All citations for Surprise Valley Community Hospital D/P SNF

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Surprise Valley Community Hospital D/P SNF

Last standard health inspection on record

May 8, 2025

Showing 1 to 20 of 20 citations

  1. No harm, with potential for more than minimal harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Widespread (many residents). CMS level F.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of May 12, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 13, 2022).

  2. No harm, with potential for more than minimal harm

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Widespread (many residents). CMS level F.

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of May 12, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 13, 2022).

  3. No harm, with potential for more than minimal harm

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    Widespread (many residents). CMS level F.

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of May 12, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 13, 2022).

  4. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Widespread (many residents). CMS level F.

    Health citation F-0880, Infection Control Deficiencies. Inspection of May 12, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 13, 2022).

  5. No harm, with potential for more than minimal harm

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Widespread (many residents). CMS level F.

    Health citation F-0883, Infection Control Deficiencies. Inspection of May 12, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 13, 2022).

  6. No harm, with potential for more than minimal harm

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0552, Resident Rights Deficiencies. Inspection of May 12, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 13, 2022).

  7. No harm, with potential for more than minimal harm

    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0838, Administration Deficiencies. Inspection of May 12, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 13, 2022).

  8. No harm, with potential for more than minimal harm

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0867, Administration Deficiencies. Inspection of May 12, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 13, 2022).

  9. No harm, with potential for more than minimal harm

    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

    Pattern (more than a few residents). CMS level E.

    Health citation F-0868, Administration Deficiencies. Inspection of May 12, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 13, 2022).

  10. No harm, with potential for more than minimal harm

    Implement a program that monitors antibiotic use.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0881, Infection Control Deficiencies. Inspection of May 12, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 13, 2022).

  11. No harm, with potential for more than minimal harm

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of December 28, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 28, 2023).

  12. No harm, with potential for more than minimal harm

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of December 5, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 18, 2023).

  13. No harm, with potential for more than minimal harm

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0604, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of May 12, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 13, 2022).

  14. No harm, with potential for more than minimal harm

    Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0741, Quality of Life and Care Deficiencies. Inspection of May 12, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 13, 2022).

  15. No harm, with potential for more than minimal harm

    Conduct risk assessment and an All-Hazards approach.

    Isolated (one or a few residents). CMS level D.

    Emergency preparedness citation E-0006, Emergency Preparedness Deficiencies. Inspection of May 12, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 15, 2022).

  16. No harm, with potential for more than minimal harm

    Address subsistence needs for staff and patients.

    Isolated (one or a few residents). CMS level D.

    Emergency preparedness citation E-0015, Emergency Preparedness Deficiencies. Inspection of May 12, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 15, 2022).

  17. No harm, with potential for more than minimal harm

    Use approved construction type or materials.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0161, Construction Deficiencies. Inspection of May 12, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 15, 2022).

  18. No harm, with potential for more than minimal harm

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0211, Egress Deficiencies. Inspection of May 12, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 15, 2022).

  19. No harm, with potential for more than minimal harm

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of May 12, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 15, 2022).

  20. No harm, with potential for more than minimal harm

    Install corridor and hallway doors that block smoke.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of May 12, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 15, 2022).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.