Larchwood Health and Rehab LLC
2845 N 15th St · Grand Junction, CO · 81506 · 9702450022
130 certified beds For profit - Corporation
Why this verdict
- Carries CMS’s abuse warning icon.
- 4 citations involved actual harm to residents.
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Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
2 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
No standard inspection in over 2 years
The inspection record here is older than usual — conditions may have changed since.
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: 2 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.85 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.79 | 0.55–0.75 |
| Weekend hours / resident-day | 3.35 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 2 · $28,405 |
Inspection citations (38 in the current record)
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Potential for harm · D December 9, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected December 19, 2025 · Resident Rights
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Potential for harm · D December 9, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected December 19, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 5, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected December 15, 2025 · Resident Rights
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Potential for harm · D December 5, 2025 · found via complaint
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 December 15, 2025 · Resident Rights
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Potential for harm · D December 5, 2025 · found via complaint
Provide or obtain dental services for each resident.
Corrected December 15, 2025 · Quality of Life and Care
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Potential for harm · D August 21, 2025 · found via complaint
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected September 14, 2025 · Resident Rights
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Potential for harm · D August 21, 2025 · found via complaint
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected September 14, 2025 · Resident Rights
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Potential for harm · D April 24, 2025 · found via complaint
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Corrected May 9, 2025 · Resident Rights
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Potential for harm · E March 11, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected April 4, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 11, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected May 5, 2024 · Resident Rights
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Potential for harm · D April 11, 2024
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected May 5, 2024 · Resident Rights
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Potential for harm · E April 11, 2024
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected May 5, 2024 · Resident Rights
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Potential for harm · D April 11, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected May 5, 2024 · Quality of Life and Care
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Potential for harm · E April 11, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected May 5, 2024 · Quality of Life and Care
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Potential for harm · D April 11, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected May 5, 2024 · Pharmacy Service
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Potential for harm · D April 11, 2024
Ensure that residents are free from significant medication errors.
Corrected May 5, 2024 · Pharmacy Service
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Potential for harm · E April 11, 2024
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.
Corrected May 5, 2024 · Pharmacy Service
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Potential for harm · D April 11, 2024
Provide or obtain dental services for each resident.
Corrected May 5, 2024 · Quality of Life and Care
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Potential for harm · E April 11, 2024
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected May 5, 2024 · Nutrition and Dietary
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Potential for harm · F April 11, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 5, 2024 · Nutrition and Dietary
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No harm found · B April 11, 2024
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected May 5, 2024 · Resident Rights
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Actual harm · G January 3, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 1, 2024 · Quality of Life and Care
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Potential for harm · E January 3, 2024 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected February 1, 2024 · Resident Rights
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Actual harm · G December 22, 2022
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected January 16, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G December 22, 2022
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected January 13, 2023 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| August 21, 2025 | Fine | $17,225 |
| January 3, 2024 | Fine | $11,180 |
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 065331 · certified since September 22, 1994. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.