Boundary County Nursing Home

Location & what’s nearby

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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

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.

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.

Therapy staffing: this home’s payroll records show <0.01 therapist hours per resident per day in 2026Q1 — more than 0% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 0% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. 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.

Staffing

How full it usually is: this home is certified for 20 beds and averages 17.9 residents a day — about 89% 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 5.74 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 2.25 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.98 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 4.85 hrs/resident/day on weekends vs 6.10 on weekdays — 21% thinner on weekends — a notable drop. RN hours go from 2.54 to 1.53 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 41% is about the same as 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.

26 citations, most serious first. The 10 most serious are shown; the remaining 16 are one tap away and print in full.

• Potential for harm · E2026-05-01 · tag F0688 — failed to keep residents mobile / prevent decline — pattern
  Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
  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 received restorative services as ordered. This was true for 2 of 3 residents (#17 and #18) reviewed for limited range of motion who did not receive restorative services as ordered. It was also determined the facility failed to assess the need for restorative services for 1 of 3 residents (Resident #19) whose records were reviewed for limited range of motion. These failures created the potential for decline in residents' range of motion. Findings include:The facility's Restorative Nursing Program policy, revised 10/19/25 documented, the purpose of the program is to maintain or improve the resident's optimal level of physical, mental, and psychological function.1.Resident #17 was admitted to the facility on [DATE] with diagnoses including age related osteoporosis, chronic pain, and a fracture of the left hip joint. A review of the resident's restorative nursing program documented the following…

  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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-05-01 · tag F0699 — pattern
  Provide care or services that was trauma informed and/or culturally competent.
  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 comprehensively assessed for a history of trauma, including identification of trauma related triggers. This was true for 3 of 3 residents (#7, 17, and 18) whose records were reviewed for trauma informed care. This failure created the potential for psychosocial harm related to re traumatization. Findings include:1.Resident #7 was admitted to the facility on [DATE] with multiple diagnoses including anemia, moderate dementia, and chronic pain.A review of Resident #7's care plan documented she had experienced sexual assault during her lifetime and expressed feeling safe in the facility.The care plan did not document the need for an annual trauma evaluation.A review of Resident #7's record identified an Annually/Quarterly Trauma Evaluation form, dated 4/24/26.The form included a section titled Staff Assessment asking whether the resident had exhibited any of the following since the last trauma evaluation:-Change…

  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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-05-01 · tag F0759 — failed to keep medication error rate low — pattern
  Ensure medication error rates are not 5 percent or greater.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review, observation, facility policy, and staff interview, it was determined the facility failed to ensure residents were free from medication error rates greater than 5%. This failure had the potential to affect all residents who receive medications in the facility by increasing the risk of adverse health outcomes. Findings include:The facility's Medication Administration Policy, revised 4/15/26, documented that the following rights of medication administration must be followed to ensure accurate identification of the medication and the resident prior to administration:-Right drug-Right dose-Right time (within one hour of the time ordered)-Right route of administration-Right patient/resident-Verification of accuracy if the resident questions a medicationOn 4/29/26 at 9:24 AM, LPN #1 was observed preparing and administering medications to Resident #3. During the medication preparation process, LPN #1 was asked to verify the following physician orders:-Metamucil capsule: give 1 capsule by mouth daily for constipation-Cranberry supplement: give 2 capsules for cystitis…

  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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-05-01 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and staff interview, it was determined the facility failed to ensure a food service employee wore a properly positioned hair restraint while preparing and handling resident food, as required by FDA Food Code SS2 501.11 and 2 402.11. This failure had the potential to result in hair contamination of residents' meals who consume food provided by the facility. Findings include:FDA Food Code S2 501.11 requires that food employees wear hair restraints-such as hats, hair coverings or nets, beard restraints, and clothing that covers body hair-that are designed and worn to effectively prevent hair from contacting exposed food.FDA Food Code S2 402.11 states that consumers are particularly sensitive to food contaminated by hair. Hair can serve as both a direct and indirect vehicle of contamination. Food employees may contaminate their hands when touching their hair. Proper hair restraints prevent dislodged hair from falling into food and may deter employees from touching their hair.On 04/30/26 at 12:12 PM, during a tray line observation, Nutritional Aide #1 was observed in…

  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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-05-01 · tag F0865 — failed to run a quality-improvement (QAPI) program — pattern
  Have a plan that describes the process for conducting QAPI and QAA activities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review, policy review, and staff interview, it was determined the facility failed to ensure the Quality Assurance and Performance Improvement (QAPI) Committee effectively identified, monitored, and corrected ongoing systemic issues related to the Restorative Nursing Program. This failure resulted in continued inability to meet the facility's established benchmark for restorative service (RA) completion and documentation across multiple consecutive quarters from 2024 through 2026. These findings demonstrate the QAPI Committee did not ensure the implementation of effective corrective actions or sustained performance improvement as required. Findings include:The facility's Quality Management Plan revised 1/29/26, documented the Interdisciplinary Quality Program's purpose is to develop and implement a systematic, coordinated, facility-wide approach to providing quality care and sustainability including efforts to pursue opportunities to continually improve patient care services, clinical performance, cost-effective care, and resolve identified areas of concern.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.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-05-01 · tag F0578 — failed to honor advance directives / code status — isolated
  Honor 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 the State Operations Manual (SOM), record review, and staff interview, it was determined the facility failed to ensure a copy of a resident's advance directive was maintained in the medical record. This was true for 1 of 2 residents (Resident #12) whose records were reviewed for advance directives. This failure created the potential for an adverse outcome if Resident #12 became unable to communicate treatment preferences and those preferences were not available to guide care. Findings include:The State Operations Manual, Appendix PP, defines an Advance Directive as a written instruction, such as a living will or durable power of attorney for health care, recognized under State law (whether statutory or as recognized by the courts of the State), relating to the provision of health care when the individual is incapacitated.The Manual further explains that a Physician Orders for Life Sustaining Treatment (POLST) form is a portable medical order designed to communicate a patient's treatment preferences…

  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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-05-01 · tag F0628 — isolated
  Provide 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 staff interview, it was determined the facility failed to notify the Ombudsman of a resident's discharge. This was true for 1 of 1 residents (Resident # 23) whose record was reviewed for discharge documentation. This failure created the potential for adverse outcomes including the need for an advocate when the Ombudsman was not notified of Resident #23's discharge. Findings include:The State Operations Manual (SOM), Appendix PP, Notice before transfer, revised 7/23/25 documented:Before a facility transfers or discharges a resident, the facility must-Notify the resident and the resident's representative(s) of the transfer or discharge and the reasons for the move in writing and in a language and manner they understand. The facility must send a copy of the notice to a representative of the Office of the State Long-Term Care Ombudsman.Resident #23 was admitted to the facility on [DATE] with multiple diagnoses including Alzheimer's dementia (memory loss and confusion) and epilepsy (seizure…

  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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-05-01 · tag F0657 — failed to keep the care plan current — isolated
  Develop 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 record review and staff interview, it was determined the facility failed to ensure the comprehensive, person centered care plan was revised to reflect accurate and current information for 1 of 8 residents (Resident #7) whose record was reviewed for care planning. This failure created the potential for inaccurate care planning and inconsistent implementation of care. Findings include:Resident #7 was admitted to the facility on [DATE] with multiple diagnoses including anemia (when blood doesn't have enough healthy blood cells), moderate dementia, and chronic pain.A review of Resident #7's physician orders documented:-An order dated 12/15/25 directing staff to administer aspirin 81 mg by mouth once daily for CAD.-An order dated 2/5/26 directing staff to administer sertraline (Zoloft-an antidepressant) 50 mg by mouth once daily for depression and chronic pain.A review of Resident #7's comprehensive care plan documented:-A problem statement indicating the resident had a history of anemia and required daily…

  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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-05-01 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
  Provide safe and appropriate respiratory care for a resident when needed.
  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 staff interview, it was determined the facility failed to store the nebulizer mouthpiece appropriately and failed to change CPAP tubing. This was true for 1 of 1 residents (Resident #2) whose CPAP and nebulizer supplies were observed. This failure placed Resident #2 at risk of respiratory infection due to growth of pathogens (Organism that cause illnesses) in the respiratory equipment. Findings include:The Facility's nebulizer policy titled: Administering Medications through a small Volume (Handheld) Nebulizer documented the following:-Disassemble the nebulizer and wash with mild soap and water and rinse well. Place on paper towels or regular towel by the sink to air dry.-When equipment is completely dry, store in a plastic bag with the resident's name and the date on it. a. Resident #2 was admitted to the facility on [DATE] with multiple diagnoses including Obstructive Sleep Apnea (OSA- a serious sleep disorder causing repeated airway collapse and…

  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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-05-01 · tag F0726 — failed to have competent, trained nursing staff — isolated
  Ensure 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

  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 staff with the appropriate competencies directed the care and oversight of the Restorative Nursing Program. This was true for 1 of 1 Restorative Nurse whose personnel record was reviewed for required competencies. This failure placed residents at risk for unmet or undetected restorative needs due to the absence of qualified assessments and oversight. Findings include:The facility's Restorative Nursing Program Policy, revised 10/29/25, documented the Restorative Nurse, Restorative Aide, physical therapist, occupational therapist, speech therapist, and the Director of Nursing are responsible for overseeing the program.The policy further documented that an assessment and evaluation is to be initiated for all residents when a functional decline is noted, and that a nurse or appropriate therapist is responsible for re evaluating and initiating or updating the restorative plan of care.1. Resident #19 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.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction

“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.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

CMS files one row per role, so the 16 rows in the source record cover these 8 parties — each is shown once here with every role it holds. Nothing is omitted.

2 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.

What families pay in ID