Larchwood Health and Rehab LLC — nursing home in Grand Junction, CO

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 130 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 111.2 CMS, MDS-derived
CMS Certification Number: 065331
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Sep 22, 1994
Ownership type: For profit - Corporation
Operator (legal business name): Larchwood Inns Inc
CMS chain: Not part of a CMS-reported chain
Phone: (970) 245-0022
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

13

latest Aug 24, 2026

Citations

56

35 health · 21 fire

Harm or worse

4

1 immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J1	K·	L·
Actual harm	G3	H·	I·
Potential harm	D33	E10	F8
Minimal	A·	B1	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

2

$28,685

Payment denials

0

Latest

Aug 21, 2025

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 065331
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 130
First approved: Sep 22, 1994
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Colorado.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Aug 24, 2026	Health	Health Complaint	2	Immediate jeopardy	—	Open →
May 21, 2026	Fire safety	Fire Safety Standard	11	Potential harm	—	Open →
May 21, 2026	Health	Health Standard	6	Potential harm	—	Open →
Dec 9, 2025	Health	Health Complaint	2	Potential harm	—	Open →
Dec 5, 2025	Health	Health Complaint	3	Potential harm	—	Open →
Aug 21, 2025	Health	Health Complaint	2	Potential harm	—	Open →
Apr 24, 2025	Health	Health Complaint	1	Potential harm	—	Open →
Mar 11, 2025	Health	Health Complaint	1	Potential harm	—	Open →
Apr 11, 2024	Fire safety	Fire Safety Standard	5	Potential harm	—	Open →
Apr 11, 2024	Health	Health Standard	12	Potential harm	1	Open →
Jan 3, 2024	Health	Health Complaint	2	Actual harm	—	Open →
Dec 22, 2022	Fire safety	Fire Safety Standard	5	Potential harm	—	Open →
Dec 22, 2022	Health	Health Standard	4	Actual harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

Date	Type	Amount	Payment denial	Record
Aug 21, 2025	Civil money penalty (fine)	$17,505	—	065331\|Fine\|136727
Jan 3, 2024	Civil money penalty (fine)	$11,180	—	065331\|Fine\|115829

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J1	K·	L·
Actual harm	G3	H·	I·
Potential harm	D33	E10	F8
Minimal	A·	B1	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Aug 24, 2026	F-0760	Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management	J · Immediate jeopardy Isolated	Past non-compliance Jul 21, 2026	Complaint
Aug 24, 2026	F-0698	Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Sep 11, 2026	Complaint
May 21, 2026	K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jul 3, 2026
May 21, 2026	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jun 12, 2026
May 21, 2026	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jun 28, 2026
May 21, 2026	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jun 28, 2026
May 21, 2026	K-0364	Install properly constructed windows in hallway walls or doors. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Aug 28, 2026
May 21, 2026	K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Aug 3, 2026
May 21, 2026	K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Aug 28, 2026
May 21, 2026	K-0711	Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jul 3, 2026
May 21, 2026	K-0753	Have restrictions on the use of highly flammable decorations. Miscellaneous Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jul 3, 2026
May 21, 2026	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jun 29, 2026
May 21, 2026	K-0927	Have proper fire barriers, ventilation and signs for the transfilling of oxygen. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Aug 28, 2026
May 21, 2026	F-0628	Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jun 12, 2026
May 21, 2026	F-0686	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jun 12, 2026
May 21, 2026	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Jun 12, 2026
May 21, 2026	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Jun 12, 2026
May 21, 2026	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Jun 12, 2026
May 21, 2026	F-0881	Implement a program that monitors antibiotic use. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Jun 12, 2026
Dec 9, 2025	F-0550	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Dec 19, 2025	Complaint
Dec 9, 2025	F-0600	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Dec 19, 2025	Complaint
Dec 5, 2025	F-0580	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Dec 15, 2025	Complaint
Dec 5, 2025	F-0585	Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Dec 15, 2025	Complaint
Dec 5, 2025	F-0791	Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Dec 15, 2025	Complaint
Aug 21, 2025	F-0627	Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Sep 14, 2025	Complaint
Aug 21, 2025	F-0628	Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Sep 14, 2025	Complaint
Apr 24, 2025	F-0573	Let each resident or the resident's legal representative access or purchase copies of all the resident's records. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected May 9, 2025	Complaint
Mar 11, 2025	F-0600	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Apr 4, 2025	Complaint
Apr 11, 2024	K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected May 30, 2024
Apr 11, 2024	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected May 30, 2024
Apr 11, 2024	K-0511	Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected May 30, 2024
Apr 11, 2024	K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected May 30, 2024
Apr 11, 2024	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected May 30, 2024
Apr 11, 2024	F-0550	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected May 5, 2024
Apr 11, 2024	F-0553	Allow resident to participate in the development and implementation of his or her person-centered plan of care. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected May 5, 2024
Apr 11, 2024	F-0554	Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected May 5, 2024
Apr 11, 2024	F-0677	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 5, 2024
Apr 11, 2024	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected May 5, 2024
Apr 11, 2024	F-0759	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected May 5, 2024
Apr 11, 2024	F-0760	Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected May 5, 2024
Apr 11, 2024	F-0761	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected May 5, 2024
Apr 11, 2024	F-0791	Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 5, 2024
Apr 11, 2024	F-0805	Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected May 5, 2024
Apr 11, 2024	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected May 5, 2024
Apr 11, 2024	F-0582	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Resident rights & abuse/neglect	B · Minimal Pattern	Plan of correction, not yet verified May 5, 2024
Jan 3, 2024	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	G · Actual harm Isolated	Corrected Feb 1, 2024	Complaint
Jan 3, 2024	F-0550	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Feb 1, 2024	Complaint
Dec 22, 2022	F-0600	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	G · Actual harm Isolated	Corrected Jan 16, 2023
Dec 22, 2022	F-0686	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care	G · Actual harm Isolated	Corrected Jan 13, 2023
Dec 22, 2022	K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Feb 20, 2023
Dec 22, 2022	K-0291	Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Feb 20, 2023
Dec 22, 2022	K-0331	Construct fire resistant interior walls. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Feb 20, 2023
Dec 22, 2022	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Feb 20, 2023
Dec 22, 2022	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Feb 20, 2023
Dec 22, 2022	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jan 12, 2023
Dec 22, 2022	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	F · Potential harm Widespread	Corrected Jan 24, 2023

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3.1

Health inspectionsstate 2.7

Staffingstate 3.1

Quality measuresstate 4.2

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing3.41

State avg 3.69US avg 3.90

Registered nurse (RN)0.56

State avg 0.81US avg 0.69

Licensed practical nurse0.43

State avg 0.68US avg 0.86

Nurse aide2.42

State avg 2.20US avg 2.35

Weekend total nurse3.10

State avg 3.26US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.90 (case-mix index 1.22).

Staff turnover

Total nursing staff turnover50.4%

State avg 47.0%US avg 45.3%

Registered nurse turnover26.3%

State avg 44.4%US avg 42.5%

Administrators who leftNot reported

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: May 21, 2026
Cycle 1 health score: 84
Total weighted score: 93

Operating entity

Larchwood Inns Inc

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Not part of a CMS-reported chain.

Ownership disclosures

Disclosures

7

Organizations

0

Individuals

7

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Jeanane Jiles	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	50%	Dec 1, 2014
Jon Jiles	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	50%	Dec 1, 2014

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Jeanane Jiles	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	50%	Dec 1, 2014
Jon Jiles	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	50%	Dec 1, 2014
Melissa K. Wood	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 31, 2012
Jeanane Jiles	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Dec 1, 2014
Jon Jiles	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Dec 1, 2014
Melissa K. Wood	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 31, 2012
Jon Jiles	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Dec 1, 2014

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 2845 N 15th St, Grand Junction, CO 81506
ZIP: 81506
County: Mesa County FIPS 08077
State: Colorado
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Red Cliffs Post Acute 2901 N 12th St, Grand Junction, CO 81506 CCN 065110Abuse icon	0.1 km	89	Jul 22, 2026	441 harm1 open	—
La Villa Grande Care Center 2501 Little Bookcliff Dr, Grand Junction, CO 81501 CCN 065253	0.9 km	96	Dec 18, 2025	521 IJ3 harm	$81k
Mantey Heights Rehabilitation & Care Center 2825 Patterson Rd, Grand Junction, CO 81506 CCN 065307Abuse icon	1.7 km	88	Jul 20, 2026	727 harm	$117k
Eagle Ridge Post Acute 2425 Teller Ave, Grand Junction, CO 81501 CCN 065286	2.1 km	70	Jun 16, 2026	561 IJ3 harm	$64k
The Center at Foresight LLC 606 Foresight Cir E, Grand Junction, CO 81505 CCN 065425	3.5 km	54	Mar 19, 2026	21	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	065331	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	065331	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 065331

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction