Grand River Health Care Center
Rifle, Garfield County, Colorado · CCN 065381 · Non-profit (Corporation) · not part of a chain
CMS rates Grand River Health Care Center 3 of 5 overall as of August 2026. 57 certified beds, 53 residents a day on average. 11 citations on record from the current inspection cycles, 1 at immediate jeopardy; 1 fine totalling $22,171.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★★☆☆ 3 of 5 |
|---|---|
| Health inspections | ★★☆☆☆ 2 of 5 |
| Staffing | ★★★★★ 5 of 5 |
| Quality measures | ★★★☆☆ 3 of 5 |
| Quality: long-stay / short-stay | 2 / 3 of 5 |
Staffing
| Total nurse staffing | 4.85312 hours per resident per day |
|---|---|
| Registered nurses | 1.14166 hours per resident per day |
| Weekend total | 4.20808 hours per resident per day |
| Nursing staff turnover | 40% (registered nurses 53.3%) |
| Administrators who left | 0 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-01-30 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
J Immediate jeopardy to resident health or safety; isolated | Deficient, Provider has date of correction 2026-01-30 |
| 2026-01-30 | Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · tag F0730 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-02-26 |
| 2026-01-30 | Give residents a notice of rights, rules, services and charges. Resident Rights Deficiencies · tag F0572 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-02-24 |
| 2026-01-30 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · tag F0760 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-02-25 |
| 2026-01-30 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-02-24 |
| 2024-02-08 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-03-23 |
| 2024-02-08 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · tag F0657 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-03-23 |
| 2024-02-08 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-03-23 |
| 2024-02-08 | 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. Quality of Life and Care Deficiencies · tag F0742 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-03-23 |
| 2024-02-08 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · tag F0759 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-03-23 |
| 2024-02-08 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-03-23 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2026-01-30 | Fine | $22,171 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Grand River Hospital District Organization | 5% or greater direct ownership interest | 100% | 1966-01-01 |
| Paget, Chavien Individual | adp of the snf | — | 2024-12-12 |
| Coombs, James Individual | corporate officer | — | 2006-05-01 |
| Ellis, Todd Individual | managing control - governing body | — | 2023-02-27 |
| Mendizabal, Raquel Individual | managing control - governing body | — | 2019-06-01 |
| Rickstrew, Jay Individual | managing control - governing body | — | 2023-02-27 |
| Will, Perry Individual | managing control - governing body | — | 2023-02-27 |
| Ellis, Todd Individual | trustee of the snf | — | 2023-02-27 |
| Mendizabal, Raquel Individual | trustee of the snf | — | 2019-06-01 |
| Rickstrew, Jay Individual | trustee of the snf | — | 2023-02-27 |
| Will, Perry Individual | trustee of the snf | — | 2023-02-27 |
| Paget, Chavien Individual | w-2 managing employee | — | 2024-11-01 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Grand River Health Care Center.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Garfield County.