Advanced Health Care of Coeur d'Alene

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.

78.5% 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 630 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 79.7% 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 305 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 1.38 therapist hours per resident per day in 2026Q1 — more than 99% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 17% 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.

Staffing

How full it usually is: this home is certified for 34 beds and averages 29.9 residents a day — about 88% occupied, or roughly 4 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 5.49 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.24 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 3.08 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 4.50 hrs/resident/day on weekends vs 5.90 on weekdays — 24% thinner on weekends — a notable drop. RN hours go from 1.49 to 0.65 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 45% is about the same as the national median of 45%. 1 administrator has left in the past year.

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 fewer than at the previous inspection — improving. 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.

18 citations, most serious first. The 10 most serious are shown; the remaining 8 are one tap away and print in full.

• Potential for harm · Fcited before2026-05-21 · tag F0812 — failed to store, cook, and serve food safely — widespread
  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, interview, and policy review, the facility failed to ensure shelves, trash cans, and equipment throughout the kitchen were kept clean and/or in good repair and foods were stored, labeled and dated. The failures had the potential to increase the prevalence and spread of foodborne illness and infection for all 29 of 29 residents who received meals prepared in the facility's only kitchen. Findings include: During the dietary tour on 05/18/26 at 9:25 AM, the following observations were made with the Dietary Aide (DA): 1.An open 1 pound box of corn starch in an unsealed plastic storage bag on a shelf in the food preparation area.2.White dry powder substance around the dry storage containers of flour and sugar on the shelf in the food preparation area. 3.In the chest freezer, six unlabeled dated cups with lids that had open drink spouts. 4.Three small trash cans located by the hand washing sinks were observed with dirty lids.5.In the walk in freezer, seven unlabeled, undated plastic cups on a shelf. Three were uncovered and four were covered with plastic. 6.The plate…

  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 · D2026-05-21 · 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

  Based on interview, record review and policy review, the facility failed to revise one resident's (Resident (R) 46) comprehensive care plan reviewed in the sample of 20 residents to reflect the discontinued TED hose compression stockings and the initiated application of Tubi-Grip support bandage. This failure had the potential to result in inconsistent care and failure to provide staff with accurate guidance regarding the residents' compression treatment needs. Findings include: Review of R46's admission Record located in the electronic medical record (EMR) under the Resident tab revealed an admission date of 02/10/25 with a diagnoses of fracture of the shaft of the right femur, lymphedema, and osteoporosis, Review of R46's admission Minimum Data Set (MDS) with an assessment reference date (ARD) of 02/04/25 located in the EMR under the MDS tab included a Brief Interview for Mental Status (BIMS) score of seven out of 15, which indicated severe cognitive impairment. Review of R46's Care Plan located in the EMR under the Care Plan tab dated 02/23/25 indicated, Actual Impaired Skin…

  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 · D2026-05-21 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interviews, record review, and policy review, the facility failed to ensure safe transportation for one of three residents (Resident (R)25) reviewed for accidents. Specifically, when R25 was transported to an outside appointment in the facility, van the resident slid off her wheelchair onto the van floor during transport, resulting in a laceration/abrasion injury. This failure had the potential to place residents at risk for injury during transportation. Findings include: Review of R25's admission Record located in the electronic medical record (EMR) underthe Resident tab revealed an admission date of 04/06/26 with a diagnoses of acute pancreatitis with infected necrosis, hepatic encephalopathy, hypertensive chronic kidney disease, Type 2 diabetes mellitus, atrial fibrillation, and hypothyroidism. Review of R25's admission Minimum Data Set (MDS) with an assessment reference date (ARD) of 04/12/26 located in the EMR under the MDS tab included a Brief Interview for Mental Status (BIMS) score of 15 out of 15, indicated she was cognitively intact. Review of R25's Care Plan…

  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 · Fcited before2025-03-20 · tag F0812 — failed to store, cook, and serve food safely — widespread
  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 kitchen equipment was maintained, cleaned, and sanitized. These deficiencies had the potential to affect the 43 residents who consumed food prepared by the facility. This placed residents at risk for potential foodborne illnesses and adverse health outcomes due to contaminated food services equipment. Findings include: 1. The Food Drug Administration (FDA) Food Code Section 4-602.11 Equipment Food-Contact Surfaces and Utensils, documented: (E) Surfaces of utensils and equipment contacting food that is not time/temperature control for food shall be cleaned: (4) In equipment such as ice bins and beverage dispensing nozzles and enclosed components of equipment such as ice makers, cooking oil storage tanks and distribution lines, beverage and syrup dispensing lines or tubes, coffee bean grinders, and water vending equipment: (a) At a frequency specified by the manufacturer, or (b) Absent manufacturer specifications, at a frequency necessary to preclude accumulation of soil or mold. On 3/16/25 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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-03-20 · tag F0625 — isolated
  Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
  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 interview, it was determined the facility failed to ensure a bed hold notice was provided to residents and/or their representatives upon transfer to the hospital. This was true for 1 of 7 residents (Resident #21) reviewed for transfers. This deficient practice created the potential for harm if residents were not informed of their right to return to their former bed/room at the facility within a specified time. Findings include: Resident #21 was admitted to the facility on [DATE] and readmitted on [DATE], with multiple diagnoses including acute posthemorrhagic anemia, hypertensive heart disease, and chronic kidney disease. A nursing progress note, dated 1/30/25 at 5:20 PM, documented the facility received a call from Resident #21's cardiologist that they were sending Resident #21 to the emergency room for evaluation of her hypotension (low blood pressure). Resident #21's record did not include documentation a bed-hold notice was provided to her and/or to her…

  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 before2025-03-20 · tag F0655 — isolated
  Create 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

  Based on policy review, record review, observation, and staff interview, it was determined the facility failed to ensure the baseline care plan included resident's use of oxygen. This was true for 1 of 6 residents (Resident #90) whose baseline care plan were reviewed. This deficient practice created the potential for harm if residents' respiratory needs were not met. Findings include: The facility's Baseline Person Centered Care Plan, policy and procedure, revised September 2023, documented the baseline care plan is developed during the admission process to direct patient care, and it covers the basic information utilized to disseminate information to provide care for a newly admitted or readmitted patient. A physician's order, dated 3/12/24, documented Resident #90 was to receive oxygen per nasal cannula to maintain her oxygen saturation greater than 90 percent. On 3/18/25 at 9:57 AM, Resident #90 was observed in her room sitting in her recliner. Resident #90 was receiving oxygen via a nasal cannula at two liters per minute. Resident #90's Baseline Care Plan did not include her 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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-03-20 · tag F0760 — failed to prevent significant medication errors — isolated
  Ensure 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 facility's policy and procedure, review of Incidents and Accidents (I&As) reports, and staff interview, it was determined the facility failed to ensure residents were free from significant medication errors. This was true for 2 of 2 residents (#20 and #141) reviewed for medication errors. Findings include: The facility's Medication Error policy and procedure, undated, included following the six rights of medication: 1. Right Patient 2. Right Medication 3. Right Dosage 4. Right Dosage Form 5. Right Route 6. Right Time Upon identifying a medication error, the nurse should immediately assess the patient for adverse effects related to the error, and if significant, immediately notify the attending physician. The discovering nurse will initiate the Medication Error Event, and the nurse committing the error will complete the Medication Error Event to include notification to the physician (if not previously notified). The Director of Nursing (DON) will review the Medication Error Event…

  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 · Past Non-Compliance
• Potential for harm · F2021-08-23 · tag F0680 — widespread
  Ensure the activities program is directed by a qualified professional.
  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 facility document review and staff interview, it was determined the facility failed to ensure the activities program was directed by a qualified professional. This failure had the potential to compromise the mental and psychosocial well-being of all 25 residents residing in the facility, including Resident #103, if the activities program was not designed to accommodate specific needs and interests. Findings include: Resident #103 was admitted to the facility on [DATE], with multiple diagnoses including dementia and recurrent major depressive disorder. On 8/16/21 at 4:46 PM, Resident #103 was observed in her room sitting in a chair with the TV on. Resident #103 said she did not know why she was in the facility nor for how long, and had difficulty understanding questions. On 8/17/21 at 5:30 PM, Resident #103's family member stated Resident #103 came to the facility after surgery and was isolated in her room due to COVID-19. Resident #103's family member said, a person her age should not be left alone. 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2021-08-23 · tag F0550 — failed to protect resident dignity and rights — pattern
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, review of facility documentation, and staff interview, it was determined the facility violated resident rights when they were placed on quarantine unnecessarily. This was true for 14 of 25 residents (#7, #11, #25, #28, #29, #30, #32, #33, #37, #39, #40, #41, #220, and #225) residing in the facility. This had the potential to cause psychosocial distress such as depression, anxiety, and adverse behaviors from being isolated to their rooms for residents who did not require quarantine. Findings include: The CDC website, accessed on 8/30/21, included a section for Discontinuation of Transmission-Based Precautions and Disposition of Patient with SARS-CoV-2 Infection in Healthcare Settings. The website stated that patients who are not symptomatic and results are negative from at least two consecutive respiratory specimens collected more than 24 hours apart (total of two negative specimens) tested using an FDA-authorized laboratory-based NAAT [Nucleic Acid Amplification Test] to detect SARS-CoV-2 RNA could be discontinued from transmission-based precautions. This…

  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 · E2021-08-23 · tag F0641 — pattern
  Ensure each resident receives an accurate assessment.
  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, review of facility Incident & Accident (I&A) reports, and staff interview, it was determined the facility failed to ensure their Fall Risk Assessment included all elements to accurately reflect residents' risk for falling. This was true for all 25 residents who currently resided in the facility. This failure increased the potential for harm should a resident receive inappropriate care related to discrepancies in the Fall Risk Assessment. Findings include: The facility's policy Fall Prevention, undated, documented upon admission each resident was evaluated for their risk of falling using the Fall Risk Assessment. The policy stated based on the calculated score from the assessment a care plan was to be completed and interventions initiated. The facility's Fall Risk Observation & Care Plan tool stated upon admission and at least quarterly, observe the resident status related to 8 clinical condition parameters listed and assign the score which best described the resident. 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.

  Resident Assessment and Care Planning 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.

Part of a chain

This home belongs to ADVANCED HEALTH CARE — 26 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 →

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

CMS files one row per role, so the 10 rows in the source record cover these 8 parties — each is shown once here with every role it holds. Nothing is omitted.

5 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 $1.2M paid to related parties — landlords or management companies under common ownership — equal to about 18% 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.

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