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Nursing home report

Forest Street Compassionate Care Center

Registered name: CITY SCAPE REHABILITATION & CARE CENTER LLC

DENVER, CO · Medicare-certified · 60 beds

Needs attention
Abuse citationFor-profitChain member
Data as of July 1, 2026
2 of 5 overall

Forest Street Compassionate Care Center in Denver has a 2-star overall rating, with a 1-star health inspection rating and 2-star staffing rating, despite 5-star quality measures. It also has a recent abuse citation, $59,543 in fines over the last 24 months, and reported nurse staffing of 3.63 hours per resident per day, below the federal benchmark of 4.1.

Facility ratings

Health inspections

Staffing

3.6285 hrs/resident/day

Quality measures

Last inspection: July 1, 2025Penalties, last 24 months: $59,543recent abuse citation

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6285.

Staffing detail

Registered nurses
0.77
Licensed practical nurses
0.47
Nurse aides
2.39
Weekend nursing
2.92

Hours per resident per day.

Total staff turnover: 53%
Registered nurse turnover: 50%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

20.8%27.8%Worsening

Residents with a fall causing major injury

3.8%3.7%No change

Residents with pressure ulcers (bedsores)

5.4%5.4%No change

Residents with a urinary tract infection

0%0%No change

Residents who lost too much weight

4.2%4%No change

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

15.2%5.9%Improving

Residents whose ability to walk got worse

10.4%6.8%Improving

Long-stay residents on antianxiety or sleep medication

12.5%15.4%Worsening

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

26%8.4%Improving

Residents with depressive symptoms

0%1.9%Worsening

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

94.4%

Long-stay residents given the pneumonia vaccine

80.8%98.1%Improving

Short-stay residents given the pneumonia vaccine

85.1%

What the inspectors found

The nursing home failed to protect residents from abuse and neglect by others. Cited July 2025 — isolated incident, actual harm.

View the original federal record

F-Tag 600 — 42 CFR §483.12 — S/S: G

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited July 2025 — isolated incident, actual harm.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: G

The home failed to give an adequate reason and proper information when transferring or discharging a resident. Cited July 2024 — isolated incident, actual harm.

View the original federal record

F-Tag 622 — 42 CFR §483.15 — S/S: G

The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited March 2023 — isolated incident, actual harm.

View the original federal record

F-Tag 686 — 42 CFR §483.25(b) — S/S: G

The home failed to properly watch nurse aides' work and provide regular training. Cited March 2023 — widespread issue, potential for harm.

View the original federal record

F-Tag 730 — 42 CFR §483.35(e)(7) — S/S: F

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. PENALTY

    A federal fine of $39,176 was recorded.

  3. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  4. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  5. PENALTY

    A federal fine of $20,367 was recorded.

  6. INSPECTION

    Health inspection found 13 health deficiencies.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 2 fines · $59,543 in total fines.

  • Federal fine

    Jul 1, 2025

    $39,176
  • Federal fine

    Jul 16, 2024

    $20,367

Operator & ownership

Recent ownership change · May 16, 2025

Now operated by City Scape Rehabilitation & Care Center LLC, previously Forest Street Ltc, Lllp.

Ownership
For profit - Partnership
Chain
Part of SWEETWATER CARE · 10 homes · 2.4 stars avg
Occupancy
56.4 residents on an average day (94% of 60 beds)
Resident voice
Resident & family councils
Medicare history
Certified for 19 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.