County: Lassen and Modoc

City: Alturas

Modoc Medical Center D/P SNF
(530) 233-5131 — 228 Mc Dowell St. — Alturas, CA 96101


Services
How to interpret services information.

Cap.= 71 Type = D/P SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 3/6/2001:
"Alzheimer's Unit": NoWanderer alert: Yes
Locked Ward: No
Types of Residents Accepted: A D F I J L O P Q R S T U V
Types of Residents Not Accepted: E
Languages spoken by direct-care staff: A I
Family Council: No Family Council

Violations Record
From Dept. of Public Health as of 2/25/2008;
Citations as of 4/23/2008.
Last DHS Certification Inspection = 7/31/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2002 0 0 3 24 12.7 21 5.8
2003 0 0 0 9 15 14 8.5
2004 0 0 0 29 17.8 11 9.2
2005 0 0 3 34 19.6 14 10.4
2006 0 0 0 11 20.8 15 12.5
2007 0 0 0 27 21.2 10 14.7

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City: Cedarville

Surprise Valley Community Hospital D/P SNF
(530) 279-6111 — Main & Washing.,P.O.Bx 246 — Cedarville, CA 96104


Services
How to interpret services information.

Cap.= 22 Type = D/P SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 8/28/2003:
"Alzheimer's Unit": NoWanderer alert: Yes
Locked Ward: No
Types of Residents Accepted: A D F I L M P R S T U
Types of Residents Not Accepted: B E J N O Q V
Languages spoken by direct-care staff: I
Family Council: Yes

Violations Record
From Dept. of Public Health as of 2/25/2008;
Citations as of 4/23/2008.
Last DHS Certification Inspection = 7/30/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2002 0 0 1 14 12.7 1 5.8
2003 0 0 0 10 15 4 8.5
2004 0 0 0 23 17.8 10 9.2
2005 0 0 0 34 19.6 4 10.4
2006 0 0 0 26 20.8 6 12.5
2007 0 0 1 18 21.2 8 14.7

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City: Susanville

Susanville Nursing & Rehab Center
(530) 257-5341 — 2005 River Street — Susanville, CA 96130


Services
How to interpret services information.

Cap.= 96 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 3/9/1998:
"Alzheimer's Unit": Unk.Wanderer alert: Yes
Locked Ward: No
Types of Residents Accepted: A D E F I J L M O
Types of Residents Not Accepted: N
Languages spoken by direct-care staff:
Family Council: Yes

Violations Record
From Dept. of Public Health as of 2/25/2008;
Citations as of 4/23/2008.
Last DHS Certification Inspection = 9/18/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2002 1 0 1 29 12.7 18 5.8
2003 0 0 2 18 15 13 8.5
2004 0 0 0 28 17.8 6 9.2
2005 0 0 0 53 19.6 21 10.4
2006 0 0 1 30 20.8 47 12.5
2007 0 0 2 29 21.2 26 14.7

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© 2007

California Advocates for Nursing Home Reform
( CANHR )
650 Harrison Street, 2nd Floor
San Francisco, CA 94107
Tel: (800) 474-1116 (consumers only)
Tel: (415) 974-5171