Grand River Health Care Center
701 E 5th St · Rifle, CO · 81650 · 9706251514
57 certified beds Non profit - Corporation
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection results are getting worse cycle over cycle, not better.
- Staffing hours comfortably above national benchmarks.
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Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 2 of 5 Staffing: 5 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 5.06 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.15 | 0.55–0.75 |
| Weekend hours / resident-day | 4.45 | ≈ weekday level |
| Nursing turnover / year | 35% | median 45% |
| Fines (3-yr window) | 1 · $34,110 |
Inspection citations (11 in the current record)
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Immediate jeopardy · J January 30, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 30, 2026 · Quality of Life and Care
-
Potential for harm · D January 30, 2026
Give residents a notice of rights, rules, services and charges.
Corrected February 24, 2026 · Resident Rights
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Potential for harm · E January 30, 2026
Observe each nurse aide's job performance and give regular training.
Corrected February 26, 2026 · Nursing and Physician Services
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Potential for harm · D January 30, 2026
Ensure that residents are free from significant medication errors.
Corrected February 25, 2026 · Pharmacy Service
-
Potential for harm · D January 30, 2026
Provide and implement an infection prevention and control program.
Corrected February 24, 2026 · Infection Control
-
Potential for harm · D February 8, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected March 23, 2024 · Resident Assessment and Care Planning
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Potential for harm · D February 8, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 23, 2024 · Quality of Life and Care
-
Potential for harm · D February 8, 2024
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.
Corrected March 23, 2024 · Quality of Life and Care
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Potential for harm · D February 8, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected March 23, 2024 · Pharmacy Service
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Potential for harm · E February 8, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 23, 2024 · Nutrition and Dietary
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Potential for harm · D February 8, 2024
Provide and implement an infection prevention and control program.
Corrected March 23, 2024 · Infection Control
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 30, 2026 | Fine | $34,110 |
Better-scoring options nearby
No better-scoring facility within 25 miles in the current data. See the whole state.
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 065381 · certified since December 1, 2003. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.