Garfield County Nursing Home

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

Therapy staffing: this home’s payroll records show 0.14 therapist hours per resident per day in 2026Q1 — more than 11% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 3% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 21 beds and averages 15.3 residents a day — about 73% occupied, or roughly 6 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 6.25 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 2.23 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 3.76 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 5.38 hrs/resident/day on weekends vs 6.60 on weekdays — 18% thinner on weekends. RN hours go from 2.51 to 1.53 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 32% is below the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

15 citations, most serious first. The 10 most serious are shown; the remaining 5 are one tap away and print in full.

• Potential for harm · Fcited before2025-06-25 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and interview, the facility did not store, prepare, distribute, and serve food in accordance with professional standards for food service safety. Specifically, there was undated food in the refrigerator and freezer, kitchen staff were observed to not be wearing hairnets and beard coverings, and the sanitizer bucket was not testing at the required sanitation levels.Findings included:On 6/22/25 at 12:07 PM, an initial tour of the kitchen was conducted. The following observations were made:a. An open energy drink was out on the food prep table.b. Three bags of bread slices were unlabeled and undated in the refrigerator.c. Two slices of cheese and ham were in a bag that was undated and unlabeled in the refrigerator.d. Turkey breast was in a bag and was not dated in there refrigerator.e. Hotdog's were opened in a bag and were not labeled or dated in the refrigerator.f. A plastic bag that was undated and unlabeled with turkey and swiss cheese in the refrigerator.g. An opened bag of sausage patties and links were undated in the refrigerator.h. A bag of roast beef and…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-06-25 · tag F0605 — failed to not use drugs as a restraint — pattern
  Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY 3. Resident 5 was admitted to the facility on [DATE] with diagnoses which included, but were not limited to, depression and insomnia disorder. Resident 5's medical record was reviewed. A physician's order dated 1/29/19, documented sertraline (Zoloft) 25 mg. Administer 12.5 mg daily for a diagnosis of depression. A physician's order dated 1/29/19, documented zolpidem (Ambien) 5 mg daily at bedtime for a diagnosis of insomnia. A physician's order dated 2/14/20, documented diphenhydramine (Banophen) 25 mg daily at bedtime for a diagnosis of allergies and insomnia. A physician documented clinical contraindication was unable to be located and the medications had not received the appropriate GDR. 4. Resident 14 was admitted to the facility on [DATE] with diagnoses which included, but were not limited to, anxiety. Resident 14's medical record was reviewed. A physician's order dated 3/22/23, documented quetiapine (Seroquel) 25 mg daily for a diagnosis of agitation. A physician's order dated 3/22/23, documented…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-06-25 · tag F0641 — pattern
  Ensure each resident receives an accurate assessment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility did not ensure an assessment accurately reflected the resident's status. Specifically, for 3 out of 12 sampled residents, residents were coded as taking antipsychotic medications when they were not taking them. Resident identifiers: 1, 8, and 12. Findings included: 1. Resident 1 was admitted to the facility on [DATE] with diagnoses which included, traumatic brain injury and depression. Resident 1's medical record was reviewed on 6/22/25 through 6/25/25. On 5/16/25, a quarterly Minimum Data Set (MDS) assessment documented that resident 1 was taking an antipsychotic medication. On 5/14/25 at 9:24 AM, a Long Term Care (LTC) Psychotropic Medication Review documented resident 1 was taking: a. nortriptyline 30 milligrams (mg) at bedtime with a diagnosis of depression. b. Effexor 37.5 mg twice daily with a diagnosis of depression. It should be noted that these medications were not classified as antipsychotic medications. 2. Resident 8 was admitted to the facility on…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-06-25 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility did not maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections. Specifically, for 3 out of 12 sampled residents, Enhanced Barrier Precautions (EBP) were not implemented for residents with wounds and indwelling urinary catheters. Resident identifiers: 2, 9, and 10.Findings included:1. Resident 2 was admitted to the facility on [DATE] with diagnoses which included, but were not limited to, urinary tract infection.On 6/22/25 at 1:29 PM, an interview was conducted with resident 2. Resident 2 was observed to have a down drain urinary catheter bag. Resident 2 stated the staff would wear gloves when they emptied or changed the catheter bag but the staff have never worn gowns.Resident 2's medical record was reviewed.A care plan problem initiated on 4/10/25, documented Long Term Care Urinary…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-05-01 · tag F0610 — failed to investigate and act on abuse reports — isolated
  Respond appropriately to all alleged violations.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review it was determined, for 1 of 3 sampled residents, that the facility in response to an allegation of neglect did not have evidence that the allegation was thoroughly investigated and did not prevent further abuse while the investigation was in progress. Specifically, the facility did not have evidence of a thorough investigation and allowed the alleged perpetrator to continue to provide resident care while the investigation was being conducted. Resident identifier: 1. Findings included: Resident 1 was admitted to the facility on [DATE] with diagnoses which included anxiety, arthritis, chest pain, decubitus ulcer of coccyx, degenerative joint disease, dementia, depression, history of malignant neoplasm of cervix, hypertension, morbid obesity, osteoporosis, pain, and Schizophrenia. On 5/1/24 resident 1's medical record was reviewed. On 7/21/23, resident 1's Quarterly Minimum Data Set (MDS) Assessment documented that resident 1 was always incontinent of urine with no episodes of…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2023-08-03 · tag F0580 — failed to tell family and doctor about changes — isolated
  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review it was determined, for 1 of 14 sampled residents, that the facility did not consult with the resident's physician and notify when there was an accident involving the resident that resulted in injury; a significant change in the resident's physical, mental, or psychosocial status; or a need to alter treatment or commence a new form of treatment. Specifically, the staff injured a resident while providing nail care which resulted in the need for wound care and the physician was not notified. Resident identifier 15. Findings included: Resident 15 was admitted on [DATE] with diagnoses which consisted of right pontine stroke, hemiparesis left side, dysarthria, left leg injury, occlusion right vertebral artery, atrial fibrillation, hypertension, diabetes mellitus type II, anemia, hypokalemia, benign prostatic hyperplasia, cardiac pacemaker, cellulitis, congestive heart failure, communication impairment, diabetic peripheral neuropathy, gout, hyperlipidemia, male breast cancer,…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2023-08-03 · tag F0676 — failed to keep up residents' daily-living abilities — isolated
  Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review it was determined for 2 of 14 sampled residents, that the facility did not provide the necessary assistance to ensure each resident maintained or improved their ability to perform activities of daily living, including eating. Specifically, residents with swallowing issues were not provided supervision while eating when it was identified as a need based on the comprehensive assessment. Resident identifiers: 1 and 12. Findings included: An observation of the dining room was conducted on 7/31/23 at 12:12 PM. Resident 1 was in the dining room sitting at a table alone and facing a window with her back to the dining room. Resident 1 was in a slouched position with her head slightly hunched over her lap. Certified Nursing Assistant (CNA) 3, was sitting at another table with resident 8. Resident 12 was sitting in a wheelchair at a different table alone. At 12:15 PM, CNA 3 got up and walked over to resident 1 and spoke with her. An observation of the dining room was…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2023-08-03 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review it was determined, for 2 or 14 sampled residents, that the facility did not ensure that residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices. Specifically, a resident was receiving wound care without a physician order for the care and a resident sustained an injury from staff improperly clipping the residents' fingernails. Resident identifiers: 9 and 15. Findings included: 1. Resident 9 was admitted to the facility on [DATE] with diagnoses which consisted of cerebral palsy, depression, mental retardation, hypertension, and aphasia. On 7/31/23 at 1:46 PM, an observation was made of resident 9. Resident 9 was lying supine in bed. Resident 9 had decorticate posturing and the bilateral wrists were contracted. A sheet was covering resident 9's lower extremities. Resident 9's progress notes revealed the following: a. On 7/7/23 at 9:39 PM, the nursing progress note…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2023-08-03 · tag F0757 — failed to avoid unnecessary drugs — isolated
  Ensure each resident’s drug regimen must be free from unnecessary drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review it was determined, for 1 of 14 sampled residents, that the facility did not ensure that each resident's drug regimen was free from unnecessary drugs. An unnecessary drug was any drug when used in excessive dose; or for excessive duration; or without adequate monitoring; or without adequate indication for its use; or in the presence of adverse consequences. Specifically, a resident's narcotic pain medication was not administered per the physician ordered parameters. Resident identifier 4. Findings included: Resident 4 was admitted on [DATE] with diagnoses which included Multiple Sclerosis, complex partial seizures, depression, urinary incontinence, chronic pain, history of urinary tract infection, inability to walk, hypoxia, diabetes mellitus type 2, and weight loss. On 8/02/23, resident 4's medical records were reviewed. On 1/13/23, resident 4's physician ordered Oxycodone/Acetaminophen 5-325 milligrams (mg), give 1 tablet by mouth every 4 hours as needed for pain. Review of…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2023-08-03 · tag F0758 — failed to limit and justify psychotropic drugs — isolated
  Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review it was determined, for 1 out of 14 residents sampled, that the facility did not ensure that residents who used psychotropic drugs received a gradual dose reduction (GDR) unless clinically contraindicated, in an effort to discontinue these drugs. Specifically, a resident's Quetiapine order did not have any GDR's in the first year of use and no documentation could be found for a clinical contraindication to the GDR. Resident identifier 5. Findings included: Resident 5 was admitted on [DATE] with diagnoses which consisted of generalized weakness, chronic kidney disease, depression, diabetes mellitus type 2, congestive heart failure, hypertension, gout, lower extremity edema, atrial fibrillation, infection of prosthetic right knee joint, morbid obesity, obstructive sleep apnea, cellulitis of the leg, and venous stasis ulcers of bilateral lower extremities. On 8/01/23, resident 5's medical records were reviewed. On 8/16/22, resident 5's physician ordered Quetiapine (Seroquel) 25…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

The source lists no ownership percentage for any party here — PECOS records a share only for equity interests, not for board or management roles.

What families pay in UT