01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-05-22 | 10 | 2025-05-22 | 5 |
| Cycle 2 | 2023-11-16 | 18 | 2023-11-16 | 10 |
| Cycle 3 | 2022-08-11 | 4 | 2022-08-11 | 5 |
CMS CCN 0652532026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
La Villa Grande Care Center
2501 Little Bookcliff Dr · Grand Junction, CO 81501 · Mesa County
Certified beds96CMS provider file
Recent citation rows52current CMS citation release
Penalty rows6current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
52 rows in the current release
4 rows carry G–L scope/severity codes; 1 carry J–L. 8 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-12-18 · HEALTHF0760Severity J · isolated immediate jeopardy
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Correction field: Past Non-Compliance · complaint2025-05-22 · HEALTHF0554Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Correction field: Deficient, Provider has date of correction · 2025-06-192025-05-22 · HEALTHF0574Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
The resident has the right to receive notices in a format and a language he or she understands.
Correction field: Deficient, Provider has date of correction · 2025-06-192025-05-22 · HEALTHF0600Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Correction field: Deficient, Provider has date of correction · 2025-06-192025-05-22 · HEALTHF0605Severity E · pattern; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Correction field: Deficient, Provider has date of correction · 2025-06-192025-05-22 · HEALTHF0688Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Correction field: Deficient, Provider has date of correction · 2025-06-192025-05-22 · HEALTHF0689Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2025-06-192025-05-22 · HEALTHF0759Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Correction field: Deficient, Provider has date of correction · 2025-06-192025-05-22 · HEALTHF0804Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Correction field: Deficient, Provider has date of correction · 2025-06-192025-05-22 · HEALTHF0880Severity E · pattern; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2025-06-192025-05-22 · FIREK0211Severity D · isolated; potential for more than minimal harm
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Correction field: Deficient, Provider has date of correction · 2025-07-222025-05-22 · FIREK0353Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2025-07-222025-05-22 · FIREK0361Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
Correction field: Deficient, Provider has date of correction · 2025-07-222025-05-22 · FIREK0761Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Correction field: Deficient, Provider has date of correction · 2025-07-222025-05-22 · FIREK0918Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2025-07-222024-10-08 · HEALTHF0658Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2024-11-11 · complaint2024-10-08 · HEALTHF0812Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2024-11-11 · complaint2023-11-16 · HEALTHF0565Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
Correction field: Deficient, Provider has date of correction · 2023-12-212023-11-16 · HEALTHF0578Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Correction field: Deficient, Provider has date of correction · 2023-12-212023-11-16 · HEALTHF0625Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Correction field: Deficient, Provider has date of correction · 2023-12-212023-11-16 · HEALTHF0626Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Correction field: Deficient, Provider has date of correction · 2023-12-212023-11-16 · HEALTHF0641Severity E · pattern; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2023-12-212023-11-16 · HEALTHF0676Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Correction field: Deficient, Provider has date of correction · 2023-12-262023-11-16 · HEALTHF0685Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Assist a resident in gaining access to vision and hearing services.
Correction field: Deficient, Provider has date of correction · 2023-12-2603 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2025-05-22 | Fine | $31,736 | 0 |
| 2024-01-02 | Fine | $4,545 | 0 |
| 2023-12-11 | Fine | $11,538 | 0 |
| 2023-11-16 | Fine | $32,981 | 0 |
| 2023-11-16 | Payment Denial | $0 | 10 |
| 2023-09-11 | Fine | $8,469 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- SPTIHS PROPERTIES TRUSTOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 01/01/2024
- CHARLES SCHWAB INVESTMENT MANAGEMENT, INC.Organization · 5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED · since 03/22/2024
- D.E. SHAW & CO., L.P.Organization · 5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED · since 03/22/2024
- DIVERSIFIED HEALTHCARE TRUSTOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED · since 01/01/2020
- H/2 SPECIAL OPPORTUNITIES IV L.P.Organization · 5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED · since 03/22/2024
- SNH PROJ LINCOLN TRS LLCOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED · since 01/01/2020
- SNH TRS LICENSEE HOLDCO LLCOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED · since 01/01/2020
- SNH TRS, INC.Organization · 5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED · since 01/01/2020
- BILOTTO, CHRISTOPHERIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2024
- PORTNOY, ADAMIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2020
- BILOTTO, CHRISTOPHERIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/01/2024
- BROWN, MATTHEWIndividual · CORPORATE OFFICERNOT APPLICABLE · since 10/01/2023
- CLARK, JENNIFERIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/01/2020
- ABP TRUSTOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 03/22/2024
- BLACKROCK INCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 03/22/2024
- CHARLES SCHWAB INVESTMENT MANAGEMENT, INC.Organization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 03/22/2024
- D.E. SHAW & CO., L.P.Organization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 03/22/2024
- DIVERSIFIED HEALTHCARE TRUSTOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/01/2020
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.24per resident day
RN hours0.80per resident day
Weekend nurse hours2.76per resident day
Staff turnover34.8%CMS reported field
06 / LOCAL RECORDS
Open the Grand Junction ledger →Other published facilities nearby
Center At Foresight Llc, The54 beds · CMS overall 5/521 citation rowsEagle Ridge Post Acute70 beds · CMS overall 2/549 citation rowsLarchwood Health And Rehab Llc130 beds · CMS overall 2/554 citation rowsMantey Heights Rehabilitation & Care Center88 beds · CMS overall 1/572 citation rowsRed Cliffs Post Acute89 beds · CMS overall 2/543 citation rows