Modoc Medical Center D/P SNF

Name: Modoc Medical Center D/P SNF
Address: 225 W MC DOWELL AVE, Alturas, CA, 96101, US
Telephone: 5302335131

225 W Mc Dowell Ave, Alturas, CA 96101 · Modoc County · 84 certified beds · avg 54 residents/day · certified since May 4, 1990

5/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

7.11

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5

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 self-reported quality measures.

All citations in the current public record (18)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Jan 14, 2026	D · Potential for harm, one-off	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
Jan 14, 2026	D · Potential for harm, one-off	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
Jun 11, 2025	D · Potential for harm, one-off	The facility did not honor residents' right to receive the visitors they choose, at the times they choose. · from a complaint
Jun 11, 2025	D · Potential for harm, one-off	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
Apr 17, 2025	D · Potential for harm, one-off	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.
Apr 17, 2025	D · Potential for harm, one-off	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.
Apr 17, 2025	D · Potential for harm, one-off	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.
Apr 1, 2025	D · Potential for harm, one-off	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
Dec 5, 2023	D · Potential for harm, one-off	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
Nov 6, 2023	D · Potential for harm, one-off	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
Oct 5, 2023	E · Potential for harm, repeated	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.
Oct 5, 2023	E · Potential for harm, repeated	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.
Jun 16, 2022	E · Potential for harm, repeated	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.
Jun 16, 2022	E · Potential for harm, repeated	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.
Jun 16, 2022	E · Potential for harm, repeated	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.
Jun 16, 2022	E · Potential for harm, repeated	The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them.
Jun 16, 2022	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Jun 16, 2022	B · Minimal risk, repeated	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.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (2 → 3).

Year	Citations	Worst severity that year
2022	6	E
2023	4	E
2025	6	D
2026	2	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)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

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, 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. Staffing rating: 4/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 2/5 · long-stay residents: 2/5 · short-stay residents: —/5

Who owns this facility

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

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?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

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

Compare this facility with the 1 closest →

All facilities in Alturas →

Facility data as of CMS processing date 2026-08-01. CCN 555420.

The Care File

Visit checklist — Modoc Medical Center D/P SNF

225 W Mc Dowell Ave, Alturas, CA 96101 · 5302335131

Health inspection rating 5/5 · CMS overall 5/5· Fines (3y): $0

Questions for the administrator:

☐ "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?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 555420 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)