Federal inspection record · CMS data as of October 1, 2026
Grand River Health Care Center
701 E 5th St, Rifle, CO · (970) 625-1514
- Certified beds
- 57
- Residents per day
- 54
- Ownership
- Non-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- December 1, 2003
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Colorado.
-
Staffing
★★★★★−1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Colorado homes
Grand River Health Care Center carries 78.25 inspection points. That is fewer than 37% of Colorado's 208 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Colorado: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–22 pts
- 4★ 22–44 pts
- 3★ 44–70.75 pts
- 2★ 70.75–104 pts
- 1★ over 104 pts
Bars show every rated home in Colorado by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
11 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Pharmacy Service2D
- D
Ensure that residents are free from significant medication errors.
- D
Ensure medication error rates are not 5 percent or greater.
Infection Control2D
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Quality of Life and Care2D
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Nursing and Physician Services1E
- E
Observe each nurse aide's job performance and give regular training.
Resident Rights1D
- D
Give residents a notice of rights, rules, services and charges.
Nutrition and Dietary1E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Assessment and Care Planning1D
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspection history
2026-01-30
5 health deficiencies · 4 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2024-02-08
6 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2022-10-13
0 health deficiencies · 4 fire-safety deficiencies
No concentrated health issue counts in this cycle.
5
Fines and payment denials
$22,171 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-01-30 | Fine | $22,171 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.6 pts worse | 2.0 | 1.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.6 pts worse | 2.3 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine6.6 pts better | 100.0% | 93.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine6.3 pts better | 100.0% | 93.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury4.1 pts worse | 7.5% | 3.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms8.8 pts better | 0.0% | 8.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.8 pts better | 4.0% | 4.8% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication3.1 pts worse | 14.7% | 11.6% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication6.8 pts better | 13.1% | 19.9% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened2 pts worse | 13.7% | 11.7% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased3.1 pts better | 9.7% | 12.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.2 pts worse | 1.7% | 0.5% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection8.4 pts worse | 9.8% | 1.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.3 pts better | 20.3% | 20.6% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.8 pts better | 0.6% | 3.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine16.5 pts better | 93.5% | 77.0% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.6 pts better | 0.0% | 1.6% | 1.5% |
·
Who owns and runs it
12 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Grand River Hospital District | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| Coombs, James | Corporate Officer · Individual | 0% | 1 facilities |
| Ellis, Todd | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Ellis, Todd | Trustee Of The SNF · Individual | 0% | 1 facilities |
| Mendizabal, Raquel | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Mendizabal, Raquel | Trustee Of The SNF · Individual | 0% | 1 facilities |
| Paget, Chavien | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Paget, Chavien | Adp Of The SNF · Individual | 0% | 1 facilities |
| Rickstrew, Jay | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Rickstrew, Jay | Trustee Of The SNF · Individual | 0% | 1 facilities |
| Will, Perry | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Will, Perry | Trustee Of The SNF · Individual | 0% | 1 facilities |
·
Fire safety
9 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke3F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Install an approved automatic sprinkler system.
- E
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems2F
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- D
Have generator or other power source capable of supplying service within 10 seconds.
Egress2F
- F
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- E
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Services1E
- E
Have properly installed electrical wiring and gas equipment.
Miscellaneous1D
- D
Have restrictions on the use of highly flammable decorations.
·
Other homes nearby
-
Colorado State Veterans Nursing Home - Rifle
Rifle, CO · Abuse icon
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 3 h 57 min
- Fines
- $32,975
-
Glenwood Springs Healthcare
Glenwood Springs, CO · Madison Creek Partners
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- —
- Fines
- $0
-
Heritage Park Care Center
Carbondale, CO · Life Care Centers Of America
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 30 min
- Fines
- $25,990