The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited November 2025 — isolated incident, actual harm.
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F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
GRASS VALLEY HEALTHCARE CENTER
GRASS VALLEY, CA · Medicare-certified · 86 beds
In good standing
For-profitChain member
3 of 5 overall
GRASS VALLEY HEALTHCARE CENTER has an overall rating of 3 out of 5 stars. Its staffing rating is 2 stars, although reported nurse staffing is 4.40 hours per resident per day, above the 4.1 federal benchmark; health inspection is 3 stars, quality measures are 4 stars, and there were $0 in fines in the last 24 months.
Facility ratings
Health inspections
Staffing
4.3982 hrs/resident/day
Quality measures
Last inspection: December 30, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.3982.
Staffing detail
- Registered nurses
- 0.31
- Licensed practical nurses
- 1.42
- Nurse aides
- 2.67
- Weekend nursing
- 3.91
Hours per resident per day.
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
5.1%12.2%Worsening
Residents with a fall causing major injury
0%1.6%Worsening
Residents with pressure ulcers (bedsores)
6.4%1.7%Improving
Residents with a urinary tract infection
2.1%1.6%No change
Residents who lost too much weight
4.9%0%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
7%3.8%Improving
Residents whose ability to walk got worse
16.5%3.3%Improving
Long-stay residents on antianxiety or sleep medication
16.3%9.6%Improving
Short-stay residents newly given an antipsychotic
0%1.2%Worsening
Residents with a long-term catheter
1.7%1.3%No change
Residents with new or worsening incontinence
17.6%8.1%Improving
Residents with depressive symptoms
6.4%1.7%Improving
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
—97.3%—
Short-stay residents given the pneumonia vaccine
97.9%98.6%Improving
What the inspectors found
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited September 2025 — limited pattern, potential for harm.
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F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The home failed to provide activities that met all residents’ needs. Cited September 2025 — limited pattern, potential for harm.
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F-Tag 679 — 42 CFR §483.24 — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited September 2025 — limited pattern, potential for harm.
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F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The home failed to ensure meals and menus were planned, updated, and followed to meet residents’ nutritional needs. Cited September 2025 — limited pattern, potential for harm.
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F-Tag 803 — 42 CFR §483.60 — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 10 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of CYPRESS HEALTHCARE GROUP · 13 homes · 3.5 stars avg
- Occupancy
- 80.3 residents on an average day (93% of 86 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 58 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.