Overall Rating
Address
121 Dorsey Drive
Grass Valley, CA 95945
Contact
5302731316
Certification Date
1973-06-20
CMS Certification Number
056391
Ownership Type
For profit - Limited Liability company
Number of Certified Beds
148
Average Number of Residents per Day
125.9
Provider Type
Medicare and Medicaid
Legal Business Name
DYNASTY VALLEY LLC
Affiliated Entity Name
Affiliated Entity ID
Health Inspection Rating
5
Quality Measure Rating
4
Staffing Rating
3
Reported Nurse Aide Staffing Hours per Resident per Day
2.28033
Reported LPN Staffing Hours per Resident per Day
1.21108
Reported RN Staffing Hours per Resident per Day
0.28966
Reported Total Nurse Staffing Hours per Resident per Day
3.78107
Total Number of Nurse Staff Hours per Resident per Day on the Weekend
3.20460
Registered Nurse Hours per Resident per Day on the Weekend
0.20675
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03509
Long-Stay Quality Measure Rating
4
Short-Stay Quality Measure Rating
4
Total Weighted Health Survey Score
24.000
Number of Facility Reported Incidents
6
Number of Substantiated Complaints
2
Number of Citations from Infection Control Inspections
1
Standard Health Survey Date
2023-12-01
Total Number of Health Deficiencies
3
Number of Standard Health Deficiencies
3
Number of Complaint Health Deficiencies
0
Health Deficiency Score
28
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
28
Standard Health Survey Date
2022-08-19
Total Number of Health Deficiencies
6
Number of Standard Health Deficiencies
0
Number of Complaint Health Deficiencies
6
Health Deficiency Score
24
Number of Health Revisits
0
Health Revisit Score
0
Total Health Score
24
Standard Health Survey Date
2019-08-29
Total Number of Health Deficiencies
3
Number of Standard Health Deficiencies
2
Number of Complaint Health Deficiencies
0
Health Deficiency Score
12
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
12
Number of Fines
0
Total Amount of Fines in Dollars
0.00
Number of Payment Denials
0
Total Number of Penalties
0