88/100
Excellent
Grand River Health Care Center
701 E 5Th St, Rifle, CO 81650
- Certified beds
- 57
- Occupancy
- 93%
- Ownership
- Non-profit
- Accepts
- Medicare + Medicaid
What to ask about before you visit
These are findings in the public CMS record for this home. They are not our opinion, each one comes straight from a federal inspection or enforcement file.
$22,171 in federal fines
CMS has fined this facility across 1 penalty action(s).
Our read on Grand River Health Care Center
Grand River Health Care Center in Rifle runs a lean nonprofit ship, and the staffing numbers show it: 4.85 nurse hours per resident day, roughly a quarter more than the national average, with a five-star CMS staffing rating to match. Turnover sits at 40%, a bit better than the 45.8% national figure. The catch is inspections. Eleven deficiencies on the current record, one serious enough to reach harm or jeopardy level, and a single fine of $34,110. The last inspection was January 30, 2026. Weekends also run about 13% thinner than weekdays, so care can shift depending on when you visit. Strong hands on deck, uneven follow-through on the paperwork and safety side.
Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.
How this grade was calculated
Every point is shown. Nothing is weighted behind the scenes, the full formula is on How we grade.
A full pentagon is full marks. The shape shows what kind of good or bad a home is, two homes can share a score and look nothing alike.
Inspection safety
30/30Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
- →No citations recorded in the last 3 years
Staffing
29/30Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
- →5.74 total nurse hours per resident per day (national median 3.77)
- →1.14 RN hours per resident per day
- →Weekend staffing drops 13% against weekdays
Staff stability
12/15How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
- →40% of nursing staff left in the last year
Resident outcomes
9/15The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
- →3 of 5 stars on the CMS quality-measure rating
Enforcement history
8/10Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
- →$22,171 in federal fines across 1 action(s)
Staffing, against the national average
Full detailHours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Recent inspection findings
Last standard health inspection: January 30, 2026 (9 months ago). No citations were recorded.
No health-inspection citations on record for this facility in the current CMS release.
What families say
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Common questions about Grand River Health Care Center
What is the ElderGrade for Grand River Health Care Center? +
Grand River Health Care Center holds an ElderGrade of A (88 out of 100), which we describe as "excellent". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
How many nursing hours does each resident get at Grand River Health Care Center? +
Residents receive an average of 4.85 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Has Grand River Health Care Center been cited for harming residents? +
No. None of the 0 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.
Does Grand River Health Care Center accept Medicaid? +
Yes, Grand River Health Care Center is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.
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