County: El Dorado

City: Placerville

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

Services
How to interpret services information.

Cap.= 99 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 8/22/2003:
"Alzheimer's Unit": NoWanderer alert: No
Locked Ward: No
Types of Residents Accepted: A D E F I J L M Q R S T U V
Types of Residents Not Accepted: B N O P
Languages spoken by direct-care staff: I
Family Council: Yes

Violations Record
From Dept. of Public Health as of 4/30/2008;
Citations as of 5/1/2009.
Last DHS Certification Inspection = 9/11/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2003 0 0 1 11 15 14 8.5
2004 0 0 0 22 17.8 4 9.2
2005 0 0 0 22 19.6 13 10.4
2006 0 0 1 40 20.8 46 12.5
2007 0 0 0 34 21.7 64 14.8
2008 0 1 0 0 12.1 23 6.3

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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 4/30/2008;
Citations as of 5/1/2009.
Last DHS Certification Inspection = 12/11/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2003 0 0 0 3 15 4 8.5
2004 0 0 0 11 17.8 5 9.2
2005 0 0 0 12 19.6 1 10.4
2006 0 0 0 17 20.8 4 12.5
2007 0 0 0 13 21.7 6 14.8
2008 0 0 0 2 12.1 4 6.3

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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

From CANHR questionnaire returned 1/1/1990:
"Alzheimer's Unit": Unk.Wanderer alert: Unk.
Locked Ward: Unk.
Types of Residents Accepted:
Types of Residents Not Accepted:
Languages spoken by direct-care staff:
Family Council: Not Specified

Violations Record
From Dept. of Public Health as of 4/30/2008;
Citations as of 5/1/2009.
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
2003 0 0 0 6 15 3 8.5
2004 0 0 0 8 17.8 0 9.2
2005 0 0 0 11 19.6 0 10.4
2006 0 0 0 0 20.8 2 12.5
2007 0 0 0 0 21.7 1 14.8
2008 0 0 0 8 12.1 0 6.3

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City: Placerville

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

Services
How to interpret services information.

Cap.= 99 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 8/27/2003:
"Alzheimer's Unit": NoWanderer alert: Yes
Locked Ward: No
Types of Residents Accepted: A D E F I L M Q R S T U V
Types of Residents Not Accepted: B J N O P
Languages spoken by direct-care staff: I
Family Council: Yes

Violations Record
From Dept. of Public Health as of 4/30/2008;
Citations as of 5/1/2009.
Last DHS Certification Inspection = 11/1/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2003 0 0 0 3 15 24 8.5
2004 0 0 0 18 17.8 38 9.2
2005 0 0 2 24 19.6 15 10.4
2006 0 0 0 35 20.8 21 12.5
2007 0 0 0 41 21.7 50 14.8
2008 0 1 0 5 12.1 16 6.3

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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

From CANHR questionnaire returned 9/3/2003:
"Alzheimer's Unit": NoWanderer alert: Yes
Locked Ward: No
Types of Residents Accepted: D E I O S T U
Types of Residents Not Accepted: A B F J L M N P Q R V
Languages spoken by direct-care staff: I
Family Council: Yes

Violations Record
From Dept. of Public Health as of 4/30/2008;
Citations as of 5/1/2009.
Last DHS Certification Inspection = 9/27/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2003 0 0 0 13 15 7 8.5
2004 0 0 0 14 17.8 7 9.2
2005 0 0 0 5 19.6 5 10.4
2006 0 0 0 10 20.8 8 12.5
2007 0 0 0 10 21.7 24 14.8
2008 0 0 0 0 12.1 6 6.3

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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