Gold Country Health Center - Placerville Nursing Home
General Information
UPDATEFederal Provider Number
555180
Provider Name
GOLD COUNTRY HEALTH CENTER
Provider Address
4301 GOLDEN CENTER DRIVE
PLACERVILLE, CA 95667
PLACERVILLE, CA 95667
Provider Phone Number
5306211100
Provider SSA County
80
Provider County Name
El Dorado
Ownership Type
Non profit - Corporation
Number of Certified Beds
68
Number of Residents in Certified Beds
66
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GOLD COUNTRY HEALTH CENTER, INC
Date First Approved to Provide Medicare and Medicaid services
1984-12-07
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.47045
Reported LPN Staffing Hours per Resident per Day
0.74242
Reported RN Staffing Hours per Resident per Day
0.50909
Reported Licensed Staffing Hours per Resident per Day
1.25152
Reported Total Nurse Staffing Hours per Resident per Day
3.72196
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13864
Expected CNA Staffing Hours per Resident per Day
2.59010
Expected LPN Staffing Hours per Resident per Day
0.57441
Expected RN Staffing Hours per Resident per Day
0.87401
Expected Total Nurse Staffing Hours per Resident per Day
4.03851
Adjusted CNA Staffing Hours per Resident per Day
2.34035
Adjusted LPN Staffing Hours per Resident per Day
1.07277
Adjusted RN Staffing Hours per Resident per Day
0.43523
Adjusted Total Nurse Staffing Hours per Resident per Day
3.71494
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2015-03-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2014-03-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2013-03-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
12.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
0
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
The Pines At Placerville Healthcare Center
1040 Marshall Way |
PLACERVILLE CA 95667 | 2.3 miles away
Western Slope Health Center
3280 Washington Street |
PLACERVILLE CA 95667 | 2.3 miles away
Marshall Medical Center D/p Snf
1100 Marshall Way |
PLACERVILLE CA 95667 | 2.4 miles away
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