County: Colusa and Lake

City: Clearlake

Meadowood Nursing Center
(707) 994-7738 — 3805 Dexter Lane — Clearlake, Ca 95422


Services
How to interpret services information.

Cap.= 99 Type = SNF Owner type = Profit Corp Medi-Cal: yes Medicare: yes

No current survey information available. Call the facility for services information.

Violations Record
From Dept. of Public Health as of 3/13/2014;
Citations as of 7/9/2015.
Last DHS Certification Inspection = 10/17/2013.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2010 0 0 0 15 22.2 26 15.1
2011 0 0 0 15 20.5 40 16.1
2012 0 0 1 2 15.5 29 14
2013 0 0 0 13 16.7 22 14
2014 0 0 0 0 6.3 2 3.3
2015 0 0 0 0 NA 0 NA

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City: Colusa

Colusa Regional Medical Center D/P Snf
(530) 458-5821 — 199 East Webster — Colusa, CA 95932


Services
How to interpret services information.

Cap.= 6 Type = D/P SNF Owner type = Nonprofit Corp Medi-Cal: no Medicare: yes

No current survey information available. Call the facility for services information.

Violations Record
From Dept. of Public Health as of 3/13/2014;
Citations as of 7/9/2015.
Last DHS Certification Inspection = 1/3/2014.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2010 0 0 1 7 22.2 2 15.1
2011 0 0 0 8 20.5 2 16.1
2012 0 0 0 0 15.5 0 14
2013 0 0 0 22 16.7 0 14
2014 0 0 0 0 6.3 0 3.3
2015 0 0 0 0 NA 0 NA

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City: Lakeport

Evergreen Lakeport Healthcare
(707) 263-6382 — 1291 Craig Avenue — Lakeport, CA 95453


Services
How to interpret services information.

Cap.= 99 Type = SNF Owner type = Limited Liability Company Medi-Cal: yes Medicare: yes

No current survey information available. Call the facility for services information.

Violations Record
From Dept. of Public Health as of 3/13/2014;
Citations as of 7/9/2015.
Last DHS Certification Inspection = 12/30/2013.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2010 0 0 1 44 22.2 30 15.1
2011 0 0 2 23 20.5 44 16.1
2012 0 0 0 25 15.5 17 14
2013 1 0 0 14 16.7 39 14
2014 0 0 0 0 6.3 4 3.3
2015 0 0 0 0 NA 0 NA

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City: Lakeport

Rocky Point Care Center
(707) 263-6101 — 625 16th. Street — Lakeport, CA 95453


Services
How to interpret services information.

Cap.= 90 Type = SNF Owner type = Profit Corp Medi-Cal: yes Medicare: yes

No current survey information available. Call the facility for services information.

Violations Record
From Dept. of Public Health as of 3/13/2014;
Citations as of 7/9/2015.
Last DHS Certification Inspection = 12/18/2013.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2010 0 0 0 30 22.2 25 15.1
2011 0 0 1 20 20.5 27 16.1
2012 0 0 0 0 15.5 15 14
2013 0 0 0 5 16.7 32 14
2014 0 0 0 0 6.3 2 3.3
2015 0 0 0 0 NA 0 NA

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City: Williams

Valley West Care Center
(530) 473-5321 — 1224 E ST., P.O. BOX 1059 — Williams, CA 95987


Services
How to interpret services information.

Cap.= 99 Type = SNF Owner type = Profit Corp Medi-Cal: yes Medicare: yes

No current survey information available. Call the facility for services information.

Violations Record
From Dept. of Public Health as of 3/13/2014;
Citations as of 7/9/2015.
Last DHS Certification Inspection = 10/17/2013.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2010 0 0 0 15 22.2 22 15.1
2011 0 0 0 10 20.5 16 16.1
2012 0 0 0 8 15.5 8 14
2013 0 0 0 11 16.7 35 14
2014 0 0 0 0 6.3 3 3.3
2015 0 0 0 0 NA 0 NA

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California Advocates for Nursing Home Reform
( CANHR )
650 Harrison Street, 2nd Floor
San Francisco, CA 94107
Tel: (800) 474-1116 (consumers only)
Tel: (415) 974-5171