Grass Valley, CA

Grass Valley Healthcare Center

3-star overall rating with 3-star inspections with 16 recent health deficiencies with 16 fire-safety deficiencies in the latest cycle

355 Joerschke Dr, Grass Valley, CA

(530) 273-7247

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

86

Certified beds

Average residents

76

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Cypress Healthcare Group

Operator or chain grouping

Approved since

1968-01-02

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

13 facilities

Chain averages 4 overall / 3 health / 4 staffing / 4 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.33

Registered nurse staffing · state 0.65 · national 0.68

LPN hours / resident day

1.44

Licensed practical nurse staffing · state 1.22 · national 0.87

Aide hours / resident day

2.62

Nurse aide staffing · state 2.64 · national 2.35

Total nurse hours

4.38

All reported nurse hours · state 4.51 · national 3.89

Licensed hours

1.77

RN + LPN hours · state 1.87 · national 1.54

Weekend hours

3.95

Weekend nurse staffing · state 4.08 · national 3.43

Weekend RN hours

0.32

Weekend registered nurse coverage · state 0.50 · national 0.47

Physical therapist

0.05

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

0.35

CMS adjusted RN staffing hours

Adjusted total hours

4.62

CMS adjusted total nurse staffing hours

Case-mix index

1.30

Higher values indicate more complex resident acuity

RN turnover

0%

Annual RN turnover

Total nurse turnover

0%

Annual nurse turnover

SNF VBP

Value-based purchasing

Program rank

1,248

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

58.41

Composite VBP score used to determine payment impact.

Payment multiplier

1.0136

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

3.13

Baseline 18.27% · Performance 19.98% · Measure score 3.13 · Achievement 3.13 · Improvement 0

Healthcare-associated infections

5.44

Baseline 4.68% · Performance 6.21% · Measure score 5.44 · Achievement 5.44 · Improvement 0

Total nurse turnover

8.32

Baseline 21.15% · Performance 29.69% · Measure score 8.32 · Achievement 8.32 · Improvement 0

Adjusted total nurse staffing

6.48

Baseline 5.22 hours · Performance 4.92 hours · Measure score 6.48 · Achievement 6.48 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 9.34%
10.72%
1.4 pts better
No Different than the National Rate · Eligible stays 207 · Observed rate 6.28% · Lower 95% interval 6.93%
Discharge to community 53.3%
50.57%
2.7 pts better
No Different than the National Rate · Eligible stays 205 · Observed rate 53.17% · Lower 95% interval 48.88%
Medicare spending per beneficiary 0.67
1.02
0.3 pts better
Drug regimen review with follow-up 100%
95.27%
4.7 pts better
Numerator 157 · Denominator 157
Falls with major injury 0%
0.77%
0.8 pts better
Numerator 0 · Denominator 157
Discharge self-care score 71.54%
53.69%
17.9 pts better
Numerator 88 · Denominator 123
Discharge mobility score 48.78%
50.94%
2.2 pts worse
Numerator 60 · Denominator 123
Pressure ulcers or injuries, new or worsened 3.18%
2.29%
0.9 pts worse
Numerator 5 · Denominator 157 · Adjusted rate 3.58%
Healthcare-associated infections requiring hospitalization 6.21%
7.12%
0.9 pts better
No Different than the National Rate · Eligible stays 104 · Observed rate 3.85% · Lower 95% interval 3.32%
Staff COVID-19 vaccination coverage 7.53%
8.2%
0.7 pts worse
Numerator 7 · Denominator 93
Staff flu vaccination coverage 84.57%
42%
42.6 pts better
Numerator 137 · Denominator 162
Discharge function score 55.28%
56.45%
1.2 pts worse
Numerator 68 · Denominator 123
Transfer of health information to provider 95.65%
95.95%
0.3 pts worse
Numerator 22 · Denominator 23
Transfer of health information to patient 95.56%
96.28%
0.7 pts worse
Numerator 86 · Denominator 90
Resident COVID-19 vaccinations up to date 45.45%
25.2%
20.3 pts better
Numerator 40 · Denominator 88

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.1
2.3
1.2 pts better
1.9
0.8 pts better
Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 1.1 · Expected 1.8 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 1.1
1.6
0.5 pts better
1.8
0.7 pts better
Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 1.0 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
98.5%
1.5 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
98.2%
1.8 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury 0.5%
1.6%
1.1 pts better
3.3%
2.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.9% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 3.0%
6.8%
3.8 pts better
11.4%
8.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 6.4% · Q3 2.0% · Q4 3.6% · 4Q avg 3.0%
Percentage of long-stay residents who lose too much weight 5.0%
4.1%
0.9 pts worse
5.4%
0.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 4.9% · Q3 4.2% · Q4 9.3% · 4Q avg 5.0%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 14.8%
13.7%
1.1 pts worse
19.6%
4.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 17.0% · Q2 16.3% · Q3 14.6% · Q4 11.1% · 4Q avg 14.8%
Percentage of long-stay residents who received an antipsychotic medication 8.9%
14.2%
5.3 pts better
16.7%
7.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 9.3% · Q2 5.1% · Q3 9.3% · Q4 11.4% · 4Q avg 8.9% · Used in QM five-star
Percentage of long-stay residents who were physically restrained 0.0%
0.4%
0.4 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened 13.2%
11.0%
2.2 pts worse
16.3%
3.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 4.6% · Q3 16.5% · Q4 12.5% · 4Q avg 13.2% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 7.2%
10.7%
3.5 pts better
14.9%
7.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 7.0% · Q3 8.3% · Q4 14.0% · 4Q avg 7.2% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.7%
1.0%
0.7 pts worse
1.0%
0.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 1.7% · Q3 1.5% · Q4 1.7% · 4Q avg 1.7% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 1.5%
1.2%
0.3 pts worse
1.7%
0.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.1% · Q3 1.9% · Q4 1.9% · 4Q avg 1.5% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 17.6%
10.9%
6.7 pts worse
19.8%
2.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 19.3% · Q2 17.6% · Q3 16.7% · Q4 17.0% · 4Q avg 17.6%
Percentage of long-stay residents with pressure ulcers 6.0%
4.7%
1.3 pts worse
5.1%
0.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 9.8% · Q2 6.4% · Q3 3.5% · Q4 4.6% · 4Q avg 6.0% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 98.8%
94.0%
4.8 pts better
81.7%
17.1 pts better
Short Stay · 2024Q4-2025Q3 · Q1 99.1% · Q2 97.9% · Q3 100.0% · Q4 98.3% · 4Q avg 98.8%
Percentage of short-stay residents who had an outpatient emergency department visit 18.9%
11.2%
7.7 pts worse
12.0%
6.9 pts worse
Short Stay · 20240701-20250630 · Adjusted 18.9% · Observed 16.4% · Expected 9.7% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 0.8%
1.5%
0.7 pts better
1.6%
0.8 pts better
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.0% · Q4 1.8% · 4Q avg 0.8% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 97.3%
93.2%
4.1 pts better
79.7%
17.6 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 97.3%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 23.7%
23.2%
0.5 pts worse
23.9%
0.2 pts better
Short Stay · 20240701-20250630 · Adjusted 23.7% · Observed 19.4% · Expected 19.5% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-09-25 · Fire 2025-09-25

16 health deficiencies

Top issue: Quality of Life and Care (8 deficiencies)

16 fire-safety deficiencies

Top issue: Smoke (6 deficiencies)

Cycle 2 Health 2023-06-09 · Fire 2023-06-09

5 health deficiencies

Top issue: Nutrition and Dietary (2 deficiencies)

6 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2019-10-11 · Fire 2019-10-11

3 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)

6 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-09-25

E13 · Emergency Preparedness Deficiencies

Fire Safety

Develop Emergency Preparedness policies and procedures.

Corrected 2025-10-08

F · Potential for more than minimal harm 2025-09-25

E29 · Emergency Preparedness Deficiencies

Fire Safety

Develop a communication plan.

Corrected 2025-10-08

F · Potential for more than minimal harm 2025-09-25

E36 · Emergency Preparedness Deficiencies

Fire Safety

Establish emergency prep training and testing.

Corrected 2025-10-08

F · Potential for more than minimal harm 2025-09-25

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2025-10-08

F · Potential for more than minimal harm 2025-09-25

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2025-10-15

F · Potential for more than minimal harm 2025-09-25

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-10-10

E · Potential for more than minimal harm 2025-09-25

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-09-25

D · Potential for more than minimal harm 2025-09-25

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-10-09

D · Potential for more than minimal harm 2025-09-25

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-10-02

D · Potential for more than minimal harm 2025-09-25

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2025-09-25

D · Potential for more than minimal harm 2025-09-25

K919 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the use of electrical equipment.

Corrected 2025-09-25

D · Potential for more than minimal harm 2025-09-25

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-09-25

C · Minimal harm 2025-09-25

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2025-10-16

C · Minimal harm 2025-09-25

K346 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

Corrected 2025-09-26

C · Minimal harm 2025-09-25

K354 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

Corrected 2025-09-26

C · Minimal harm 2025-09-25

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-10-08

E · Potential for more than minimal harm 2023-06-09

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-06-26

E · Potential for more than minimal harm 2023-06-09

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-06-26

D · Potential for more than minimal harm 2023-06-09

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-06-26

D · Potential for more than minimal harm 2023-06-09

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-06-26

D · Potential for more than minimal harm 2023-06-09

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-06-26

D · Potential for more than minimal harm 2023-06-09

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2023-06-26

D · Potential for more than minimal harm 2019-10-11

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2019-11-18

D · Potential for more than minimal harm 2019-10-11

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2019-11-18

D · Potential for more than minimal harm 2019-10-11

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2019-11-18

D · Potential for more than minimal harm 2019-10-11

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2019-11-18

D · Potential for more than minimal harm 2019-10-11

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2019-11-18

D · Potential for more than minimal harm 2019-10-11

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2019-11-18

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-12-30

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2026-01-07

G · Actual harm 2025-11-24

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-12-17

E · Potential for more than minimal harm 2025-09-25

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2025-11-25

E · Potential for more than minimal harm 2025-09-25

F803 · Nutrition and Dietary Deficiencies

Health

Ensure 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.

Corrected 2025-11-25

E · Potential for more than minimal harm 2025-09-25

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-11-25

E · Potential for more than minimal harm 2025-09-25

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-11-25

D · Potential for more than minimal harm 2025-09-25

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-11-25

D · Potential for more than minimal harm 2025-09-25

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2025-11-25

D · Potential for more than minimal harm 2025-09-25

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-11-25

D · Potential for more than minimal harm 2025-09-25

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2025-11-25

D · Potential for more than minimal harm 2025-09-25

F790 · Quality of Life and Care Deficiencies

Health

Provide routine and 24-hour emergency dental care for each resident.

Corrected 2025-11-25

D · Potential for more than minimal harm 2025-09-25

F806 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2025-11-25

E · Potential for more than minimal harm 2025-07-30

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2025-08-30

D · Potential for more than minimal harm 2025-07-30

F551 · Resident Rights Deficiencies

Health

Give the resident's representative the ability to exercise the resident's rights.

Corrected 2025-08-30

D · Potential for more than minimal harm 2025-07-30

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-08-30

D · Potential for more than minimal harm 2025-07-30

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-08-30

E · Potential for more than minimal harm 2023-06-09

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-06-30

E · Potential for more than minimal harm 2023-06-09

F940 · Administration Deficiencies

Health

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

Corrected 2023-06-30

D · Potential for more than minimal harm 2023-06-09

F758 · Pharmacy Service Deficiencies

Health

Implement 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.

Corrected 2023-06-30

D · Potential for more than minimal harm 2023-06-09

F761 · Pharmacy Service Deficiencies

Health

Ensure 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.

Corrected 2023-06-30

D · Potential for more than minimal harm 2023-06-09

F808 · Nutrition and Dietary Deficiencies

Health

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

Corrected 2023-06-30

E · Potential for more than minimal harm 2023-03-24

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2023-04-11

D · Potential for more than minimal harm 2019-10-11

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2019-11-06

D · Potential for more than minimal harm 2019-10-11

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2019-11-06

Penalties and ownership

What sits behind the stars

Ownership

Cypress Healthcare Group LLC

5% Or Greater Direct Ownership Interest · Organization

100% 13 facilities 2024-12-30
Jackson, Matthew

5% Or Greater Indirect Ownership Interest · Individual

33% 13 facilities 2024-12-30
Jackson, Robert

5% Or Greater Indirect Ownership Interest · Individual

33% 14 facilities 2024-12-30
Sanofsky, Jack

5% Or Greater Indirect Ownership Interest · Individual

33% 16 facilities 2024-12-30
Gill, Kuldip

Operational/Managerial Control · Individual

0% 1 facilities 2024-12-30
Jackson, Matthew

Operational/Managerial Control · Individual

0% 13 facilities 2024-12-30
Jackson, Matthew

Corporate Officer · Individual

0% 13 facilities 2024-12-30
Jackson, Robert

Operational/Managerial Control · Individual

0% 14 facilities 2024-12-30
Jackson, Robert

Corporate Officer · Individual

0% 14 facilities 2024-12-30
Sanofsky, Jack

Operational/Managerial Control · Individual

0% 16 facilities 2024-12-30
Sanofsky, Jack

Corporate Officer · Individual

0% 16 facilities 2024-12-30
Webster, Matthew

Operational/Managerial Control · Individual

0% 1 facilities 2024-12-30

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