Nursing home / skilled nursing
Surprise Valley Community Hospital D/P Snf
Nursing home / skilled nursing in Cedarville, California
Checked October 31, 2026
| Provider details |
|---|
| Address | 741 N. MAIN STREET |
| City | Cedarville |
| State | California |
| ZIP code | 96104 |
| County | Modoc |
| Phone | 530-279-6111 |
| CMS certification number (CCN) | 555221 |
| Ownership | Government - Hospital district |
| Certified beds | 22 |
| Certification | Medicare and Medicaid |
| First approved for Medicare/Medicaid | April 15, 1986 |
| Located in a hospital | Y |
| Continuing care retirement community | N |
| Care types | skilled nursing, rehab services |
| Services offered | skilled nursing care, rehabilitation services |
Surprise Valley Community Hospital D/P Snf is in 741 N. MAIN STREET, Cedarville, CA 96104. Phone: 530-279-6111. Ownership: Government - Hospital district. CMS rates it 3 out of 5 stars overall (health inspection 4, staffing 1, quality measures 4). CMS inspection and staffing detail: total weighted health survey score 33.000; 0 federal fines totaling $0.00.
Quality measures
Source: CMS · CMS processing date: 2026-10-01
| Star ratings and staffing hours |
|---|
| Overall rating | 3 of 5 |
| Health inspection rating | 4 of 5 |
| Staffing rating | 1 of 5 |
| Quality measure rating | 4 of 5 |
| Long-stay quality rating | 4 of 5 |
| RN staffing hours per resident per day | 0.04 |
| Total nurse staffing hours per resident per day | 5.11 |
Inspection results
| Source: CMS · processing date 2026-10-01 |
|---|
| Rating Cycle 1 Total Health Score | 28 |
| Total Weighted Health Survey Score | 33.000 |
| Rating Cycle 2/3 Total Health Score | 48 |
| Rating Cycle 1 Health Deficiency Score | 28 |
| Rating Cycle 2/3 Health Deficiency Score | 48 |
| Rating Cycle 1 Standard Survey Health Date | 2025-05-08 |
| Rating Cycle 1 Total Number of Health Deficiencies | 4 |
| Rating Cycle 2/3 Total Number of Health Deficiencies | 6 |
| Rating Cycle 1 Number of Standard Health Deficiencies | 2 |
| Rating Cycle 1 Number of Complaint Health Deficiencies | 2 |
| Rating Cycle 2/3 Number of Complaint Health Deficiencies | 2 |
Staffing
| Source: CMS · processing date 2026-10-01 |
|---|
| Nursing Case-Mix Index | 1.08330 |
| Nursing Case-Mix Index Ratio | 0.76816 |
| Reported LPN Staffing Hours per Resident per Day | 1.54525 |
| Reported Licensed Staffing Hours per Resident per Day | 1.58104 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 3.52580 |
| Registered Nurse hours per resident per day on the weekend | 0.03741 |
| Total number of nurse staff hours per resident per day on the weekend | 4.90126 |
Penalties
| Source: CMS · processing date 2026-10-01 |
|---|
| Number of Fines | 0 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 0 |
| Total Amount of Fines in Dollars | 0.00 |
Ownership
| Source: CMS · processing date 2026-10-01 |
|---|
| Legal Business Name | Legal Business Name Not Available |
| Provider Changed Ownership in Last 12 Months | N |
Occupancy and payer mix
| Source: CMS · processing date 2026-10-01 |
|---|
| Abuse Icon | N |
| High Performing Icon | N |
| With a Resident and Family Council | Resident |
| Average Number of Residents per Day | 18.4 |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Most Recent Health Inspection More Than 2 Years Ago | N |
