Surprise Valley Community Hospital D/P SNF
Nursing Home · Cedarville, CA
CMS certification number555221
Contact & location
741 N. Main StreetCedarville, CA 96104
Modoc County
- Phone
- (530) 279-6111
- ZIP code
- 96104 – all care providers
Facility details
- Certified beds
- 22
- Residents per day
- 18.4 (84% occupied)
- Ownership
- Government - Hospital district
- Legal name
- Legal Business Name Not Available
- Medicare certified since
- April 15, 1986
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 4.87 (state 4.52 · U.S. 3.86)
- Registered nurses (RN)
- 0.03 (state 0.67 · U.S. 0.69)
- Licensed practical nurses
- 1.58 (state 1.20 · U.S. 0.86)
- Nurse aides
- 3.26 (state 2.65 · U.S. 2.32)
- Weekend total
- 4.78 (state 4.09 · U.S. 3.42)
- Nursing staff turnover
- —
- RN turnover
- —
Inspections
- Last standard inspection
- May 8, 2025
- Health deficiencies (last cycle)
- 4.0 (state 15.7 · U.S. 9.3)
- From complaints
- 2
- Citations on record (3 years)
- 22 health · 28 fire safety
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-02-26 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-02-27 |
| 2025-12-19 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-08 |
| 2025-05-08 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2025-06-02 |
| 2025-05-08 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-05-30 |
| 2024-04-18 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. F0851 · Administration Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-05-06 |
| 2024-04-18 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-05-13 |
| 2024-04-18 | Provide enough food/fluids to maintain a resident's health. F0692 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-05-08 |
| 2024-04-18 | 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. F0761 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-05-02 |
| 2023-12-28 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-12-28 |
| 2023-12-05 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-12-18 |
| 2022-05-12 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2022-07-13 |
| 2022-05-12 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756 · Pharmacy Service Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2022-07-13 |
| 2022-05-12 | 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. F0758 · Pharmacy Service Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2022-07-13 |
| 2022-05-12 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2022-07-13 |
| 2022-05-12 | Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883 · Infection Control Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2022-07-13 |
| 2022-05-12 | Ensure that residents are fully informed and understand their health status, care and treatments. F0552 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2022-07-13 |
| 2022-05-12 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. F0838 · Administration Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2022-07-13 |
| 2022-05-12 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. F0867 · Administration Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2022-07-13 |
| 2022-05-12 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly F0868 · Administration Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2022-07-13 |
| 2022-05-12 | Implement a program that monitors antibiotic use. F0881 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2022-07-13 |
| 2022-05-12 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. F0604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2022-07-13 |
| 2022-05-12 | Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. F0741 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2022-07-13 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
No federal fines or payment denials in the last three years.
Ownership & management
| Name | Role | Since |
|---|---|---|
| Ownership Data Not Available |
Frequently asked questions
What is the rating of Surprise Valley Community Hospital D/P SNF?
Surprise Valley Community Hospital D/P SNF has a 4-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.2-star average in California.
How many beds does Surprise Valley Community Hospital D/P SNF have?
It has 22 certified beds and cares for about 18 residents per day.
Has Surprise Valley Community Hospital D/P SNF been fined?
CMS lists no federal fines or payment denials in the last three years.
What is the phone number of Surprise Valley Community Hospital D/P SNF?
(530) 279-6111. The facility is located at 741 N. Main Street, Cedarville, CA 96104.
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.