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

No current survey information available. Call the facility for services information.

Violations Record
From Dept. of Public Health as of 8/30/2010;
Citations as of 4/29/2011.
Last DHS Certification Inspection = 7/13/2010.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2006 0 0 0 11 20.8 15 12.5
2007 0 0 0 27 22.1 10 15.1
2008 0 0 1 36 18.2 15 14.4
2009 0 0 2 0 8.5 11 14
2010 0 0 0 29 11.7 4 6.5
2011 0 0 0 0 NA 0 NA

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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

No current survey information available. Call the facility for services information.

Violations Record
From Dept. of Public Health as of 8/30/2010;
Citations as of 4/29/2011.
Last DHS Certification Inspection = 6/3/2010.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2006 0 0 0 26 20.8 6 12.5
2007 0 0 1 18 22.1 8 15.1
2008 0 0 0 20 18.2 12 14.4
2009 0 0 0 0 8.5 11 14
2010 0 0 0 20 11.7 3 6.5
2011 0 0 0 0 NA 0 NA

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City: Susanville

Country Villa Riverview Rehabilitation & Healthcare 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

No current survey information available. Call the facility for services information.

Violations Record
From Dept. of Public Health as of 8/30/2010;
Citations as of 4/29/2011.
Last DHS Certification Inspection = 6/2/2010.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2006 0 0 1 31 20.8 47 12.5
2007 0 0 2 30 22.1 26 15.1
2008 0 0 4 32 18.2 22 14.4
2009 0 0 5 0 8.5 13 14
2010 0 0 0 23 11.7 0 6.5
2011 0 0 0 0 NA 0 NA

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