Grand River Health Care Center in Rifle, CO has a 3-star overall rating, with stronger staffing at 5 stars and 5.06 reported nurse staffing hours per resident per day above the 4.1 federal benchmark. The home has a 2-star health inspection rating, $34,110 in fines in the last 24 months, and a recent federal penalty.
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 5.0597.
Staffing detail
Registered nurses
1.15
Licensed practical nurses
0.73
Nurse aides
3.18
Weekend nursing
4.45
Hours per resident per day.
Total staff turnover: 35%
Registered nurse turnover: 41%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
8.8%Worsening
Residents with a fall causing major injury
7.2%Worsening
Residents with pressure ulcers (bedsores)
0%Steady
Residents with a urinary tract infection
10.2%Worsening
Residents who lost too much weight
3.7%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
13.7%Worsening
Residents whose ability to walk got worse
18.7%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
16.5%Improving
Short-stay residents newly given an antipsychotic
8.3%Steady
Residents with a long-term catheter
1.2%Steady
Residents with new or worsening incontinence
27.3%Improving
Residents with depressive symptoms
0%Steady
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the pneumonia vaccine
92.6%Steady
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.
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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.
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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
50 residents on an average day (88% 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.