SURPRISE VALLEY COMMUNITY HOSPITAL D/P SNF

In hospital · CCN 555221 · Modoc · CA · Government - Hospital district · 22 certified beds


In CEDARVILLE, California, SURPRISE VALLEY COMMUNITY HOSPITAL D/P SNF is a nursing home with 22 certified beds, certified for Medicare and Medicaid since 1986-04-15. It averages 18.4 residents a day.

Has SURPRISE VALLEY COMMUNITY HOSPITAL D/P SNF been cited for violations?

CMS lists 22 health-inspection deficiencies for SURPRISE VALLEY COMMUNITY HOSPITAL D/P SNF since 2022-05-12, 10 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is F; the most recent health inspection was 2026-02-26.

Survey dateTagDeficiencySeverity
2026-02-26F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D
2025-12-19F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D
2025-05-08F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2025-05-08F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D
2024-04-18F0851, F0880Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. / Provide and implement an infection prevention and control program.F
2024-04-18F0692, F0761Provide enough food/fluids to maintain a resident's health. / 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.D
2023-12-28F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D
2023-12-05F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D
2022-05-12F0656, F0756, F0758, F0880, F0883Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / 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. / Provide and implement an infection prevention and control program. / Develop and implement policies and procedures for flu and pneumonia vaccinations.F
2022-05-12F0552, F0838, F0867, F0868, F0881Ensure that residents are fully informed and understand their health status, care and treatments. / 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. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. / Have the Quality Assessment and Assurance group have the required members and meet at least quarterly / Implement a program that monitors antibiotic use.E
2022-05-12F0604, F0741Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. / Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.D

How is SURPRISE VALLEY COMMUNITY HOSPITAL D/P SNF staffed?

MeasureThis facilityCA average
Total nurse staffing hours per resident per day4.870594.51570
Average number of residents per day18.487.9

Who owns SURPRISE VALLEY COMMUNITY HOSPITAL D/P SNF?

SURPRISE VALLEY COMMUNITY HOSPITAL D/P SNF is registered with CMS as Government - Hospital district.

Were you or a family member harmed at SURPRISE VALLEY COMMUNITY HOSPITAL D/P SNF?