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
4 of 5 overall
GOLD COUNTRY HEALTH CENTER has an overall 4 out of 5 stars, with strong quality and staffing ratings and nurse staffing above the federal benchmark (4.86 vs 4.1 hours per resident/day). Health inspections are more mixed at 3 stars, and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
4.8575 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 4.8575.
Staffing detail
- Registered nurses
- 0.76
- Licensed practical nurses
- 1.34
- Nurse aides
- 2.76
- Weekend nursing
- 3.90
Hours per resident per day.
Total staff turnover: 50%
Registered nurse turnover: 14%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
12.7%Steady
Residents with a fall causing major injury
0%Steady
Residents with pressure ulcers (bedsores)
6.7%Steady
Residents with a urinary tract infection
1%Worsening
Residents who lost too much weight
3.8%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
9%Worsening
Residents whose ability to walk got worse
7.6%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
27.4%Worsening
Short-stay residents newly given an antipsychotic
1.3%Improving
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
13.3%Improving
Residents with depressive symptoms
4%Worsening
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
98.8%Steady
Short-stay residents given the pneumonia vaccine
100%Steady
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
- Ownership
- For profit - Limited Liability company
- Chain
- Part of CYPRESS HEALTHCARE GROUP · 13 homes · 3.5 stars avg
- Occupancy
- 64.1 residents on an average day (94% 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.