Velarion Records

Skilled nursing facility · CMS certification number 555420

MODOC MEDICAL CENTER D/P SNF

ALTURAS, California · Medicare and Medicaid

Certified beds, as filed in Care Compare: 84

Download this facility’s record (CSV)

A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.

In Care Compare’s provider information: Penalties: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. Every penalty on file ↓

For this facility: the citable document with full history — $295 · an email when this record changes — $99/month

Finances, as filed

No Medicare cost report on file for this facility.

Nurse staffing

Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated September 1, 2026 (Care Compare ownership).

Owner or managerRoleTypeOwnership percentageAssociation
LAST FRONTIER HEALTHCARE DISTRICT5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%since 08/23/2011
BOULADE, ROSEADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2025
DOLBY, PAULADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2025
JOHNSON, EDWARDADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2025
KRAMER, KEVINADP OF THE SNFIndividualNOT APPLICABLEsince 07/01/2013
LAST FRONTIER HEALTHCARE DISTRICTADP OF THE SNFOrganizationNOT APPLICABLEsince 01/01/2010
MADISON, CAROLADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2025
MASON, MIKEADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2025
RICHERT, EDWARDADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2025
WEBER, KEITHADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2025
RICHERT, EDWARDCORPORATE DIRECTORIndividualNOT APPLICABLEsince 01/01/2020
JOHNSON, EDWARDCORPORATE OFFICERIndividualNOT APPLICABLEsince 01/01/2025
KRAMER, KEVINCORPORATE OFFICERIndividualNOT APPLICABLEsince 10/23/2013
RICHERT, EDWARDCORPORATE OFFICERIndividualNOT APPLICABLEsince 01/01/2020
BOULADE, ROSEOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 01/01/2025
DOLBY, PAULOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 01/01/2025
JOHNSON, EDWARDOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 01/01/2025
KRAMER, KEVINOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 07/01/2013
LAST FRONTIER HEALTHCARE DISTRICTOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 01/01/2010
MADISON, CAROLOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 01/01/2025
MASON, MIKEOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 01/01/2025
RICHERT, EDWARDOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 01/01/2025
WEBER, KEITHOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 01/01/2025

Medicare enrollment

As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of LAST FRONTIER HEALTHCARE DISTRICT (enrollment ID O20100202000413).

CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
LAST FRONTIER HEALTHCARE DISTRICTOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST1008/23/2011
Private equity company: No
Real estate investment trust: No
Holding company: No
CAROL A MADISONIndividualADP OF THE SNFNot stated in the filing1/1/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
EDWARD J JOHNSONIndividualADP OF THE SNFNot stated in the filing1/1/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
EDWARD P RICHERTIndividualADP OF THE SNFNot stated in the filing1/1/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
KEITH WEBERIndividualADP OF THE SNFNot stated in the filing1/1/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
KEVIN KRAMERIndividualADP OF THE SNFNot stated in the filing7/1/2013
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
LAST FRONTIER HEALTHCARE DISTRICTOrganizationADP OF THE SNFNot stated in the filing1/1/2010
Private equity company: No
Real estate investment trust: No
Holding company: No
MIKE MASONIndividualADP OF THE SNFNot stated in the filing1/1/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
PAUL DOLBYIndividualADP OF THE SNFNot stated in the filing1/1/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
ROSE BOULADEIndividualADP OF THE SNFNot stated in the filing1/1/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
EDWARD P RICHERTIndividualCORPORATE DIRECTORNot stated in the filing1/1/2020
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
EDWARD J JOHNSONIndividualCORPORATE OFFICERNot stated in the filing1/1/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
EDWARD P RICHERTIndividualCORPORATE OFFICERNot stated in the filing1/1/2020
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
KEVIN KRAMERIndividualCORPORATE OFFICERNot stated in the filing10/23/2013
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
CAROL A MADISONIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing1/1/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
EDWARD J JOHNSONIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing1/1/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
EDWARD P RICHERTIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing1/1/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
KEITH WEBERIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing1/1/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
KEVIN KRAMERIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing7/1/2013
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
LAST FRONTIER HEALTHCARE DISTRICTOrganizationOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing1/1/2010
Private equity company: No
Real estate investment trust: No
Holding company: No
MIKE MASONIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing1/1/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
PAUL DOLBYIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing1/1/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
ROSE BOULADEIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing1/1/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS

Changes in ownership

Recent changes on this record

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
1April 17, 2025April 17, 202555
2October 5, 2023October 5, 202356
3June 16, 2022June 16, 202283

From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.

Deficiencies cited

18 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
January 14, 2026HealthF 0725Nursing and Physician Services DeficienciesProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.DYesDeficient, Provider has date of correctionFebruary 1, 2026
January 14, 2026HealthF 0761Pharmacy Service DeficienciesEnsure 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.DYesDeficient, Provider has date of correctionFebruary 1, 2026
June 11, 2025HealthF 0563Resident Rights DeficienciesHonor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.DYesDeficient, Provider has date of correctionJune 26, 2025
June 11, 2025HealthF 0909Environmental DeficienciesRegularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.DYesDeficient, Provider has date of correctionJune 23, 2025
April 17, 2025HealthF 0761Pharmacy Service DeficienciesEnsure 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.DNoDeficient, Provider has date of correctionApril 25, 2025
April 17, 2025HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DNoDeficient, Provider has date of correctionApril 25, 2025
April 17, 2025HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correctionApril 25, 2025
April 1, 2025HealthF 0609Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DYesDeficient, Provider has date of correctionApril 1, 2025
December 5, 2023HealthF 0600Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DYesDeficient, Provider has date of correctionDecember 15, 2023
November 6, 2023HealthF 0741Quality of Life and Care DeficienciesEnsure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.DYesDeficient, Provider has date of correctionNovember 30, 2023
October 5, 2023HealthF 0727Nursing and Physician Services DeficienciesHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.ENoDeficient, Provider has date of correctionNovember 1, 2023
October 5, 2023HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.ENoDeficient, Provider has date of correctionOctober 26, 2023
June 16, 2022HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DNoDeficient, Provider has date of correctionJuly 15, 2022
June 16, 2022HealthF 0756Pharmacy Service DeficienciesEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.ENoDeficient, Provider has date of correctionJuly 15, 2022
June 16, 2022HealthF 0758Pharmacy Service DeficienciesImplement 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.ENoDeficient, Provider has date of correctionJuly 15, 2022
June 16, 2022HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.ENoDeficient, Provider has date of correctionJuly 15, 2022
June 16, 2022HealthF 0867Administration DeficienciesSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.ENoDeficient, Provider has date of correctionJuly 15, 2022
June 16, 2022HealthF 0868Administration DeficienciesHave the Quality Assessment and Assurance group have the required members and meet at least quarterlyBNoDeficient, Provider has date of correctionJuly 15, 2022

From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.

Penalties

No penalty on file for this facility in CMS’s Care Compare penalties data.

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeFor profit - Corporation
Legal Business NameLAST FRONTIER HEALTHCARE DISTRICT
Date First Approved to Provide Medicare and Medicaid Services1990-05-04
Provider Resides in HospitalY
Continuing Care Retirement CommunityN
UrbanN
County/ParishModoc
Telephone Number5302335131
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds84
Average Number of Residents per Day53.8
Overall Rating5
Health Inspection Rating5
QM Rating2
Long-Stay QM Rating2
Processing Date2026-09-01

From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.

Get an email when this record changes

One email a day naming what moved on MODOC MEDICAL CENTER D/P SNF: the field, the value before, the value after, and the date of the file that first showed it.

The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.

On November 1, 2025: EDWARD P RICHERT no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. That is one line of the alert.

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The citable document for MODOC MEDICAL CENTER D/P SNF

This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in California at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.

The citable document with full history — $295

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