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Nursing HomeMedicaid Investigative

Lassen Nursing & Rehabilitation Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

2005 River Street, Susanville, CA 9613096 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
3.0/5

based on 9 Google reviews

5
4
3
2
1

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6/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (2/5 stars)
  • Low staffing rating (2/5 stars)
  • Above-median deficiencies (25 vs median 13.0)
  • High staff turnover (54%)
  • High RN turnover (54%)

Below average in CA · Below recommended RN staffing · Below chain average · No penalties on record

Source: Medicare data

What this means for your family

While some individual caregivers are noted as compassionate, the facility has a documented pattern of severe understaffing and safety lapses. If you choose this facility, you must closely monitor response times to call lights and verify the security protocols regarding non-resident occupants.

Google Reviews

Google Reviews

9 reviews analyzed
Families should approach this facility with significant caution due to recurring reports of severe understaffing and safety concerns. While some individual nurses and CNAs are praised for their compassion, multiple reviewers highlight critical issues including inadequate response to calls for help, poor cleanliness, and a lack of oversight regarding resident safety.

Quality Themes

Tap a score for details
FoodN/AStaff3.0Clean1.0ActivitiesN/AMedsN/AMemory2.0CommsN/AValueN/A

Strengths

  • Compassionate individual nurses and CNAs
  • Positive experiences with certain rehabilitation staff
  • Some administrative staff are described as awesome

Concerns

  • Severe understaffing leading to poor care (mentioned by 2 reviewers)
  • Inadequate response to residents calling for help (mentioned by 2 reviewers)
  • Facility cleanliness and hygiene issues

Rating Trends

Tap a year to see what changed

2342.02014(1)5.02015(1)1.52017(2)1.02023(1)3.72024(3)5.02025(1)

Distribution

5
4
4
0
3
0
2
2
1
3

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1We've heard wonderful things about some of your individual nurses and CNAs; how do you ensure that level of compassionate care is consistent across all shifts?
  • 2With the recent focus on improving facility standards, what specific steps are being taken to enhance the cleanliness and hygiene of the resident rooms and common areas?
  • 3How do you manage staffing levels during the night or weekend shifts to ensure that residents receive a timely response when they use their call lights?
  • 4Could you tell us more about the specific programming and support available for residents in your memory care unit?
  • 5What is the protocol for handling a medical emergency after hours, and how quickly can clinical staff respond?
  • 6What kind of daily activities or social outings are available to help residents stay engaged with the community?

Personalized based on this facility's data


Key Review Excerpts

I am a patient here because I had a stroke last year and I am very grateful for this place I would be probably in heaven if not for the nurses and staff here at Lassen nursing. Thank you

Rehab patient · 2025★★★★★

This place is filled with caring and compassionate Nurses and CNAs. I will not think twice about bringing my love ones here for care.

Potential long-term resident's family · 2024★★★★★

You will walk in the halls and see patient after patient just sitting yelling for help only to be helped with attitude. Now don't you know I've met some really awesome residents and a few awesome co workers, but that being said they are extremely understaffed

Visitor/Observer · 2023☆☆☆☆
Source: 9 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.45hrs
60%
Registered nurses for medical care
Total Nursing
3.70hrs
90%
All nurses + aides combined
Staff Turnover
54%
Lower is better (< 30% = good)
RN Turnover
55%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
2/ 5
Better Than Avg

5

measures

Worse Than Avg

9

measures

Mixed Results

3

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility25.5%
Worse than Avg
Here
25.5%
US
19.4%
CA
10.7%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility24.2%
Worse than Avg
Here
24.2%
US
15.3%
CA
10.5%
😔

Residents with depression symptoms

↓ Lower is better
This Facility1.7%
Better than Avg
Here
1.7%
US
12.1%
CA
7.0%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility20.7%
Worse than Avg
Here
20.7%
US
14.4%
CA
10.4%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility19.0%
Worse than Avg
Here
19.0%
US
15.4%
CA
11.6%
⚖️

Residents who lost too much weight

↓ Lower is better
This Facility10.8%
Worse than Avg
Here
10.8%
US
5.3%
CA
4.1%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility98.0%
Better than Avg
Here
98.0%
US
79.7%
CA
93.2%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility91.2%
Mixed vs Avgs
Here
91.2%
US
81.8%
CA
94.2%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.9%
Better than Avg
Here
0.9%
US
1.6%
CA
1.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

25deficiencies
Well above state avg (15.4)
41 complaint-triggered

Lassen Nursing & Rehabilitation Center has concerning patterns of repeated deficiencies, with 33 complaint-triggered violations indicating families have filed reports about care issues. The facility struggles most with dietary services and food safety, medication management, and protection from abuse/neglect reporting. Problems persist across multiple years, with recent 2024-2025 complaints involving the same recurring issues in nutrition, pharmacy services, and resident safety, suggesting ongoing challenges despite reported corrections.

Feb 4, 2026Complaint
1
0691MinorCorrected

Quality of Life and Care Deficiencies

Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

Sep 12, 2025Complaint
7
0755ModerateCorrected

Pharmacy Service Deficiencies

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

0800ModerateCorrected

Nutrition and Dietary Deficiencies

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

0801ModerateCorrected

Nutrition and Dietary Deficiencies

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

0550MinorCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0637MinorCorrected

Resident Assessment and Care Planning Deficiencies

Assess the resident when there is a significant change in condition

0656MinorCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0806MinorCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Jul 17, 2025Complaint
4
0842ModerateCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0602MinorCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from the wrongful use of the resident's belongings or money.

0609MinorCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0940MinorCorrected

Administration Deficiencies

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

Apr 17, 2025Complaint
8
0804ModerateCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0880ModerateCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0919ModerateCorrected

Environmental Deficiencies

Make sure that a working call system is available in each resident's bathroom and bathing area.

0804ModerateCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0880ModerateCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0919ModerateCorrected

Environmental Deficiencies

Make sure that a working call system is available in each resident's bathroom and bathing area.

0690MinorCorrected

Quality of Life and Care Deficiencies

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

0690MinorCorrected

Quality of Life and Care Deficiencies

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

Oct 24, 2024Routine
17
0725ModerateCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0804ModerateCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0812ModerateCorrected

Nutrition and Dietary Deficiencies

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

0880ModerateCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0550MinorCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0584MinorCorrected

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

0609MinorCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0759MinorCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0761MinorCorrected

Pharmacy Service Deficiencies

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.

0809MinorCorrected

Nutrition and Dietary Deficiencies

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

0321MinorCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0353MinorCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0355MinorCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0363MinorCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0919MinorCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the use of electrical equipment.

0923MinorCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0918MinorCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

Jul 31, 2024Complaint
1
0691MinorCorrected

Quality of Life and Care Deficiencies

Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Lassen Nursing & Rehabilitation Center

Organization Type

for profit

Chain Affiliation

Chain Name

Cambridge Healthcare Services

Chain Size

32 facilities nationwide

Chain avg rating: 2.6/5 · Rank 23 of 31

Ownership & Management

Owners

Crescent Facilities Operations LLC

Owner · Organization

100%

Bering Properties LLC

Owner (parent company) · Organization

Ira & Rachel Smedra Family Irrevocable Gift Trust

Owner (parent company) · Organization

Jenmax Enterprises LLC

Owner (parent company) · Organization

Jennifer Nurit Smedra Trust 1997 Trust

Owner (parent company) · Organization

The Hyman & Betty Ingber Family Trust

Owner (parent company) · Organization

Wheaten LLC

Owner (parent company) · Organization

Win Win Enterprises, LLC

Owner (parent company) · Organization

Smedra, Jennifer

Owner (parent company)

Wintner, Francine

Owner (parent company)

Key personnel

Garrard, CassandraW-2 Managing EmployeeSmedra, IraOfficer / DirectorWintner, JacobOfficer / DirectorGarrard, CassandraManagerSmedra, IraManager
Source: Medicare provider data

Contact

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References & Resources

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Safer Alternatives Nearby

Based on current clinical data, we identified 1 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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