County: Nevada

City: Grass Valley

Golden Empire Convalescent Hospital
(530) 273-1316 — 121 Dorsey Drive — Grass Valley, CA 95945

Services
How to interpret services information.

Cap.= 148 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 8/20/2003:
"Alzheimer's Unit": YesWanderer alert: Yes
Locked Ward: No
Types of Residents Accepted: A B D E I L M O Q R S U V
Types of Residents Not Accepted: F J N P T
Languages spoken by direct-care staff: I
Family Council: Yes

Violations Record
From Dept. of Public Health as of 2/25/2008;
Citations as of 4/23/2008.
Last DHS Certification Inspection = 4/2/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2002 0 0 0 8 12.7 21 5.8
2003 0 0 0 6 15 14 8.5
2004 0 0 1 9 17.8 4 9.2
2005 0 0 1 22 19.6 5 10.4
2006 0 0 4 38 20.8 16 12.5
2007 0 0 4 26 21.2 74 14.7

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City: Grass Valley

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

Services
How to interpret services information.

Cap.= 59 Type = SNF Medi-Cal: yes Medicare: yes

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

Violations Record
From Dept. of Public Health as of 2/25/2008;
Citations as of 4/23/2008.
Last DHS Certification Inspection = 10/11/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2002 0 0 1 31 12.7 11 5.8
2003 0 0 0 15 15 12 8.5
2004 0 0 3 26 17.8 21 9.2
2005 0 0 0 30 19.6 8 10.4
2006 0 0 0 39 20.8 21 12.5
2007 0 0 3 27 21.2 23 14.7

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City: Grass Valley

Meadow View Manor
(530) 272-2273 — 396 Dorsey Drive — Grass Valley, CA 95945

Services
How to interpret services information.

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

From CANHR questionnaire returned 6/18/1993:
"Alzheimer's Unit": NoWanderer alert: No
Locked Ward: No
Types of Residents Accepted: A I L S
Types of Residents Not Accepted: F J N O
Languages spoken by direct-care staff:
Family Council: Not Specified

Violations Record
From Dept. of Public Health as of 2/25/2008;
Citations as of 4/23/2008.
Last DHS Certification Inspection = 10/2/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2002 0 0 1 23 12.7 12 5.8
2003 0 0 0 19 15 6 8.5
2004 0 0 1 31 17.8 10 9.2
2005 0 0 0 22 19.6 7 10.4
2006 0 0 2 32 20.8 30 12.5
2007 0 0 1 33 21.2 17 14.7

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City: Grass Valley

Sierra Nevada Memorial Hospital D/P SNF
(530) 274-6000 — 155 Glasson Way, P.O. Bx 1029 — Grass Valley, CA 95945

Services
How to interpret services information.

Cap.= 17 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 2/25/2008;
Citations as of 4/23/2008.
Last DHS Certification Inspection = 6/26/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2002 0 0 0 1 12.7 1 5.8
2003 0 0 0 4 15 1 8.5
2004 0 0 0 16 17.8 0 9.2
2005 0 0 0 9 19.6 1 10.4
2006 0 0 0 6 20.8 1 12.5
2007 0 0 0 18 21.2 0 14.7

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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 Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 6/24/1998:
"Alzheimer's Unit": NoWanderer alert: No
Locked Ward: No
Types of Residents Accepted: D E I
Types of Residents Not Accepted: F J L M N O
Languages spoken by direct-care staff:
Family Council: Yes

Violations Record
From Dept. of Public Health as of 2/25/2008;
Citations as of 4/23/2008.
Last DHS Certification Inspection = 5/15/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2002 0 0 0 10 12.7 9 5.8
2003 0 0 1 13 15 8 8.5
2004 0 0 0 12 17.8 9 9.2
2005 0 0 0 16 19.6 4 10.4
2006 0 0 0 13 20.8 3 12.5
2007 0 0 1 17 21.2 7 14.7

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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 Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 4/29/2005:
"Alzheimer's Unit": NoWanderer alert: Yes
Locked Ward: No
Types of Residents Accepted: A D E I J L P Q R S U V
Types of Residents Not Accepted: B F M N O T
Languages spoken by direct-care staff: I
Family Council: No Family Council

Violations Record
From Dept. of Public Health as of 2/25/2008;
Citations as of 4/23/2008.
Last DHS Certification Inspection = 9/26/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2002 0 0 0 5 12.7 2 5.8
2003 0 0 1 6 15 4 8.5
2004 0 0 1 9 17.8 1 9.2
2005 0 0 1 12 19.6 2 10.4
2006 0 0 0 15 20.8 5 12.5
2007 0 0 2 15 21.2 7 14.7

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© 2007

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