Nursing homeActive
Barton Hospital D/P SNF
2170 South Avenue, South Lake Tahoe, CA 96150530543588548 certified beds · 44 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
9
since 2023
Deficiencies
18
● 1● 15● 2
Penalties · 3 yrs
$9,252
1 fine · 1 action
Last survey
2026-06-16
Complaint
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 3
Staffing 5
Quality 4
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · California Department of Public Health · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-06-16 | Complaint | 100 | CMS-2567 (Care Compare) | — |
| 2026-04-10 | Standard | 0100 | CMS-2567 (Care Compare) | — |
| 2026-02-04 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2025-07-22 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-06-03 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-04-29 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2025-03-22 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-11-07 | Standard | 000 | CMS-2567 (Care Compare) | — |
| 2023-10-05 | Standard | 020 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · California Department of Public Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F836Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.Scope/severity BPaperwork
Records
Pattern; potential for minimal harm.Corrected 2026-07-01Record 555698-20260616-F836
F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-30Record 555698-20260410-F578
F583Keep residents' personal and medical records private and confidential.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-30Record 555698-20260410-F583
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-30Record 555698-20260410-F684
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity EStandard
Care planningFalls
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-04-30Record 555698-20260410-F689
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-30Record 555698-20260410-F690
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-04-30Record 555698-20260410-F755
F757Ensure each resident’s drug regimen must be free from unnecessary drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-30Record 555698-20260410-F757
F761Ensure 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-04-30Record 555698-20260410-F761
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-04-30Record 555698-20260410-F812
F908Keep all essential equipment working safely.Scope/severity EStandard
Environment
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-04-30Record 555698-20260410-F908
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2026-03-02Record 555698-20260204-F689
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-24Record 555698-20250722-F684
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-11Record 555698-20250603-F600
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-05-12Record 555698-20250429-F689
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-01Record 555698-20250322-F600
F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-25Record 555698-20231005-F688
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-10-25Record 555698-20231005-F756
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2026-02-04 | Civil money penalty | $9,252 | CMS · Penalties |
| 2026-02-04 | Denial of payment for new admissions Payment denial for 3 days, from 2026-02-27 | — | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day1.34
Facility
California
National
California 0.67 · National 0.69
Total nurse hours per resident day4.34
Facility
California
National
California 4.52 · National 3.86
Weekend total nurse hours3.88
Facility
California
National
California 4.09 · National 3.42
Total nursing staff turnover32%
Facility
California
National
California 37% · National 46%
Registered nurse turnover21%
Facility
California
National
California 38% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | California | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 5.0% | 4.3% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 4.7% | 1.6% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 9.0% | 12.0% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.0% | 1.2% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.4% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 20.1% | 10.2% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 4.3% | 4.0% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 9.9% | 13.7% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Barton Healthcare System Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Adams, Carla Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Barton Healthcare System Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Wonnacott, Matthew Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Adams, Carla Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Anderson, Shawn Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Barton Healthcare System Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Biasotti, Kathryn Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Cefalu, Jonathon Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Digrande, Peter Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Fry, Patrick Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Killebrew, Abby Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Ledbetter, Kirk Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Mlynsky, Sherry Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Neiger, Kelly Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Purvance, Clinton Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Rahbeck, Jeffrey Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Schunk, Stefan Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Weavil, Scott Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Wonnacott, Matthew Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or California.
No county cost figures on file for El Dorado.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Gardnerville Health & Rehabilitation Center Gardnerville | 13.1 mi | 2026-06-29 | 0361 |
| Mountain View Health And Rehabilitation Carson City | 19.7 mi | 2026-01-15 | 1471 |
| Sierra Basin Post Acute Carson City | 21.6 mi | 2026-03-12 | 0250 |
| Ormsby Post Acute Rehabilitation Carson City | 22.4 mi | 2026-05-14 | 3841 |
| Northstar Post Acute Carson City | 22.9 mi | 2026-02-02 | 3741 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |