Deficiency Index

Country Crest Post-Acute

Oroville, California · CCN 555802

73 surveys since 2010, 9 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
260
Surveys
73
Harm or worse
9
Immediate jeopardy
5
The record, 2010–2026
’10’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy5

Findings at the most serious level CMS records.

Beyond CMS’s monthly file65/73

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
59
Ownership
For profit - Limited Liability company
Chain
ASPEN SKILLED HEALTHCARE
County
Butte
Medicare-certified since
2003

CMS ratings

Overall
4
Health inspection
3
Staffing
3
Quality measures
5

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded more weighted findings than most of its peer group.

Weighted by harm level, against 252 for-profit facilities with fewer than 66 beds in California.

Last survey on record

Jan 15, 2026

298 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day4.704.36
Registered-nurse hours per resident day0.39—
Annual nurse turnover53.7%36.4%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD2048.8%E1331.7%F717.1%
No harm, potential for minimalA—B—C12.4%
CMS’s current file: 41 of the 260 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8124×

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

  • F6092×

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

  • F6562×

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

  • F6892×

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

  • F7582×

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

In the surveyor’s words

From the most serious findings on record at Country Crest Post-Acute, in the surveyor’s own words.

  • Immediate jeopardy, patternF880Feb 17, 2023

    Based on observation, interview, record review, and policy review, the facility failed to ensure a safe and sanitary environment which promoted the prevention of the spread of infection for 11 of 12 sampled residents (Residents 1, 2, 3, 4, 5, 7, 8, 9, 10, 11 and 12) when: 1. Resident 3 and Resident 4 had Clostridium difficile infections (C-Diff, a highly contagious bacteria in their intestines that causes severe diarrhea, inflammation of the colon, abdominal discomfort, lack of appetite, weight loss, isolation, extended hospital stays, and death); and a. Housekeeping Staff (HSK) had not disinfected Resident 3 and Resident 4's rooms which were contaminated with C-diff, with a disinfectant that was approved to kill C-diff. […]

  • No harm, potential for more than minimal, widespreadF812Jan 15, 2026

    Based on observation, interview, and record review, the facility failed to maintain food safety requirements regarding the preservation of a sanitary kitchen environment in addition to appropriate storage and labeling of foods when the main kitchen was observed to have a build up of grime and webbing on pipes under counters, mineral and corrosive (something that causes gradual harm due to a chemical reaction) buildup on pipes and draining apparatuses, dirt buildup on flooring and air gap drains, grease and grime on the hood over the stove, breadcrumb buildup in the toaster, dirt buildup on the filters and plastic of a portable cooler unit, a large unlabeled brisket thawing in the refrigeration unit, expired Yoplait yogurt in the refrigeration unit, a container of red gelatin dessert… […]

  • No harm, potential for more than minimal, widespreadF812Sep 26, 2024

    Based on observation, interview, and facility policy review, the facility failed to ensure sanitary preparation and service of meals. Specifically, the facility failed to practice proper hand hygiene and glove use during food preparation, and the facility failed to hold foods at safe temperatures during meal service. This had the potential to affect all residents who received meals from the facility's kitchen. Findings included: 1. During an observation on 09/24/2024 at 11:23 AM, the temperature of pizza's being served to residents was at 136 degrees Fahrenheit (F). The temperature of the pizza's was measured again at 12:17 PM, and was at 122 degrees F. It was also observed that there were three stacked pizza pans underneath the pizza, separating it from the heat source. […]

  • No harm, potential for more than minimal, widespreadF814Sep 26, 2024

    Based on observation, interview, facility policy review, and review of the United States (U.S.) Food and Drug Administration (FDA) 2022 Food Code, the facility failed to ensure 1 of 1 dumpster was closed to prevent the potential for vermin and pest attraction. This had the potential to affect all 56 residents that resided in the facility. Findings included: The U.S. FDA 2022 Food Code, dated 01/18/2023, revealed Chapter 5. Water, Plumbing, and Waste, section 5-5 Refuse, Recyclables, and Returnables, included, 5-501.15 Outside Receptacles. (A) Receptacles and waste handling units for REFUSE, recyclables, and returnables used with materials containing FOOD residue and used outside the FOOD ESTABLISHMENT shall be designed and constructed to have tight-fitting lids, doors, or covers. […]

  • No harm, potential for more than minimal, widespreadF812Oct 26, 2023

    Based on interview, record review and observation, this regulation was not met when two vinegar bottles, one molasses bottle, and a 20 gallon jug of unlabled cooking oil, and five bags of bread and rolls were observed not to have expiration, open dates, or use-by dates. This resulted in the potential for foodborne illness and lack of palatability of the affected food, for all residents. Findings: Review of the the facility's record titled Policy and Procedure, Food Service Management, Nutricopia, Inc, dated 2018, indicated as follows: Store, prepare, distribute and serve food in accordance with professional standards for food service safety; and, All open food items will have an open date and use-by date per manufacturer's guidelines. […]

Read 29 findings in full →The most serious and the most recent: 29 of 260 on record.

Every survey on record

FindingsAt actual harm or above

  • Jan 15, 2026Standard9 findings
  • Nov 5, 2025Complaint1 finding
  • Jun 10, 2025Complaint1 finding
  • Mar 7, 2025Complaint4 findings
  • Sep 26, 2024Standard12 findings
  • Apr 17, 2024Complaint1 finding
  • Oct 26, 2023Complaint1 finding
  • Apr 5, 2023Complaint1 finding
Show the 65 earlier surveys
  • Feb 23, 2023Complaint1 finding
  • Feb 17, 2023Complaint3 findings · 1 harm
  • Jan 12, 2023Complaint2 findings
  • Oct 7, 2022Complaint3 findings
  • Jul 1, 2022Complaint1 finding
  • Jan 18, 2022Standard12 findings
  • Jan 11, 2022Complaint1 finding
  • Oct 26, 2021Complaint3 findings
  • Aug 9, 2021Complaint1 finding
  • Aug 4, 2021Complaint2 findings
  • Aug 3, 2021Complaint1 finding
  • Jun 8, 2021Complaint1 finding
  • Apr 19, 2021Complaint1 finding
  • Apr 14, 2021Complaint2 findings
  • Jan 26, 2021Infection control2 findings
  • Dec 26, 2020Infection control1 finding
  • Sep 28, 2020Complaint1 finding
  • Aug 7, 2020Complaint1 finding
  • May 8, 2020Complaint9 findings · 1 harm
  • Feb 11, 2020Complaint6 findings
  • Feb 5, 2020Complaint2 findings
  • Jan 14, 2020Complaint1 finding
  • Dec 4, 2019Complaint1 finding
  • Nov 8, 2019Complaint3 findings
  • Jun 26, 2019Standard9 findings
  • May 17, 2019Complaint1 finding
  • Apr 25, 2019Complaint1 finding
  • Mar 26, 2019Complaint1 finding
  • Jan 7, 2019Complaint3 findings
  • Jan 3, 2019Complaint1 finding
  • Jan 2, 2019Complaint4 findings
  • Oct 30, 2018Complaint1 finding
  • Jun 28, 2018Standard10 findings
  • May 15, 2018Complaint2 findings
  • Apr 16, 2018Complaint1 finding
  • Mar 6, 2018Complaint3 findings
  • Jun 9, 2017Standard12 findings
  • May 25, 2017Complaint2 findings
  • May 5, 2017Complaint1 finding
  • Mar 20, 2017Complaint3 findings
  • Dec 12, 2016Complaint2 findings
  • Sep 9, 2016Complaint2 findings · 1 harm
  • Jul 25, 2016Complaint1 finding
  • Apr 5, 2016Complaint1 finding · 1 harm
  • Mar 17, 2016Standard and complaint31 findings · 4 harm
  • Mar 16, 2016Complaint1 finding
  • Mar 14, 2016Complaint1 finding
  • Dec 21, 2015Complaint2 findings
  • Jun 1, 2015Complaint3 findings
  • Feb 27, 2015Standard25 findings
  • Nov 5, 2014Complaint1 finding
  • Jun 17, 2014Complaint2 findings
  • Dec 6, 2013—7 findings
  • Jan 17, 2013—8 findings
  • Jan 15, 2013Complaint1 finding
  • Oct 17, 2012—3 findings
  • Oct 16, 2012—1 finding · 1 harm
  • Sep 6, 2012—1 finding
  • Jun 15, 2012—1 finding
  • May 22, 2012—2 findings
  • Apr 30, 2012—1 finding
  • Feb 9, 2012—8 findings
  • Jan 19, 2012—2 findings
  • Apr 15, 2011—6 findings
  • Sep 21, 2010—1 finding

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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