The nursing home failed to ensure residents were free from significant medication errors. Cited December 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: J
Nursing home report
GRAND JUNCTION, CO · Medicare-certified · 96 beds
LA VILLA GRANDE CARE CENTER has a 2-star overall rating, with 2 stars for health inspections, 3 stars for staffing, and 4 stars for quality measures. It has reported staffing below the federal benchmark (3.21 vs. 4.1 hours per resident per day), $31,736 in fines in the last 24 months, and a recent federal penalty, with recent inspection concerns including medication errors, accident hazards/supervision, and pressure ulcer care.
Health inspections
Staffing
3.2136 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2136.
Hours per resident per day.
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The nursing home failed to ensure residents were free from significant medication errors. Cited December 2025 — isolated incident, immediate jeopardy to residents.
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: J
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited May 2025 — isolated incident, actual harm.
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited November 2023 — isolated incident, actual harm.
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited October 2024 — widespread issue, potential for harm.
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to provide enough support staff to safely and effectively run food and nutrition services. Cited November 2023 — widespread issue, potential for harm.
F-Tag 802 — 42 CFR §483.60 — S/S: F
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 1 health deficiency.
A federal fine of $31,736 was recorded.
Health inspection found 9 health deficiencies.
Health inspection found 2 health deficiencies.
On record with Medicare: 7 fines · $95,619 in total fines · 1 payment denial.
Federal fine
May 22, 2025
Federal fine
Jan 2, 2024
Federal fine
Dec 11, 2023
Medicare/Medicaid payment denial
Nov 16, 2023
Federal fine
Nov 16, 2023
Federal fine
Sep 11, 2023
Federal fine
Jun 20, 2023
Federal fine
May 30, 2023
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.