Starfile

Starfile / California

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.

CycleInspection dateThis facilityCalifornia avgNational avgvs state
12024-10-241715.69.5+1.4 worse
22022-11-112417.49.8+6.6 worse
32019-05-101417.19.3-3.1 better

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation1
Quality of life and care2
Resident assessment and care planning3
Nursing and physician services1
Nutrition and dietary4
Pharmacy service4
Environmental1
Infection control1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)4.2050.5%
RN staffing (reported)0.5740.0%
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)

  1. 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

  2. DF0641Ensure each resident receives an accurate assessment.2025-08-20 · Health · corrected 2025-09-15

    Potential for more than minimal harm

  3. 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

  4. 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

  5. DF0641Ensure each resident receives an accurate assessment.2024-10-24 · Health · corrected 2024-11-14

    Potential for more than minimal harm

  6. 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

  7. 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

  8. 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

  9. 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

  10. 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

  11. EF0759Ensure medication error rates are not 5 percent or greater.2024-10-24 · Health · corrected 2024-11-14

    Potential for more than minimal harm

  12. 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

  13. 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

  14. 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

  15. 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

  16. 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

  17. EF0880Provide and implement an infection prevention and control program.2024-10-24 · Health · corrected 2024-11-14

    Potential for more than minimal harm

  18. 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

  19. 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

  20. 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

  21. 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

  22. 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

  23. 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

  24. 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

  25. 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

  26. 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

  27. 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

  28. 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

  29. 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

  30. DF0610Respond appropriately to all alleged violations.2023-05-31 · Health · corrected 2023-06-15

    Potential for more than minimal harm

  31. 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

  32. 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

  33. 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

  34. 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

  35. 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

  36. 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

  37. 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

  38. 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

  39. 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

  40. 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

  41. 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

  42. 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

  43. 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

  44. 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

  45. EF0759Ensure medication error rates are not 5 percent or greater.2022-11-11 · Health · corrected 2023-01-03

    Potential for more than minimal harm

  46. 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

  47. 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

  48. 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

  49. 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

  50. EF0880Provide and implement an infection prevention and control program.2022-11-11 · Health · corrected 2023-01-03

    Potential for more than minimal harm

  51. 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

  52. 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

  53. EF0759Ensure medication error rates are not 5 percent or greater.2019-05-10 · Health · corrected 2019-05-24

    Potential for more than minimal harm

  54. 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

  55. 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

OwnerTypeRolePercentSince
HUDSON RIVER OPCO LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2019-12-20
BAY BRIDGE CAPITAL PARTNERS, LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2014-08-15
PACS GROUP, INC.Organization5% OR GREATER INDIRECT OWNERSHIP INTEREST2023-06-30
PACS HOLDINGS, LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2023-06-30
PROVIDENCE GROUP INCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2021-11-05
HANCOCK, MARKIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST2024-04-15
MURRAY, JASONIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST2024-04-15
APT, FREDERICKIndividualCORPORATE OFFICER2024-01-01
JERGENSEN, JOSHUAIndividualCORPORATE OFFICER2024-01-01
MITCHELL, JOHNIndividualCORPORATE OFFICER2024-01-01
NGUYEN, THANH TRANG THIIndividualCONTRACTED MANAGING EMPLOYEE2023-12-01
HOLLINGSWORTH, COLBYIndividualW-2 MANAGING EMPLOYEE2024-01-04

Other facilities in PLACERVILLE

NameOverallBeds
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.