La Villa Grande Care Center

2501 Little Bookcliff Dr · Grand Junction, CO · 81501 · 9702451211

96 certified beds For profit - Corporation Chain: Stellar Senior Living

Why this verdict

  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
  • Federal penalties on record: $31,736 in fines in the last 24 months.
  • 3 citations involved actual harm to residents.
  • Inspection results have improved across recent cycles.

The complete Safety Report — $19

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.

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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.

Cited under the freedom-from-abuse rule

Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

Medicare/Medicaid payments were denied

CMS refused payment for new admissions for a period — one of its strongest enforcement tools.

Score breakdown

Inspection record 30% of score 41
Serious harm & abuse 20% 52
Staffing 20% 66
Federal penalties 15% 0
Trend 10% 76
Context 5% 75

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day3.213.48 min · 4.1 strong
RN hours / resident-day0.670.55–0.75
Weekend hours / resident-day2.85≈ weekday level
Nursing turnover / year33%median 45%
Fines (3-yr window)6 · $91,386

Inspection citations (33 in the current record)

  • Immediate jeopardy · J December 18, 2025 · found via complaint

    Ensure that residents are free from significant medication errors.

    Past Non-Compliance · Pharmacy Service

  • Actual harm · G May 22, 2025

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected June 19, 2025 · Quality of Life and Care

  • Potential for harm · D May 22, 2025

    Allow residents to self-administer drugs if determined clinically appropriate.

    Corrected June 19, 2025 · Resident Rights

  • Potential for harm · D May 22, 2025

    The resident has the right to receive notices in a format and a language he or she understands.

    Corrected June 19, 2025 · Resident Rights

  • Potential for harm · D May 22, 2025

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected June 19, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E May 22, 2025

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    Corrected June 19, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D May 22, 2025

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    Corrected June 19, 2025 · Quality of Life and Care

  • Potential for harm · D May 22, 2025

    Ensure medication error rates are not 5 percent or greater.

    Corrected June 19, 2025 · Pharmacy Service

  • Potential for harm · E May 22, 2025

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected June 19, 2025 · Nutrition and Dietary

  • Potential for harm · E May 22, 2025

    Provide and implement an infection prevention and control program.

    Corrected June 19, 2025 · Infection Control

  • Potential for harm · D October 8, 2024 · found via complaint

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected November 11, 2024 · Resident Assessment and Care Planning

  • Potential for harm · F October 8, 2024 · found via complaint

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

    Corrected November 11, 2024 · Nutrition and Dietary

  • Actual harm · G November 16, 2023

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

    Corrected December 26, 2023 · Quality of Life and Care

  • Potential for harm · E November 16, 2023

    Honor the resident's right to organize and participate in resident/family groups in the facility.

    Corrected December 21, 2023 · Resident Rights

  • Potential for harm · D November 16, 2023

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    Corrected December 21, 2023 · Resident Rights

  • Potential for harm · D November 16, 2023

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

    Corrected December 21, 2023 · Resident Rights

  • Potential for harm · D November 16, 2023

    Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

    Corrected December 21, 2023 · Resident Rights

  • Potential for harm · E November 16, 2023

    Ensure each resident receives an accurate assessment.

    Corrected December 21, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D November 16, 2023

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

    Corrected December 26, 2023 · Quality of Life and Care

  • Potential for harm · D November 16, 2023

    Assist a resident in gaining access to vision and hearing services.

    Corrected December 26, 2023 · Quality of Life and Care

  • Potential for harm · E November 16, 2023

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Corrected December 21, 2023 · Nursing and Physician Services

  • Potential for harm · F November 16, 2023

    Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

    Corrected December 26, 2023 · Nutrition and Dietary

  • Potential for harm · D November 16, 2023

    Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

    Corrected December 21, 2023 · Nutrition and Dietary

  • Potential for harm · F November 16, 2023

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

    Corrected December 21, 2023 · Nutrition and Dietary

  • Potential for harm · D November 16, 2023

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

    Corrected December 21, 2023 · Administration

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
May 22, 2025Fine$31,736
January 2, 2024Fine$4,545
December 11, 2023Fine$11,538
November 16, 2023Fine$32,981
November 16, 2023Payment Denial10 days
September 11, 2023Fine$8,469
June 20, 2023Fine$2,117

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 065253 · certified since March 1, 1989. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.