The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited August 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Nursing home report
Gold Country Health Center
Placerville, CA · Medicare-certified · 68 beds
In good standing
For-profitChain member
Data as of July 1, 2026
4 of 5 overall
Gold Country Health Center has a 4 out of 5 star overall rating, with strong quality measures (5 stars) and staffing above the federal benchmark (4.83 vs. 4.1 hours per resident per day). Its health inspection rating is 3 stars, and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
4.8276 hrs/resident/day
Quality measures
Last inspection: September 10, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.8276.
Staffing detail
- Registered nurses
- 0.80
- Licensed practical nurses
- 1.26
- Nurse aides
- 2.76
- Weekend nursing
- 3.99
Hours per resident per day.
Total staff turnover: 46%
Registered nurse turnover: 25%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
—4%—
Residents with a fall causing major injury
0%0%No change
Residents with pressure ulcers (bedsores)
2.6%4.4%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
4.5%0%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
9.5%4.2%Improving
Residents whose ability to walk got worse
—8.7%—
Long-stay residents on antianxiety or sleep medication
26.1%28%Worsening
Short-stay residents newly given an antipsychotic
2.3%0%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
0%10.2%Worsening
Residents with depressive symptoms
3.8%9.7%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—98.8%—
Short-stay residents given the pneumonia vaccine
100%100%No change
What the inspectors found
The nursing home failed to ensure residents were free from significant medication errors. Cited August 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited September 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to properly dispose of garbage and other waste. Cited September 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 814 — 42 CFR §483.60 — S/S: F
The home failed to keep residents’ personal and medical records private and confidential. Cited September 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 583 — 42 CFR §483.10 — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 14 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 11 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $14,886 in total fines.
- $7,443
Federal fine
Aug 25, 2023
Operator & ownership
Recent ownership change · Apr 1, 2023
Now operated by Del Oro LLC, previously Gold Country Health Center.
- Ownership
- For profit - Limited Liability company
- Chain
- Part of CYPRESS HEALTHCARE GROUP · 13 homes · 3.8 stars avg
- Occupancy
- 64.3 residents on an average day (95% of 68 beds)
- Medicare history
- Certified for 41 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.