Federal inspection record · CMS data as of October 1, 2026
Lassen Nursing & Rehabilitation Center
2005 River Street, Susanville, CA · (530) 257-5341
- Cited for abuse (CMS abuse icon)
- Certified beds
- 96
- Residents per day
- 87
- Ownership
- For-Profit
- Chain
- Cambridge Healthcare Services
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- November 10, 1970
1
How this home got 2 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in California.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.
2
Where it sits among California homes
Lassen Nursing & Rehabilitation Center carries 126 inspection points. That is fewer than 27% of California's 1,154 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in California: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–33 pts
- 4★ 33–66 pts
- 3★ 66–96 pts
- 2★ 96–146 pts
- 1★ over 146 pts
Bars show every rated home in California by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
62 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Nutrition and Dietary15F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
- E
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
- D
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.
- D
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
- E
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
- E
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.
- D
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- D
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Quality of Life and Care8E
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
- D
Provide safe, appropriate pain management for a resident who requires such services.
- D
Provide medically-related social services to help each resident achieve the highest possible quality of life.
- E
Provide or obtain dental services for each resident.
Freedom from Abuse, Neglect, and Exploitation7E
- E
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- E
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Protect each resident from the wrongful use of the resident's belongings or money.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Resident Rights7E
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
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.
- E
Honor the resident's right to organize and participate in resident/family groups in the facility.
- E
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
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.
Resident Assessment and Care Planning7E
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Assess the resident when there is a significant change in condition
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E
Ensure each resident receives an accurate assessment.
- D
Assess the resident when there is a significant change in condition
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Pharmacy Service7E
- D
Ensure that residents are free from significant medication errors.
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure medication error rates are not 5 percent or greater.
- D
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
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Nursing and Physician Services5E
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- D
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
- E
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Environmental2E
- D
Keep all essential equipment working safely.
- E
Make sure that a working call system is available in each resident's bathroom and bathing area.
Administration2D
- D
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
- D
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Infection Control2E
- E
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Inspection history
2026-06-25
16 health deficiencies · 8 fire-safety deficiencies
Top issue: Nutrition and Dietary (5 deficiencies)
2024-10-24
25 health deficiencies · 7 fire-safety deficiencies
Top issue: Nutrition and Dietary (7 deficiencies)
2023-08-04
21 health deficiencies · 9 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 48 min of nursing staff time a day, 42 min of it from a registered nurse.
This home
3 h 48 min
California average
4 h 33 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 60% of nursing staff and 73% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.1 pts better | 2.1 | 2.2 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days2.6 pts worse | 4.1 | 1.5 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.3 pts better | 100.0% | 98.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.1 pts better | 100.0% | 97.9% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.6 pts worse | 3.2% | 1.6% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms3.2 pts better | 4.4% | 7.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight6.2 pts worse | 10.3% | 4.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication5.5 pts worse | 19.2% | 13.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication8.1 pts worse | 20.4% | 12.3% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.3 pts worse | 0.6% | 0.3% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened0.3 pts better | 8.6% | 8.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased2.3 pts worse | 12.5% | 10.2% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.7 pts better | 0.0% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.5 pts worse | 2.7% | 1.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence11.9 pts worse | 21.7% | 9.8% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.2 pts worse | 5.5% | 4.3% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine5.8 pts worse | 88.8% | 94.6% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit9.5 pts worse | 20.6% | 11.1% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.3 pts better | 0.0% | 1.3% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine0.4 pts better | 93.5% | 93.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission6.3 pts better | 16.3% | 22.6% | 23.4% |
·
Who owns and runs it
41 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Crescent Facilities Operations LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 8 facilities |
| Win Win Enterprises, LLC | 5% Or Greater Indirect Ownership Interest · Organization | 35% | 28 facilities |
| Jenmax Enterprises LLC | 5% Or Greater Indirect Ownership Interest · Organization | 23% | 9 facilities |
| Jk-Csh Jv LLC | 5% Or Greater Indirect Ownership Interest · Organization | 12% | 8 facilities |
| Manhattan Five Partners LLC | 5% Or Greater Indirect Ownership Interest · Organization | 7% | 11 facilities |
| Bering Properties LLC | 5% Or Greater Indirect Ownership Interest · Organization | 6% | 8 facilities |
| 2005 River, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Bh Alliance | Indirect Ownership Interest · Organization | 0% | 11 facilities |
| Bretsch, Gregory | Managing Control - Governing Body · Individual | 0% | 8 facilities |
| Bretsch, Gregory | Operational/Managerial Control · Individual | 0% | 8 facilities |
| Bretsch, Gregory | Adp Of The SNF · Individual | 0% | 8 facilities |
| Butenko, Julie | Operational/Managerial Control · Individual | 0% | 32 facilities |
| Butenko, Julie | Adp Of The SNF · Individual | 0% | 32 facilities |
| Cambridge Healthcare Services LLC | Operational/Managerial Control · Organization | 0% | 32 facilities |
| Cambridge Healthcare Services LLC | Adp Of The SNF · Organization | 0% | 32 facilities |
| Capela, Heidi | Operational/Managerial Control · Individual | 0% | 32 facilities |
| Capela, Heidi | Adp Of The SNF · Individual | 0% | 32 facilities |
| Fitzgerald, Lorrie | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Fitzgerald, Lorrie | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Fitzgerald, Lorrie | Adp Of The SNF · Individual | 0% | 1 facilities |
| Hassell, Lance | Operational/Managerial Control · Individual | 0% | 38 facilities |
| Hassell, Lance | Adp Of The SNF · Individual | 0% | 38 facilities |
| Jenmax Enterprises LLC | Adp Of The SNF · Organization | 0% | 9 facilities |
| Jk-Csh Jv LLC | Adp Of The SNF · Organization | 0% | 8 facilities |
| Lutz, Linda | Operational/Managerial Control · Individual | 0% | 31 facilities |
| Lutz, Linda | Adp Of The SNF · Individual | 0% | 31 facilities |
| Salazar, Paulina | Operational/Managerial Control · Individual | 0% | 32 facilities |
| Salazar, Paulina | Adp Of The SNF · Individual | 0% | 32 facilities |
| Sharma, Aishwarya | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Sharma, Aishwarya | Adp Of The SNF · Individual | 0% | 1 facilities |
| Smedra, Ira | Corporate Officer · Individual | 0% | 31 facilities |
| Smedra, Ira | Operational/Managerial Control · Individual | 0% | 31 facilities |
| Smedra, Ira | Adp Of The SNF · Individual | 0% | 31 facilities |
| Swartz, Melissa | Operational/Managerial Control · Individual | 0% | 1 facilities |
| The Jacob Wintner Trust | Indirect Ownership Interest · Organization | 0% | 8 facilities |
| The Wintner Living Trust Dated 7/08/1992 | Indirect Ownership Interest · Organization | 0% | 12 facilities |
| Win Win Enterprises, LLC | Adp Of The SNF · Organization | 0% | 28 facilities |
| Wintner, Jacob | Indirect Ownership Interest · Individual | 0% | 35 facilities |
| Wintner, Jacob | Corporate Officer · Individual | 0% | 35 facilities |
| Wintner, Jacob | Operational/Managerial Control · Individual | 0% | 35 facilities |
| Wintner, Jacob | Adp Of The SNF · Individual | 0% | 35 facilities |
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Fire safety
24 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke12E
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Provide properly protected cooking facilities.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
- C
Inspect, test, and maintain automatic sprinkler systems.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
- D
Install corridor and hallway doors that block smoke.
- E
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
- D
Install corridor and hallway doors that block smoke.
Gas, Vacuum, and Electrical Systems9E
- E
Ensure proper usage of power strips and extension cords.
- D
Meet requirements for the use of electrical equipment.
- D
Have proper medical gas storage and administration areas.
- D
Meet requirements for the use of electrical equipment.
- D
Have proper medical gas storage and administration areas.
- C
Have generator or other power source capable of supplying service within 10 seconds.
- E
Have generator or other power source capable of supplying service within 10 seconds.
- D
Meet requirements for the use of electrical equipment.
- D
Ensure proper usage of power strips and extension cords.
Miscellaneous3D
- C
Have simulated fire drills held at unexpected times.
- D
Provide a written emergency evacuation plan.
- D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
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Other homes nearby
-
Seneca District Hospital D/P SNF
Chester, CA · Abuse icon
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 5 h 55 min
- Fines
- $11,408
-
Plumas District Hospital Dp/Snf
Quincy, CA
Not rated- Worst citation, 3 yrs
- E
- Nursing / resident / day
- —
- Fines
- $0
-
Eastern Plumas Hospital- Portola Campus Dp/Snf
Portola, CA
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 46 min
- Fines
- $69,450