Home / California / Truckee
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 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.
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.
February 12, 2026Standard inspection · 7 citations
- E Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
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.
- 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.
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.
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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.
- D Ensure services provided by the nursing facility meet professional standards of quality.
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.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
- D Provide and implement an infection prevention and control program.
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
- D Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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
- F Install corridor and hallway doors that block smoke.
- D Use approved construction type or materials.
- D Meet requirements for the use of electrical equipment.
- D Install corridor and hallway doors that block smoke.
- D Ensure proper usage of power strips and extension cords.
- E Install corridor and hallway doors that block smoke.
- D Inspect, test, and maintain automatic sprinkler systems.
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.
| Measure | This home | California | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.77 | 4.52 | 3.86 |
| Registered nurses | 1.49 | 0.67 | 0.69 |
| All nursing staff on weekends | 4.45 | 4.09 | 3.42 |
| Nurse aides | 2.58 | ||
| Licensed practical nurses | 0.70 | ||
| Nursing staff turnover (share who left in a year) | 22.0% | 36.7% | 45.8% |
| Registered nurse turnover | 21.4% | 38.1% | 42.9% |
| Administrators who left | not 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.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.77 | 1.49 | 4.90 | 4.45 | 0.0% | 0 of 90 | 31 |
| Oct to Dec 2025 | 4.90 | 1.78 | 5.03 | 4.55 | 0.0% | 0 of 92 | 30 |
| Jul to Sep 2025 | 4.61 | 1.69 | 4.70 | 4.38 | 0.0% | 0 of 92 | 32 |
| Apr to Jun 2025 | 4.56 | 1.49 | 4.73 | 4.11 | 0.0% | 0 of 91 | 32 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| California, Jan to Mar 2026 | 4.36 | 0.59 | 4.52 | 3.97 | 2.3% | 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.
| Measure | This home | California | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 17.6 | 10.3 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 9.0 | 0.8 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.6 | 1.2 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 8.0 | 1.6 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 12.4 | 9.8 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.4 | 4.3 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 14.6 | 12.0 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 19.4 | 22.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 12.5 | 11.2 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.0 | 2.3 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.5 | 1.6 | 1.8 |
Owners and operators
Legal business name: TAHOE FOREST HOSPITAL DISTRICT.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Tahoe Forest Hospital District | 5% or greater direct ownership interest | Organization | 100% | 08/22/2012 |
| Brown, Mary | Corporate director | Individual | 06/22/2017 | |
| Chamblin, Dale | Corporate director | Individual | 12/11/2014 | |
| Wong, Alyce | Corporate director | Individual | 12/15/2016 | |
| Darzynkiewicz, Robert | Corporate officer | Individual | 06/17/1971 | |
| Felix, Crystal | Corporate officer | Individual | 06/01/2006 | |
| McGarry, Michael | Corporate officer | Individual | 02/27/2020 | |
| Roth, Anna | Corporate officer | Individual | 03/10/2025 | |
| Abrams, Margaret | Operational/managerial control | Individual | 06/05/2017 | |
| Standteiner, Heidi | Operational/managerial control | Individual | 09/07/2020 | |
| Tahoe Forest Hospital District | Adp of the SNF | Organization | 08/22/2012 | |
| Abrams, Margaret | Adp of the SNF | Individual | 03/24/2025 | |
| Standteiner, Heidi | Adp of the SNF | Individual | 03/24/2025 |
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.
- 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."
- 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."
- 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."
- 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
- Alpine Skilled Nursing and Rehabilitation Center Reno, 23.9 mi · 2 of 5 stars · 41 citations
- Life Care Center of Reno Reno, 23.9 mi · 1 of 5 stars · 53 citations
- Alta Skilled Nursing and Rehabilitation Center Reno, 24.1 mi · 2 of 5 stars · 47 citations
- Ormsby Post Acute Rehabilitation Carson City, 24.4 mi · not rated · 88 citations
California contacts for a concern about a nursing home
These are the official offices in California. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: California Department of Public Health, Center for Health Care Quality, Licensing and Certification Program, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: California Long-Term Care Ombudsman Program, 1-800-231-4024. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Cal Health Find, where California publishes its own records on licensed homes.
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
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.