County: Nevada

City: Grass Valley

Crystal Ridge Care Center
(530) 272-2273 — 396 Dorsey Drive — Grass Valley, CA 95945


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 10/29/2014.
Last DHS Certification Inspection = 10/7/2013.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2009 0 0 0 21 22.5 4 18.6
2010 0 0 2 16 22.2 3 15.1
2011 1 0 0 26 20.5 7 16.1
2012 0 0 0 35 15.5 32 14
2013 0 0 0 13 16.7 13 14
2014 0 1 0 0 6.3 5 3.3

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City: Grass Valley

Golden Empire Nursing & Rehab Center, LP
(530) 273-1316 — 121 Dorsey Drive — Grass Valley, CA 95945


Services
How to interpret services information.

Cap.= 148 Type = SNF Owner type = Partnership 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 10/29/2014.
Last DHS Certification Inspection = 4/12/2013.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2009 0 0 2 0 22.5 11 18.6
2010 0 0 0 18 22.2 6 15.1
2011 0 0 3 17 20.5 4 16.1
2012 0 0 0 11 15.5 6 14
2013 0 0 0 10 16.7 2 14
2014 0 0 0 0 6.3 0 3.3

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City: Grass Valley

Spring Hill Manor Convalescent Hospital
(530) 273-7247 — 355 Joerschke Dr — Grass Valley, CA 95945


Services
How to interpret services information.

Cap.= 86 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 10/29/2014.
Last DHS Certification Inspection = 5/13/2013.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2009 0 0 0 25 22.5 1 18.6
2010 0 0 2 12 22.2 6 15.1
2011 0 0 0 14 20.5 3 16.1
2012 0 0 0 16 15.5 2 14
2013 0 0 0 22 16.7 5 14
2014 0 0 0 0 6.3 1 3.3

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City: Grass Valley

Wolf Creek Care Center
(530) 273-4447 — 107 Catherine Lane — Grass Valley, CA 95945


Services
How to interpret services information.

Cap.= 59 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 10/29/2014.
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
2009 0 0 4 10 22.5 25 18.6
2010 0 0 0 32 22.2 10 15.1
2011 0 0 0 28 20.5 21 16.1
2012 0 0 3 31 15.5 11 14
2013 0 0 0 16 16.7 15 14
2014 0 0 0 0 6.3 2 3.3

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City: Truckee

Tahoe Forest Hospital D/P SNF
(530) 587-6011 — 10121 Pine St., P.O. Bx 759 — Truckee, CA 96160


Services
How to interpret services information.

Cap.= 37 Type = D/P SNF Owner type = Other Public Agency 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 10/29/2014.
Last DHS Certification Inspection = 7/2/2013.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2009 0 0 1 15 22.5 2 18.6
2010 0 0 0 6 22.2 2 15.1
2011 0 0 0 15 20.5 3 16.1
2012 0 0 0 15 15.5 1 14
2013 0 0 0 10 16.7 4 14
2014 0 0 0 0 6.3 0 3.3

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