Wolf Creek Care Center
107 Catherine Lane · Grass Valley, CA · 95945 · 5302734447
59 certified beds For profit - Limited Liability company Chain: Pacs Group
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.
The composite number cleared 71 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
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
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 3 of 5 Staffing: 3 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.75 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.47 | 0.55–0.75 |
| Weekend hours / resident-day | 3.60 | ≈ weekday level |
| Nursing turnover / year | 45% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (25 in the current record)
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Potential for harm · D January 28, 2026 · found via complaint
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected February 18, 2026 · Infection Control
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Actual harm · G December 8, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 22, 2025 · Quality of Life and Care
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Potential for harm · D December 8, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected December 22, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 22, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected June 11, 2025 · Quality of Life and Care
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Potential for harm · D May 22, 2025
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected June 11, 2025 · Quality of Life and Care
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Potential for harm · D May 22, 2025
Provide safe, appropriate pain management for a resident who requires such services.
Corrected June 11, 2025 · Quality of Life and Care
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Potential for harm · F May 22, 2025
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected June 11, 2025 · Nutrition and Dietary
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Potential for harm · F May 22, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 11, 2025 · Nutrition and Dietary
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Potential for harm · E May 22, 2025
Provide and implement an infection prevention and control program.
Corrected June 11, 2025 · Infection Control
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Potential for harm · D December 28, 2023 · found via complaint
Provide and implement an infection prevention and control program.
Corrected January 8, 2024 · Infection Control
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Potential for harm · D October 12, 2023 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected October 31, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E November 8, 2022
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected January 4, 2023 · Resident Assessment and Care Planning
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Potential for harm · D November 8, 2022
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected January 4, 2023 · Resident Assessment and Care Planning
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Potential for harm · D November 8, 2022
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 4, 2023 · Quality of Life and Care
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Potential for harm · D November 8, 2022
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected January 4, 2023 · Quality of Life and Care
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Potential for harm · D November 8, 2022
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected January 4, 2023 · Pharmacy Service
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Potential for harm · D November 8, 2022
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 January 4, 2023 · Pharmacy Service
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Potential for harm · E November 8, 2022
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 4, 2023 · Nutrition and Dietary
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Potential for harm · D November 8, 2022
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected January 4, 2023 · Resident Assessment and Care Planning
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Potential for harm · E November 7, 2019
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected December 27, 2019 · Resident Rights
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Potential for harm · D November 7, 2019
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Corrected December 27, 2019 · Resident Rights
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Potential for harm · D November 7, 2019
Protect a residents' right to refuse some types of non-requested transfers within the nursing home.
Corrected December 27, 2019 · Resident Rights
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Potential for harm · D November 7, 2019
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected December 27, 2019 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 7, 2019
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 27, 2019 · Nutrition and Dietary
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Potential for harm · E November 7, 2019
Provide and implement an infection prevention and control program.
Corrected December 27, 2019 · Infection Control
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 055512 · certified since January 1, 1967. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.