🏠About Surprise Valley Community Hospital D/P Snf, Cedarville, CA
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Surprise Valley Community Hospital D/P Snf is located on 741 N. Main Street in Cedarville, CA 96104. The Number of Certified Beds is 22 and the Average Number of Residents per Day is . The provider type of is Medicare and Medicaid and its legal business name is Legal Business Name Not Available.
📌Surprise Valley Community Hospital D/P Snf Map
📍Surprise Valley Community Hospital D/P Snf Information
- Name - Surprise Valley Community Hospital D/P Snf
- CMS Certification Number (CCN) -
- Facility Address - 741 N. Main Street
- City - Cedarville
- State Short - CA
- State Full - California
- ZIP Code - 96104
- County - Modoc County
- Provider SSA County Code - 350
- Telephone Number - (530) 279-6111
🏢 Surprise Valley Community Hospital D/P Snf Ownership and Affiliation
- Ownership Type - For profit - Corporation
- Legal Business Name Full - Legal Business Name Not Available
- Affiliated Entity Name - No Data
- Affiliated Entity ID - No Data
- Provider Type - Medicare and Medicaid
- Continuing Care Retirement Community - N
- Provider Resides in Hospital - Y
- Provider Changed Ownership in Last 12 Months - N
🛏️ Surprise Valley Community Hospital D/P Snf Capacity and Resident Info
- Number of Certified Beds - 22
- Average Number of Residents per Day - 19.1
- Average Number of Residents per Day Footnote -
- With a Resident and Family Council - None
📆 Surprise Valley Community Hospital D/P Snf Certification and History
- Date First Approved to Provide Medicare and Medicaid Services - 4/15/1986
- Special Focus Status - No Data
- Abuse Icon - N
- Most Recent Health Inspection More Than 2 Years Ago - N
🚨 Surprise Valley Community Hospital D/P Snf Safety and Features
- Automatic Sprinkler Systems in All Required Areas - Yes
🌟 Surprise Valley Community Hospital D/P Snf Ratings
- Overall Rating - 3
- Overall Rating Footnote - No Data
- Health Inspection Rating - 3
- Health Inspection Rating Footnote - No Data
- QM Rating - 2
- QM Rating Footnote - No Data
- Long-Stay QM Rating -2
- Long-Stay QM Rating Footnote - No Data
- Short-Stay QM Rating - No Data
- Short-Stay QM Rating Footnote - 2
👩⚕️ Surprise Valley Community Hospital D/P Snf Staffing and Hours
- Reported Staffing Footnote - No Data
- Physical Therapist Staffing Footnote - No Data
- Reported Nurse Aide Staffing Hours per Resident per Day - 0.01286
- Reported LPN Staffing Hours per Resident per Day - 1.16459
- Reported RN Staffing Hours per Resident per Day - 1.34812
- Reported Total Nurse Staffing Hours per Resident per Day -6.19605
- Total number of nurse staff hours per resident per day on the weekend - 6.17093
- Registered Nurse hours per resident per day on the weekend - 1.32656
- Reported Physical Therapist Staffing Hours per Resident Per Day - 0.01286
🔁 Surprise Valley Community Hospital D/P Snf Staff Turnover
- Total nursing staff turnover - No Data
- Total nursing staff turnover footnote - 26
- Registered Nurse turnover - No Data
- Registered Nurse turnover footnote - 26
- Number of administrators who have left the nursing home - No Data
- Administrator turnover footnote - 26
📊 Surprise Valley Community Hospital D/P Snf Case-Mix Index and Adjusted Staffing
- Nursing Case-Mix Index - 1.20379
- Nursing Case-Mix Index Ratio - 0.88022
- Case-Mix Nurse Aide Staffing Hours per Resident per Day -6.96958
- Case-Mix LPN Staffing Hours per Resident per Day - 2.04563
- Case-Mix RN Staffing Hours per Resident per Day - 0.59033
- Case-Mix Total Nurse Staffing Hours per Resident per Day - 3.01253
- Adjusted Nurse Aide Staffing Hours per Resident per Day - 4.16005
- Adjusted LPN Staffing Hours per Resident per Day - 1.31531
- Adjusted RN Staffing Hours per Resident per Day - 1.5226
- Adjusted Total Nurse Staffing Hours per Resident per Day - 6.99796
- Adjusted Weekend Total Nurse Staffing Hours per Resident per Day -6.96958
📋 Surprise Valley Community Hospital D/P Snf Inspection Cycles
- Standard Survey Health Date - 4/18/2024
- Total Number of Health Deficiencies - 40
- Number of Standard Health Deficiencies - 4
- Number of Complaint Health Deficiencies - 0
- Health Deficiency Score - 40
- Number of Health Revisits - 1
- Health Revisit Score - 0
- Total Health Score - 40
⚠️ Surprise Valley Community Hospital D/P Snf Incidents, Complaints & Penalties
- Number of Facility Reported Incidents - 10
- Number of Substantiated Complaints - 0
- Number of Citations from Infection Control Inspections - No Data
- Number of Fines - 6
- Total Amount of Fines in Dollars - 29849.11
- Number of Payment Denials - 0
- Total Number of Penalties - 6
🕒 Surprise Valley Community Hospital D/P Snf Metadata
- Processing Date - 4/1/2025