NURSING HOME PUBLIC RECORD
CMS lists this provider in Cedarville, CA, with 22 certified beds, an overall rating of 4/5, and 50 citation rows in the current August 2026 release.
741 N. Main Street · Cedarville, CA 96104 · Modoc County
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
CMS supplies 3 survey-cycle rows for Surprise Valley Community Hospital D/P Snf in this release; health and fire inspection dates remain separate.
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-05-08 | 4 | 2025-05-08 | 8 |
| Cycle 2 | 2024-04-18 | 4 | 2024-04-18 | 14 |
| Cycle 3 | 2022-05-12 | 14 | 2022-05-12 | 6 |
CMS reports 50 citation rows, including 0 with G–L codes and 0 with J–L codes.
0 rows carry G–L scope/severity codes; 0 carry J–L. 9 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2026-02-27 · complaintTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2026-01-08 · complaintDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Correction field: Deficient, Provider has date of correction · 2025-05-30Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2025-06-02Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2025-05-19Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
Correction field: Deficient, Provider has date of correction · 2025-05-19Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2025-05-15Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2025-06-24Install corridor and hallway doors that block smoke.
Correction field: Deficient, Provider has date of correction · 2025-05-22Provide a written emergency evacuation plan.
Correction field: Deficient, Provider has date of correction · 2025-05-22Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2025-06-20Meet requirements for the use of electrical equipment.
Correction field: Deficient, Provider has date of correction · 2025-06-24Address subsistence needs for staff and patients.
Correction field: Deficient, Provider has date of correction · 2024-05-30List the names and contact information of those in the facility.
Correction field: Deficient, Provider has date of correction · 2024-05-30Provide enough food/fluids to maintain a resident's health.
Correction field: Deficient, Provider has date of correction · 2024-05-08Ensure 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.
Correction field: Deficient, Provider has date of correction · 2024-05-02Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Correction field: Deficient, Provider has date of correction · 2024-05-06Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2024-05-13Install emergency lighting that can last at least 1 1/2 hours.
Correction field: Deficient, Provider has date of correction · 2024-05-30Have properly located and lighted "Exit" signs.
Correction field: Deficient, Provider has date of correction · 2024-05-30Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2024-05-30Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2024-05-30Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2024-05-30Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2024-05-30The August 2026 file contains 0 penalty rows and $0 in listed fines for this provider record.
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
CMS matched 0 ownership disclosure rows to Surprise Valley Community Hospital D/P Snf; names and roles are reported fields, not independently verified identities.
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
CMS reports 4.87 total nurse hours and 0.03 RN hours per resident day for this provider.
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
No second published facility record in Cedarville, CA met the local peer rule in this release.
No second facility in the same city met the directory rule.
Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.
