Federal inspection record · CMS data as of October 1, 2026
City Park Healthcare And Rehabilitation Center
1667 Saint Paul St, Denver, CO · (303) 399-2040
- Cited for abuse (CMS abuse icon)
- Certified beds
- 125
- Residents per day
- 130
- Ownership
- For-Profit
- Chain
- The Ensign Group
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- June 1, 1980
1
How this home got 3 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Colorado.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.
2
Where it sits among Colorado homes
City Park Healthcare And Rehabilitation Center carries 71 inspection points. That is fewer than 42% of Colorado's 208 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Colorado: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–22 pts
- 4★ 22–44 pts
- 3★ 44–70.75 pts
- 2★ 70.75–104 pts
- 1★ over 104 pts
Bars show every rated home in Colorado by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
39 health citations on record since 2022. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Everything else, by area of care
Quality of Life and Care12D
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- D
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
- D
Provide activities to meet all resident's needs.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide safe, appropriate pain management for a resident who requires such services.
- D
Provide 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.
- D
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Resident Rights6E
- E
Honor the resident's right to organize and participate in resident/family groups in the facility.
- D
Honor 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.
- E
Honor 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.
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- D
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.
- D
Allow residents to self-administer drugs if determined clinically appropriate.
Freedom from Abuse, Neglect, and Exploitation5E
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- E
Protect each resident from the wrongful use of the resident's belongings or money.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
- D
Respond appropriately to all alleged violations.
Resident Assessment and Care Planning5E
- E
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Infection Control3E
- E
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Pharmacy Service3E
- D
Ensure that residents are free from significant medication errors.
- E
Ensure 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.
- D
Ensure medication error rates are not 5 percent or greater.
Nutrition and Dietary3F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Environmental1D
- D
Have enough outside ventilation via a window or mechanical ventilation, or both.
Inspection history
2026-01-15
8 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2023-10-12
17 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
2022-07-14
14 health deficiencies · 6 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 2 h 56 min of nursing staff time a day, 31 min of it from a registered nurse.
This home
2 h 56 min
Colorado average
3 h 42 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 28% of nursing staff and 33% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$8,278 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-10-30 | Fine | $8,278 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.8 pts better | 0.6 | 1.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.2 pts better | 0.5 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine6.4 pts better | 99.8% | 93.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.1 pts better | 95.8% | 93.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.1 pts better | 1.3% | 3.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms7.3 pts worse | 16.1% | 8.8% | 13.5% |
| Percentage of long-stay residents who lose too much weightAbout the same | 4.8% | 4.8% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication8.8 pts better | 2.8% | 11.6% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication7 pts better | 12.9% | 19.9% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened7.8 pts better | 3.9% | 11.7% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased7.5 pts better | 5.3% | 12.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.5 pts better | 0.0% | 0.5% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.4 pts better | 0.0% | 1.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence9.6 pts better | 11.0% | 20.6% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.1 pts better | 2.3% | 3.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine22 pts better | 99.0% | 77.0% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1.5 pts worse | 13.5% | 12.0% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.6 pts better | 0.0% | 1.6% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine24.2 pts better | 97.8% | 73.6% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission12.6 pts better | 7.9% | 20.5% | 23.4% |
·
Who owns and runs it
15 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Burnam, Soon | Corporate Officer · Individual | 0% | 353 facilities |
| Ensign Services Inc | Adp Of The SNF · Organization | 0% | 299 facilities |
| Gahm, Gregory | Managing Control - Governing Body · Individual | 0% | 5 facilities |
| Gahm, Gregory | Operational/Managerial Control · Individual | 0% | 5 facilities |
| Gahm, Gregory | Adp Of The SNF · Individual | 0% | 5 facilities |
| Graham, Joseph | Corporate Officer · Individual | 0% | 15 facilities |
| Jorgensen, David | Corporate Director · Individual | 0% | 56 facilities |
| Keetch, Chad | Corporate Officer · Individual | 0% | 301 facilities |
| Onshift Inc | Operational/Managerial Control · Organization | 0% | 20 facilities |
| Port, Barry | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 203 facilities |
| Rocky Mountain Respiratory Resource | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Sato, Ami | Corporate Officer · Individual | 0% | 151 facilities |
| Wondmagegn, Fasil | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Wondmagegn, Fasil | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Wondmagegn, Fasil | Adp Of The SNF · Individual | 0% | 1 facilities |
·
Fire safety
10 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke4F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Properly select, install, inspect, or maintain portable fire extinguishes.
Egress3F
- F
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- F
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- F
Have exits that are accessible at all times.
Gas, Vacuum, and Electrical Systems2F
- F
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
- F
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
Services1F
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
·
Other homes nearby
-
Briarwood Health Care Center
Denver, CO · Life Care Centers Of America
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 58 min
- Fines
- $9,110
-
Franklin Park Health And Rehab LLC
Denver, CO · American Baptist Homes Of The Midwest
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 57 min
- Fines
- $0
-
Denver North Care Center
Denver, CO
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 2 h 48 min
- Fines
- $0