Starfile

Starfile / California

SURPRISE VALLEY COMMUNITY HOSPITAL D/P SNF

741 N. MAIN STREET, CEDARVILLE, CA 96104 · CCN 555221

Ratings

Overall
★★★☆☆ 3
Health inspection
★★★★☆ 4
Quality measures
★★★★☆ 4
Staffing
★☆☆☆☆ 1

Facility

Ownership type
Government - Hospital district
Certified beds
22
Avg residents/day
18.2
Phone
5302796111

Inspection history vs California & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityCalifornia avgNational avgvs state
12025-05-08315.69.5-12.6 better
22024-04-18417.49.8-13.4 better
32022-05-121617.19.3-1.1 better

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation1
Resident assessment and care planning1
Nutrition and dietary1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)
RN staffing (reported)
Total nurse staffing (adjusted)

Fines & penalties

Total fines
$0
Number of fines
0
Number of penalties
0
Payment denials
0

Inspection citations (23)

  1. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-12-19 · Health · corrected 2026-01-08

    Potential for more than minimal harm

  2. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-05-08 · Health · corrected 2025-05-30

    Potential for more than minimal harm

  3. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-05-08 · Health · corrected 2025-06-02

    Potential for more than minimal harm

  4. DF0692Provide enough food/fluids to maintain a resident's health.2024-04-18 · Health · corrected 2024-05-08

    Potential for more than minimal harm

  5. DF0761Ensure 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.2024-04-18 · Health · corrected 2024-05-02

    Potential for more than minimal harm

  6. FF0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.2024-04-18 · Health · corrected 2024-05-06

    Potential for more than minimal harm

  7. FF0880Provide and implement an infection prevention and control program.2024-04-18 · Health · corrected 2024-05-13

    Potential for more than minimal harm

  8. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-12-28 · Health · corrected 2023-12-28

    Potential for more than minimal harm

  9. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-12-05 · Health · corrected 2023-12-18

    Potential for more than minimal harm

  10. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-05-12 · Health · corrected 2023-05-18

    Potential for more than minimal harm

  11. EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-05-10 · Health · corrected 2023-05-18

    Potential for more than minimal harm

  12. EF0552Ensure that residents are fully informed and understand their health status, care and treatments.2022-05-12 · Health · corrected 2022-07-13

    Potential for more than minimal harm

  13. DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2022-05-12 · Health · corrected 2022-07-13

    Potential for more than minimal harm

  14. FF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-05-12 · Health · corrected 2022-07-13

    Potential for more than minimal harm

  15. DF0741Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.2022-05-12 · Health · corrected 2022-07-13

    Potential for more than minimal harm

  16. FF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2022-05-12 · Health · corrected 2022-07-13

    Potential for more than minimal harm

  17. FF0758Implement 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.2022-05-12 · Health · corrected 2022-07-13

    Potential for more than minimal harm

  18. EF0838Conduct 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.2022-05-12 · Health · corrected 2022-07-13

    Potential for more than minimal harm

  19. EF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2022-05-12 · Health · corrected 2022-07-13

    Potential for more than minimal harm

  20. EF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2022-05-12 · Health · corrected 2022-07-13

    Potential for more than minimal harm

  21. FF0880Provide and implement an infection prevention and control program.2022-05-12 · Health · corrected 2022-07-13

    Potential for more than minimal harm

  22. EF0881Implement a program that monitors antibiotic use.2022-05-12 · Health · corrected 2022-07-13

    Potential for more than minimal harm

  23. FF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2022-05-12 · Health · corrected 2022-07-13

    Potential for more than minimal harm

Ownership

No ownership records.

Other facilities in CEDARVILLE

NameOverallBeds

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.