Federal inspection record · CMS data as of October 1, 2026
Spring Hill Manor
355 Joerschke Dr, Grass Valley, CA · (530) 273-7247
- Certified beds
- 86
- Residents per day
- 82
- Ownership
- For-Profit
- Chain
- Cypress Healthcare Group
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 2, 1968
1
How this home got 3 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in California.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among California homes
Spring Hill Manor carries 75 inspection points. That is fewer than 58% of California's 1,154 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in California: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–33 pts
- 4★ 33–66 pts
- 3★ 66–96 pts
- 2★ 96–146 pts
- 1★ over 146 pts
Bars show every rated home in California by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
24 health citations on record since 2019. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Quality of Life and Care7E
- E
Provide activities to meet all resident's needs.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide safe, appropriate pain management for a resident who requires such services.
- D
Provide routine and 24-hour emergency dental care for each resident.
- E
Provide safe, appropriate pain management for a resident who requires such services.
Nutrition and Dietary5E
- E
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.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
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.
Infection Control4E
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Pharmacy Service3D
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
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.
- D
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.
Freedom from Abuse, Neglect, and Exploitation2D
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Resident Rights1D
- D
Give the resident's representative the ability to exercise the resident's rights.
Administration1E
- E
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Inspection history
2025-09-25
13 health deficiencies · 16 fire-safety deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
2023-06-09
9 health deficiencies · 6 fire-safety deficiencies
Top issue: Pharmacy Service (3 deficiencies)
2019-10-11
2 health deficiencies · 6 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 27 min of nursing staff time a day, 30 min of it from a registered nurse.
This home
4 h 27 min
California average
4 h 33 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 48% of nursing staff and 0% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.9 pts better | 1.3 | 2.2 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.3 pts worse | 1.8 | 1.5 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.3 pts better | 100.0% | 98.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.1 pts better | 100.0% | 97.9% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injuryAbout the same | 1.6% | 1.6% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms5.5 pts better | 2.1% | 7.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.7 pts better | 3.4% | 4.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication3.7 pts better | 10.0% | 13.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication0.3 pts better | 12.0% | 12.3% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.3 pts better | 0.0% | 0.3% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened1.4 pts better | 7.5% | 8.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased4.4 pts better | 5.8% | 10.2% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladderAbout the same | 0.7% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.5 pts worse | 1.7% | 1.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.6 pts worse | 11.4% | 9.8% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.2 pts better | 4.1% | 4.3% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine4.5 pts better | 99.1% | 94.6% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit6.9 pts worse | 18.0% | 11.1% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.5 pts better | 0.8% | 1.3% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine6.9 pts better | 100.0% | 93.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission7.4 pts worse | 30.0% | 22.6% | 23.4% |
·
Who owns and runs it
10 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Gill, Kuldip | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Gill, Kuldip | Adp Of The SNF · Individual | 0% | 1 facilities |
| Jackson, Matthew | Corporate Officer · Individual | 0% | 13 facilities |
| Jackson, Matthew | Operational/Managerial Control · Individual | 0% | 13 facilities |
| Jackson, Robert | Corporate Officer · Individual | 0% | 15 facilities |
| Jackson, Robert | Operational/Managerial Control · Individual | 0% | 15 facilities |
| Jackson, Robert | Adp Of The SNF · Individual | 0% | 15 facilities |
| Sanofsky, Jack | Corporate Officer · Individual | 0% | 27 facilities |
| Webster, Matthew | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Webster, Matthew | Adp Of The SNF · Individual | 0% | 1 facilities |
·
Fire safety
28 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke13E
- E
Install corridor and hallway doors that block smoke.
- D
Provide properly protected cooking facilities.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
- C
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- C
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- D
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Install corridor and hallway doors that block smoke.
- D
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
- D
Install corridor and hallway doors that block smoke.
Gas, Vacuum, and Electrical Systems6F
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- D
Meet requirements for the use of electrical equipment.
- D
Ensure proper usage of power strips and extension cords.
- E
Ensure proper usage of power strips and extension cords.
- D
Have proper medical gas storage and administration areas.
Emergency Preparedness5F
- F
Develop Emergency Preparedness policies and procedures.
- F
Develop a communication plan.
- F
Establish emergency prep training and testing.
- F
Develop and maintain an Emergency Preparedness Program (EP).
- C
Conduct testing and exercise requirements.
Miscellaneous2E
- C
Have simulated fire drills held at unexpected times.
- E
Have simulated fire drills held at unexpected times.
Egress2D
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D
Install emergency lighting that can last at least 1 1/2 hours.
·
Other homes nearby
-
Golden Empire
Grass Valley, CA
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 46 min
- Fines
- $0
-
Wolf Creek Care Center
Grass Valley, CA · Pacs Group
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 44 min
- Fines
- $0
-
Crystal Ridge Care Center
Grass Valley, CA · Pacs Group
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 44 min
- Fines
- $0