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 Owner type = Nonprofit 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 = 4/17/2013.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2010 0 1 1 11 22.2 4 15.1
2011 0 0 2 15 20.5 4 16.1
2012 0 0 0 18 15.5 2 14
2013 0 0 1 7 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: 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 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 = 10/11/2013.
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 0 15.1
2011 0 0 0 8 20.5 0 16.1
2012 0 0 0 7 15.5 0 14
2013 0 0 0 6 16.7 1 14
2014 0 0 0 0 6.3 0 3.3
2015 0 0 0 0 NA 0 NA

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City: Placerville

The Pines at Placerville Healthcare Center
(530) 622-3400 — 1040 Marshall Way — Placerville, CA 95667


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 = 10/14/2013.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2010 0 0 0 29 22.2 35 15.1
2011 0 0 2 30 20.5 19 16.1
2012 0 0 0 21 15.5 12 14
2013 0 0 0 20 16.7 25 14
2014 0 0 0 0 6.3 0 3.3
2015 0 0 0 0 NA 0 NA

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City: Placerville

Western Slope Health Center
(530) 622-6842 — 3280 Washington Street — Placerville, CA 95667


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 = 7/15/2013.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2010 0 1 1 5 22.2 102 15.1
2011 0 0 0 23 20.5 6 16.1
2012 0 0 0 15 15.5 8 14
2013 0 0 0 15 16.7 17 14
2014 0 0 0 0 6.3 0 3.3
2015 0 0 0 0 NA 0 NA

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City: So. Lake Tahoe

Barton Memorial Hospital D/P Snf
(530) 543-5885 — 2170 South Avenue — So. Lake Tahoe, Ca 96150


Services
How to interpret services information.

Cap.= 48 Type = D/P SNF Owner type = Nonprofit 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 = 7/11/2013.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2010 0 0 0 14 22.2 10 15.1
2011 0 0 0 12 20.5 12 16.1
2012 0 0 1 9 15.5 2 14
2013 0 0 0 8 16.7 4 14
2014 0 0 0 0 6.3 0 3.3
2015 0 0 0 0 NA 0 NA

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