The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited December 2025 — isolated incident, actual harm.
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F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
WOLF CREEK CARE CENTER
GRASS VALLEY, CA · Medicare-certified · 59 beds
In good standing
For-profitChain member
4 of 5 overall
Wolf Creek Care Center in Grass Valley has an overall rating of 4 out of 5 stars, with strong quality measures (5 out of 5) but average health inspection and staffing ratings (3 out of 5 each). Reported nurse staffing is 3.75 hours per resident per day, below the federal benchmark of 4.1, and it had $0 in fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.7525 hrs/resident/day
Quality measures
Last inspection: January 28, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.7525.
Staffing detail
- Registered nurses
- 0.47
- Licensed practical nurses
- 0.93
- Nurse aides
- 2.35
- Weekend nursing
- 3.60
Hours per resident per day.
Total staff turnover: 45%
Registered nurse turnover: 60%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
13.6%Worsening
Residents with a fall causing major injury
2.7%Worsening
Residents with pressure ulcers (bedsores)
6.1%Improving
Residents with a urinary tract infection
0%Steady
Residents who lost too much weight
0%Steady
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
4.8%Worsening
Residents whose ability to walk got worse
8%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
7.6%Improving
Short-stay residents newly given an antipsychotic
1.7%Worsening
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
7.3%Improving
Residents with depressive symptoms
4.8%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
97%Steady
Short-stay residents given the pneumonia vaccine
99.6%Worsening
What the inspectors found
The home failed to have enough qualified staff to properly provide food and nutrition services. Cited May 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 801 — 42 CFR §483.60 — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited May 2025 — widespread issue, potential for harm.
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F-Tag 812 — 42 CFR §483.60(i) — S/S: F
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 May 2025 — limited pattern, potential for harm.
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F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited November 2022 — limited pattern, potential for harm.
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F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of PACS GROUP · 279 homes · 3 stars avg
- Occupancy
- 52.9 residents on an average day (90% of 59 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 59 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.