Mantey Heights Rehabilitation & Care Center
2825 Patterson Rd · Grand Junction, CO · 81506 · 9702427356
88 certified beds For profit - Limited Liability company Chain: Stellar Senior Living
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $46,557 in fines in the last 24 months.
- 7 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
2 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
64% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.11 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.53 | 0.55–0.75 |
| Weekend hours / resident-day | 2.79 | ≈ weekday level |
| Nursing turnover / year | 64% | median 45% |
| Fines (3-yr window) | 4 · $159,827 |
Inspection citations (55 in the current record)
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Potential for harm · D February 17, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected March 19, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 17, 2026 · found via complaint
Respond appropriately to all alleged violations.
Corrected March 19, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 11, 2025 · found via complaint
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected July 10, 2025 · Resident Rights
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Potential for harm · D June 11, 2025 · found via complaint
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Corrected July 10, 2025 · Resident Rights
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Potential for harm · D June 11, 2025 · found via complaint
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.
Corrected July 10, 2025 · Quality of Life and Care
-
Potential for harm · D April 2, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected May 1, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E April 2, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected May 1, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · E April 2, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected May 1, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 2, 2025 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected May 1, 2025 · Quality of Life and Care
-
Potential for harm · D April 2, 2025 · found via complaint
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.
Corrected May 1, 2025 · Pharmacy Service
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Actual harm · G December 19, 2024
Provide enough food/fluids to maintain a resident's health.
Corrected January 20, 2025 · Quality of Life and Care
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Potential for harm · D December 19, 2024
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.
Corrected January 20, 2025 · Resident Rights
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Potential for harm · E December 19, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 20, 2025 · Quality of Life and Care
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Potential for harm · D December 19, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected January 20, 2025 · Quality of Life and Care
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Potential for harm · E December 19, 2024
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected January 20, 2025 · Nutrition and Dietary
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Potential for harm · E December 19, 2024
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected January 20, 2025 · Nutrition and Dietary
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Potential for harm · F December 19, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 20, 2025 · Nutrition and Dietary
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Potential for harm · F December 19, 2024
Provide and implement an infection prevention and control program.
Corrected January 20, 2025 · Infection Control
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Potential for harm · D December 19, 2024
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected January 20, 2025 · Infection Control
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Actual harm · G May 10, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected June 8, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G March 18, 2024 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Corrected April 16, 2024 · Quality of Life and Care
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Potential for harm · D September 12, 2023 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected October 6, 2023 · Resident Rights
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Actual harm · G July 13, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 15, 2023 · Quality of Life and Care
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Actual harm · G July 13, 2023
Provide enough food/fluids to maintain a resident's health.
Corrected August 15, 2023 · Quality of Life and Care
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Potential for harm · D July 13, 2023
Reasonably accommodate the needs and preferences of each resident.
Corrected August 15, 2023 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| December 19, 2024 | Fine | $46,557 |
| May 10, 2024 | Fine | $39,104 |
| March 18, 2024 | Fine | $31,623 |
| July 13, 2023 | Fine | $42,543 |
| July 13, 2023 | Payment Denial | 4 days |
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 065307 · certified since February 22, 1993. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.