Surprise Valley Community Hospital D/p SNF in Cedarville, CA

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Surprise Valley Community Hospital D/p SNF is a medicare and medicaid certified nursing home in Cedarville, California. It is located in Modoc county at 741 N. Main Street, Cedarville, California 96104. You can reach out to the office of Surprise Valley Community Hospital D/p SNF via phone at (530) 279-6111. This skilled nursing facility has 22 federally certified beds with average occupancy rate of 83.64%. Its legal business name is Legal Business Name Not Available and has the following ownership type - Government - Hospital District.

Surprise Valley Community Hospital D/p SNF (Medicare CCN 555221) is certified by CMS (Centers for Medicare & Medicaid Services) and participates in both medicare and medicaid program. This means if you are part of medicare or medicaid program, you may consider this nursing facility for your medical needs. It was first certified by CMS in 1986 (40 years certified) and the last quality survey was conducted in May, 2025.

Contact Information

Surprise Valley Community Hospital D/p SNF
741 N. Main Street, Cedarville, California 96104
(530) 279-6111

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Nursing Home Profile

NameSurprise Valley Community Hospital D/p SNF
Location741 N. Main Street, Cedarville, California
Certified ByMedicare and Medicaid
No. of Certified Beds22
Occupancy Rate83.64%
Medicare ID (CCN)555221
Legal Business NameLegal Business Name Not Available
Ownership TypeGovernment - Hospital District

Quality Ratings:

Nursing homes vary in the quality of care and services they provide to their residents. The below quality ratings for Surprise Valley Community Hospital D/p SNF are calculated from three sources - health inspection results, staffing data, and quality measure data. This information gives you an indication of the care Surprise Valley Community Hospital D/p SNF give to their patients.
Ratings from Surveys (Inspections):
Ratings from Quality Measures:
Ratings from Staffing Data:
Overall Rating:

Staffing and Staff Turnover:

Staffing hours per resident per day and staff turnover of Surprise Valley Community Hospital D/p SNF, from the payroll data it reports to CMS, are compared against the national average with the color code indicators: Better than National Average Worse than National Average

Staffing MeasureProviderNational Avg.
Total nurse staff hours per resident per day4.873.86
Registered nurse (RN) hours per resident per day0.030.69
Licensed practical nurse (LPN) hours per resident per day1.580.86
Nurse aide hours per resident per day3.262.32
Total nurse staff hours per resident per day on the weekend4.783.42
RN hours per resident per day on the weekend0.030.48
Physical therapist hours per resident per day00.07
Total nursing staff turnoverNot available: no valid staffing data was submitted45.8%
Registered nurse turnoverNot available: no valid staffing data was submitted42.9%
Number of administrators who have left the nursing homeNot available: no valid staffing data was submitted0.5

Complaints, Fines and Penalties:

Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon)No
Number of Fines0
Total Amount of Fines in Dollars$0
Number of Payment Denials0
Total Number of Penalties0

Health Inspections:

In its most recent inspection cycle (standard health inspection in May, 2025, plus any complaint inspections), inspectors cited Surprise Valley Community Hospital D/p SNF for 4 health deficiencies (national average: 9.3). All 22 citations since 2022 are listed below.

DateDeficiencyHarm LevelStatus
Feb 26, 2026Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684, Quality of Life and Care, Complaint inspection		Potential for harm, isolatedCorrected by Feb 27, 2026
Dec 19, 2025Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection		Potential for harm, isolatedCorrected by Jan 8, 2026
May 8, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812, Nutrition and Dietary, Standard inspection		Potential for harm, widespreadCorrected by Jun 2, 2025
May 8, 2025Develop 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, Standard inspection		Potential for harm, isolatedCorrected by May 30, 2025
Apr 18, 2024Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
F0851, Administration, Standard inspection		Potential for harm, widespreadCorrected by May 6, 2024
Apr 18, 2024Provide and implement an infection prevention and control program.
F0880, Infection Control, Standard inspection		Potential for harm, widespreadCorrected by May 13, 2024
Apr 18, 2024Provide enough food/fluids to maintain a resident's health.
F0692, Quality of Life and Care, Standard inspection		Potential for harm, isolatedCorrected by May 8, 2024
Apr 18, 2024Ensure 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, Standard inspection		Potential for harm, isolatedCorrected by May 2, 2024
Dec 28, 2023Protect 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, Complaint inspection		Potential for harm, isolatedCorrected by Dec 28, 2023
Dec 5, 2023Protect 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, Complaint inspection		Potential for harm, isolatedCorrected by Dec 18, 2023
May 12, 2022Develop 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, Standard inspection		Potential for harm, widespreadCorrected by Jul 13, 2022
May 12, 2022Ensure 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, Standard inspection		Potential for harm, widespreadCorrected by Jul 13, 2022
May 12, 2022Implement 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, Standard inspection		Potential for harm, widespreadCorrected by Jul 13, 2022
May 12, 2022Provide and implement an infection prevention and control program.
F0880, Infection Control, Standard inspection		Potential for harm, widespreadCorrected by Jul 13, 2022
May 12, 2022Develop and implement policies and procedures for flu and pneumonia vaccinations.
F0883, Infection Control, Standard inspection		Potential for harm, widespreadCorrected by Jul 13, 2022
May 12, 2022Ensure that residents are fully informed and understand their health status, care and treatments.
F0552, Resident Rights, Standard inspection		Potential for harm, patternCorrected by Jul 13, 2022
May 12, 2022Conduct 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, Standard inspection		Potential for harm, patternCorrected by Jul 13, 2022
May 12, 2022Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
F0867, Administration, Standard inspection		Potential for harm, patternCorrected by Jul 13, 2022
May 12, 2022Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
F0868, Administration, Standard inspection		Potential for harm, patternCorrected by Jul 13, 2022
May 12, 2022Implement a program that monitors antibiotic use.
F0881, Infection Control, Standard inspection		Potential for harm, patternCorrected by Jul 13, 2022
May 12, 2022Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
F0604, Freedom from Abuse, Neglect, and Exploitation, Standard inspection		Potential for harm, isolatedCorrected by Jul 13, 2022
May 12, 2022Ensure 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, Standard inspection		Potential for harm, isolatedCorrected by Jul 13, 2022

Quality of Resident Care:

These quality measures of Surprise Valley Community Hospital D/p SNF, from the regular health assessments of its residents, are compared against the national average with the color code indicators: Better than National Average Worse than National Average

Quality MeasureProviderNational Avg.
Percentage of long-stay residents whose need for help with daily activities has increased12.1213.87
Percentage of long-stay residents who lose too much weight125.19
Percentage of long-stay residents with a catheter inserted and left in their bladder00.82
Percentage of long-stay residents with a urinary tract infection1.321.59
Percentage of long-stay residents who have depressive symptoms1.3912.8
Percentage of long-stay residents who were physically restrained10.390.13
Percentage of long-stay residents experiencing one or more falls with major injury1.33.23
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine10093.55
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccineNot Available82.04
Percentage of short-stay residents who newly received an antipsychotic medicationNot Available1.56
Percentage of long-stay residents whose ability to walk independently worsened10.7514.07
Percentage of long-stay residents who received an antianxiety or hypnotic medication28.5719.52
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine9595.46
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccineNot Available79.75
Percentage of long-stay residents with pressure ulcers1.64.62
Percentage of long-stay residents with new or worsened bowel or bladder incontinence27.5919.01
Percentage of long-stay residents who received an antipsychotic medication55.2215.38

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