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Nursing HomeMedicaid Investigative

The Pines at Placerville Healthcare Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

1040 Marshall Way, Placerville, CA 9566799 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.1/5

based on 68 Google reviews

5
4
3
2
1
The Pines at Placerville Healthcare Center Nursing Home in Placerville, CA — Street View
Street View

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6/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Abuse citation on record
  • Low overall rating (2/5 stars)
  • Above-median deficiencies (17 vs median 13.0)
  • High staff turnover (50%)

Below average in CA · Below recommended RN staffing · Above recommended total nurse staffing · Below chain average · No penalties on record · Abuse citation

Source: Medicare data

What this means for your family

The facility's standout feature is its physical therapy and wound care expertise, which is excellent for post-surgical recovery. However, families should closely monitor responsiveness to call lights and ensure that staffing levels are adequate during your loved one's stay, as several reviewers noted delays in care.

Google Reviews

Google Reviews

68 reviews on Google
Families considering The Pines at Placerville Healthcare Center will find a facility highly praised for its exceptional physical therapy and wound care teams. While many reviewers highlight a clean, peaceful environment and compassionate nursing staff, there are serious, recurring allegations regarding slow response to call buttons and instances of staff neglect or lack of professionalism.

Quality Themes

Tap a score for details
Food3.0Staff7.0Clean9.0Activities8.0MedsN/AMemoryN/AComms4.0ValueN/A

Strengths

  • Excellent physical therapy and rehab services
  • Clean and well-maintained environment
  • Compassionate and attentive nursing staff
  • Serene and beautiful outdoor courtyard

Concerns

  • Slow response to call buttons and resident needs (mentioned by 4 reviewers)
  • Staffing shortages and perceived neglect (mentioned by 3 reviewers)
  • Inconsistent food quality and portion sizes (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

234'14(1)'17(1)'19(2)'21(2)'23(13)'25(15)'26(10)

Distribution · 58 analyzed

5
38
4
7
3
1
2
1
1
11

How They Respond to Reviews

88%response rate
Good

The owner provides highly personalized responses to positive reviews, often mentioning specific staff members or details from the review. For negative reviews, they use a professional, templated approach that acknowledges the feedback and provides a direct phone number for resolution.

Questions for Your Tour

  • 1We've heard wonderful things about the physical therapy and rehab services here; could you tell us more about how that process works for new residents?
  • 2The outdoor courtyard looks so beautiful and serene; how often do residents get to spend time enjoying that space?
  • 3What steps are being taken to ensure that call buttons are answered quickly and that resident needs are met promptly throughout the day?
  • 4Could you walk us through the dining experience, specifically regarding how you ensure consistent food quality and portion sizes for everyone?
  • 5How does the nursing team communicate important medical updates or changes in condition to family members to keep us in the loop?
  • 6In the event of a medical emergency during the night, what is the protocol for getting immediate care and notifying the family?

Personalized based on this facility's data


Key Review Excerpts

The physical therapy team is excellent — patient, encouraging, and focused on helping me get stronger without pushing me too hard.

Rehab patient · 2026★★★★★

The wound care team is amazing!!! The Physical Therapy team is one of the</em> reasons that I came back here again. And I healed so quickly here!!

Returning rehab patient · 2026★★★★★

The place was clean, did not smell of urine or bedsores, which as a nurse, I always look for as an indicator of how well they take care of patients.

Visiting nurse/family · 2025★★★★★
Source: 68 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.55hrs
74%
Registered nurses for medical care
Total Nursing
4.11hrs
OK
All nurses + aides combined
Staff Turnover
45%
Lower is better (< 30% = good)
RN Turnover
30%
Lower is better (< 30% = good)

RN hours are below the national benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
4/ 5
Better Than Avg

9

measures

Worse Than Avg

4

measures

Mixed Results

4

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility7.7%
Better than Avg
Here
7.7%
US
19.4%
CA
10.7%
El dorado
14.5%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility18.0%
Worse than Avg
Here
18.0%
US
15.3%
CA
10.5%
El dorado
13.5%
😔

Residents with depression symptoms

↓ Lower is better
This Facility4.9%
Mixed vs Avgs
Here
4.9%
US
12.1%
CA
7.0%
El dorado
4.8%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
CA
98.6%
El dorado
99.7%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
CA
98.2%
El dorado
100.0%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility17.8%
Mixed vs Avgs
Here
17.8%
US
19.5%
CA
13.7%
El dorado
16.0%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
79.7%
CA
93.2%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
81.8%
CA
94.2%
El dorado
94.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.9%
Worse than Avg
Here
1.9%
US
1.6%
CA
1.5%
El dorado
0.9%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

17deficiencies
Above state avg (15.4)
17 complaint-triggered

This facility shows a troubling pattern of recurring deficiencies across multiple care areas, with families filing numerous complaints that triggered investigations. The most persistent problems involve medication management, meal planning and food service, and care planning accuracy. While the facility corrects issues when cited, the same problems repeatedly resurface across surveys, indicating systemic challenges in maintaining consistent quality standards in these critical areas of resident care and safety.

Nov 18, 2025Complaint
1
0600Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

Aug 20, 2025Complaint
2
0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0841Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.

Dec 10, 2024Complaint
1
0584Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Oct 24, 2024Routine
18
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0755Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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

0759Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0803Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

0806Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0912Potential for harm · PatternCorrected

Environmental Deficiencies

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

0758Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0811Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised.

0324Potential for harm · IsolatedCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0918Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0039Minimal · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0353Minimal · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Jun 28, 2024Complaint
1
0600Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

May 31, 2024Complaint
1
0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Ownership & Operations

Who Operates This Facility

Owner / Operator

The Pines at Placerville Healthcare Center

Organization Type

for profit

Chain Affiliation

Chain Name

Pacs Group

Chain Size

279 facilities nationwide

Chain avg rating: 2.9/5 · Rank 214 of 260

Ownership & Management

Owners

Hudson River Opco LLC

Owner · Organization

100%

Bay Bridge Capital Partners, LLC

Owner (parent company) · Organization

100%

Key personnel

Nguyen, Thanh Trang ThiContracted Managing EmployeeHollingsworth, ColbyW-2 Managing EmployeeApt, FrederickOfficer / DirectorJergensen, JoshuaOfficer / DirectorMitchell, JohnOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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