Above average — CMS composite of the measures below.
A standard survey is most likely before around November 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Uptown Care Center during CMS and state inspections, most recent first.
A resident with severe cognitive impairment and multiple chronic conditions intentionally slid from a wheelchair to sit on the floor and refused assistance to return to the chair. An LPN directed two CNAs to place a blanket under the resident and drag the resident across the floor, onto an elevator, and to another floor, rather than allowing the resident to remain seated on the floor as requested. The resident later reported trying to resist and stated dislike of the experience. Documentation by the LPN omitted how the resident was actually moved between floors, despite care plan goals for dignity and autonomy and a facility policy requiring residents be treated with dignity and respect and that their choices and preferences be honored.
Resident-to-resident physical abuse occurred when one resident with dementia and increased agitation punched another resident in the face after a room change and escalating confusion. The assaulted resident had anoxic brain damage, dementia, schizoaffective disorder, and a history of verbal and physical altercations, and staff documented bruising, a nasal abrasion, and dried blood after the incident. Records and interviews showed the assailant had a history of physical altercations, was increasingly confused, and was later found on the other resident’s side of the room before staff separated them.
A resident with COPD, encephalopathy, and depression had a discharge goal that changed from community placement with family to LTC, but the discharge care plan was not updated to reflect the new plan. The resident later left AMA after being found at a hotel, and the record did not show written notification to the ombudsman or notification to the physician.
Failure to prevent transfer-related falls: A resident with dementia, epilepsy, TBI, poor safety awareness, impulsivity, and a history of falls remained high risk and required staff assistance with transfers and a gait belt. Despite prior falls and documented interventions, the resident fell during bathroom transfers when staff misjudged her position in the wheelchair and she slid to the floor, sustaining a head laceration and knee bruise.
An LPN gave a resident the wrong BP med, selecting metoprolol tartrate instead of the ordered metoprolol succinate ER after failing to verify the MAR against the medication before administration. In a separate event, a nurse gave an underdose of rescue midazolam to a resident during a seizure because the medication strength and volume were not checked correctly against the order, and the error was later documented as an underdose after initially being reported as an overdose.
Two residents in a facility were involved in a physical altercation due to inadequate monitoring and intervention. One resident, with a history of reaching out to others, kicked another resident, who then retaliated by punching him. The incident resulted in injuries requiring hospital treatment. The facility failed to update care plans and implement effective interventions despite being aware of the residents' behavioral issues.
Resident Dragged on Blanket Instead of Honoring Request to Sit on Floor
Penalty
Summary
The deficiency involves a failure to honor a resident’s right to dignity and self-determination when staff did not allow the resident to remain seated on the floor per his wishes and instead dragged him on a blanket between floors. Late at night, the resident, who lived on the second floor, was in his wheelchair on the first floor and intentionally slid out of his wheelchair to sit on the ground according to his own wishes. When staff offered assistance to help him back into his wheelchair, he refused. Despite this refusal, an LPN directed two CNAs to move the resident from the first floor back to the second floor. Following the resident’s refusal to get back into his wheelchair, the LPN instructed the CNAs to place a blanket underneath the resident so he could be dragged while lying on it. The CNAs and the LPN maneuvered the blanket under the resident by moving him from side to side. One CNA positioned herself behind the resident and placed her arms under his armpits, while the other CNA held the resident’s pants at his ankles. The LPN then pulled on the blanket with the resident on it. Together, the three staff members dragged the resident on the blanket across the floor and onto the elevator, transported him to the second floor, and then dragged him off the elevator onto the second floor hallway. Once on the second floor, the resident agreed to have two staff members assist him back into his wheelchair, and a two-person transfer was performed to lift him from the floor into the chair. The resident later reported that he remembered being pulled on the blanket, stated that he "tried to fight them like crazy," and said he did not like what had been done. The nursing progress note written by the LPN the following morning documented that the resident had remained on the first floor until late at night, refused to talk with staff, refused care, and declined snacks, fluids, and redirection, but the note did not document how he was actually relocated to the second floor. The resident’s records showed he had severe cognitive impairment with a BIMS score of 3/15, diagnoses including Parkinson’s disease, depression, unspecified intellectual disabilities, traumatic brain injury, seizures, and chronic kidney disease stage 3, and care plan goals that included being treated with dignity and autonomy. The facility’s dignity policy stated that residents are to be treated with dignity and respect at all times, that their choices and preferences are to be honored, and that demeaning practices are prohibited, which was not followed in this incident.
Resident-to-Resident Physical Abuse
Penalty
Summary
The facility failed to ensure one resident was free from abuse when Resident #60 physically assaulted Resident #6. The abuse policy stated the facility would not condone resident abuse and would take precautions to prevent abuse by anyone, including other residents. The investigation substantiated that Resident #60 hit Resident #6 in the face, and the incident was documented by staff and in the facility’s investigation records. Resident #60 was an older adult with COPD, dementia, and respiratory failure, and his records showed moderate cognitive impairment, confusion, and a history of physical altercations with others. His behavior care plan noted agitation, confusion related to a head injury, repetitive cleaning behaviors, and the potential for confusion secondary to dementia. Progress notes on the day of the incident documented increased verbal aggression toward staff, a move to a different room, and later that he became agitated about the room change and threatened his new roommate before the assault occurred. Resident #6 was an adult with anoxic brain damage, malnutrition, COPD, dementia, depressive disorders, schizoaffective disorder, and cognitive communication deficit. His records showed moderate cognitive impairment, daily verbal behaviors toward others, and a history of verbal and physical altercations. On the day of the incident, staff documented bruising and a superficial abrasion to his left eye and nasal bridge, dried blood around the nostrils, and later notes stated that his roommate punched him in the left eye and nose. Interviews and documentation indicated Resident #6 was yelling in the room before the altercation, Resident #60 was found on Resident #6’s side of the room, and staff separated the residents after the assault was discovered.
Discharge Plan Not Updated and Required AMA Notifications Not Documented
Penalty
Summary
The facility failed to revise and implement an effective discharge plan for one resident reviewed for discharge planning. The resident, who was under 65 years old, had diagnoses including COPD, encephalopathy, and depression, and was cognitively intact with a BIMS score of 15 out of 15. The resident’s discharge goal was initially documented as moving to another state to live with his daughter, and the discharge care plan included interventions for pre-discharge planning, revising plans as needed, providing written discharge instructions, and arranging community resources. The discharge plan changed during the stay. An interdisciplinary care conference note documented that the resident’s son wanted the resident to discharge to another state with him and receive home health services, while a later social services note stated the resident would no longer be discharged to live with his daughter and that the son wanted the resident to remain at the facility for long-term care. After that change, the discharge care plan was not updated to reflect the new plan for long-term care. Staff interviews confirmed that discharge planning was reviewed at admission, quarterly, and as needed, and that care plans were supposed to be updated when discharge plans changed. The resident later left the facility against medical advice after being found missing from the building and located at a local hotel. The resident stated he preferred to remain at the hotel and not return to the facility, declined assistance, and was documented as leaving AMA. The record did not show that the ombudsman was notified in writing of the AMA discharge, and it also did not show that the physician was notified of the AMA discharge. Staff interviews indicated the NHA and DON were responsible for notifying the ombudsman and physician for AMA discharges, but no documentation of either notification was provided at survey exit.
Failure to Prevent Transfer-Related Falls
Penalty
Summary
The facility failed to keep the resident environment as free of accident hazards as possible for one resident who was at high risk for falls. Resident #69 had diagnoses including dementia, major depressive disorder, epilepsy, traumatic brain injury, unsteadiness on her feet, abnormal posture, and a history of falling. She was wheelchair bound, required assistance with activities of daily living, wore a helmet when out of bed, and had care plan interventions related to fall risk, impaired mobility, poor safety awareness, impulsivity, and the need for staff assistance during transfers. The resident experienced falls on 4/30/25, 6/4/25, and 7/22/25. After the earlier falls, the documented root causes included weakness, poor safety awareness, and impulsivity, and the interventions noted were therapy screening and staff education on using gait belts as needed. Despite these prior falls and the resident’s ongoing high fall risk, the record shows the resident continued to have transfer-related incidents. On 6/4/25, a CNA reported the resident stood from the toilet, misjudged the wheelchair position, and was eased to the floor. On 7/22/25, the resident fell in the bathroom after being changed and stated she was dizzy when she tried to sit and slid down from the wheelchair to the floor. Staff interviews confirmed the resident could not transfer independently and required a gait belt for transfers. The DON stated the resident fell during a toilet-to-wheelchair transfer in the bathroom connected to the shower room, and the CNA thought the resident was in the wheelchair when she was not fully seated, resulting in the resident sliding to the floor. The resident sustained a head laceration and a bruise to the right knee, and the DON stated the resident hit her head during the fall. The administrator in training also stated staff should have used the gait belt during the transfer.
Medication Administration Errors Involving Wrong BP Medication and Underdosed Rescue Seizure Medication
Penalty
Summary
The facility failed to ensure residents were free from significant medication errors for two residents reviewed for medication errors. One resident with diagnoses including schizoaffective disorder, type 2 diabetes, mild chronic kidney disease, and hypertension was ordered Metoprolol succinate ER 25 mg by mouth each morning for hypertension, with parameters to hold for low systolic blood pressure or low heart rate. During medication administration, an LPN could not find the medication on the cart and retrieved it from the automated dispensing machine, but selected Metoprolol tartrate 25 mg immediate release instead of the ordered Metoprolol succinate ER 25 mg. The LPN dispensed the wrong medication, did not verify the physician order against the medication before administration, and gave the tablet to the resident before confirming the error. A second resident with diagnoses including dementia, major depressive disorder, epilepsy, history of traumatic brain injury, unsteadiness, abnormal posture, and a history of falls had an order for Midazolam HCl injection 5 mg/5 ml, to be given intramuscularly every 30 minutes as needed for an acute seizure, up to three doses. After the resident had a seizure, a nurse documented administering Midazolam, but the record later showed the nurse gave an underdose because the medication strength and volume were not checked correctly against the order. The nurse documented giving 2 ml, but review of the vial showed it contained only 1 ml total, with approximately 0.4 ml actually drawn and administered and the remainder of the syringe filled with air. The record also showed the incident was initially documented as an overdose and later reassessed as an underdose. Staff interviews and documentation stated the nurse did not check the label and did not pull the medication correctly. The resident was assessed as stable after the event, and the facility documented that the medication error occurred because the ordered dose was not matched to the supply on hand.
Failure to Prevent Resident-to-Resident Abuse
Penalty
Summary
The facility failed to protect two residents from physical abuse, resulting in a physical altercation between them. Resident #1, who had a history of reaching out and grabbing others, kicked Resident #2 while they were waiting in line for a smoking break. In response, Resident #2 punched Resident #1 in the face, causing both residents to fall to the ground. Resident #1 sustained a laceration to his face that required hospital treatment for stitches. Resident #1 was admitted with diagnoses including hemiplegia, aphasia, and nicotine dependence. His care plan noted behavior issues related to refusing care and a history of reaching out to others, but it was not updated to reflect his tendency to kick others. The facility's investigation revealed that Resident #1 had been trying to enter Resident #2's room repeatedly after the incident, indicating ongoing behavioral issues that were not adequately addressed in his care plan. Resident #2, diagnosed with schizoaffective disorder and ADHD, was cognitively intact and independent in activities of daily living. He reported that Resident #1 had been kicking him for several days prior to the incident but had not informed staff. The facility's investigation documented that Resident #2 had a history of impulsiveness and physical altercations, yet his care plan did not include specific interventions to prevent such incidents. The staff interviews indicated that the facility had not effectively monitored or intervened to prevent the altercation, despite being aware of the residents' behavioral histories.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Denver
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Health Center At Franklin Park | 0.6 mi | ★★★★★ | 14 | 0 |
| Denver North Care Center | 0.6 mi | ★★★★★ | 17 | 0 |
| Briarwood Health Care Center | 1.1 mi | ★★★★★ | 0 | 0 |
| City Park Healthcare And Rehabilitation Center | 1.6 mi | ★★★★★ | 9 | 0 |
| Juniper Village - The Spearly Center | 1.8 mi | — | 5 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.