Nursing homes across Plumas County, California, graded on the federal inspection
record, nurse staffing and staff turnover. County rank is shown on each home's profile.
Eastern Plumas Hospital's skilled nursing unit in Portola runs on unusually deep staffing for a small rural hospital district, 4.70 nurse hours per resident day, roughly a fifth more than the national average, with weekend coverage dipping only modestly below weekdays. Turnover sits at 33%, well under the national rate, which matters for consistency of care. The trouble is elsewhere: 21 deficiencies on the current record, four serious enough to put residents in harm's way, three tied to abuse, and $69,450 in fines. Its quality measure score is poor. Staffing is the strength here; the inspection history and clinical outcomes are what a family should press the administrator on.
Seneca District Hospital's skilled nursing unit is small, 16 beds, and it's run by the hospital district, not a chain. The staffing numbers genuinely stand out: 6.07 nurse hours per resident day, well above the national average, and weekends only dip about 14% from weekday levels, which is better than many homes manage. Turnover, though, sits at 48.1%, slightly worse than average. And the inspection record is the real concern: 14 deficiencies on file, including 2 at the harm level and 3 tied to abuse, with one $11,408 fine. The last inspection was in December 2025. Strong daily coverage, but a recent survey history that warrants questions before you decide.
Plumas District Hospital's skilled nursing unit is small, 36 certified beds, and it's run by the hospital district rather than a for-profit chain, which shapes how it operates. The current record shows four deficiencies, none of them at the harm or jeopardy level, though one is abuse-related, so it's worth asking staff directly what happened and what changed afterward. The most recent inspection came in February 2026, so the picture here is fairly current rather than stale. With a unit this size, staffing often tracks closely to hospital coverage, which can mean steadier nurse presence than a standalone nursing home of similar bed count.
One thing to note: ElderGrade doesn't have a computed grade for this home yet, so there's no score to lean on. That means the federal inspection and staffing data are what you have to work with, ask about the abuse-related finding, and ask how many residents are typically on the unit at once.