Contact Information

THE PINES AT PLACERVILLE HEALTHCARE CENTER
GLADIOLUS HOLDINGS, LLC
1040 MARSHALL WAY
PLACERVILLE, CA 95667
(530) 622-3400
For profit - Corporation
Medicare certification date2: July 01, 1976
The is the date the nursing home was certified to participate in the Medicare program.

1 Nursing homes can be run by private for-profit corporations, non-profit corporations, religious affiliated organizations or government entities.

2 Agencies that are Medicare Certified are able to participate in Medicare related programs.


Nursing Home Information

  86 residents

  99 certified beds

  Participates in Medicare and Medicaid

  Continuing Care Retirement Community

  In hospital

  Resident and Family Council

  Automatic sprinklers in all required areas

Quality rating
Health inspection rating
Staffing rating
Substantiated complaints 3
Facility reported incidents 2
Number of fines None
Number of penalties None
Number of payment denials None

Staffing

Staffing for 86 residents California Average National Average
Hours by Registered Nurse (RN) per resident per day 46 minutes 37 minutes 41 minutes
Hours by Licensed Practial Nurse (LPN & LVN) per resident per day 42 minutes 1 hour, 8 minutes 53 minutes
Hours by Certified Nursing Assistant (CNA) per resident per day 2 hours, 21 minutes 2 hours, 29 minutes 2 hours, 20 minutes
Physical therapy (PT) staff hours per resident per day 5 minutes 8 minutes 7 minutes

Staffing hours per resident is the total number of hours worked by the staff divided by the total number of residents. It doesn't necessarily show the number of nursing staff present at any given time or the amount of care given to any one resident.

Ownership

5% OR GREATER DIRECT OWNERSHIP INTEREST

  • CALIFORNIA OPCO SUB LLC

5% OR GREATER INDIRECT OWNERSHIP INTEREST

  • ALLPRO, INC.
  • AUBURN MANOR HOLDING CORP
  • BAY BRIDGE CAPITAL INC
  • BAY BRIDGE CAPITAL PARTNERS, LLC
  • BRIDGE HOLDCO LLC
  • CROSSWINDS TRUST
  • GI PLUM HOLDINGS, LLC
  • GI SIDE FUND PLUM CORP
  • HORIZON WEST HEALTHCARE, INC.
  • NEW SISU HOLDCO, LLC
  • BALLIF, MARK
  • HUBBARD, PAUL

5% OR GREATER MORTGAGE INTEREST

  • HEALTHCARE FINANCIAL SOLUTIONS, LLC

MANAGING EMPLOYEE

  • DEGUZMAN, MYRNA
  • EDMUNDS, JARED

OFFICER

  • ANDERSON, NICKLAS
  • EDMUNDS, JARED
  • HAKIM, NAVEED
  • PUGH, PHYLLIS

OPERATIONAL/MANAGERIAL CONTROL

  • ANDERSON, NICKLAS
  • HAKIM, NAVEED
  • PUGH, PHYLLIS

Nursing Home Report

In 2016, THE PINES AT PLACERVILLE HEALTHCARE CENTER charged a total of $2,928,350 for 169 Medicare Beneficiaries. The average age of residents at this skilled nursing facility is about 77.

The report covers only calendar year 2016.

Chronic Condition of Residents
Atrial Fibrillation 31% Alzheimer's 41%
Asthma 50% Cancer 15%
Congestive Heart Failure 54% Kidney Disease 54%
COPD 43% Depression 46%
Diabetes 37% Hyperlipidemia 66%
Hypertension n/a Ischemic Heart Disease 59%
Osteoporosis 29% RA / OA 52%
Schizophrenia 9% Stroke 14%
Demographics
Medicare Beneficiaries 169 Average Age 77
Male 73 Female 96
White 164
Black 0
Asian n/a
Hispanic n/a
American Indian n/a
Other 0

Health & Fire Inspection

Most recent health inspection: Apr 20, 2018; fire safety inspection: Apr 26, 2018

Health Deficiencies as of 04/20/2018
Freedom from Abuse, Neglect, and Exploitation None
Quality of Life and Care None
Resident Assessment and Care Planning None
Nursing and Physician Services None
Resident Rights None
Nutrition and Dietary Deficiencies None
Pharmacy Service 1
Environmental Deficiencies 1
Administration Deficiencies None
Fire Deficiencies as of 04/26/2018
Emergency Preparedness 2
Automatic Sprinkler Systems None
Construction Deficiencies None
Services Deficiencies None
Corridor Walls and Doors None
Egress Deficiencies None
Electrical Deficiencies None
Emergency Plans and Fire Drills None
Fire Alarm Systems None
Smoke Deficiencies None
Interior Deficiencies None
Gas, Vacuum, and Electrical Systems None
Hazardous Area None
Illumination and Emergency Power None
Laboratories Deficiencies None
Medical Gases and Anesthetizing Areas None
Smoking Regulations None
Miscellaneous Regulations None

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See also