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
Data as of July 1, 2026
4 of 5 overall
Wolf Creek Care Center in Grass Valley has a 4-star overall rating, with strong quality measures (5 stars) but weaker staffing (2 stars) and a below-benchmark nurse staffing level of 3.82 hours per resident per day versus the 4.1 federal benchmark. Its health inspection rating is 3 stars, and it had $0 in fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.8195 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 3.8195.
Staffing detail
- Registered nurses
- 0.47
- Licensed practical nurses
- 0.88
- Nurse aides
- 2.48
- Weekend nursing
- 3.71
Hours per resident per day.
Total staff turnover: 54%
Registered nurse turnover: 63%
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
13.6%12.5%Improving
Residents with a fall causing major injury
5.7%2.9%Improving
Residents with pressure ulcers (bedsores)
2.8%6.3%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
0%2.9%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
0%5.9%Worsening
Residents whose ability to walk got worse
—11.4%—
Long-stay residents on antianxiety or sleep medication
9.7%2.9%Improving
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
7.5%17.1%Worsening
Residents with depressive symptoms
2.9%0%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%—
Short-stay residents given the pneumonia vaccine
100%99.2%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.
View the original federal record
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 · 281 homes · 2.8 stars avg
- Occupancy
- 54.5 residents on an average day (92% 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.