Elder Care Record

Colorado › Garfield County › Rifle

Grand River Health Care Center

701 E 5th St, Rifle, CO 81650

CCN 065381 · Non-profit, corporation · 57 certified beds

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Grand River Health Care Center, in Rifle, Colorado, is certified for 57 beds under non-profit, corporation ownership.

CMS gives it 3 of 5 stars overall, equal to the Colorado median; the health inspection rating is 2, staffing 5 and quality measures 3.

Inspectors recorded 11 health deficiencies across the three most recent survey cycles (5, 6, 0 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 19.3 per 100 beds, fewer than the state median of 25.0.

CMS lists 1 penalty in the period covered: fines totalling $22K.

Reported nurse staffing is 4.9 hours per resident per day (1.1 RN), above the Colorado median of 3.5; nursing staff turnover is 40.0%.

11health deficiencies, 3 survey cycles1 at actual harm or worse
$22Kfines listed by CMS1 penalty in period
4.9nurse hours per resident per daystate median 3.5
93%occupancy (residents ÷ beds)53 residents a day

Compared with county, state and nation

MeasureThis facilityGarfield Co. medianColorado medianUS average
Overall star rating3333.0
Health citations, 3 cycles11282228.7
Citations per 100 beds19.331.125.026.8
Total nurse hours per resident day4.94.13.53.9
RN hours per resident day1.11.10.70.7
Nursing staff turnover40.0%48.7%46.7%45.8%
Fines listed$22,171$25,990$10,033—

County and state figures are medians across facilities (4 in the county, 210 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)5
Cycle 26
Cycle 30

Dark bar: this facility. Grey bar: Colorado average per facility for the same cycle, as published by CMS. Standard health survey dates: 30 Jan 2026, 8 Feb 2024.

Severity mix: J ×1 D ×8 E ×2

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
30 Jan 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JStandard survey30 Jan 2026
30 Jan 2026F0730Observe each nurse aide's job performance and give regular training.EStandard survey26 Feb 2026
30 Jan 2026F0572Give residents a notice of rights, rules, services and charges.DStandard survey24 Feb 2026
30 Jan 2026F0760Ensure that residents are free from significant medication errors.DStandard survey25 Feb 2026
30 Jan 2026F0880Provide and implement an infection prevention and control program.DStandard survey24 Feb 2026
8 Feb 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey23 Mar 2024
8 Feb 2024F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey23 Mar 2024
8 Feb 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey23 Mar 2024
8 Feb 2024F0742Provide 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.DStandard survey23 Mar 2024
8 Feb 2024F0759Ensure medication error rates are not 5 percent or greater.DStandard survey23 Mar 2024
8 Feb 2024F0880Provide and implement an infection prevention and control program.DStandard survey23 Mar 2024

Penalties

DateTypeAmountDetail
30 Jan 2026Fine$22,171

Staffing

Total nursing4.85 h
Nurse aides3.02 h
LPN0.7 h
RN1.14 h
Weekend total4.21 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Colorado average. Turnover: nursing staff 40.0%, RNs 53.3%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityColorado medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay12.4%11.1%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay1.7%0.0%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay9.5%0.9%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay7.6%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay4.3%0.9%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay14.8%11.9%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay0.6%3.0%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay11.1%18.8%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: non-profit, corporation. Legal business name: Grand River Hospital District.

OrganisationRole in the CMS recordInterestSince
Grand River Hospital District5% or greater direct ownership interest100%01/01/1966

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Garfield County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Heritage Park Care CenterCarbondale903232831.1$26K29 Aug 2024
Colorado State Veterans Nursing Home - Rifleabuse iconRifle892152123.6$33K20 Nov 2025
Glenwood Springs HealthcareGlenwood Springs542312953.7$5K21 Apr 2026

All 4 facilities in Garfield County

Questions and answers

How many deficiencies has Grand River Health Care Center been cited for?

11 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Colorado median is 22 per facility.

Has Grand River Health Care Center been fined?

Yes. CMS lists fines totalling $22K in the period covered.

How does staffing at Grand River Health Care Center compare?

Reported total nurse staffing is 4.9 hours per resident per day against a Colorado median of 3.5 and a national average of 3.9.

Who operates Grand River Health Care Center?

Ownership type is non-profit, corporation. Organisations in the CMS ownership record include Grand River Hospital District. Individual owners and managers are not listed on this site.

When was Grand River Health Care Center last inspected?

The most recent survey or investigation in the CMS record is dated 30 Jan 2026; the most recent standard health survey was 30 Jan 2026.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.