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Tahoe Forest Hospital D/P SNF

10121 Pine Ave., Truckee, CA 96161 · Nevada County · (530) 582-3251

37 certified beds, about 31 residents a day · Non profit - Corporation · Medicare and Medicaid since 1986

CMS high performing icon Inside a hospital Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 555231 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on February 12, 2026, inspectors cited 7 health deficiencies (the California average is 15.6, the national average 9.2).

None of its 8 health citations since July 2023 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 4.77 hours per resident per day, against 4.52 across California and 3.86 nationally. Registered nurses accounted for 1.49 of those hours.

22.0% of nursing staff left within the year CMS measured (California average 36.7%).

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 8 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
5D
3E
0F
Potential for minimal harm
0A
0B
0C
February 12, 2026Standard inspection · 7 citations
  1. E
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 5, 2026
    Inspectors wroteBased on interview and record review, the facility failed to ensure the Pharmacy Consultant's (PC) recommendations were followed for three of 13 sampled residents (Resident 2, Resident 9 and Resident 12), when Resident 2, Resident 9 and Resident 12's monthly medication regimen reviews (MRRs) for December 2025 and January 2026 were not reviewed by the attending physician. This failure decreased the facility's potential to prevent the residents' unnecessary medication use and experiencing of adverse drug reactions.
  2. E
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 5, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure proper labeling and storage of medications and biologicals for a census of 31 residents, when:1. Opened and unlabeled insulin (a hormone that removes excess sugar from the blood, can be produced by the body or given artificially via medication) pens were found in medication cart 1;2. Expired Coronavirus disease 2019 (COVID 19; an infectious disease that causes respiratory illness) test kits were found inside the medication storage room; and3. A metered dose inhaler (MDI, puffer handheld pressurized device delivers measured amount of medication to the lungs) with no name and use by date was available for use inside medication cart 2. These failures decreased the facility's potential to safely store medications.
  3. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 5, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to follow professional standards for food service safety for a census of 31 residents, when:Cook (CK) 1 was observed without a beard restraint (facial hair covering) in the kitchen, andOutdated food items were found in the residents' fridge. These failures decreased the facility's potential to prevent food contamination and illnesses among vulnerable residents.
  4. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 5, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to develop a comprehensive care plan for one of 13 sampled residents (Resident 7), when Resident 7's care plan did indicate the use of safety lap belt due to fall risk. This failure decreased the facility's potential to address Resident 7's specific health care needs.
  5. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 5, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide services according to professional standards of quality for two of 13 sampled residents (Resident 7 and Resident 8), when:1. A wheelchair lap belt was used for Resident 7 without a physician's written order; and 2. Omeprazole (a medication that reduces stomach acid production) was not administered to Resident 8 as prescribed. These failures decreased the facility's potential to follow the residents' physician orders.
  6. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 5, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure one of 13 sampled residents (Resident 11) was safe from falling, when Resident 11's bed headrail was not in place as ordered. This failure increased Resident 11's risk to fall and injure himself.
  7. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 5, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to follow proper infection control measures for one of 13 sampled residents (Resident 3), when a housekeeper (HK) did not wear the required personal protective equipment (PPE, any gear to protect your body from germs, hazardous chemicals in a medical setting like gloves, gowns, and masks) while cleaning a room on Enhanced Barrier Precaution (EBP, an infection control method). This failure decreased the facility's potential to prevent the spread of infection among vulnerable residents.
June 13, 2024Standard inspection · 0 citations
July 27, 2023Standard inspection · 1 citation
  1. D
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 11, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that their food was safe for resident consumption when 10 cartons of milk and a jar of mustard were expired and available for use. This had the potential for the residents to receive sour milk and subject them to food-borne illness.

Fire safety inspections

7 fire safety citations on file: 3 on February 12, 2026, 2 on June 13, 2024, 2 on July 27, 2023.

Every fire safety citation7 citations
  1. F
    Install corridor and hallway doors that block smoke.
    K 363 · February 12, 2026 · Corrected (the home has a date of correction)
  2. D
    Use approved construction type or materials.
    K 161 · February 12, 2026 · Corrected (the home has a date of correction)
  3. D
    Meet requirements for the use of electrical equipment.
    K 919 · February 12, 2026 · Corrected (the home has a date of correction)
  4. D
    Install corridor and hallway doors that block smoke.
    K 363 · June 13, 2024 · Corrected (the home has a date of correction)
  5. D
    Ensure proper usage of power strips and extension cords.
    K 920 · June 13, 2024 · Corrected (the home has a date of correction)
  6. E
    Install corridor and hallway doors that block smoke.
    K 363 · July 27, 2023 · Corrected (the home has a date of correction)
  7. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · July 27, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeCaliforniaUnited States
All nursing staff (RN, LPN and aides)4.774.523.86
Registered nurses1.490.670.69
All nursing staff on weekends4.454.093.42
Nurse aides2.58
Licensed practical nurses0.70
Nursing staff turnover (share who left in a year)22.0%36.7%45.8%
Registered nurse turnover21.4%38.1%42.9%
Administrators who leftnot reported

CMS expects 3.02 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.90 on weekdays and 4.45 on weekends, 9% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.56 in April to June 2025 to 4.77 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.771.494.904.45 0.0%0 of 9031
Oct to Dec 20254.901.785.034.55 0.0%0 of 9230
Jul to Sep 20254.611.694.704.38 0.0%0 of 9232
Apr to Jun 20254.561.494.734.11 0.0%0 of 9132
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
California, Jan to Mar 20264.360.594.523.972.3%0.5% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeCaliforniaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
17.610.313.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
9.00.80.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
3.61.21.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
8.01.63.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.01.41.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
12.49.814.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
4.44.34.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
14.612.015.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
19.422.923.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
12.511.212.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.02.31.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.51.61.8

Owners and operators

Legal business name: TAHOE FOREST HOSPITAL DISTRICT.

NameRoleTypeShareSince
Tahoe Forest Hospital District5% or greater direct ownership interestOrganization100%08/22/2012
Brown, MaryCorporate directorIndividual06/22/2017
Chamblin, DaleCorporate directorIndividual12/11/2014
Wong, AlyceCorporate directorIndividual12/15/2016
Darzynkiewicz, RobertCorporate officerIndividual06/17/1971
Felix, CrystalCorporate officerIndividual06/01/2006
McGarry, MichaelCorporate officerIndividual02/27/2020
Roth, AnnaCorporate officerIndividual03/10/2025
Abrams, MargaretOperational/managerial controlIndividual06/05/2017
Standteiner, HeidiOperational/managerial controlIndividual09/07/2020
Tahoe Forest Hospital DistrictAdp of the SNFOrganization08/22/2012
Abrams, MargaretAdp of the SNFIndividual03/24/2025
Standteiner, HeidiAdp of the SNFIndividual03/24/2025

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on February 12, 2026: "Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures."
  2. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on February 12, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  3. When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on February 12, 2026: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
  4. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on February 12, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."

Other nursing homes nearby

California contacts for a concern about a nursing home

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Common questions

What is Tahoe Forest Hospital D/P SNF's Medicare star rating?
CMS rates Tahoe Forest Hospital D/P SNF 5 out of 5 stars overall, with 5 for health inspections, 5 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Tahoe Forest Hospital D/P SNF get at its last inspection?
7 health deficiencies at the standard inspection on February 12, 2026. The California average is 15.6.
Has Tahoe Forest Hospital D/P SNF been fined?
CMS lists no fines in the last three years.
Does Tahoe Forest Hospital D/P SNF accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Tahoe Forest Hospital D/P SNF?
CMS lists 13 owners and managers. Legal business name: TAHOE FOREST HOSPITAL DISTRICT.

Sources

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