022-07-14 | 11 | 8.7 | 9.8 | +2.3 worse |
| 3 | 2021-04-15 | 26 | 7.5 | 9.3 | +18.5 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 4 |
| Quality of life and care | 8 |
| Resident assessment and care planning | 2 |
| Resident rights | 2 |
| Nutrition and dietary | 1 |
| Pharmacy service | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 2.97 | 53.4% |
| RN staffing (reported) | 0.51 | 71.4% |
| 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
- 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
- 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
- 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
- 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
- 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
- DF0760Ensure that residents are free from significant medication errors.2024-01-11 · Health · corrected 2024-02-23
Potential for more than minimal harm
- DF0554Allow residents to self-administer drugs if determined clinically appropriate.2023-10-12 · Health · corrected 2023-11-11
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- DF0679Provide activities to meet all resident's needs.2023-10-12 · Health · corrected 2023-11-11
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- EF0880Provide and implement an infection prevention and control program.2023-10-12 · Health · corrected 2023-11-11
Potential for more than minimal harm
- 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
- DF0554Allow residents to self-administer drugs if determined clinically appropriate.2022-07-14 · Health · corrected 2022-08-12
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2022-07-14 · Health · corrected 2022-08-12
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- DF0759Ensure medication error rates are not 5 percent or greater.2022-07-14 · Health · corrected 2022-08-12
Potential for more than minimal harm
- 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
- 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
- DF0880Provide and implement an infection prevention and control program.2022-07-14 · Health · corrected 2022-08-12
Potential for more than minimal harm
- 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
- 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
- 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
- EF0610Respond appropriately to all alleged violations.2021-04-15 · Health · corrected 2021-05-14
Potential for more than minimal harm
- 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
- 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
- DF0679Provide activities to meet all resident's needs.2021-04-15 · Health · corrected 2021-05-14
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- EF0880Provide and implement an infection prevention and control program.2021-04-15 · Health · corrected 2021-04-30
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| ENDURA HEALTHCARE LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2024-02-05 |
| THE ENSIGN GROUP INC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2024-02-05 |
| ONSHIFT INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-08-01 |
| ROCKY MOUNTAIN RESPIRATORY RESOURCE | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-08-01 |
| GAHM, GREGORY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-08-01 |
| WONDMAGEGN, FASIL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-08-01 |
| JORGENSEN, DAVID | Individual | CORPORATE DIRECTOR | — | 2024-02-05 |
| BURNAM, SOON | Individual | CORPORATE OFFICER | — | 2024-02-05 |
| GRAHAM, JOSEPH | Individual | CORPORATE OFFICER | — | 2024-02-05 |
| KEETCH, CHAD | Individual | CORPORATE OFFICER | — | 2011-03-01 |
| SATO, AMI | Individual | CORPORATE OFFICER | — | 2024-09-09 |
Other facilities in DENVER
| Name | Overall | Beds |
|---|---|---|
| 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.