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.
| Cycle | Inspection date | This facility | California avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-05-08 | 3 | 15.6 | 9.5 | -12.6 better |
| 2 | 2024-04-18 | 4 | 17.4 | 9.8 | -13.4 better |
| 3 | 2022-05-12 | 16 | 17.1 | 9.3 | -1.1 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Resident assessment and care planning | 1 |
| Nutrition and dietary | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| 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)
- 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
- 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
- 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
- DF0692Provide enough food/fluids to maintain a resident's health.2024-04-18 · Health · corrected 2024-05-08
Potential for more than minimal harm
- 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
- 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
- FF0880Provide and implement an infection prevention and control program.2024-04-18 · Health · corrected 2024-05-13
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- FF0880Provide and implement an infection prevention and control program.2022-05-12 · Health · corrected 2022-07-13
Potential for more than minimal harm
- EF0881Implement a program that monitors antibiotic use.2022-05-12 · Health · corrected 2022-07-13
Potential for more than minimal harm
- 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
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.