GRAND RIVER HEALTH CARE CENTER in Rifle, CO has an overall 3-star rating, with strong staffing (5 stars; 4.85 hours per resident per day vs. the 4.1 federal benchmark) but weaker health inspections (2 stars) and a recent federal penalty with $34,110 in fines over the last 24 months.
Last inspection: January 30, 2026Penalties, last 24 months: $34,110recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.8531.
Staffing detail
Registered nurses
1.14
Licensed practical nurses
0.70
Nurse aides
3.02
Weekend nursing
4.21
Hours per resident per day.
Total staff turnover: 40%
Registered nurse turnover: 53%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
10.5%11.9%Worsening
Residents with a fall causing major injury
6%7.8%Worsening
Residents with pressure ulcers (bedsores)
0%2.3%Worsening
Residents with a urinary tract infection
6.5%6.1%No change
Residents who lost too much weight
2.5%0%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
11.6%7%Improving
Residents whose ability to walk got worse
11.9%26.4%Worsening
Long-stay residents on antianxiety or sleep medication
18.2%15.6%Improving
Short-stay residents newly given an antipsychotic
—4.3%—
Residents with a long-term catheter
0%2%Worsening
Residents with new or worsening incontinence
36.3%15.4%Improving
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the pneumonia vaccine
—93.6%—
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited January 2026 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to properly watch nurse aides' work and provide regular training. Cited January 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 730 — 42 CFR §483.35(e)(7) — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited February 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The nursing home failed to give residents clear notice of their rights, rules, services, and charges. Cited January 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 572 — 42 CFR §483.10 — S/S: D
The nursing home failed to ensure residents were free from significant medication errors. Cited January 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: D
Recent history
STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
PENALTY
A federal fine of $34,110 was recorded.
INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $34,110 in total fines.
Federal fine
Jan 30, 2026
$34,110
Operator & ownership
Ownership
Non profit - Corporation
Occupancy
52.8 residents on an average day (93% of 57 beds)
Resident voice
Resident council
Medicare history
Certified for 22 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.