2 health deficiencies
Top issue: Administration (1 deficiency)
5 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Grand Junction, CO
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
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
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
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
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
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
| 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
| 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
Top issue: Administration (1 deficiency)
5 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Nutrition and Dietary (1 deficiency)
5 fire-safety deficiencies
Top issue: Smoke (4 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
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
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-05-31
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
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-05-24
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2024-05-24
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-03-17
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-03-17
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-03-17
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-03-17
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-03-17
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2021-10-06
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2021-10-12
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2021-10-25
Fire Safety
Ensure gas and vacuum systems are inspected and tested as part of a maintenance program.
Corrected 2021-10-06
Inspection history
Health
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Corrected 2024-06-10
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-06-10
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
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
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2021-10-05
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
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