Federal inspection record · CMS data as of October 1, 2026
Modoc Medical Center D/P SNF
225 W Mcdowell Ave, Alturas, CA · (530) 233-5131
- Certified beds
- 84
- Residents per day
- 62
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- May 4, 1990
1
How this home got 4 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.
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Staffing
★★★★★−1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among California homes
Modoc Medical Center D/P SNF carries 24 inspection points. That is fewer than 95% 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
18 health citations on record since 2022. 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
Pharmacy Service4E
- 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 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.
- E
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- E
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.
Nursing and Physician Services2E
- D
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- 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.
Nutrition and Dietary2E
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control2E
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Freedom from Abuse, Neglect, and Exploitation2D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Quality of Life and Care2D
- D
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Administration2E
- E
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
- B
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Resident Rights1D
- D
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
Environmental1D
- D
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Inspection history
2025-04-17
5 health deficiencies · 5 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
2023-10-05
5 health deficiencies · 6 fire-safety deficiencies
Top issue: Environmental (1 deficiency)
2022-06-16
8 health deficiencies · 3 fire-safety deficiencies
Top issue: Administration (2 deficiencies)
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 days0.5 pts better | 1.7 | 2.2 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days2.1 pts worse | 3.6 | 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 injury1.9 pts worse | 3.5% | 1.6% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms7.3 pts worse | 14.9% | 7.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.5 pts better | 3.6% | 4.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication1.4 pts worse | 15.1% | 13.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication4.2 pts worse | 16.5% | 12.3% | 15.4% |
| Percentage of long-stay residents who were physically restrained1.7 pts worse | 2.0% | 0.3% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened6.2 pts worse | 15.1% | 8.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased2.4 pts worse | 12.6% | 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 infection3.9 pts worse | 5.1% | 1.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence8.5 pts worse | 18.3% | 9.8% | 18.3% |
| Percentage of long-stay residents with pressure ulcers7.1 pts worse | 11.4% | 4.3% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine3.3 pts better | 97.9% | 94.6% | 82.3% |
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Who owns and runs it
23 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 |
|---|---|---|---|
| Last Frontier Healthcare District | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| Boulade, Rose | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Boulade, Rose | Adp Of The SNF · Individual | 0% | 1 facilities |
| Dolby, Paul | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Dolby, Paul | Adp Of The SNF · Individual | 0% | 1 facilities |
| Johnson, Edward | Corporate Officer · Individual | 0% | 2 facilities |
| Johnson, Edward | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Johnson, Edward | Adp Of The SNF · Individual | 0% | 2 facilities |
| Kramer, Kevin | Corporate Officer · Individual | 0% | 1 facilities |
| Kramer, Kevin | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Kramer, Kevin | Adp Of The SNF · Individual | 0% | 1 facilities |
| Last Frontier Healthcare District | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Last Frontier Healthcare District | Adp Of The SNF · Organization | 0% | 1 facilities |
| Madison, Carol | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Madison, Carol | Adp Of The SNF · Individual | 0% | 1 facilities |
| Mason, Mike | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Mason, Mike | Adp Of The SNF · Individual | 0% | 1 facilities |
| Richert, Edward | Corporate Director · Individual | 0% | 1 facilities |
| Richert, Edward | Corporate Officer · Individual | 0% | 1 facilities |
| Richert, Edward | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Richert, Edward | Adp Of The SNF · Individual | 0% | 1 facilities |
| Weber, Keith | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Weber, Keith | Adp Of The SNF · Individual | 0% | 1 facilities |
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Fire safety
14 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke5E
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
- E
Inspect, test, and maintain automatic sprinkler systems.
- D
Install corridor and hallway doors that block smoke.
- D
Provide properly protected cooking facilities.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
Emergency Preparedness4F
- F
Implement emergency and standby power systems.
- C
Address patient/client population and determine types of services needed.
- F
Develop and maintain an Emergency Preparedness Program (EP).
- D
Conduct risk assessment and an All-Hazards approach.
Egress2D
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D
Install emergency lighting that can last at least 1 1/2 hours.
Gas, Vacuum, and Electrical Systems2F
- D
Have proper medical gas storage and administration areas.
- F
Have generator or other power source capable of supplying service within 10 seconds.
Construction1D
- D
Use approved construction type or materials.
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Other homes nearby
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Surprise Valley Community Hospital D/P SNF
Cedarville, CA
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 5 h 6 min
- Fines
- $0
-
Mayers Memorial Hospital
Fall River Mills, CA
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 5 h 59 min
- Fines
- $62,258
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Lassen Nursing & Rehabilitation Center
Susanville, CA · Cambridge Healthcare Services · Abuse icon
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 48 min
- Fines
- $0