Surprise Valley Community Hospital D/p Snf
Surprise Valley Community Hospital D/p Snf Information
| Facility Name | Surprise Valley Community Hospital D/p Snf |
| Location | 741 N. Main Street, Cedarville, CA 96104 |
| County (SSA Code) | Modoc (350) |
| Phone Number | 530-279-6111 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 22 |
| Average Number of Residents | 20.3 |
| CCRC Facility? | No |
| Medicare Overall Rating | |
| Survey Rating | |
| Quality Rating | |
| Long Stay Quality Rating |
| Abuse Flag | Yes |
| Sprinklers Installed | Yes |
| Located In Hospital | No |
| Resident Family Council | Resident |
| Provider Business Name | Legal Business Name Not Available |
| Ownership Type | Government - Hospital district |
| Date First Approved | 1986-04-15 |
| Total Weighted Health Survey Score for three cycles | 138.333 |
| Rating cycle 1 Standard Survey Health Date | 2019-07-17 |
| Rating cycle 1 - Health Deficiency Score | 19 |
| Rating cycle 1 - Total Health Inspection Score | 136 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-07-26 |
| Rating cycle 2 - Health Deficiency Score | 136 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-06-29 |
| Rating cycle 3 - Health Deficiency Score | 164 |
| Rating cycle 3 - Total Health Inspection Score | 164 |
| Number of Facility-Reported Incidents | 14 |
| Number of Substantiated Complaints | 2 |
| Number of Substantiated Complaints | 2 |
| Total Number of Penalties | 0 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |