Golden Empire

121 Dorsey Drive · Grass Valley, CA · 95945 · 5302731316

148 certified beds For profit - Limited Liability company

Why this verdict

  • Inspection results are getting worse cycle over cycle, not better.
  • No federal fines or payment denials in CMS’s 3-year window.

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Red flags

Cited under the freedom-from-abuse rule

Cited 2 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

Score breakdown

Inspection record 30% of score 41
Serious harm & abuse 20% 100
Staffing 20% 66
Federal penalties 15% 100
Trend 10% 35
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 3 of 5 Inspections: 2 of 5 Staffing: 4 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day4.023.48 min · 4.1 strong
RN hours / resident-day0.380.55–0.75
Weekend hours / resident-day3.21≈ weekday level
Nursing turnover / year41%median 45%
Fines (3-yr window)none

Inspection citations (30 in the current record)

  • Potential for harm · D February 11, 2026 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected February 27, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D February 11, 2026 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected February 27, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D February 6, 2026 · found via complaint

    Observe each nurse aide's job performance and give regular training.

    Corrected February 11, 2026 · Nursing and Physician Services

  • Potential for harm · D December 10, 2025 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected December 19, 2025 · Quality of Life and Care

  • Potential for harm · E August 22, 2025

    Keep residents' personal and medical records private and confidential.

    Corrected September 12, 2025 · Resident Rights

  • Potential for harm · D August 22, 2025

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected September 12, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D August 22, 2025

    Assess the resident when there is a significant change in condition

    Corrected September 12, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E August 22, 2025

    Ensure each resident receives an accurate assessment.

    Corrected September 12, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D August 22, 2025

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected September 12, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D August 22, 2025

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected September 12, 2025 · Quality of Life and Care

  • Potential for harm · D August 22, 2025

    Provide safe, appropriate pain management for a resident who requires such services.

    Corrected September 12, 2025 · Quality of Life and Care

  • Potential for harm · D August 22, 2025

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected September 12, 2025 · Pharmacy Service

  • Potential for harm · E August 22, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected September 12, 2025 · Nutrition and Dietary

  • Potential for harm · E August 22, 2025

    Dispose of garbage and refuse properly.

    Corrected September 12, 2025 · Nutrition and Dietary

  • Potential for harm · D August 22, 2025

    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.

    Corrected September 12, 2025 · Administration

  • Potential for harm · D August 22, 2025

    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

    Corrected September 12, 2025 · Administration

  • Potential for harm · E August 22, 2025

    Provide and implement an infection prevention and control program.

    Corrected September 12, 2025 · Infection Control

  • Potential for harm · E August 22, 2025

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Corrected September 12, 2025 · Environmental

  • Potential for harm · E August 22, 2025 · found via complaint

    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.

    Corrected September 12, 2025 · Pharmacy Service

  • Potential for harm · D July 31, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected August 13, 2025 · Quality of Life and Care

  • Potential for harm · E June 9, 2025 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected June 19, 2025 · Infection Control

  • Potential for harm · E April 11, 2025 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected April 21, 2025 · Infection Control

  • Potential for harm · D March 18, 2025 · found via complaint

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Corrected April 11, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D March 18, 2025 · found via complaint

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected April 11, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D March 18, 2025 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected April 11, 2025 · Quality of Life and Care

Showing the 25 most recent. The Safety Report includes every citation with full findings.

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 056391 · certified since June 20, 1973. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.