Tahoe Forest Hospital D/P SNF
10121 Pine Ave., Truckee, CA 96161 · Nevada County · 37 certified beds · avg 31 residents/day · certified since Jul 3, 1986
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 (8)
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 |
|---|---|---|
| Feb 12, 2026 | 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. |
| Feb 12, 2026 | E · Potential for harm, repeated | 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. |
| Feb 12, 2026 | 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. |
| Feb 12, 2026 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Feb 12, 2026 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Feb 12, 2026 | 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. |
| Feb 12, 2026 | 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. |
| Jul 27, 2023 | 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. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 1 | 0 | D |
| 2026 | 7 | 0 | E |
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) | 6.06 | 4.31 | 3.95 | top 4% in California; top 4% in the U.S. |
| Registered Nurse hours | 1.89 | 0.61 | 0.69 | top 2% in California; top 2% in the U.S. |
| Weekend total nurse staffing | 5.65 | 3.90 | 3.50 | top 4% in California; top 3% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 1.13 | 0.51 | 0.48 | top 7% in California; top 4% in the U.S. |
| Total nursing staff turnover (%) | 22.0 | 36.7 | 45.8 | top 11% in California; top 4% 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, 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 4.77, RN 1.49, weekend 4.45. Staffing rating: 5/5.
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: 4/5 · long-stay residents: 3/5 · short-stay residents: 5/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Tahoe Forest Hospital District | Organization | 5% or Greater Direct Ownership Interest | 100% | 08/22/2012 |
| Abrams, Margaret | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/05/2017 |
| Abrams, Margaret | Individual | ADP of the SNF | NOT APPLICABLE | 03/24/2025 |
| Brown, Mary | Individual | Corporate Director | NOT APPLICABLE | 06/22/2017 |
| Chamblin, Dale | Individual | Corporate Director | NOT APPLICABLE | 12/11/2014 |
| Darzynkiewicz, Robert | Individual | Corporate Officer | NOT APPLICABLE | 06/17/1971 |
| Felix, Crystal | Individual | Corporate Officer | NOT APPLICABLE | 06/01/2006 |
| McGarry, Michael | Individual | Corporate Officer | NOT APPLICABLE | 02/27/2020 |
| Roth, Anna | Individual | Corporate Officer | NOT APPLICABLE | 03/10/2025 |
| Standteiner, Heidi | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/07/2020 |
| Standteiner, Heidi | Individual | ADP of the SNF | NOT APPLICABLE | 03/24/2025 |
| Tahoe Forest Hospital District | Organization | ADP of the SNF | NOT APPLICABLE | 08/22/2012 |
| Wong, Alyce | Individual | Corporate Director | NOT APPLICABLE | 12/15/2016 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "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)
No other Medicare-certified nursing homes within 20 miles in the current records.
Facility data as of CMS processing date 2026-08-01. CCN 555231.