Highland Park Rehabilitation & Care Center
500 Geneva St, Aurora, CO 80010 · Arapahoe County · 110 certified beds · avg 108 residents/day · certified since Jul 1, 1983
Part of chain: SWEETWATER CARE (8 facilities, chain avg rating 2.4★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Jul 28, 2025 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Jul 29, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (22)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jul 28, 2025 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Jul 28, 2025 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint |
| Jul 28, 2025 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| May 22, 2025 | F · Potential for harm, facility-wide | The facility did not provide each resident with a nourishing, tasty, well-balanced diet that meets their daily nutritional and special dietary needs. · from a complaint |
| May 22, 2025 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint |
| Dec 5, 2024 | E · Potential for harm, repeated | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Dec 5, 2024 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Dec 5, 2024 | C · Minimal risk, facility-wide | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. |
| Apr 17, 2024 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint |
| Apr 17, 2024 | D · Potential for harm, one-off | The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. · from a complaint |
| Jul 13, 2023 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Jul 13, 2023 | E · Potential for harm, repeated | The facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have. |
| Jul 13, 2023 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Jul 13, 2023 | E · Potential for harm, repeated | The facility did not have a policy covering how food brought in by family and visitors is used and stored safely. |
| Jul 13, 2023 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Jul 13, 2023 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Jul 13, 2023 | D · Potential for harm, one-off | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. |
| Jul 13, 2023 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Jul 13, 2023 | D · Potential for harm, one-off | The facility did not provide the right treatment and services for residents with dementia or signs of dementia. Dementia care requires specific approaches, training, and patience. |
| Jul 13, 2023 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Jul 13, 2023 | D · Potential for harm, one-off | The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care. |
| May 4, 2022 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (11 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 1 | 0 | F |
| 2023 | 11 | 0 | E |
| 2024 | 5 | 0 | E |
| 2025 | 5 | 1 | G ▲ |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Colorado avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.34 | 3.89 | 3.95 | bottom 25% in Colorado; bottom 29% in the U.S. |
| Registered Nurse hours | 0.58 | 0.86 | 0.69 | bottom 21% in Colorado; bottom 49% in the U.S. |
| Weekend total nurse staffing | 2.98 | 3.44 | 3.50 | bottom 28% in Colorado; bottom 30% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.41 | 0.61 | 0.48 | bottom 25% in Colorado; top 46% in the U.S. |
| Total nursing staff turnover (%) | 40.7 | 47.1 | 45.8 | top 31% in Colorado; top 38% in the U.S. |
| RN turnover (%) | 50.0 | 44.6 | 42.9 | bottom 40% in Colorado; bottom 39% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.60, RN 0.63, weekend 3.21. Staffing rating: 3/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Chesley, Aaron | Individual | 5% or Greater Indirect Ownership Interest | 48% | 06/01/2024 |
| Sweetwater Care Resource LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 06/01/2024 |
| Bouzida, Nabil | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2024 |
| Bouzida, Nabil | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2024 |
| Chesley, Aaron | Individual | Managing Control - Governing Body | NOT APPLICABLE | 06/01/2024 |
| Chesley, Aaron | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2024 |
| Chesley, Aaron | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 07/22/2025 |
| Chesley, Aaron | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2024 |
| Gamett, James | Individual | Managing Control - Governing Body | NOT APPLICABLE | 06/01/2024 |
| Gamett, James | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2024 |
| Gamett, James | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2024 |
| Gamett, Shauna | Individual | Trustee of the SNF | NOT APPLICABLE | 06/01/2024 |
| Reddy, Vikas | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2024 |
| Reddy, Vikas | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2024 |
| Sweetwater Care Resource LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 06/01/2024 |
| Sweetwater Care Resource LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/01/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "Can I see a sample menu, and how do you handle special diets like low-sodium or diabetic meals?"
- "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Where do you post your daily staffing numbers, and can I see today's?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Lowry Hills Care and Rehabilitation | 0.2 mi | Aurora, CO | ★★☆☆☆ | 2/5 | |
| Center at Lowry, LLC | 1.1 mi | Denver, CO | ★★★☆☆ | 2/5 | |
| Veterans Community Living Center at Fitzsimons | 2.2 mi | Aurora, CO | ★★★☆☆ | 3/5 | |
| Hilltop Park Post Acute | 2.3 mi | Denver, CO | ★★☆☆☆ | 1/5 | |
| Berkley Manor Care Center | 2.5 mi | Denver, CO | ★★★★★ | 3/5 | |
| Crestmoor Care Center | 2.6 mi | Denver, CO | ★★★☆☆ | 2/5 | abuse |
| University Heights Care Center | 2.7 mi | Aurora, CO | ★★★☆☆ | 2/5 | abuse |
| Aviva at Fitzsimons | 2.8 mi | Aurora, CO | ★★★★☆ | 3/5 | |
| Garden Terrace Alzheimer's Center of Excellence | 3.2 mi | Aurora, CO | ★★★★☆ | 4/5 | |
| Advanced Health Care of Aurora | 3.5 mi | Aurora, CO | ★★★★★ | 4/5 | |
| Life Care Center of Aurora | 4.1 mi | Aurora, CO | ★★★★★ | 4/5 | |
| City Scape Rehabilitation & Care Center LLC | 4.3 mi | Denver, CO | ★★☆☆☆ | 1/5 | abuse |
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Facility data as of CMS processing date 2026-08-01. CCN 065176.