GRASS VALLEY HEALTHCARE CENTER

355 JOERSCHKE DR
GRASS VALLEY, CA, 95945
5302737247
CCN: 055640
3
Overall
3
Health
2
Staffing
4
Quality
ChainCYPRESS HEALTHCARE GROUP
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
OIG Federal Exclusion Matches (4)
This facility's name matches one or more entities on the OIG List of Excluded Individuals/Entities (LEIE). Excluded parties are prohibited from participation in Medicare and Medicaid programs.
CENTURION HEALTHCARE, INC
1128a1
Excluded 2013-04-18
FINE GOLD HEALTH CENTER, INC
1128a1
Excluded 2002-07-18
HIGHLAND PARK HEALTHCARE CENTE
1128b8
Excluded 2004-01-20
SOUTHGATE HEALTH CENTER
1128b8
Excluded 2000-04-20
Ownership
NameRole%
CYPRESS HEALTHCARE GROUP LLC5% OR GREATER DIRECT OWNERSHIP INTEREST100%
JACKSON, MATTHEW5% OR GREATER INDIRECT OWNERSHIP INTEREST33%
JACKSON, ROBERT5% OR GREATER INDIRECT OWNERSHIP INTEREST33%
SANOFSKY, JACK5% OR GREATER INDIRECT OWNERSHIP INTEREST33%
SANOFSKY, JACKCORPORATE OFFICERNOT APPLICABLE
JACKSON, MATTHEWCORPORATE OFFICERNOT APPLICABLE
JACKSON, ROBERTCORPORATE OFFICERNOT APPLICABLE
SANOFSKY, JACKOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
WEBSTER, MATTHEWOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
GILL, KULDIPOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
JACKSON, MATTHEWOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
JACKSON, ROBERTOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Health Deficiencies (24)
2025-12-30 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
2025-11-24 · Health
G
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.
2025-09-25 · Health
E
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
F806 · Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
E
F803 · Nutrition and Dietary Deficiencies
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.
D
F790 · Quality of Life and Care Deficiencies
Provide routine and 24-hour emergency dental care for each resident.
D
F697 · Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
D
F695 · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
D
F690 · Quality of Life and Care Deficiencies
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
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
E
F679 · Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
2025-07-30 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
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.
E
F697 · Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
D
F551 · Resident Rights Deficiencies
Give the resident's representative the ability to exercise the resident's rights.
2023-06-09 · Health
E
F940 · Administration Deficiencies
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
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
F808 · Nutrition and Dietary Deficiencies
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.
D
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
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.
2023-03-24 · Health
E
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.
2019-10-11 · Health
D
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
4.38
3.68
RN Hrs/Resident/Day
0.33
0.54
LPN Hrs/Resident/Day
1.44
0.81
CNA Hrs/Resident/Day
2.62
2.33
PT Hrs/Resident/Day
0.05
0.12
Data as of 2026-03-01