Barton Hospital D/P SNF

2170 South Avenue · South Lake Tahoe, CA · 96150 · 5305435885

48 certified beds Non profit - Corporation Hospital-based

Why this verdict

  • Carries CMS’s abuse warning icon.
  • Inspection results are getting worse cycle over cycle, not better.
  • Staffing hours comfortably above national benchmarks.

Red flags

CMS abuse warning

CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.

Cited under the freedom-from-abuse rule

Cited 2 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

Medicare/Medicaid payments were denied

CMS refused payment for new admissions for a period — one of its strongest enforcement tools.

Score breakdown

Inspection record 30% of score 49
Serious harm & abuse 20% 68
Staffing 20% 85
Federal penalties 15% 59
Trend 10% 20
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 4 of 5 Inspections: 2 of 5 Staffing: 5 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day3.983.48 min · 4.1 strong
RN hours / resident-day1.300.55–0.75
Weekend hours / resident-day3.68≈ weekday level
Nursing turnover / year39%median 45%
Fines (3-yr window)1 · $9,110

Inspection citations (17 in the current record)

  • Potential for harm · D April 10, 2026

    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.

    Corrected April 30, 2026 · Resident Rights

  • Potential for harm · D April 10, 2026

    Keep residents' personal and medical records private and confidential.

    Corrected April 30, 2026 · Resident Rights

  • Potential for harm · D April 10, 2026

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected April 30, 2026 · Quality of Life and Care

  • Potential for harm · E April 10, 2026

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected April 30, 2026 · Quality of Life and Care

  • Potential for harm · D April 10, 2026

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected April 30, 2026 · Quality of Life and Care

  • Potential for harm · E April 10, 2026

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected April 30, 2026 · Pharmacy Service

  • Potential for harm · D April 10, 2026

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Corrected April 30, 2026 · Pharmacy Service

  • Potential for harm · E April 10, 2026

    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.

    Corrected April 30, 2026 · Pharmacy Service

  • Potential for harm · E April 10, 2026

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected April 30, 2026 · Nutrition and Dietary

  • Potential for harm · E April 10, 2026

    Keep all essential equipment working safely.

    Corrected April 30, 2026 · Environmental

  • Actual harm · G February 4, 2026 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected March 2, 2026 · Quality of Life and Care

  • Potential for harm · D July 22, 2025 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected July 24, 2025 · Quality of Life and Care

  • Potential for harm · D June 3, 2025 · found via complaint

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

    Corrected June 11, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Actual harm · G April 29, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected May 12, 2025 · Quality of Life and Care

  • Potential for harm · D March 22, 2025 · found via complaint

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

    Corrected April 1, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D October 5, 2023

    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.

    Corrected October 25, 2023 · Quality of Life and Care

  • Potential for harm · E October 5, 2023

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

    Corrected October 25, 2023 · Pharmacy Service

Federal penalties

DateTypeAmount / length
February 4, 2026Fine$9,110
February 4, 2026Payment Denial3 days

Family & resident reviews — a separate signal, never mixed into the score

No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.

Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.

Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 555698 · certified since April 4, 1997. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.