Sunterra Springs Riverview
3550 West Americana Terrace, Boise, ID 83706 · For profit - Limited Liability company · 30 certified beds · (208) 615-4940 Medicare only — no Medicaid
This home has serious findings on its record. Read them closely before you consider it.
- a middle-of-the-pack inspection score (3/5)
- it has an abuse, neglect, or exploitation citation (F0602), cited Jan 2026
- inspectors recorded 1 serious finding as past non-compliance — the problem was found, fixed, and verified before the survey closed, so it is history rather than a current condition, but it is still worth asking what changed
- a high number of inspection citations overall (20) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- the CMS record shows $8,021 in federal fines (most recent 2024-02-23)
- its facility-reported quality-measure score sits well above its independent inspection score
- nursing-staff turnover (58%) runs well above the national median (45%)
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 3 of 5 |
| StaffingFrom payroll records (PBJ) | 3 of 5 |
| Quality measuresSelf-reported by the facility | 5 of 5 |
Worth a closer look. This home's quality-measure rating runs 2 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself — so a gap this large is worth reading the inspection record for.
Location & what’s nearby
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.
Quality measures — how residents actually fare
| Overall quality measures | 5 of 5 |
| Short-stay residentsrehab / post-hospital | 5 of 5 |
Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating fell from 5 to 3 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Short-stay residents who newly got an antipsychotic medication | 0.4% | 1.8% | 1.4% | better |
| Short-stay residents given the seasonal flu vaccine | 87.8% | 86.5% | 79.4% | better |
| Short-stay residents rehospitalized after admission | 30.7% | 17.7% | 22.6% | worse |
| Short-stay residents with an outpatient ER visit | 17.0% | 12.3% | 12.0% | worse |
CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.
Short-stay rehab — if you are coming here from a hospital
Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.
76.6% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 374 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 84.9% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 172 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.
Therapy staffing: this home’s payroll records show 1.13 therapist hours per resident per day in 2026Q1 — more than 98% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 18% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.
This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 76.6%CMS range 72.5–80.0 | 51.5% | Oct 2022–Sep 2024 | better than U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 7.7%CMS range 5.7–10.4 | 10.7% | Oct 2022–Sep 2024 | better than U.S. |
| Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge | 84.9% | 56.6% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | 86.0% | 52.8% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | 83.7% | 50.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | 99.1% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting | 100.0% | 100.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge | 96.5% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | 0.0% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 0.0% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | 5.1%CMS range 2.8–8.4 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 0.75 | 1.02 | Oct 2022–Sep 2024 | CMS makes no comparison for this measure |
From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.
Staffing
How full it usually is: this home is certified for 30 beds and averages 28.4 residents a day — about 95% occupied, or roughly 2 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.
Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.46 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.79 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.48 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.
Weekend coverage: total nurse staffing is 4.10 hrs/resident/day on weekends vs 4.61 on weekdays — 11% thinner on weekends. RN hours go from 0.81 to 0.76 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 58% is well above the national median of 45%.
Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.
Inspection trend
Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.
Inspection deficiencies
State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.
Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.
20 citations, most serious first. The 11 most serious are shown; the remaining 9 are one tap away and print in full.
- Immediate jeopardy · Jcited before2024-02-23 · tag F0760 — failed to prevent significant medication errors — isolatedEnsure that residents are free from significant medication errors.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, review of the State Agency's Long-Term Care Reporting Portal, and staff interview, it was determined the facility failed to ensure residents were free from significant medication errors. This was true for Resident #171 and placed this resident in immediate jeopardy of serious harm, impairment, or death when LPN #1 and RN #2 failed to administer a high-risk medication. Findings include: Resident #171 was admitted to the facility on [DATE], with multiple diagnoses including pneumonia caused by influenza, hypertension, and longstanding persistent atrial fibrillation (an irregular and often very rapid heart rate which can lead to blood clots and stroke). Resident #171's physician orders on admission included Xarelto (medication to treat or prevent blood clots) 20 mg by mouth, once a day at bedtime for prevention of deep vein thrombosis (blood clots). The US Food and Drug Administration approved medication guide written by the manufacturer of Xarelto stated, Do not stop taking Xarelto without…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2026-01-09 · tag F0554 — isolatedAllow residents to self-administer drugs if determined clinically appropriate.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, policy review, and interviews, it was determined the facility failed to ensure the interdisciplinary team had determined it was safe for a resident to self-administer medications. This was true for 1 of 1 resident (Resident #29) reviewed for self-administration of medications. This failure created the potential for adverse outcome if Resident #29 was to take her medications inappropriately. Findings include:The facility's Resident Self-Administration of Medication policy, revised 7/2024, documented residents had the right to self-administer medication and may only self-administer medications after the facility's interdisciplinary team has determined which medications may be self-administered safely. Resident #29 was admitted to the facility on [DATE], with multiple diagnoses including hypertension, and GERD (a chronic digestive disorder where stomach acid frequently flows back into the esophagus). Resident #29's care plan revised 12/15/25, documented she had impaired vision…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2026-01-09 · tag F0580 — failed to tell family and doctor about changes — isolatedImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on policy review, record review, and interviews, it was determined the facility failed to ensure the physician was notified of a change in condition. This was true for 3 of 3 residents (#19, #37, and #48) reviewed for physician notification. This failure had the potential for harm if the physician was not provided with information necessary to make decisions to initiate and/or alter interventions to meet a resident's changing needs. Findings include: The facility's policy and procedure for Weight Monitoring revised on 7/2024, documented the physician was to be notified of significant weight variances, which included gain or loss if any of the following occurred: 5% weight change in 30 days 7.5% weight change in 90 days 10% weight change in 180 days 1. Resident #19 was admitted to the facility on [DATE], with multiple diagnoses including fracture of the right femur, diabetes, and Crohn's Disease (a chronic inflammatory disease in the digestive tract). A Comprehensive MDS assessment dated [DATE], documented…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2026-01-09 · tag F0602 — failed to protect residents from theft of their belongings — isolatedProtect each resident from the wrongful use of the resident's belongings or money.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on policy review, staff interview, record review, and review of the State Long Term Care Reporting System, it was determined that facility failed to ensure residents were free from misappropriation of property and exploitation. This was true for 3 of 3 residents (#57, #58, and #59) reviewed for abuse, neglect, misappropriation of resident property, and exploitation. This failed practice created the potential for all facility residents to experience exploitation and misappropriation of property. Findings include:The facility's Abuse, Neglect and Exploitation policy revised 4/2025, stated the facility would prevent all types of abuse, neglect, exploitation and misappropriation of residents' property. The CMS SOM, Appendix PP dated 7/23/25, defined:- Exploitation, as taking advantage of a resident for personal gain, through the use of manipulation, intimidation, threats, or coercion.- Misappropriation of resident property, as the deliberate misplacement, exploitation, or wrongful, temporary, or permanent use…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2026-01-09 · tag F0628 — isolatedProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, it was determined the facility failed to ensure resident specific discharge paperwork was provided to the hospital during transfer. This was true for 1 of 2 residents (Resident #47) whose records were reviewed. This deficient practice had the potential for harm if resident required health information not provided to the hospital. Findings include:The State Operations Manual Appendix PP issued 7/23/25, documented when the facility discharged a resident under any circumstances, the facility must ensure that the transfer or discharge was documented in the resident's medical record.Resident #47 was admitted to the facility on [DATE] with multiple diagnoses including aftercare following a surgical procedure.Resident #47's Nursing Notes documented the following:On 11/6/25 at 9:47 AM - Resident #47 had scattered scabs on his hands and arms.On 11/6/25 at 2:41 PM - Resident #47 at the hospital.Resident #47's record did not include documentation why he was at the hospital.On 1/6/26 at…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2026-01-09 · tag F0657 — failed to keep the care plan current — isolatedDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and staff interview, it was determined the facility failed to ensure residents' care plans were revised and updated as needed. This was true for 1 of 12 residents (Resident #54) whose care plan was reviewed. This created the potential for adverse outcomes if resident #54's care and services provided were not ordered by the physician. Findings include:Resident #54 was admitted to the facility on [DATE], with multiple diagnoses including repeated falls, major depressive disorder, and anxiety.Resident #54's care plan initiated 12/29/25, documented Resident #54 was at risk for falls secondary to left sided weakness and directed staff to encourage the use of the call light and to keep resident's room free of clutter and tripping hazards.On 1/5/26 at 11:38 AM, Resident #54's bed was observed against the wall by the window. When asked about the location of her bed, Resident #54 stated staff moved her bed against the wall after she fell out of bed.On 1/8/26 at 10:50 AM, When asked if…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2026-01-09 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide appropriate treatment and care according to orders, resident’s preferences and goals.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interviews, the facility failed to ensure professional standards of care were followed for 3 of 12 residents (#48, #51, and #55) reviewed for quality of care. Resident #48 and #51's medications were not clarified from the physician. Resident #55 did not receive her therapy session as scheduled. These failed practices had the potential to adversely affect residents whose care and services were not delivered according to accepted standards of clinical practice. Findings include:1. Resident #48 was admitted to the facility on [DATE] with multiple diagnoses including, mild cognitive impairment, dysphagia (difficulty swallowing), sepsis, and Parkinson's disease with dyskinesia (a progressive neurological disorder affecting movement). Resident #48's record documented the following Progress Notes: A Nursing Progress Note dated 11/1/25 at 3:04 PM, Resident #48's spouse brought medication in a bottle to the facility that read Carbidopa / Levodopa (medication for Parkinson's) ODT…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2026-01-09 · tag F0726 — failed to have competent, trained nursing staff — isolatedEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on personnel record review and staff interviews, it was determined the facility failed to ensure licensed nurses performed tasks which they had the knowledge, skills, and competencies. This was true for 1 of 5 licensed nurses reviewed for completion of the required trainings and competencies necessary to care for resident's needs. This failure had the potential to affect all residents in the facility and increased the risk of harm to residents if staff were not trained on how to provide care and services to residents. Findings include:LPN #1's hire date was 9/26/25. Review of her personnel file did not document she had completed her onboarding training. LPN #1 completed 3 out of 24 of the assigned modules.On 1/9/26 at 12:00 PM, the Administrator confirmed LPN #1 had not completed her required training beyond the three she completed on 1/7/26 and stated she should not have been working with residents without completing all her training.On 1/9/26 at 12:15 PM, the DON stated all newly hired staff must complete their assigned training by the due date prior to working with…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2026-01-09 · tag F0756 — failed to review each resident's drug regimen — isolatedEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interview, it was determined the facility failed to ensure pharmacist recommendation were addressed by the physician. This was true for 1 of 5 residents (Resident #31) whose pharmacy recommendations were reviewed. This failure created the potential for Resident #31 to receive medications that were ineffective. Findings include:Resident #31 was admitted to the facility on [DATE], with multiple diagnoses including aftercare for fracture of right femur, bipolar disorder, and major depressive disorder.Resident #31's record documented the following physician's orders:lurasidone (an antipsychotic medication) oral tablet 20 mg, give 20 mg by mouth one time a day: take with 80 mg for 100 mg total. Start 12/18/25.An Interim Medication Regimen Review form included a section for the pharmacist to write his/her detailed description of irregularity and recommendations and a section for the physician to make a comment regarding the pharmacist recommendation.Resident #31's Interim Medication…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2026-01-09 · tag F0757 — failed to avoid unnecessary drugs — isolatedEnsure each resident’s drug regimen must be free from unnecessary drugs.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interview, it was determined the facility failed to ensure each resident's drug regimen was free from unnecessary drugs when a psychoactive medication was administered without adequate indication for its use. This was true for 1 of 5 residents (Resident #39) reviewed for unnecessary medications. This deficient practice created the potential for harm if residents received medications that may result in negative outcomes without clear indication of need. Findings include:Resident #39 was admitted to the facility on [DATE] with multiple diagnoses including depressive disorder, hypertension, and osteoporosis.Resident #39's physician's order for lorazepam (anti-anxiety medication) oral tablet 0.5 mg, give one by mouth every 24 hours as needed for anxiety.Resident #39's MAR documented she was administered lorazepam 0.5 mg oral tablet on 1/3/26 and again on 1/6/26.Resident #39's Monitor For Anxiolytic Use did not indicate she had anxiety symptoms or behaviors on 1/3/26 and 1/6/26.On…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2026-01-09 · tag F0760 — failed to prevent significant medication errors — isolatedEnsure that residents are free from significant medication errors.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interview, it was determined the facility failed to ensure residents were protected from significant medication errors. This was true for 2 of 12 residents (#31 and #56) reviewed for medications. This deficient practice created the potential for harm if residents received the wrong dosage of medications. Findings include: The online Nursing 2025 Drug Handbook accessed on 1/12/26, stated the eight rights of medication administration were:Right drugRight patientRight doseRight timeRight routeRight reasonRight responseRight documentation 1. Resident #31 was admitted to the facility on [DATE], with multiple diagnoses including aftercare for fracture of right femur, bipolar disorder, and major depressive disorder.Resident #31's record documented the following physician's orders:Lurasidone oral tablet 20 mg, give 20 mg by mouth one time a day for antipsychotic: take with 80 mg for 100 mg total. Start 12/18/25.Resident #31's MAR dated 12/18/25 through 12/27/25 documented she received…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
Show the remaining 9 citations
- Potential for harm · D2026-01-09 · tag F0761 — failed to label and store drugs safely — isolatedEnsure 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.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and staff interview, it was determined the facility failed to ensure pharmacy labels matched the physician's order. This was true for 1 of 5 residents (Resident #40) whose medication administration was observed. This failed practice created the potential for harm if Resident #40's Prazosin (blood pressure medication) was administered at the wrong dose. Findings include: The State Operations Manual, Appendix PP revised 7/23/25 documented . labeling of the medication or device pursuant to a prescription/order.Resident #40 was admitted to the facility on [DATE] and re-admitted on [DATE], with multiple diagnoses including hypertensive heart disease with heart failure (when long-standing high blood pressure strains the heart, resulting in heart failure).A physician's order, dated 1/2/26 documented Resident #40 was to receive the following:Prazosin HCl 1 mg capsule: 2 capsules by mouth two times a day for hypertension for systolic blood pressure less than 110 and heart rate less…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-01-24 · tag F0584 — failed to keep a safe, clean, comfortable home — isolatedHonor 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.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, policy review, and resident and staff interview, it was determined the facility failed to ensure residents' bedroom temperatures were maintained at a comfortable level. This was true for 3 of 30 residents (#10, #127, and #144) whose bedrooms were observed. This deficient practice created the potential for harm if residents became too cold or hot and it compromised their health status. Findings include: The Centers for Medicare and Medicaid Services (CMS) State Operations Manual (SOM) Appendix PP, rev.225; issued: 8/8/24, §483.10(i) defines comfortable and safe temperature levels as the ambient temperature should be in a relatively narrow range that minimizes residents' susceptibility to loss of body heat and risk of hypothermia, or hyperthermia, or and is comfortable for the residents. The facility's Resident Environment Quality policy, dated 7/2021 and revised 6/2023, documented, resident rooms and activity areas should be of a comfortable temperature for the resident. Resident behavior should be observed (wearing sweaters, wrapping in blankets, etc.) to…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2025-01-24 · tag F0756 — failed to review each resident's drug regimen — isolatedEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, policy review, and staff interview, it was determined the facility failed to ensure pharmacy recommendations were followed or addressed by the attending physician. This was true for 2 of 5 residents (Resident #4 and #10) reviewed for pharmacy recommendations and had the potential for harm if residents' medications were administered without a clinical rationale. Findings include: The facility's policy for Pharmacy Medication Regimen Review (MRR), undated, stated the pharmacist will send monthly medication reviews to Director of Nursing (DON)/Designee who then prints the pharmacist recommendations and give to the medical provider to review and sign. 1. Resident #4 was admitted to the facility on [DATE], with multiple diagnoses including displaced fracture of first, second, third, and fourth metatarsal bones of the right foot, depression, and anxiety. A physician's order, dated 12/23/24, with no end date, documented Resident #4 was prescribed alprazolam 0.25 mg once daily as needed for…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-01-24 · tag F0842 — failed to keep accurate, complete medical records — isolatedSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review and staff interview, it was determined the facility failed to ensure accuracy of 1 of 12 resident records reviewed. This was true for Resident #146 and placed him at risk for harm when he was administered a medication that was listed on his allergy list. Findings include: Resident #146 was admitted to the facility on [DATE] for care following a lumbar fracture. On 1/24/25 Resident #146's medical record documented he had an allergy to opioid analgesics. Resident #146's physician orders and medication administration record (MAR) documented he had been prescribed and was receiving oxycodone (an opioid analgesic) since 12/15/24. On 1/24/25 at 11:10 AM, the DON confirmed Resident #146's allergy list documented he had an opioid analgesic allergy and he had been prescribed and had received opioid analgesics without complication. On 1/24/25 at 11:25 AM, the DON stated the documents from the transferring hospital did not include an allergy to opioid analgesics and it appears it was…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-02-23 · tag F0578 — failed to honor advance directives / code status — isolatedHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on policy review, record review, and staff and resident interview, it was determined the facility failed to ensure a resident's advance directive was obtained and documented in his record. This was true for 1 of 4 residents (Resident #7) whose advance directives were reviewed. This deficient practice created the potential for harm or adverse outcomes if the resident's wishes regarding their advance care planning were not followed or documented. Findings include: The facility's Resident's Rights Regarding Treatment and Advanced Directives policy, dated 11/1/22, stated: 1. On admission, the facility will determine if the resident has exhausted an advanced directive and, if not, determine whether the resident would like to formulate an advanced directive. 2. The facility will provide the resident or resident representative information, in a manner that is easy to understand, about the right to refuse medical or surgical treatment and formulate an advanced directive. 3. Upon admission, should the resident have…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-02-23 · tag F0655 — isolatedCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, policy review, and staff interview, it was determined the facility failed to ensure baseline care plans were developed within 48 hours of the residents' admission to establish care and monitoring for psychotropic medication use. This was true for 2 of 12 residents (#24, and #36) reviewed for baseline care plans. This failure created the potential for harm when the care plan failed to provide directions for care. Findings include: The facility's Psychotropic Medication Monitoring policy received on 2/22/24, documented the facility's psychotropic review process, including reviewing the residents who are on psychotropic medications upon admission and establishing a baseline care plan. The psychotropic medication care plan should be appropriate and individualized to the behaviors and interventions specified to the resident and updated after each psychotropic meeting. The staff should audit residents' care plans to ensure that the care plan accurately reflects current psychotropic medications…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-02-23 · tag F0758 — failed to limit and justify psychotropic drugs — isolatedImplement 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.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interview, it was determined the facility failed to ensure residents receiving psychoactive medications had resident-specific target behaviors identified and monitored and offered nonpharmacological interventions. This was true for 3 of 6 residents (#7, #24, #36) reviewed for psychoactive medications. This deficient practice created the potential for harm if residents received medications that may result in negative outcomes without a clear indication of need and monitoring. Findings include: The facility's Psychotropic Medication Monitoring policy, received on 2/22/24, documented the Psychotropic medications would be audited by the facility staff daily to ensure the following: - Psychotropic behavior tracking should be individually tailored to residents' need for the medication and try to make it as patient-centered as possible. - The adverse effects tracking should be placed appropriately in the electronic medical system. - The prescribed medication is appropriate for the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-02-23 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, staff interview, and record review, it was determined the facility failed to ensure infection control and prevention practices were followed to provide a safe and sanitary environment during a COVID-19 outbreak. COVID-19 is an infectious disease caused by a new virus causing respiratory illness with symptoms including cough, fever, new or worsening malaise, headache, or new dizziness, nausea, vomiting, diarrhea, loss of taste or smell, and in severe cases, difficulty breathing that could result in severe impairment or death. These failures placed residents at risk for adverse outcomes from cross-contamination of COVID-19. Findings include: 1. The Centers for Disease Control and Prevention (CDC) website for SARS-CoV-2 Rapid Testing Performed in Point-of-Care Settings, accessed on 2/26/24, documented after performing a COVID-19 test, the staff should decontaminate the testing area using an approved disinfectant, proper dilution, contact time, and safe handling of the used test specimens. On 2/20/24 at 7:25 AM, multiple COVID-19 test specimens were observed on top…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-02-23 · tag F0883 — failed to offer flu and pneumonia vaccines — isolatedDevelop and implement policies and procedures for flu and pneumonia vaccinations.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, policy review, and staff interview, it was determined the facility failed to ensure residents who were offered and consented to the pneumococcal vaccine, received the vaccine. This was true for 2 of 5 residents (#6 and #24) reviewed for pneumococcal vaccinations. This failure placed the residents at increased risk of pneumococcal (bacterial) pneumonia and the potential for severe illness or death. Findings include: The facility's Infection Prevention and Control Program policy, dated 1/12/24, documented the following: - Residents will be offered the pneumococcal vaccine recommended by the CDC upon admission unless contraindicated or received the vaccine elsewhere. - Education will be provided to residents and representatives regarding the benefits and potential side effects of immunization prior to offering the vaccines. - Residents will have the opportunity to refuse the immunization. - Documentation will reflect the education provided and details regarding whether or not the resident…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.
- Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
- Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
- State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Fines & penalties
$8,021 in federal fines across 1 penalty.
- $8,021 — penalty dated 2024-02-23
Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.
Part of a chain
This home belongs to SUNTERRA SPRINGS — 4 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →
| Rating | This home | Chain avg | |
|---|---|---|---|
| Overall | 4 of 5 | 3.8 | +0.2 vs chain |
| Health inspection | 3 of 5 | 3.0 | ≈ chain avg |
| Staffing | 3 of 5 | 3.3 | -0.3 vs chain |
| Quality measures | 5 of 5 | 4.8 | +0.2 vs chain |
The other 3 homes this chain runs (chain average 3.8★, per CMS)
A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.
Who owns this facility
| Owner / manager | Type | Role | Since |
|---|---|---|---|
| RMC ENTERPRISES LLC | Organization | DIRECT OWNERSHIP INTEREST; ADP OF THE SNF | since 04/01/2025 |
| BALL VENTURES LLC | Organization | INDIRECT OWNERSHIP INTEREST | since 04/01/2025 |
| BV OPERATIONS LLC. | Organization | INDIRECT OWNERSHIP INTEREST | since 04/01/2025 |
| BV PAC HOLDINGS LLC | Organization | INDIRECT OWNERSHIP INTEREST; ADP OF THE SNF | since 04/01/2025 |
| DLB LEGACY LLC | Organization | INDIRECT OWNERSHIP INTEREST; ADP OF THE SNF | since 04/01/2025 |
| RMCE OPERATIONS LLC | Organization | INDIRECT OWNERSHIP INTEREST | since 03/15/2026 |
| BALL, ALLEN | Individual | INDIRECT OWNERSHIP INTEREST | since 04/01/2025 |
| BALL, CONNIE | Individual | INDIRECT OWNERSHIP INTEREST | since 04/01/2025 |
| BANGERTE, NATHAN | Individual | INDIRECT OWNERSHIP INTEREST; MANAGING CONTROL - GOVERNING BODY | since 04/01/2025 |
| BANGERTER, DEE | Individual | INDIRECT OWNERSHIP INTEREST | since 04/01/2025 |
| BANGERTER, EDWARD | Individual | INDIRECT OWNERSHIP INTEREST; MANAGING CONTROL - GOVERNING BODY | since 03/28/2025 |
| BANGERTER, JOHNATHAN | Individual | INDIRECT OWNERSHIP INTEREST; MANAGING CONTROL - GOVERNING BODY | since 03/28/2025 |
| BANGERTER, LAMAR | Individual | INDIRECT OWNERSHIP INTEREST | since 04/01/2025 |
| SHRADER, RICHARD | Individual | INDIRECT OWNERSHIP INTEREST | since 04/01/2025 |
| DARBY, MEGAN | Individual | MANAGING CONTROL - GOVERNING BODY | since 04/01/2025 |
| GATHERUM, JASON | Individual | MANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL | since 04/01/2025 |
| HANSEN, KENT | Individual | MANAGING CONTROL - GOVERNING BODY | since 08/12/2025 |
| NEVES, COURTNEY | Individual | MANAGING CONTROL - GOVERNING BODY | since 04/01/2025 |
| OWENS, JON | Individual | MANAGING CONTROL - GOVERNING BODY | since 08/12/2025 |
| SNOWBALL, KELLY | Individual | MANAGING CONTROL - GOVERNING BODY | since 04/01/2025 |
| CAVARRETTA, CHRISTOPHER | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 01/31/2024 |
| STEVENS, GARY | Individual | OPERATIONAL/MANAGERIAL CONTROL | since 04/01/2024 |
| WILLIAMS, RYAN | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 01/10/2024 |
| ROCKY MOUNTAIN CARE LLC | Organization | ADP OF THE SNF | since 10/24/2025 |
CMS files one row per role, so the 33 rows in the source record cover these 24 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.
7 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.
Follow the money — this home’s finances
Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.
This home reported $921K paid to related parties — landlords or management companies under common ownership — equal to about 15% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.
Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.
Cost & finances
Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.
What families pay in ID
CMS lists this home as Medicare-certified only — it is not Medicaid-certified, so it generally cannot accept Medicaid as payment for a long-term stay. That makes it one of roughly 545 homes nationally where a Medicaid-funded placement is not an option. If you expect to rely on Medicaid, ask the home directly before you tour, and see the Idaho Medicaid page for homes that do.
Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.
Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 135139. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-01-09, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →
Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →
Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.