Overall Rating
Cited for abuse
Address
107 Catherine Lane
Grass Valley, CA 95945
Contact
5302734447
Certification Date
1967-01-01
CMS Certification Number
055512
Ownership Type
For profit - Limited Liability company
Number of Certified Beds
59
Average Number of Residents per Day
54.5
Provider Type
Medicare and Medicaid
Legal Business Name
BLUEBELL HOLDINGS, LLC
Affiliated Entity Name
PROVIDENCE GROUP
Affiliated Entity ID
429
Health Inspection Rating
2
Quality Measure Rating
5
Staffing Rating
2
Reported Nurse Aide Staffing Hours per Resident per Day
2.49545
Reported LPN Staffing Hours per Resident per Day
1.00204
Reported RN Staffing Hours per Resident per Day
0.27070
Reported Total Nurse Staffing Hours per Resident per Day
3.76819
Total Number of Nurse Staff Hours per Resident per Day on the Weekend
3.41684
Registered Nurse Hours per Resident per Day on the Weekend
0.26477
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06558
Long-Stay Quality Measure Rating
5
Short-Stay Quality Measure Rating
5
Total Weighted Health Survey Score
59.333
Number of Facility Reported Incidents
11
Number of Substantiated Complaints
4
Number of Citations from Infection Control Inspections
0
Standard Health Survey Date
2022-11-08
Total Number of Health Deficiencies
11
Number of Standard Health Deficiencies
8
Number of Complaint Health Deficiencies
6
Health Deficiency Score
52
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
52
Standard Health Survey Date
2019-11-07
Total Number of Health Deficiencies
12
Number of Standard Health Deficiencies
6
Number of Complaint Health Deficiencies
6
Health Deficiency Score
60
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
60
Standard Health Survey Date
2019-01-10
Total Number of Health Deficiencies
17
Number of Standard Health Deficiencies
14
Number of Complaint Health Deficiencies
3
Health Deficiency Score
80
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
80
Number of Fines
0
Total Amount of Fines in Dollars
0.00
Number of Payment Denials
0
Total Number of Penalties
0