CITY PARK HEALTHCARE AND REHABILITATION CENTER – Nursing Home, DENVER, Colorado
Medicare and Medicaid
CMS quality ratings
Overall
Health inspection
Quality of care
Staffing
RN staffing
Cited for abuse in CMS records
22 substantiated complaints
Last cited survey: 15 January 2026 · 100 health and 33 fire safety citations on file
Source: CMS Care Compare nursing home data. Ratings are updated when CMS publishes new inspection results.
Main info
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Location
1667 SAINT PAUL ST
DENVER, CO 80206
Phone: (303) 399-2040
Compare to CO average
See how this facility compares to the CO state average among rated nursing homes (225 homes). Peer best shows the highest rating among similar homes in the same city.
| Metric | This facility | CO average | Peer best (city) |
|---|---|---|---|
| Overall CMS stars | 3 | 3.19 | 5 |
| Health inspection | 2 | 2.72 | 3 |
| Staffing | 3 | 3.22 | 5 |
| Quality measures | 5 | 4.21 | 5 |
| Certified beds | 125 | 91.8 | — |
| Citations on file (health + fire) | 169 | ~8.3 health* | — |
- AMBERWOOD POST ACUTE — 2★ overall
- BERKLEY MANOR CARE CENTER — 5★ overall
- BRIARWOOD HEALTH CARE CENTER — 4★ overall
- BROOKSHIRE POST ACUTE — 2★ overall
- CENTER AT LOWRY, LLC — 2★ overall
* State deficiency average uses CMS rating-cycle health deficiency counts.
Owners information
| Name | Role Description | Type | Ownership Percentage | Association Date |
|---|---|---|---|---|
| ONSHIFT INC | OPERATIONAL/MANAGERIAL CONTROL | Organization | - | 08/01/2024 |
| ROCKY MOUNTAIN RESPIRATORY RESOURCE | OPERATIONAL/MANAGERIAL CONTROL | Organization | - | 08/01/2024 |
| GRAHAM, JOSEPH | CORPORATE OFFICER | Individual | 0.00 | 02/05/2024 |
| THE ENSIGN GROUP INC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 100.00 | 02/05/2024 |
| GAHM, GREGORY J | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 08/01/2024 |
| GAHM, GREGORY J | MANAGING CONTROL - GOVERNING BODY | Individual | - | 08/01/2024 |
| GAHM, GREGORY J | ADP OF THE SNF | Individual | - | 08/01/2024 |
| ENSIGN SERVICES INC | ADP OF THE SNF | Organization | - | 08/01/2024 |
| SATO, AMI | CORPORATE OFFICER | Individual | - | 09/09/2024 |
| ENDURA HEALTHCARE LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100.00 | 02/05/2024 |
| JORGENSEN, DAVID | CORPORATE DIRECTOR | Individual | 0.00 | 02/05/2024 |
| KEETCH, CHAD | CORPORATE OFFICER | Individual | - | 03/01/2011 |
| WONDMAGEGN, FASIL | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 08/01/2024 |
| WONDMAGEGN, FASIL | MANAGING CONTROL - GOVERNING BODY | Individual | - | 08/01/2024 |
| WONDMAGEGN, FASIL | ADP OF THE SNF | Individual | - | 01/21/2025 |
| BURNAM, SOON | CORPORATE OFFICER | Individual | 0.00 | 02/05/2024 |
Inspections & deficiencies
CMS inspection citations for this nursing home. Filter by type or recency, and use severity chips to spot higher-risk findings.
133 citations on file · Latest survey: 15 January 2026 · 100 health · 33 fire safety
Health deficiencies
| Date | Tag | Severity | Type | Description |
|---|---|---|---|---|
| 2026-01-15 | F923 | D — Minimal harm, isolated | Health | Have enough outside ventilation via a window or mechanical ventilation, or both. |
| 2026-01-15 | F923 | D — Minimal harm, isolated | Health | Have enough outside ventilation via a window or mechanical ventilation, or both. |
| 2026-01-15 | F880 | E — Minimal harm, pattern | Health | Provide and implement an infection prevention and control program. |
| 2026-01-15 | F880 | E — Minimal harm, pattern | Health | Provide and implement an infection prevention and control program. |
| 2026-01-15 | F698 | D — Minimal harm, isolated | Health | Provide safe, appropriate dialysis care/services for a resident who requires such services. |
| 2026-01-15 | F698 | D — Minimal harm, isolated | Health | Provide safe, appropriate dialysis care/services for a resident who requires such services. |
| 2026-01-15 | F689 | D — Minimal harm, isolated | Health | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| 2026-01-15 | F689 | D — Minimal harm, isolated | Health | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| 2026-01-15 | F585 | D — Minimal harm, isolated | Health | 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. |
| 2026-01-15 | F585 | D — Minimal harm, isolated | Health | 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. |
| 2026-01-15 | F565 | E — Minimal harm, pattern | Health | Honor the resident's right to organize and participate in resident/family groups in the facility. |
| 2026-01-15 | F565 | E — Minimal harm, pattern | Health | Honor the resident's right to organize and participate in resident/family groups in the facility. |
| 2025-12-10 | F684 | D — Minimal harm, isolated | Health | Provide appropriate treatment and care according to orders, resident’s preferences and goals. |
| 2025-12-10 | F684 | D — Minimal harm, isolated | Health | Provide appropriate treatment and care according to orders, resident’s preferences and goals. |
| 2025-12-10 | F684 | D — Minimal harm, isolated | Health | Provide appropriate treatment and care according to orders, resident’s preferences and goals. |
| 2025-10-30 | F600 | G — Actual harm, isolated | Health | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| 2025-10-30 | F600 | G — Actual harm, isolated | Health | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| 2025-10-30 | F600 | G — Actual harm, isolated | Health | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| 2024-03-18 | F600 | D — Minimal harm, isolated | Health | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| 2024-03-18 | F600 | D — Minimal harm, isolated | Health | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
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Fire safety deficiencies
| Date | Tag | Severity | Type | Description |
|---|---|---|---|---|
| 2026-01-15 | K345 | F — Minimal harm, widespread | Fire Safety | Have approved installation, maintenance and testing program for fire alarm systems. |
| 2026-01-15 | K345 | F — Minimal harm, widespread | Fire Safety | Have approved installation, maintenance and testing program for fire alarm systems. |
| 2023-10-12 | K927 | F — Minimal harm, widespread | Fire Safety | Have proper fire barriers, ventilation and signs for the transfilling of oxygen. |
| 2023-10-12 | K211 | F — Minimal harm, widespread | Fire Safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. |
| 2023-10-12 | K223 | F — Minimal harm, widespread | Fire Safety | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. |
| 2023-10-12 | K211 | F — Minimal harm, widespread | Fire Safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. |
| 2023-10-12 | K223 | F — Minimal harm, widespread | Fire Safety | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. |
| 2023-10-12 | K927 | F — Minimal harm, widespread | Fire Safety | Have proper fire barriers, ventilation and signs for the transfilling of oxygen. |
| 2023-10-12 | K211 | F — Minimal harm, widespread | Fire Safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. |
| 2023-10-12 | K223 | F — Minimal harm, widespread | Fire Safety | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. |
| 2023-10-12 | K927 | F — Minimal harm, widespread | Fire Safety | Have proper fire barriers, ventilation and signs for the transfilling of oxygen. |
| 2022-07-14 | K521 | F — Minimal harm, widespread | Fire Safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. |
| 2022-07-14 | K927 | F — Minimal harm, widespread | Fire Safety | Have proper fire barriers, ventilation and signs for the transfilling of oxygen. |
| 2022-07-14 | K345 | F — Minimal harm, widespread | Fire Safety | Have approved installation, maintenance and testing program for fire alarm systems. |
| 2022-07-14 | K271 | F — Minimal harm, widespread | Fire Safety | Have exits that are accessible at all times. |
| 2022-07-14 | K345 | F — Minimal harm, widespread | Fire Safety | Have approved installation, maintenance and testing program for fire alarm systems. |
| 2022-07-14 | K353 | F — Minimal harm, widespread | Fire Safety | Inspect, test, and maintain automatic sprinkler systems. |
| 2022-07-14 | K271 | F — Minimal harm, widespread | Fire Safety | Have exits that are accessible at all times. |
| 2022-07-14 | K345 | F — Minimal harm, widespread | Fire Safety | Have approved installation, maintenance and testing program for fire alarm systems. |
| 2022-07-14 | K353 | F — Minimal harm, widespread | Fire Safety | Inspect, test, and maintain automatic sprinkler systems. |
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Additional information
Full CMS quality rating tables
Quality Ratings
| Name | Value |
|---|---|
| Overall Rating | 3 |
| Health Inspection Rating | 2 |
| Quality of Resident Care Rating | 5 |
| Quality of Resident Care Rating (Long Stay) | 5 |
| Quality of Resident Care Rating (Short Stay) | 5 |
| Staffing Rating | 3 |
| RN Staffing Rating | 4 |
| Reported CNA Staffing Hours per Resident per Day | 2.80185 |
| Reported LPN Staffing Hours per Resident per Day | 0.59881 |
| Reported RN Staffing Hours per Resident per Day | 0.48694 |
| Reported Licensed Staffing Hours per Resident per Day | 1.08575 |
| Reported Total Nurse Staffing Hours per Resident per Day | 2.97348 |
| Reported Physical Therapist Staffing Hours per Resident per Day | 0.03905 |
| Casemix CNA Staffing Hours per Resident per Day | 1.91353 |
| Casemix LPN Staffing Hours per Resident per Day | 0.70027 |
| Casemix RN Staffing Hours per Resident per Day | 0.32819 |
| Casemix Total Nurse Staffing Hours per Resident per Day | 2.94198 |
| Adjusted CNA Staffing Hours per Resident per Day | 3.02281 |
| Adjusted LPN Staffing Hours per Resident per Day | 0.69282 |
| Adjusted RN Staffing Hours per Resident per Day | 0.5634 |
| Adjusted Total Nurse Staffing Hours per Resident per Day | 3.44034 |
Health Inspection and Deficiency Ratings
| Name | Value |
|---|---|
Date of Standard Health Survey (Cycle 1) | 2019-05-08 |
Date of Standard Health Survey (Cycle 2) | 2018-03-22 |
Total Number of Health Deficiencies (Cycle 1) | 37 |
Number of Standard Health Deficiencies (Cycle 1) | 22 |
Number of Complaint Health Deficiencies (Cycle 1) | 17 |
Health Deficiency Score (Cycle 1) | 216 |
Number of Health Revisits (Cycle 1) | 1 |
Health Revisit Score (Cycle 1) | 0 |
Total Health Score (Cycle 1) | 216 |
Total Number of Health Deficiencies (Cycle 2) | 9 |
Number of Standard Health Deficiencies (Cycle 2) | 5 |
Number of Complaint Health Deficiencies (Cycle 2) | 4 |
Health Deficiency Score (Cycle 2) | 48 |
Number of Health Revisits (Cycle 2) | 1 |
Total Health Score (Cycle 2) | 48 |
Date of Standard Health Survey (Cycle 3) | 2016-11-07 |
Total Number of Health Deficiencies (Cycle 3) | 5 |
Number of Standard Health Deficiencies (Cycle 3) | 4 |
Number of Complaint Health Deficiencies (Cycle 3) | 1 |
Number of Health Revisits (Cycle 3) | 1 |
Health Deficiency Score (Cycle 3) | 36 |
Total Health Score (Cycle 3) | 36 |
Total Weighted Health Survey Score | 75 |
Complaints, Fines, and Penalties
| Name | Value |
|---|---|
Number of Facility Reported Incidents | 3 |
Number of Substantiated Complaints | 22 |
Number of Fines | 1 |
Total Amount of Fines in Dollars | 12735 |
Total Number of Penalties | 1 |
Cited for Abuse | |
Most Recent Health Inspection More Than 2 Years Ago | |
Provider Changed Ownership in Last 12 Months | |
With a Resident and Family Council | Both |
Automatic Sprinkler Systems in All Required Areas | Yes |
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