Federal inspection record · CMS data as of October 1, 2026
Larchwood Health And Rehab LLC
2845 N 15th St, Grand Junction, CO · (970) 245-0022
- Cited for abuse (CMS abuse icon)
- Certified beds
- 130
- Residents per day
- 111
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- September 22, 1994
1
How this home got 2 stars
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
★★★★★no change
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.
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Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.
2
Where it sits among Colorado homes
Larchwood Health And Rehab LLC carries 93 inspection points. That is fewer than 28% 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
35 health citations on record since 2022. 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 (4)
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J
Ensure that residents are free from significant medication errors.
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Everything else, by area of care
Resident Rights12E
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
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.
- D
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- D
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
- E
Allow residents to self-administer drugs if determined clinically appropriate.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
- B
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Quality of Life and Care8E
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide or obtain dental services for each resident.
- E
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide or obtain dental services for each resident.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Nutrition and Dietary3F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Infection Control3F
- D
Provide and implement an infection prevention and control program.
- D
Implement a program that monitors antibiotic use.
- F
Provide and implement an infection prevention and control program.
Pharmacy Service3E
- E
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- D
Ensure medication error rates are not 5 percent or greater.
- D
Ensure that residents are free from significant medication errors.
Freedom from Abuse, Neglect, and Exploitation2E
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- E
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspection history
2026-05-21
13 health deficiencies · 11 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2024-04-11
16 health deficiencies · 5 fire-safety deficiencies
Top issue: Resident Rights (7 deficiencies)
2022-12-22
6 health deficiencies · 5 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 24 min of nursing staff time a day, 34 min of it from a registered nurse.
This home
3 h 24 min
Colorado average
3 h 42 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 50% of nursing staff and 26% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$28,685 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-08-21 | Fine | $17,505 |
| 2024-01-03 | Fine | $11,180 |
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 days0.5 pts better | 0.9 | 1.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.2 pts better | 1.5 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine0.4 pts worse | 93.0% | 93.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.3 pts better | 97.0% | 93.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.7 pts worse | 5.1% | 3.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms1.7 pts better | 7.1% | 8.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.6 pts worse | 5.4% | 4.8% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication1.5 pts worse | 13.1% | 11.6% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication4.5 pts better | 15.4% | 19.9% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.2 pts worse | 0.3% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened11.4 pts worse | 23.1% | 11.7% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased5.6 pts worse | 18.4% | 12.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder4.7 pts worse | 5.2% | 0.5% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2.6 pts worse | 4.0% | 1.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence8.1 pts worse | 28.7% | 20.6% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.2 pts worse | 5.6% | 3.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine7.9 pts better | 84.9% | 77.0% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit5.9 pts worse | 17.9% | 12.0% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.2 pts worse | 1.8% | 1.6% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine1.6 pts worse | 72.0% | 73.6% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission7.9 pts worse | 28.4% | 20.5% | 23.4% |
·
Who owns and runs it
7 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 |
|---|---|---|---|
| Jiles, Jeanane | 5% Or Greater Direct Ownership Interest · Individual | 50% | 1 facilities |
| Jiles, Jon | 5% Or Greater Direct Ownership Interest · Individual | 50% | 1 facilities |
| Jiles, Jeanane | Corporate Director · Individual | 0% | 1 facilities |
| Jiles, Jon | Corporate Director · Individual | 0% | 1 facilities |
| Jiles, Jon | Corporate Officer · Individual | 0% | 1 facilities |
| Wood, Melissa K. | Corporate Director · Individual | 0% | 2 facilities |
| Wood, Melissa K. | Operational/Managerial Control · Individual | 0% | 2 facilities |
·
Fire safety
21 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke10F
- F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Inspect, test, and maintain automatic sprinkler systems.
- D
Provide properly protected cooking facilities.
- D
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Install properly constructed windows in hallway walls or doors.
- F
Inspect, test, and maintain automatic sprinkler systems.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Inspect, test, and maintain automatic sprinkler systems.
- D
Construct fire resistant interior walls.
Miscellaneous4E
- D
Provide a written emergency evacuation plan.
- D
Have restrictions on the use of highly flammable decorations.
- D
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- E
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems3F
- D
Have generator or other power source capable of supplying service within 10 seconds.
- D
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
- F
Have generator or other power source capable of supplying service within 10 seconds.
Services2D
- D
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D
Have properly installed electrical wiring and gas equipment.
Egress2F
- F
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D
Install emergency lighting that can last at least 1 1/2 hours.
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Other homes nearby
-
Red Cliffs Post Acute
Grand Junction, CO · Pacs Group · Abuse icon
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 7 min
- Fines
- $0
-
La Villa Grande Care Center
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★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 1 min
- Fines
- $80,800
-
Mantey Heights Rehabilitation & Care Center
Grand Junction, CO · Stellar Senior Living · Abuse icon
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 8 min
- Fines
- $117,284