Grand Junction, CO

Center At Foresight LLC, The

5-star overall rating with 5-star inspections with 2 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

606 Foresight Cir E, Grand Junction, CO

(970) 985-7900

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

54

Certified beds

Average residents

43

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Veritas Management Group

Operator or chain grouping

Approved since

2017-09-07

CMS approved date

Coverage

Medicare

Participation flags

Chain footprint

15 facilities

Chain averages 4 overall / 4 health / 3 staffing / 5 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

1.72

Registered nurse staffing · state 0.83 · national 0.68

LPN hours / resident day

0.61

Licensed practical nurse staffing · state 0.68 · national 0.87

Aide hours / resident day

2.82

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

5.15

All reported nurse hours · state 3.70 · national 3.89

Licensed hours

2.33

RN + LPN hours · state 1.51 · national 1.54

Weekend hours

4.30

Weekend nurse staffing · state 3.26 · national 3.43

Weekend RN hours

1.27

Weekend registered nurse coverage · state 0.60 · national 0.47

Physical therapist

0.22

Reported PT staffing · state 0.09 · national 0.07

Adjusted RN hours

1.44

CMS adjusted RN staffing hours

Adjusted total hours

4.30

CMS adjusted total nurse staffing hours

Case-mix index

1.64

Higher values indicate more complex resident acuity

RN turnover

22%

Annual RN turnover · state 46% · national 45%

Total nurse turnover

53%

Annual nurse turnover · state 49% · national 46%

SNF VBP

Value-based purchasing

Program rank

9,529

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

23.38

Composite VBP score used to determine payment impact.

Payment multiplier

0.9831

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

4.58

Baseline 14.93% · Performance 19.31% · Measure score 4.58 · Achievement 4.58 · Improvement 0

Healthcare-associated infections

0

Baseline 4.75% · Performance 8.33% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

1.31

Baseline 46.58% · Performance 58.33% · Measure score 1.31 · Achievement 1.31 · Improvement 0

Adjusted total nurse staffing

3.47

Baseline 4.87 hours · Performance 4.06 hours · Measure score 3.47 · Achievement 3.47 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 6.71%
10.72%
4 pts better
Better than the National Rate · Eligible stays 502 · Observed rate 3.59% · Lower 95% interval 4.85%
Discharge to community 69.2%
50.57%
18.6 pts better
Better than the National Rate · Eligible stays 515 · Observed rate 72.04% · Lower 95% interval 66.1%
Medicare spending per beneficiary 1.12
1.02
0.1 pts worse
Drug regimen review with follow-up 99.28%
95.27%
4 pts better
Numerator 275 · Denominator 277
Falls with major injury 1.08%
0.77%
0.3 pts worse
Numerator 3 · Denominator 277
Discharge self-care score 66.96%
53.69%
13.3 pts better
Numerator 152 · Denominator 227
Discharge mobility score 66.52%
50.94%
15.6 pts better
Numerator 151 · Denominator 227
Pressure ulcers or injuries, new or worsened 0%
2.29%
2.3 pts better
Numerator 0 · Denominator 277 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization 8.33%
7.12%
1.2 pts worse
No Different than the National Rate · Eligible stays 304 · Observed rate 7.24% · Lower 95% interval 5.89%
Staff COVID-19 vaccination coverage 18.05%
8.2%
9.9 pts better
Numerator 37 · Denominator 205
Staff flu vaccination coverage 65.74%
42%
23.7 pts better
Numerator 165 · Denominator 251
Discharge function score 63.88%
56.45%
7.4 pts better
Numerator 145 · Denominator 227
Transfer of health information to provider 100%
95.95%
4 pts better
Numerator 185 · Denominator 185
Transfer of health information to patient 96.55%
96.28%
0.3 pts better
Numerator 84 · Denominator 87
Resident COVID-19 vaccinations up to date 28.66%
25.2%
3.5 pts better
Numerator 45 · Denominator 157

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 99.8%
76.4%
23.4 pts better
81.7%
18.1 pts better
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 99.7% · Q4 99.6% · 4Q avg 99.8%
Percentage of short-stay residents who had an outpatient emergency department visit 12.4%
12.8%
0.4 pts better
12.0%
0.4 pts worse
Short Stay · 20240701-20250630 · Adjusted 12.4% · Observed 11.3% · Expected 10.2% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 0.4%
1.5%
1.1 pts better
1.6%
1.2 pts better
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.5% · Q3 0.5% · Q4 0.5% · 4Q avg 0.4% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 98.3%
75.6%
22.7 pts better
79.7%
18.6 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 98.3%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 18.7%
20.3%
1.6 pts better
23.9%
5.2 pts better
Short Stay · 20240701-20250630 · Adjusted 18.7% · Observed 17.0% · Expected 21.7% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-04-30 · Fire 2024-04-30

2 health deficiencies

Top issue: Administration (1 deficiency)

5 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2023-01-12 · Fire 2023-01-12

2 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

5 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 3 Health 2021-09-16 · Fire 2021-09-16

2 health deficiencies

Top issue: Pharmacy Service (1 deficiency)

4 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-04-30

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-05-24

F · Potential for more than minimal harm 2024-04-30

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-05-31

F · Potential for more than minimal harm 2024-04-30

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2024-05-24

D · Potential for more than minimal harm 2024-04-30

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-05-24

D · Potential for more than minimal harm 2024-04-30

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2024-05-24

E · Potential for more than minimal harm 2023-01-12

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-03-17

E · Potential for more than minimal harm 2023-01-12

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-03-17

E · Potential for more than minimal harm 2023-01-12

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-03-17

D · Potential for more than minimal harm 2023-01-12

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-03-17

D · Potential for more than minimal harm 2023-01-12

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2023-03-17

E · Potential for more than minimal harm 2021-09-16

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2021-10-06

E · Potential for more than minimal harm 2021-09-16

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2021-10-12

D · Potential for more than minimal harm 2021-09-16

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2021-10-25

D · Potential for more than minimal harm 2021-09-16

K908 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure gas and vacuum systems are inspected and tested as part of a maintenance program.

Corrected 2021-10-06

Inspection history

Recent health citations

E · Potential for more than minimal harm 2024-04-30

F847 · Administration Deficiencies

Health

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

Corrected 2024-06-10

D · Potential for more than minimal harm 2024-04-30

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-06-10

F · Potential for more than minimal harm 2023-01-12

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-02-14

D · Potential for more than minimal harm 2023-01-12

F585 · Resident Rights Deficiencies

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.

Corrected 2023-02-04

G · Actual harm 2021-09-16

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2021-10-05

D · Potential for more than minimal harm 2021-09-16

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2021-10-05

Penalties and ownership

What sits behind the stars

Ownership

Nearby options

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