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Complaint Investigation

Mantey Heights Rehabilitation & Care Center

April 2, 2025 · Grand Junction, CO · 2825 Patterson Rd
Citations 1
CMS Rating 1/5
Beds 88
Provider ID 065307
Healthcare Facility
Mantey Heights Rehabilitation & Care Center
Grand Junction, CO  ·  View full profile →
Inspection Summary

MANTEY HEIGHTS REHABILITATION & CARE CENTER in GRAND JUNCTION, CO — inspection on April 2, 2025.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF600
Minimal harm or doorway or in the hall near his room. He had some difficulty communicating with other residents which may Some visiting with others. The IDT note indicated his care plan was updated. affected

According to the April 2025 computerized physician orders (CPO), diagnoses included unspecified disorder of psychological development, lack of coordination, difficulty in walking, unqualified vision loss in the left eye, cerebral palsy, cerebellar ataxia (movement disorder, reduced mobility, dependence on a wheelchair, weakness and contracture of the right and left lower leg muscles.

The 2/4/25 minimum data set (MDS) assessment documented Resident #7 had severe cognitive impairments with a brief interview of mental status (BIMS) score of seven out 15.

The resident presented with inattention and disorganized thinking.

The MDS assessment indicated Resident #7 did not exhibit verbal, physical or other behavioral symptoms directed towards others. He had upper extremity impairment to one side and lower extremity impairment to both sides. He used a manual wheelchair for mobility.

2.

Record review

The 3/10/25 alert note documented Resident #7 reported that another resident (Resident #3) pinched his leg.

The note indicated the resident's left thigh was assessed and there was no redness, bruising or open areas identified.

According to the note, Resident #7 said his leg no longer hurt but it did at the time of the incident.

065307

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 065307 B.

Wing 04/02/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Mantey Heights Rehabilitation & Care Center 2825 Patterson Rd Grand Junction, CO 81506

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in GRAND JUNCTION, CO, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from MANTEY HEIGHTS REHABILITATION & CARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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