Nursing Care Index

Barton Hospital D/P Snf

South Lake Tahoe, El Dorado County, California · CCN 555698 · Non-profit (Corporation) · not part of a chain

CMS rates Barton Hospital D/P Snf 4 of 5 overall as of August 2026. 48 certified beds, 44 residents a day on average. 18 citations on record from the current inspection cycles, 2 involving actual harm; 1 fine totalling $9,252 and 1 payment denial.

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall★★★★☆ 4 of 5
Health inspections★★★☆☆ 3 of 5
Staffing★★★★★ 5 of 5
Quality measures★★★★☆ 4 of 5
Quality: long-stay / short-stay4 / — of 5

Staffing

Total nurse staffing4.3423 hours per resident per day
Registered nurses1.33788 hours per resident per day
Weekend total3.88343 hours per resident per day
Nursing staff turnover32% (registered nurses 21.4%)

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

SurveyFindingSeverityStatus
2026-06-16
complaint survey
Ensure 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.
Administration Deficiencies · tag F0836
B No actual harm, with potential for minimal harm; pattern Deficient, Provider has plan of correction
2026-07-01
2026-04-10 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-04-30
2026-04-10 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · tag F0755
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-04-30
2026-04-10 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.
Pharmacy Service Deficiencies · tag F0761
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-04-30
2026-04-10 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-04-30
2026-04-10 Keep all essential equipment working safely.
Environmental Deficiencies · tag F0908
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-04-30
2026-04-10 Honor 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.
Resident Rights Deficiencies · tag F0578
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-04-30
2026-04-10 Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · tag F0583
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-04-30
2026-04-10 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · tag F0684
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-04-30
2026-04-10 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · tag F0690
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-04-30
2026-04-10 Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · tag F0757
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-04-30
2026-02-04
complaint survey
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
G Actual harm that is not immediate jeopardy; isolated Deficient, Provider has date of correction
2026-03-02
2025-07-22
complaint survey
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · tag F0684
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-07-24
2025-06-03
complaint survey
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-06-11
2025-04-29
complaint survey
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
G Actual harm that is not immediate jeopardy; isolated Deficient, Provider has date of correction
2025-05-12
2025-03-22
complaint survey
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-04-01
2023-10-05 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · tag F0756
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-10-25
2023-10-05 Provide 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.
Quality of Life and Care Deficiencies · tag F0688
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-10-25

Fines and payment denials

DatePenaltyAmount
2026-02-04Payment denial for 3 days from 2026-02-27
2026-02-04Fine$9,252

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

NameRoleShareSince
Barton Healthcare System
Organization
5% or greater direct ownership interest100%1997-03-07
Barton Healthcare System
Organization
adp of the snf1997-03-07
Barton Healthcare System
Organization
operational/managerial control1997-04-04
Adams, Carla
Individual
adp of the snf2023-09-01
Wonnacott, Matthew
Individual
adp of the snf2023-06-01
Anderson, Shawn
Individual
corporate director2021-04-01
Biasotti, Kathryn
Individual
corporate director2019-09-01
Cefalu, Jonathon
Individual
corporate director2024-05-01
Digrande, Peter
Individual
corporate director2024-05-01
Fry, Patrick
Individual
corporate director2020-05-01
Killebrew, Abby
Individual
corporate director2014-05-22
Ledbetter, Kirk
Individual
corporate director2008-01-01
Mlynsky, Sherry
Individual
corporate director2022-05-01
Rahbeck, Jeffrey
Individual
corporate director2017-05-01
Schunk, Stefan
Individual
corporate director2018-05-01
Weavil, Scott
Individual
corporate director2023-05-01
Neiger, Kelly
Individual
corporate officer2018-11-11
Purvance, Clinton
Individual
corporate officer2015-11-01
Adams, Carla
Individual
operational/managerial control2023-09-01
Wonnacott, Matthew
Individual
operational/managerial control2023-06-01

What changed

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Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in El Dorado County.