Frequently Asked Questions
Should you need any information not included below, please don’t hesitate to contact us at This email address is being protected from spambots. You need JavaScript enabled to view it.

Why is Grand River Hospital District considering placing a bond measure on this fall’s ballot?

The Hospital District seeks to address its highest priority facility needs, including replacing the outdated E. Dene Moore Care Center and adding inpatient beds and other much-needed space at the hospital in Rifle. The projects would save 86 existing full-time jobs and create an estimated 200 new jobs.

Has our community’s care center reached its life expectancy?

Yes, engineering studies indicate that the 50-year-old care center has reached the end of its life expectancy. The plumbing, electrical, heating and cooling systems are obsolete. The systems are so outdated that it is difficult to find replacement parts as well as technicians qualified to work on them. 

To what extent is the care center at capacity?

Four out of five patients are currently turned away from the care center each week due to a lack of space. That is more than 200 patients each year. This includes many long-time residents who have worked hard to make our community what it is today. 

Why is the hospital so busy? Why is there not enough room to meet current demand?

The Hospital District has invested millions of dollars of existing reserves to improve our community’s hospital. These improvements have allowed Grand River Health to expand from 12 to 47 physicians, add and enhance services,  position itself to care for sicker patients by adding a hospitalist and specially trained nurses, obtain a four-star rating from Centers for Medicare and Medicaid Services, and significantly increase patient visits.

How many beds does the hospital currently have?

The hospital currently has 12 beds.

When patients are diverted from the care center or hospital, where do they go?

Patients are most often diverted to Glenwood Springs, Carbondale or Grand Junction. This is a hardship on both patients and their families. This situation is particularly challenging for elderly family members who wish to be with their loved one but cannot make the long commute. And for working people, having to travel outside our service area results in more time missed at work. 

Are patients who use the care center and hospital local?

Approximately 90 percent of the patients at both the care center and hospital are from Rifle, Parachute, Silt or New Castle. 

What percentage of the patients at the care center are there for a short-term stay while they go through rehabilitation?

About 58 percent of the care center’s patients are there for a shorter term stay.

Would the new care center have more rooms? What other amenities would it include?

The capacity of the new care center would double to about 90 to 100 beds. The care center would also include a separate Memory Care Neighborhood and Transitional Care Unit for long-term rehabilitation patients.

What are the benefits of having the Hospital District operate and maintain the care center?

The E. Dene Moore Care Center was voted Top 100 Nursing Homes by US News & World Report in both 2014 and 2015, as well as many other awards in recent years. Our care center fees are much lower than most private facilities, and we accept Medicaid and Medicare.

What is the estimated tax impact of the bond proposal?

The estimated monthly tax impact of the proposed bond measure is $2.83 per $100,000 of a home’s actual value.  This is based on an $89.4 million, 20-year bond issue.

What percentage of the tax would be paid by the oil and gas industry?

The oil and gas industry pays between 85 to 90 percent of local property taxes. Commercial property owners pay between 5 and 8 percent and homeowners pay between 5 to 7 percent. This is why more than $89 million of improvements can be funded “without” a major property tax increase for homeowners. 

What happens if voters turn down the bond proposal?

The District would be forced to conduct a planned systematic closure of the care center, eventually diverting current and future patients to other facilities outside of our community. The lack of beds at the hospital would result in a continued diversion of patients to facilities outside the District’s service area.

How has the Hospital District lived within its means?

Since its formation in 1961, the Hospital District has relied on its original 5.597 mill levy to tackle all of its facility and operational needs. Major projects completed over the last several years, which were paid for with reserves (saved over many years), include:
  • New Battlement Mesa Clinic
  • Three-story medical office building in Rifle
  • Small expansion to the original hospital building, creating two additional surgery suites and a small infusion/chemotherapy space

How many jobs would be lost if the care center is permanently closed?

If the care center closes, 86 full-time jobs would be lost.

How many new jobs would be created by replacing the existing care center and expanding the hospital.

It is projected that 200 new jobs would be created.

What is the estimated life expectancy of the new care center?

The life expectancy of the new care center would be at least 40 years.

Can the proposed bond issue be paid off early to eliminate the tax sooner?

The ballot language would allow for the retirement of the bonds in less than 20 years if oil and gas valuations rebound.

To what extent would local contractors have the opportunity to work on these projects?

The Hospital District is committed to including local contractors. For the last three major construction projects, more than 70 percent of the work went to Western Colorado companies, including contractors in Rifle and surrounding communities.

What are the economic benefits of the proposed projects?

An investment of $89.4 million in new construction projects in our community would result in significant economic benefit to local contractors, restaurants, hotels/motels, gas stations, hardware stores, lumber yards and other businesses. The two projects would add an estimated 200 new jobs within the next 10 years.

Who gets to vote on the bond proposal and when would it be on the ballot?

All registered voters within the Grand River Hospital District will receive a mail ballot. Election Day is November 7, 2017.

Get Involved and Donate

Show your support by donating time, money or requesting a yard sign.
Vote Yes for School district 30

Paid for by Keep Care Local