Federal inspection record · CMS data as of October 1, 2026
Surprise Valley Community Hospital D/P SNF
741 N. Main Street, Cedarville, CA · (530) 279-6111
- Certified beds
- 22
- Residents per day
- 18
- Ownership
- Government
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- April 15, 1986
1
How this home got 3 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
★★★★★−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.
-
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
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among California homes
Surprise Valley Community Hospital D/P SNF carries 33 inspection points. That is fewer than 90% 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
22 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
Freedom from Abuse, Neglect, and Exploitation4D
- 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.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Administration4F
- F
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
- E
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.
- E
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
- E
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Infection Control4F
- F
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
- F
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- E
Implement a program that monitors antibiotic use.
Quality of Life and Care3D
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Pharmacy Service3F
- 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.
- F
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- F
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.
Resident Assessment and Care Planning2F
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- F
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Nutrition and Dietary1F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights1E
- E
Ensure that residents are fully informed and understand their health status, care and treatments.
Inspection history
2025-05-08
4 health deficiencies · 8 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
2024-04-18
4 health deficiencies · 14 fire-safety deficiencies
Top issue: Administration (1 deficiency)
2022-05-12
14 health deficiencies · 6 fire-safety deficiencies
Top issue: Administration (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 5 h 6 min of nursing staff time a day, 2 min of it from a registered nurse.
This home
5 h 6 min
California average
4 h 33 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
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 days1.2 pts better | 1.0 | 2.2 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.2 pts better | 1.3 | 1.5 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccineAbout the same | 98.7% | 98.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.9 pts worse | 95.0% | 97.9% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1 pts worse | 2.6% | 1.6% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms7.6 pts better | 0.0% | 7.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight9.4 pts worse | 13.5% | 4.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication15.2 pts worse | 28.9% | 13.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication38.4 pts worse | 50.7% | 12.3% | 15.4% |
| Percentage of long-stay residents who were physically restrained8.9 pts worse | 9.2% | 0.3% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened1.1 pts worse | 10.0% | 8.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased6 pts worse | 16.2% | 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 incontinence16.8 pts worse | 26.6% | 9.8% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.7 pts better | 1.6% | 4.3% | 4.5% |
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Fire safety
28 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke13F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Install corridor and hallway doors that block smoke.
- D
Provide properly protected cooking facilities.
- D
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Properly select, install, inspect, or maintain portable fire extinguishes.
- 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
Provide properly protected cooking facilities.
- D
Install corridor and hallway doors that block smoke.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Install corridor and hallway doors that block smoke.
Gas, Vacuum, and Electrical Systems4F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- D
Meet requirements for the use of electrical equipment.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- D
Have proper medical gas storage and administration areas.
Emergency Preparedness4D
- D
Address subsistence needs for staff and patients.
- D
List the names and contact information of those in the facility.
- D
Address subsistence needs for staff and patients.
- D
Conduct risk assessment and an All-Hazards approach.
Miscellaneous3E
- D
Provide a written emergency evacuation plan.
- E
Have simulated fire drills held at unexpected times.
- D
Have restrictions on the use of portable space heaters.
Egress3F
- F
Install emergency lighting that can last at least 1 1/2 hours.
- F
Have properly located and lighted "Exit" signs.
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Construction1D
- D
Use approved construction type or materials.
·
Other homes nearby
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★★★★★- Worst citation, 3 yrs
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- Nursing / resident / day
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Mayers Memorial Hospital
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-
Lassen Nursing & Rehabilitation Center
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