GOLDEN EMPIRE

121 DORSEY DRIVE
GRASS VALLEY, CA, 95945
5302731316
CCN: 056391
3
Overall
2
Health
4
Staffing
5
Quality
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
NameRole%
INFINITE HEALTHCARE LLC5% OR GREATER DIRECT OWNERSHIP INTEREST50%
THE RON REGGEV REVOCABLE TRUST DATE JUNE 30,20175% OR GREATER DIRECT OWNERSHIP INTEREST50%
TONS, NICHOLE5% OR GREATER INDIRECT OWNERSHIP INTEREST50%
TONS, NICHOLECORPORATE OFFICERNOT APPLICABLE
THE RON REGGEV REVOCABLE TRUST DATE JUNE 30,2017OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
INFINITE HEALTHCARE LLCOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
TONS, NICHOLEOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
YOUNG, VICKIW-2 MANAGING EMPLOYEENOT APPLICABLE
Health Deficiencies (27)
2025-12-10 · Health
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2025-08-22 · Health
E
F925 · Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
E
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F868 · Administration Deficiencies
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
D
F849 · Administration Deficiencies
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
E
F814 · Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
E
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
F761 · Pharmacy Service Deficiencies
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.
D
F755 · Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
F697 · Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
F658 · Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
E
F641 · Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
D
F637 · Resident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
D
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
E
F583 · Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
2025-07-31 · Health
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2025-06-09 · Health
E
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
2025-04-11 · Health
E
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
2025-03-18 · Health
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
F657 · Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
D
F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
2024-04-03 · Health
E
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F758 · Pharmacy Service Deficiencies
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.
2023-12-01 · Health
F
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
E
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F732 · Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
3.79
3.68
RN Hrs/Resident/Day
0.40
0.54
LPN Hrs/Resident/Day
1.10
0.81
CNA Hrs/Resident/Day
2.29
2.33
PT Hrs/Resident/Day
0.04
0.12
Data as of 2026-03-01