County: El Dorado

City: Placerville

Gold Country Health Center
(530) 621-1100 — 4301 Golden Center Drive — Placerville, CA 95667

Services
How to interpret services information.

Cap.= 68 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 4/25/2005:
"Alzheimer's Unit": NoWanderer alert: No
Locked Ward: No
Types of Residents Accepted: A D E I R S T U V
Types of Residents Not Accepted: B F J L M N O P Q
Languages spoken by direct-care staff:
Family Council: No Family Council

Violations Record
From Dept. of Public Health as of 8/30/2010;
Citations as of 4/29/2011.
Last DHS Certification Inspection = 4/28/2010.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2006 0 0 0 17 20.8 4 12.5
2007 0 0 0 13 22.1 6 15.1
2008 0 0 0 2 18.2 10 14.4
2009 0 0 0 0 8.5 5 14
2010 0 1 1 10 11.7 1 6.5
2011 0 0 0 0 NA 0 NA

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City: Placerville

Horizon West - El Dorado
(530) 622-6842 — 3280 Washington Street — Placerville, CA 95667

Services
How to interpret services information.

Cap.= 99 Type = SNF 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 8/30/2010;
Citations as of 4/29/2011.
Last DHS Certification Inspection = 12/1/2009.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2006 0 0 1 40 20.8 48 12.5
2007 0 0 0 36 22.1 64 15.1
2008 0 1 0 17 18.2 67 14.4
2009 0 1 3 20 8.5 116 14
2010 0 1 1 1 11.7 26 6.5
2011 0 0 0 0 NA 0 NA

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City: Placerville

Horizon West - Placerville
(530) 622-3400 — 1040 Marshall Way — Placerville, CA 95667

Services
How to interpret services information.

Cap.= 99 Type = SNF 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 8/30/2010;
Citations as of 4/29/2011.
Last DHS Certification Inspection = 1/12/2010.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2006 0 0 0 35 20.8 21 12.5
2007 0 0 0 41 22.1 50 15.1
2008 0 1 0 9 18.2 53 14.4
2009 1 0 1 2 8.5 61 14
2010 0 0 0 24 11.7 6 6.5
2011 0 0 0 0 NA 0 NA

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City: Placerville

Marshall Medical Center D/P SNF
(530) 622-1441 — Marshall Way — Placerville, Ca 95667

Services
How to interpret services information.

Cap.= 14 Type = D/P SNF 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 8/30/2010;
Citations as of 4/29/2011.
Last DHS Certification Inspection = 1/18/2008.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2006 0 0 0 0 20.8 2 12.5
2007 0 0 0 0 22.1 1 15.1
2008 0 0 0 8 18.2 0 14.4
2009 0 1 0 0 8.5 1 14
2010 0 0 0 0 11.7 0 6.5
2011 0 0 0 0 NA 0 NA

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City: So. Lake Tahoe

Barton Memorial Hospital D/P Snf
(530) 541-3420 — 2170 South Avenue — So. Lake Tahoe, Ca 96158

Services
How to interpret services information.

Cap.= 48 Type = D/P SNF 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 8/30/2010;
Citations as of 4/29/2011.
Last DHS Certification Inspection = 1/27/2010.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2006 0 0 0 10 20.8 8 12.5
2007 0 0 0 12 22.1 24 15.1
2008 0 0 0 0 18.2 13 14.4
2009 0 0 0 0 8.5 11 14
2010 0 0 0 14 11.7 2 6.5
2011 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