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Modoc Medical Center D/P SNF
225 W Mc Dowell Ave, Alturas, CA 96101 (opens Google Maps) · Modoc County · (530) 233-5131· 84 certified beds · avg 54 residents/day · certified since May 4, 1990 · 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 →
5/5
Health inspection rating (on-site)
inspected Apr 17, 2025
0
Serious findings on record
$0
Fines, last 3 years
7.11
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5 · 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.
Inspection findings in the public record
Showing the latest 3 of 18 inspection findings. Open the full record below to read every finding.
The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · from a complaint F-0725
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. · from a complaint F-0761
The facility did not honor residents' right to receive the visitors they choose, at the times they choose. · from a complaint F-0563
View all 18 inspection findingsShow only the latest 3 findings
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 |
|---|---|---|
| Jan 14, 2026 | D · Potential for more than minimal harm, isolated | The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · from a complaint · F-0725 |
| Jan 14, 2026 | D · Potential for more than minimal harm, isolated | 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. · from a complaint · F-0761 |
| Jun 11, 2025 | D · Potential for more than minimal harm, isolated | The facility did not honor residents' right to receive the visitors they choose, at the times they choose. · from a complaint · F-0563 |
| Jun 11, 2025 | D · Potential for more than minimal harm, isolated | The facility did not regularly inspect bed frames, mattresses, and bed rails for safety, or the rails and mattresses were not attached safely to the frames. · from a complaint · F-0909 |
| Apr 17, 2025 | D · Potential for more than minimal harm, isolated | 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 17, 2025 | D · Potential for more than minimal harm, isolated | 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 17, 2025 | D · Potential for more than minimal harm, isolated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880 |
| Apr 1, 2025 | D · Potential for more than minimal harm, isolated | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint · F-0609 |
| Dec 5, 2023 | 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 |
| Nov 6, 2023 | D · Potential for more than minimal harm, isolated | The facility did not have enough staff with the right skills to meet the mental and behavioral health needs of its residents, such as those living with dementia or depression. · from a complaint · F-0741 |
| Oct 5, 2023 | E · Potential for more than minimal harm, pattern | The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. · F-0727 |
| Oct 5, 2023 | E · Potential for more than minimal harm, pattern | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880 |
| Jun 16, 2022 | 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 |
| Jun 16, 2022 | E · Potential for more than minimal harm, pattern | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. · F-0758 |
| Jun 16, 2022 | 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 |
| Jun 16, 2022 | E · Potential for more than minimal harm, pattern | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. · F-0867 |
| Jun 16, 2022 | D · Potential for more than minimal harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| Jun 16, 2022 | B · Potential for minimal harm, pattern | The facility's quality committee — the internal group responsible for finding and fixing care problems — did not have the required members or did not meet at least every three months. · F-0868 |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (2 → 3).
All citationsSerious citations (G–L)
2022
All citations: 6
Serious citations (G–L): 0
2023
All citations: 4
Serious citations (G–L): 0
2025
All citations: 6
Serious citations (G–L): 0
2026
All citations: 2
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 6 | 0 | E |
| 2023 | 4 | 0 | E |
| 2025 | 6 | 0 | D |
| 2026 | 2 | 0 | D |
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.
Fines and enforcement (last 3 years)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityCalifornia averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 7.11
California average: 4.31
U.S. average: 3.95
Registered Nurse hours
This facility: 0.56
California average: 0.61
U.S. average: 0.69
Weekend total nurse staffing
This facility: 5.84
California average: 3.90
U.S. average: 3.50
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) | 7.11 | 4.31 | 3.95 | top 2% in California; top 1% in the U.S. |
| Registered Nurse hours | 0.56 | 0.61 | 0.69 | top 37% in California; bottom 47% in the U.S. |
| Weekend total nurse staffing | 5.84 | 3.90 | 3.50 | top 3% in California; top 2% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.38 | 0.51 | 0.48 | top 48% in California; bottom 49% in the U.S. |
| Total nursing staff turnover (%) | 44.1 | 36.7 | 45.8 | bottom 28% in California; top 48% in the U.S. |
| RN turnover (%) | 71.4 | 38.1 | 42.9 | bottom 7% in California; bottom 11% 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 6.09, RN 0.48, weekend 5.00.Comparing with Medicare Care Compare? Care Compare shows the raw figure (6.09 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.
Quality measures: assessments & claims
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: 2/5 · long-stay residents: 2/5 · short-stay residents: —/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Modoc Medical Center D/P SNF. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
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.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
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 →
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Last Frontier Healthcare District | Organization | 5% or Greater Direct Ownership Interest | 100% | 08/23/2011 |
| Boulade, Rose | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
| Boulade, Rose | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2025 |
| Dolby, Paul | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
| Dolby, Paul | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2025 |
| Johnson, Edward | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2025 |
| Johnson, Edward | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
| Johnson, Edward | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2025 |
| Kramer, Kevin | Individual | Corporate Officer | NOT APPLICABLE | 10/23/2013 |
| Kramer, Kevin | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2013 |
| Kramer, Kevin | Individual | ADP of the SNF | NOT APPLICABLE | 07/01/2013 |
| Last Frontier Healthcare District | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2010 |
| Last Frontier Healthcare District | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2010 |
| Madison, Carol | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
| Madison, Carol | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2025 |
| Mason, Mike | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
| Mason, Mike | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2025 |
| Richert, Edward | Individual | Corporate Director | NOT APPLICABLE | 01/01/2020 |
| Richert, Edward | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2020 |
| Richert, Edward | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
Showing 20 of 23 parties CMS has on file for this facility; 3 are not displayed. The full list is in the CMS Ownership dataset.
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "What are your visiting policies — can family visit any time the resident wants?"
- "How often are beds and bed rails inspected, and who does those checks?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
Also worth asking anywhere
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 44% total nursing staff turnover here — who on the care team has been with you longest?"
- "The ownership record on file lists 23 owning or managing parties — who makes the decisions about staffing levels?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Surprise Valley Community Hospital D/P SNF | 19.5 mi | Cedarville, CA | ★★★★☆ | 4/5 |
Facility data as of CMS processing date 2026-08-01. CCN 555420.