Grand River Health Care Center: Staffing, Turnover, and Inspection Record
Grand River Health Care Center is a 57-bed nonprofit nursing home in Rifle, Colorado. In the CMS August 2026 release it reported 3.02 nurse aide hours per resident per day, 36% above the Colorado average of 2.22, and 40.0% nursing staff turnover (Colorado average 47.1%).
Grand River Health Care Center
701 E 5th StRifle, CO 81650
Garfield County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Grand River Health Care Center, nurse aides logged 3.02 hours per resident per day, 36% above the Colorado average. With about 53 residents a day, that works out to roughly 159 aide hours a day, or about 20 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 13% below the all-days figure.
| Hours per resident per day | This home | Colorado avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 3.02 | 2.22 | 2.32 |
| Licensed practical nurses | 0.70 | 0.68 | 0.86 |
| Registered nurses | 1.14 | 0.82 | 0.69 |
| All nursing staff | 4.85 | 3.72 | 3.86 |
| All nursing staff, weekends | 4.21 | 3.30 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
40.0% of nursing staff at Grand River Health Care Center left over the year CMS measured, against a Colorado average of 47.1% and a US average of 45.8%. Registered nurse turnover was 53.3%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Jan 30, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 5 health deficiencies (Colorado average 8.6). CMS lists 1 fine totaling $22,171 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Jan 30, 2026 | Fine | $22,171 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Grand River Health Care Center holds 3 of 5 overall; the Colorado average is 3.1.
About Grand River Health Care Center
- Ownership: Non profit - Corporation
- Legal name: Grand River Hospital District
- Medicare and Medicaid certified since: Dec 1, 2003
- Councils: resident council
- Area: rural
Nursing homes near Grand River Health Care Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Colorado State Veterans Nursing Home - Rifle Rifle · abuse citation | 0.5 | 89 | 2.50 | 4.12 | 48.7% | 2 | $32,975 |
| Glenwood Springs Healthcare Glenwood Springs · staffing data not validated | 24.5 | 54 | — | — | 81.8% | 2 | $5,293 |
| Heritage Park Care Center Carbondale | 31.1 | 90 | 2.02 | 3.66 | 43.6% | 3 | $25,990 |
| Walbridge Memorial Convalescent Wing Meeker | 36.5 | 30 | 2.93 | 4.79 | — | 3 | $29,981 |
| Canyon View Care Center Palisade · abuse citation | 42.2 | 88 | 2.09 | 3.45 | 31.7% | 2 | $28,322 |
| Paonia Care and Rehabilitation Center Paonia · abuse citation | 47.4 | 60 | 1.62 | 3.00 | 62.5% | 1 | $32,619 |
| Mantey Heights Rehabilitation & Care Center Grand Junction | 50.4 | 88 | 1.92 | 3.12 | 58.3% | 1 | $117,284 |
| Horizons Care Center Eckert | 50.4 | 45 | 1.96 | 3.97 | 53.7% | 3 | $11,180 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.