Nursing homeActive
Grand River Health Care Center
701 E 5th St, Rifle, CO 81650970625151457 certified beds · 53 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
3
since 2022
Deficiencies
11
● 0● 10● 1
Penalties · 3 yrs
$22,171
1 fine
Last survey
2026-01-30
Standard
CMS overall
3 / 5
stars as published by CMS
CMS overall 3/5
Health 2
Staffing 5
Quality 3
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Colorado Department of Public Health & Environment · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-01-30 | Standard | 041 | CMS-2567 (Care Compare) | — |
| 2024-02-08 | Standard | 060 | CMS-2567 (Care Compare) | — |
| 2022-10-13 | Standard | 000 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Colorado Department of Public Health & Environment publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity JHarm
Care planningFalls
Isolated; immediate jeopardy to resident health or safety.Corrected 2026-01-30Record 065381-20260130-F689
F572Give residents a notice of rights, rules, services and charges.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-24Record 065381-20260130-F572
F730Observe each nurse aide's job performance and give regular training.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-02-26Record 065381-20260130-F730
F760Ensure that residents are free from significant medication errors.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-25Record 065381-20260130-F760
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-24Record 065381-20260130-F880
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-23Record 065381-20240208-F657
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-23Record 065381-20240208-F689
F742Provide 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-23Record 065381-20240208-F742
F759Ensure medication error rates are not 5 percent or greater.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-23Record 065381-20240208-F759
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-03-23Record 065381-20240208-F812
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-23Record 065381-20240208-F880
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2026-01-30 | Civil money penalty | $22,171 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day1.14
Facility
Colorado
National
Colorado 0.82 · National 0.69
Total nurse hours per resident day4.85
Facility
Colorado
National
Colorado 3.72 · National 3.86
Weekend total nurse hours4.21
Facility
Colorado
National
Colorado 3.30 · National 3.42
Total nursing staff turnover40%
Facility
Colorado
National
Colorado 47% · National 46%
Registered nurse turnover53%
Facility
Colorado
National
Colorado 45% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Colorado | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 0.6% | 3.4% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 7.6% | 3.4% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 11.1% | 20.0% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 9.5% | 1.4% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 12.4% | 13.4% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 3.0% | 4.7% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 15.6% | 11.5% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Grand River Hospital District Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Coombs, James Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Ellis, Todd Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Ellis, Todd Individual | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
| Mendizabal, Raquel Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Mendizabal, Raquel Individual | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
| Paget, Chavien Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Paget, Chavien Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Rickstrew, Jay Individual | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
| Rickstrew, Jay Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Will, Perry Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Will, Perry Individual | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Colorado.
No county cost figures on file for Garfield.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Colorado State Veterans Nursing Home - Rifle Rifle | 0.5 mi | 2025-11-20 | 0103 |
| Glenwood Springs Healthcare Glenwood Springs | 24.5 mi | 2026-04-21 | 0121 |
| Walbridge Memorial Convalescent Wing Meeker | 36.5 mi | 2025-12-11 | 0171 |
| Heritage Park Care Center Carbondale | 31.1 mi | 2024-08-29 | 1151 |
| Paonia Care And Rehabilitation Center Paonia | 47.4 mi | 2025-08-07 | 1313 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |