The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited February 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
BARTON HOSPITAL D/P SNF
SOUTH LAKE TAHOE, CA · Medicare-certified · 48 beds
Needs attention
Abuse citationNon-profit
4 of 5 overall
BARTON HOSPITAL D/P SNF (South Lake Tahoe, CA) has an overall 4-star rating, with strong staffing and quality scores at 5 stars each, but a weaker 2-star health inspection rating. Reported nurse staffing is slightly below the federal benchmark (3.98 vs. 4.1 hours per resident per day), and the facility has had $14,015 in fines in the last 24 months plus a recent abuse citation.
Facility ratings
Health inspections
Staffing
3.9795 hrs/resident/day
Quality measures
Last inspection: February 4, 2026Penalties, last 24 months: $14,015recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.9795.
Staffing detail
- Registered nurses
- 1.30
- Licensed practical nurses
- 0.39
- Nurse aides
- 2.29
- Weekend nursing
- 3.68
Hours per resident per day.
Total staff turnover: 39%
Registered nurse turnover: 21%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
5.6%10.3%Worsening
Residents with a fall causing major injury
2.4%4.7%Worsening
Residents with pressure ulcers (bedsores)
3.9%3.3%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
2.6%5.1%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
25.6%10.3%Improving
Residents whose ability to walk got worse
8.4%30%Worsening
Long-stay residents on antianxiety or sleep medication
2.5%12.8%Worsening
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
0%2.4%Worsening
Residents with new or worsening incontinence
20.3%22.7%Worsening
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
97.6%100%Improving
Short-stay residents given the pneumonia vaccine
—86.2%—
What the inspectors found
The home failed to ensure a licensed pharmacist reviewed residents' medications each month and reported any problems as required. Cited October 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 756 — 42 CFR §483.45(c) — S/S: E
The home failed to ensure residents who could safely take their own medicines were allowed to self-administer them. Cited June 2019 — limited pattern, potential for harm.
View the original federal record
F-Tag 554 — 42 CFR §483.10 — S/S: E
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited July 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: D
The nursing home failed to protect residents from abuse and neglect by others. Cited June 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- PENALTY
A federal payment denial was recorded.
- PENALTY
A federal fine of $14,015 was recorded.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $14,015 in total fines · 1 payment denial.
- 3 days
Medicare/Medicaid payment denial
Feb 4, 2026
- $14,015
Federal fine
Feb 4, 2026
Operator & ownership
- Ownership
- Non profit - Corporation
- Occupancy
- 44.9 residents on an average day (94% of 48 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 29 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.