2170 South Avenue, South Lake Tahoe, CA 96150 (opens Google Maps) · El Dorado County · (530) 543-5885· 48 certified beds · avg 44 residents/day · certified since Apr 4, 1997 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
New to these records? How to read an inspection report →
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5 · how star ratings work →
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.
▲ Actual harm, isolated · Feb 4, 2026 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Mar 2, 2026 (Deficient, Provider has date of correction)
▲ Actual harm, isolated · Apr 29, 2025 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: May 12, 2025 (Deficient, Provider has date of correction)
Showing the latest 3 of 18 inspection findings. Open the full record below to read every finding.
The facility was not properly licensed, or did not operate in compliance with federal, state, and local laws, regulations, and accepted professional standards. · from a complaint F-0836
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. F-0689
The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. F-0755
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jun 16, 2026 | B · Potential for minimal harm, pattern | The facility was not properly licensed, or did not operate in compliance with federal, state, and local laws, regulations, and accepted professional standards. · from a complaint · F-0836 |
| Apr 10, 2026 | E · Potential for more than minimal harm, pattern | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| Apr 10, 2026 | E · Potential for more than minimal harm, pattern | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755 |
| Apr 10, 2026 | E · Potential for more than minimal harm, pattern | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761 |
| Apr 10, 2026 | E · Potential for more than minimal harm, pattern | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812 |
| Apr 10, 2026 | E · Potential for more than minimal harm, pattern | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. · F-0908 |
| Apr 10, 2026 | D · Potential for more than minimal harm, isolated | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. · F-0578 |
| Apr 10, 2026 | D · Potential for more than minimal harm, isolated | The facility did not keep residents' personal and medical information private and confidential. · F-0583 |
| Apr 10, 2026 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684 |
| Apr 10, 2026 | D · Potential for more than minimal harm, isolated | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · F-0690 |
| Apr 10, 2026 | D · Potential for more than minimal harm, isolated | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. · F-0757 |
| Feb 4, 2026 | ▲ G · Actual harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689 |
| Jul 22, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint · F-0684 |
| Jun 3, 2025 | D · Potential for more than minimal harm, isolated | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint · F-0600 |
| Apr 29, 2025 | ▲ G · Actual harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689 |
| Mar 22, 2025 | D · Potential for more than minimal harm, isolated | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint · F-0600 |
| Oct 5, 2023 | E · Potential for more than minimal harm, pattern | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. · F-0756 |
| Oct 5, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. · F-0688 |
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 2 | 0 | E |
| 2025 | 4 | 1 | G ▲ |
| 2026 | 12 | 1 | G ▲ |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
How to file a complaint about care →
1 fine totaling $9,252, plus 1 Medicare payment denial period.
Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.
| Date | Type | Amount / length |
|---|---|---|
| Feb 4, 2026 | Fine | $9,252 |
| Feb 4, 2026 | Payment Denial | 3 days from Feb 27, 2026 |
What these staffing numbers mean →
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | California avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 5.31 | 4.31 | 3.95 | top 10% in California; top 9% in the U.S. |
| Registered Nurse hours | 1.64 | 0.61 | 0.69 | top 3% in California; top 3% in the U.S. |
| Weekend total nurse staffing | 4.75 | 3.90 | 3.50 | top 9% in California; top 9% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.98 | 0.51 | 0.48 | top 8% in California; top 6% in the U.S. |
| Total nursing staff turnover (%) | 32.0 | 36.7 | 45.8 | top 37% in California; top 18% in the U.S. |
| RN turnover (%) | 21.4 | 38.1 | 42.9 | top 22% in California; top 16% in the U.S. |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.34, RN 1.34, weekend 3.88.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.34 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 5/5.
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: —/5
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Barton Hospital D/P SNF. CMS inspection and staffing records do not tell us what this home will charge you.
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Understand who pays for care · How we handle price evidence · Report an incorrect price
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Barton Healthcare System | Organization | 5% or Greater Direct Ownership Interest | 100% | 03/07/1997 |
| Adams, Carla | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/01/2023 |
| Adams, Carla | Individual | ADP of the SNF | NOT APPLICABLE | 09/01/2023 |
| Anderson, Shawn | Individual | Corporate Director | NOT APPLICABLE | 04/01/2021 |
| Barton Healthcare System | Organization | Operational/Managerial Control | NOT APPLICABLE | 04/04/1997 |
| Barton Healthcare System | Organization | ADP of the SNF | NOT APPLICABLE | 03/07/1997 |
| Biasotti, Kathryn | Individual | Corporate Director | NOT APPLICABLE | 09/01/2019 |
| Cefalu, Jonathon | Individual | Corporate Director | NOT APPLICABLE | 05/01/2024 |
| Digrande, Peter | Individual | Corporate Director | NOT APPLICABLE | 05/01/2024 |
| Fry, Patrick | Individual | Corporate Director | NOT APPLICABLE | 05/01/2020 |
| Killebrew, Abby | Individual | Corporate Director | NOT APPLICABLE | 05/22/2014 |
| Ledbetter, Kirk | Individual | Corporate Director | NOT APPLICABLE | 01/01/2008 |
| Mlynsky, Sherry | Individual | Corporate Director | NOT APPLICABLE | 05/01/2022 |
| Neiger, Kelly | Individual | Corporate Officer | NOT APPLICABLE | 11/11/2018 |
| Purvance, Clinton | Individual | Corporate Officer | NOT APPLICABLE | 11/01/2015 |
| Rahbeck, Jeffrey | Individual | Corporate Director | NOT APPLICABLE | 05/01/2017 |
| Schunk, Stefan | Individual | Corporate Director | NOT APPLICABLE | 05/01/2018 |
| Weavil, Scott | Individual | Corporate Director | NOT APPLICABLE | 05/01/2023 |
| Wonnacott, Matthew | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2023 |
| Wonnacott, Matthew | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2023 |
All 20 owning or managing parties CMS has on file are shown — none excluded.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Gardnerville Health & Rehabilitation Center | 13.1 mi | Gardnerville, NV | ★☆☆☆☆ | 1/5 | abuse |
| Mountain View Health and Rehabilitation | 19.7 mi | Carson City, NV | ★★☆☆☆ | 2/5 | abuse |
Compare this facility with the 2 closest →
CMS records place this facility in El Dorado, CA — 4 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 555698.
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