THE PINES AT PLACERVILLE HEALTHCARE CENTER
1040 MARSHALL WAY, PLACERVILLE, CA 95667 · CCN 055497
Abuse icon
Ratings
- Overall
- ★★☆☆☆ 2
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★★★☆ 4
- Staffing
- ★★★☆☆ 3
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 99
- Avg residents/day
- 87.3
- Phone
- 5306223400
Inspection history vs California & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | California avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2024-10-24 | 17 | 15.6 | 9.5 | +1.4 worse |
| 2 | 2022-11-11 | 24 | 17.4 | 9.8 | +6.6 worse |
| 3 | 2019-05-10 | 14 | 17.1 | 9.3 | -3.1 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 2 |
| Resident assessment and care planning | 3 |
| Nursing and physician services | 1 |
| Nutrition and dietary | 4 |
| Pharmacy service | 4 |
| Environmental | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.20 | 50.5% |
| RN staffing (reported) | 0.57 | 40.0% |
| Total nurse staffing (adjusted) | 3.89 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Chain
- Chain
- PACS GROUP
- Facilities in chain
- 264
- Chain avg overall
- 2.90 / 5
Inspection citations (55)
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-11-18 · Health · corrected 2025-11-26
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2025-08-20 · Health · corrected 2025-09-15
Potential for more than minimal harm
- DF0841Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.2025-08-20 · Health · corrected 2025-09-15
Potential for more than minimal harm
- DF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2024-12-10 · Health · corrected 2024-12-20
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2024-10-24 · Health · corrected 2024-11-14
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-10-24 · Health · corrected 2024-11-14
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-10-24 · Health · corrected 2024-11-14
Potential for more than minimal harm
- DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2024-10-24 · Health · corrected 2024-11-14
Potential for more than minimal harm
- EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-10-24 · Health · corrected 2024-11-14
Potential for more than minimal harm
- DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2024-10-24 · Health · corrected 2024-11-14
Potential for more than minimal harm
- EF0759Ensure medication error rates are not 5 percent or greater.2024-10-24 · Health · corrected 2024-11-14
Potential for more than minimal harm
- DF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2024-10-24 · Health · corrected 2024-11-14
Potential for more than minimal harm
- EF0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.2024-10-24 · Health · corrected 2024-11-14
Potential for more than minimal harm
- EF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2024-10-24 · Health · corrected 2024-11-14
Potential for more than minimal harm
- DF0811Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised.2024-10-24 · Health · corrected 2024-11-14
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-10-24 · Health · corrected 2024-11-14
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2024-10-24 · Health · corrected 2024-11-14
Potential for more than minimal harm
- EF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.2024-10-24 · Health · corrected 2024-11-14
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-06-28 · Health · corrected 2024-07-23
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-05-31 · Health · corrected 2024-06-24
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-05-29 · Health · corrected 2024-06-27
Potential for more than minimal harm
- EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-03-26 · Health · corrected 2024-04-05
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-01-04 · Health · corrected 2024-01-24
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-12-13 · Health · corrected 2024-01-20
Potential for more than minimal harm
- EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-10-05 · Health · corrected 2023-11-01
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-09-13 · Health · corrected 2023-10-06
Potential for more than minimal harm
- EF0559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.2023-07-14 · Health · corrected 2023-07-14
Potential for more than minimal harm
- DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2023-07-14 · Health · corrected 2023-07-14
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-05-31 · Health · corrected 2023-06-15
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2023-05-31 · Health · corrected 2023-06-15
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-05-31 · Health · corrected 2023-06-15
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-04-13 · Health · corrected 2023-04-20
Potential for more than minimal harm
- DF0573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.2023-03-09 · Health · corrected 2023-04-10
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2022-11-11 · Health · corrected 2023-01-03
Potential for more than minimal harm
- DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2022-11-11 · Health · corrected 2023-01-03
Potential for more than minimal harm
- DF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.2022-11-11 · Health · corrected 2023-01-03
Potential for more than minimal harm
- DF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2022-11-11 · Health · corrected 2023-01-03
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-11-11 · Health · corrected 2023-01-03
Potential for more than minimal harm
- DF0660Plan the resident's discharge to meet the resident's goals and needs.2022-11-11 · Health · corrected 2023-01-03
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-11-11 · Health · corrected 2023-01-03
Potential for more than minimal harm
- DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2022-11-11 · Health · corrected 2023-01-03
Potential for more than minimal harm
- EF0730Observe each nurse aide's job performance and give regular training.2022-11-11 · Health · corrected 2023-01-03
Potential for more than minimal harm
- EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2022-11-11 · Health · corrected 2023-01-03
Potential for more than minimal harm
- DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2022-11-11 · Health · corrected 2023-01-03
Potential for more than minimal harm
- EF0759Ensure medication error rates are not 5 percent or greater.2022-11-11 · Health · corrected 2023-01-03
Potential for more than minimal harm
- EF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2022-11-11 · Health · corrected 2023-01-03
Potential for more than minimal harm
- EF0800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.2022-11-11 · Health · corrected 2023-01-03
Potential for more than minimal harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2022-11-11 · Health · corrected 2023-01-03
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-11-11 · Health · corrected 2023-01-03
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2022-11-11 · Health · corrected 2023-01-03
Potential for more than minimal harm
- DF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.2022-11-11 · Health · corrected 2023-01-03
Potential for more than minimal harm
- EF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2022-11-11 · Health · corrected 2023-01-03
Potential for more than minimal harm
- EF0759Ensure medication error rates are not 5 percent or greater.2019-05-10 · Health · corrected 2019-05-24
Potential for more than minimal harm
- EF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2019-05-10 · Health · corrected 2019-05-24
Potential for more than minimal harm
- BF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.2019-05-10 · Health · corrected 2019-05-24
Potential for minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| HUDSON RIVER OPCO LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2019-12-20 |
| BAY BRIDGE CAPITAL PARTNERS, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2014-08-15 |
| PACS GROUP, INC. | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-06-30 |
| PACS HOLDINGS, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-06-30 |
| PROVIDENCE GROUP INC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2021-11-05 |
| HANCOCK, MARK | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2024-04-15 |
| MURRAY, JASON | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2024-04-15 |
| APT, FREDERICK | Individual | CORPORATE OFFICER | — | 2024-01-01 |
| JERGENSEN, JOSHUA | Individual | CORPORATE OFFICER | — | 2024-01-01 |
| MITCHELL, JOHN | Individual | CORPORATE OFFICER | — | 2024-01-01 |
| NGUYEN, THANH TRANG THI | Individual | CONTRACTED MANAGING EMPLOYEE | — | 2023-12-01 |
| HOLLINGSWORTH, COLBY | Individual | W-2 MANAGING EMPLOYEE | — | 2024-01-04 |
Other facilities in PLACERVILLE
| Name | Overall | Beds |
|---|---|---|
| WESTERN SLOPE HEALTH CENTER | ★★★★★ | 99 |
| GOLD COUNTRY HEALTH CENTER | ★★★☆☆ | 68 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.