Idaho State Veterans Home - Pocatello
1957 Alvin Ricken Drive, Pocatello, ID 83201 · Government - State · 66 certified beds · (208) 235-7800 Medicare & Medicaid certified
This home has serious findings on its record. Read them closely before you consider it.
- a middle-of-the-pack inspection score (3/5)
- no federal fines or payment denials on record
- a high payroll-based staffing rating (5/5)
- it has an abuse, neglect, or exploitation citation (F0600), cited Aug 2025
- it has citations for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0609, F0610) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
- a high number of inspection citations overall (23) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- its payroll- and facility-reported staffing and quality-measure scores sit well above its independent inspection score
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) | 5 of 5 |
| Quality measuresSelf-reported by the facility | 5 of 5 |
Worth a closer look. This home's staffing and quality-measure ratings run 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, and staffing on its payroll (PBJ) submissions — 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 |
| Long-stay residentspeople who live here | 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 held steady at 4 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 |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 19.3% | 15.6% | 15.4% | worse |
| Long-stay residents who lose too much weight | 2.1% | 5.2% | 5.4% | better |
| Long-stay residents with a catheter left in their bladder | 3.7% | 1.2% | 0.9% | worse |
| Long-stay residents with a urinary tract infection | 0.5% | 2.0% | 2.0% | better |
| Long-stay residents with depressive symptoms | 12.0% | 15.1% | 6.5% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% | better |
| Long-stay residents with falls causing major injury | 4.5% | 3.0% | 3.3% | worse |
| Long-stay residents whose ability to walk worsened | 17.7% | 16.1% | 16.1% | worse |
| Long-stay residents on antianxiety or hypnotic medication | 22.3% | 16.3% | 18.9% | worse |
| Long-stay residents given the seasonal flu vaccine | 100.0% | 96.2% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 4.8% | 3.2% | 4.7% | typical |
| Long-stay residents with worsening bladder/bowel control | 24.9% | 22.1% | 21.2% | worse |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 10.5% | 20.1% | 17.1% | better |
| Short-stay residents who newly got an antipsychotic medication | 4.8% | 1.8% | 1.4% | worse |
| Short-stay residents given the seasonal flu vaccine | 60.9% | 86.5% | 79.4% | worse |
| Long-stay hospitalizations per 1,000 resident days | 0.65 | 1.17 | 1.67 | better |
| Long-stay outpatient ER visits per 1,000 resident days | 0.62 | 1.66 | 1.80 | better |
‡ On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.
§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.
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.
Therapy staffing: this home’s payroll records show 0.16 therapist hours per resident per day in 2026Q1 — more than 15% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 8% 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 | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality 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 | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality 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 66 beds and averages 52.9 residents a day — about 80% occupied, or roughly 13 beds typically open. It usually has some room. 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 4.95 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.61 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.91 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 4.25 hrs/resident/day on weekends vs 5.23 on weekdays — 19% thinner on weekends. RN hours go from 1.75 to 1.25 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 49% 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.
23 citations, most serious first. The 10 most serious are shown; the remaining 13 are one tap away and print in full.
- Potential for harm · F2025-08-07 · tag F0578 — failed to honor advance directives / code status — widespreadHonor 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 interview, it was determined the facility failed to ensure residents and their representative received assistance to exercise their right to formulate an Advance Directive. This was true for 10 of 54 residents (#1, #2, #4, #9, #19, #26, #27, #29, #46, and #55) whose records were reviewed for advance directives. This deficient practice created the potential for harm or adverse outcomes if the residents' wishes were not followed or documented regarding their advance care planning. Findings include:The facility’s Residents Rights Regarding Treatment and Advance Directives policy dated March 2025, documented It is the policy of this facility to support and facilitate a resident’s right to request, refuse, and/or discontinue medical or surgical treatment and to formulate advance directives. a. Resident #1 was admitted to the facility on [DATE], with multiple diagnoses including coronary artery disease, GERD (a chronic digestive disorder where stomach acid frequently…
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 · Ecited before2025-08-07 · tag F0684 — failed to provide proper treatment and quality of care — patternProvide 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 the facility Bowel Management Protocol, record review and staff interview, it was determined the facility failed to follow the facility bowel care standing order of delivering specific medications when residents do not have BM within 72 hours for 5 of 16 Residents (#5, #9, #11, #26, and #35) who records were reviewed for bowel and bladder care. This failed practice created the potential for residents to experience discomfort when medications were not administered according to the physician's order. Findings include:The facility Bowel Management Protocol dated 4/2018, documented a resident's bowel movement(s) will be documented in Point of Care every shift. The licensed nurse will write and implement standing orders for progressive bowel elimination intervention as follows:- Step 1 - Bisacodyl tab give 10 mg by mouth as needed for constipation if no BM X 48-72 hours.- Step 2 - Bisacodyl suppository, insert 1 suppository rectally as needed for constipation if no BM X 12-24 hours following Bisacodyl tabs…
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 · D2025-08-07 · tag F0550 — failed to protect resident dignity and rights — isolatedHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
What the surveyor found here — the official record, unedited, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations and interviews, it was determined that the facility failed to treat each resident with respect and dignity. This was true for 1 of 4 residents (Residents #19) observed for covered urinary drainage bag. This deficient practice had the potential for residents to experience embarrassment, and low feelings of self-worth. Findings include: Resident #19 was admitted on [DATE] with readmit on 6/17/24, with multiple diagnoses including heart failure, diabetes, and obstructive uropathy (condition when urine cannot drain through the urinary tract). On 8/4/25 at 2:31 PM, Resident #19's urinary drainage bag was uncovered and visible from the open doorway of his room. On 8/4/25 at 3:26 PM, the DON stated the urinary drainage bag should have been covered and was not.
- Potential for harm · D2025-08-07 · tag F0600 — failed to protect residents from abuse and neglect — isolatedProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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 resident's rights to be free from abuse were protected. This was true for 1 of 1 resident (Resident #61) whose record was reviewed for resident-to-resident abuse. This failure placed residents at risk for potential abuse and potential physical and psychosocial harm. Findings include:The facility Freedom from Resident Abuse, Neglect, Mistreatment, and Exploitation policy dated 2024, documented each resident.has the right to be free from verbal, sexual, physical, and mental abuse.Resident #29 was admitted to the facility on [DATE], with multiple diagnoses including dementia and history of falling. Resident #29’s care plan dated 9/19/24, documented as a focus, I can be intrusive into others space while interventions are listed as intervene, redirect and remove environment as needed and observe and report signs and symptoms of me posing danger to self and others and intervene as needed. Resident #61 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 · D2025-08-07 · tag F0641 — isolatedEnsure 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 review of the Resident Assessment Instrument (RAI), record review, and staff interview, the facility failed to ensure residents Minimum Data Set (MDS) had correct assessment information. This was true for 1 of 16 residents (Resident #46) reviewed for accuracy of MDS assessments. This deficient practice created the potential for residents to have their mental health needs not met due to inaccurate assessments. Findings include:Chapter 3 of The Resident Assessment Instrument (RAI), revised 10/1/2024, documented if a resident is currently considered by the state level II PASRR (Preadmission Screening and Resident Review) process to have a serious mental illness, then section A1500 of the MDS should be marked yes.Chapter 5 of the RAI documented if an MDS assessment is found to have errors that incorrectly reflect the resident's status, that assessment must be corrected.Resident #46 was admitted to the facility on [DATE], with multiple diagnoses including hypertension, diabetes, and PTSD (a serious mental…
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 · D2025-08-07 · tag F0645 — isolatedPASARR screening for Mental disorders or Intellectual Disabilities
What the surveyor found here — the official record, unedited, 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 refer residents for further evaluation when residents were diagnosed with a major mental illness. This was true for 1 of 16 residents (Resident #35) reviewed for Pre-admission Screening and Resident Review (PASARR) Level II evaluations. This deficient practice had the potential to cause harm if residents' specialized services for mental health needs were not evaluated by an appropriate state-designated authority. Findings include:Resident #35 was admitted to the facility on [DATE], with multiple diagnoses including dementia and PTSD.Resident #35 Level I PASRR dated 6/6/25, was generated in Arizona and had not documented PTSD, which was documented in his medical record diagnoses. A Level II PASRR for Resident #35 had not been requested or completed as required in Idaho. On 8/6/25 at 2:35 PM, the DON stated they should have created an updated Level I PASRR documenting PTSD and requested a Level II PASRR and did not.
- Potential for harm · D2025-08-07 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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, interview, and record review, the facility failed to follow the resident's comprehensive person-centered care plan. This was true for 2 of 16 residents (#9 and #35) whose care plans were reviewed. This deficient practice of not following care plans placed residents at risk to their health and wellbeing with negative outcomes if services were not provided or provided incorrectly. Findings include:a. Resident #9 was admitted to the facility on [DATE], with multiple diagnoses including diabetes and heart failure.On 8/4/25 at 8:30 AM, observed CNA #1 transfer Resident #9 from his wheelchair to his bed using a sit to stand device.Resident #9's physician orders related to assistive devices documented transfer stability for inability to bear weight related to CVA and left side hemiplegia and weakness.Resident #9's care plan documented that resident is a two person assist when transferred using a sit to stand device.b. Resident #35 was admitted to the facility on [DATE], with multiple diagnoses…
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 · D2025-08-07 · tag F0755 — failed to provide safe pharmacy services — isolatedProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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 accurate use of over the counter (OTC) medication left at bedside, and controlled medications were tracked and kept secure from potential theft and/or diversion. This was true for 1 of 16 residents (Resident #55) and the facility. This failure created the potential for undetected misuse of medications and/or diversion of controlled medications and had the potential to affect all residents who received medication in the facility. Findings include: a. Resident #55 was admitted to the facility on [DATE], with multiple diagnoses including epilepsy and aphasia (a neurological condition that affects a person's ability to communicate). On 8/4/25 at 8:15 AM, observed in Resident #55’s room on the bedside table a bottle of Tylenol and Nyquil. There was a physician's order for the Tylenol but not the Nyquil. 8/6/25 at 2:41 PM, the DON stated residents often bring in OTC medicines and don’t tell nursing staff of the recent purchase.…
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 · D2025-08-07 · 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 observations, and staff interviews it was determined the facility failed to ensure medications were stored and kept secure, and biologicals were labeled when opened. This was true for 1 of 16 Residents (Resident #46) and the facility. These deficient practices created the potential for theft or misuse of medication and the use of expired biologicals. Findings include: 1. The following was observed for biologicals. On [DATE] at 10:25 AM, one set of glucose test solutions were not dated with the open date or the expiration date. On [DATE] at 10:27 AM, LPN #2 stated the glucose test solutions were not dated and should have been. On [DATE] at 10:50 AM, RN #9 stated glucose test solution bottles should be dated when opened and were not. 2. Resident #46 was admitted to the facility on [DATE], with multiple diagnoses including hypertension, diabetes, and PTSD. On [DATE] at 9:40 AM, Resident #46’s morning medications was observed sitting in a medication cup on his bedside table in his room with no licensed…
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 before2025-08-07 · 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff interview, and record review it was determined the facility failed to ensure infection control prevention practices were maintained to provide a safe and sanitary environment. This was true for 4 of 16 residents (#9, #21, #22, and #36) and the facility observed for infection control. These failures put residents at risk for cross contamination and infection. Findings include: 1.Resident #9 was initially admitted to the facility on [DATE], with readmission on [DATE], with multiple diagnoses including coronary artery disease and diabetes. Resident #9’s medication orders included administer Novolog 100u/ml per sliding scale and Glargine 19u every AM. On 8/6/25 at 8:35 AM, observed RN #2 place a syringe containing Novolog insulin and a syringe containing Glargine insulin on Resident #9’s bed next to him as she cleaned the injection site. RN #2 then picked up each syringe off the bed and administered the insulin to Resident #9. On 8/6/25 at 8:38 AM, RN #2 stated she should have placed 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.
Show the remaining 13 citations
- Potential for harm · Dcited before2024-07-19 · tag F0609 — failed to report abuse allegations — isolatedTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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 a facility reported investigation, policy review, and staff interview, the facility failed to ensure an allegation of sexual abuse was reported to the State Agency within two hours. This was true for 1 of 18 residents (Resident #149) reviewed for abuse. This failure resulted in Resident #149's allegation of sexual abuse not being acted on in a timely manner, investigated, and measures implemented to protect residents during the investigation, which placed all residents in the facility at risk of abuse. Findings include: The facility's policy, Abuse Prevention Notification and Reporting Guidelines, states the facility does not condone resident abuse or neglect by anyone. All personnel will promptly report any incident or suspected incident of resident abuse. The first person to suspect abuse, is responsible for notifying the Home Administrator by telephone per the facility's Policy. - Resident #149 was admitted to the facility on [DATE], with multiple diagnoses including post hospitalization care 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 · Dcited before2024-07-19 · 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 record review, facility investigation report, and resident and staff interview, it was determined the facility failed to ensure physician orders were followed for pain medication administration and a respiratory treatment. This was true for 1 of 18 residents (Resident #18) reviewed for quality of care. These failures created the potential to adversely affect Resident #18 whose care and services were not delivered according to physician orders. Finding include: Resident #18 was admitted to the facility on [DATE] with multiple diagnosis including Chronic Obstructive Sleep Apnea (when a blockage in the airway keeps air from moving through the windpipe while asleep). A quarterly MDS assessment, dated 5/31/24, documented Resident #18 received oxygen therapy. A physician order, dated 6/29/24 documented Resident #18 was to receive a Norco Oral tablet (narcotic pain medication) 5-325 milligrams (mg), 1 tablet as needed. The order also documented Resident #18 was to receive continuous positive airway pressure…
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 · D2024-07-19 · tag F0700 — isolatedTry different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
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, policy review, record review, and resident and staff interview, it was determined the facility failed to ensure alternatives to bed rails were attempted or were assessed for use of bed rails prior to placing bed rails on the residents' bed. This was true for 2 of 2 residents (#33 and #34) reviewed for bed rails. This failure created the potential for harm due to the risk of entrapment and injury. Findings include: The facility's policy titled, Proper Use of Bed Rails, dated 10/2023, stated it is the policy of this facility to utilize a person-centered approach when determining the use of bed rails. Appropriate alternative approaches are attempted prior to installing or using bed rails. The policy further stated the facility will attempt to use appropriate alternatives prior to installing or using bed rails. Alternatives that are attempted should be appropriate for the resident, safe and address the medical conditions, symptoms, or behavioral patterns for which a bed rail was considered. 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 · E2019-08-09 · tag F0622 — patternNot transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY 4. Resident #38 was readmitted to the facility on [DATE], with multiple diagnoses including heart disease and congestive heart failure. A progress note, dated 8/6/19 at 12:30 PM, documented verbal communication from the physician to send Resident #38 to the hospital via emergent transport for evaluation and treatment. A progress note, dated 8/6/19 at 1:30 PM, documented Resident #38 was sent to the hospital ER for unresponsiveness, inability to follow commands, weakness, and bradypnea (abnormally slow breathing), after consulting with Resident #38's Durable Power of Attorney. Resident #38's record did not include documentation the required information was provided to the hospital to ensure a safe and effective transition of care. On 8/8/19 at 9:30 AM, the DNS stated Resident #38's record did not include documentation the facility conveyed the required information to the hospital ER on [DATE]. 5. Resident #61 was readmitted to the facility on [DATE], with multiple diagnoses including syncope (lightheadedness) 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.
- Potential for harm · D2019-08-09 · 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 observation, record review, policy review, and resident and staff interview, it was determined the facility failed to ensure the physician was notified when a resident's oxygen saturation (percentage of oxygen in the blood) was below prescribed parameters. This was true for 1 of 5 residents (Resident #37) reviewed for oxygen therapy, and created the potential for harm should the resident experience adverse consequences from lack of physician notification and intervention. Findings include: The facility's policy for Notification of Changes, undated, documented the physician was notified immediately in the event a resident experienced changes, including but not limited to a significant change in the resident's physical, mental, or psychosocial status, or when there was a need to alter treatment. Resident #37 was readmitted to the facility on [DATE], with multiple diagnoses including COPD (a progressive lung disease that results in shortness of breath) and acute respiratory failure with hypoxia (low oxygen…
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 before2019-08-09 · tag F0609 — failed to report abuse allegations — isolatedTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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 bruises of unknown origin in suspicious areas of a resident's body were reported to the Administrator and State Survey Agency within 2 hours of when the bruises were identified by facility staff. This was true for 1 of 1 resident (Resident #31) reviewed for injuries of unknown origin. This failure created the potential harm if the injuries of unknown origin on Resident #31's thigh and breast were a result of abuse. Findings include: The facility's policy titled Freedom from Abuse, Neglect, and Exploitation, last revised 12/2017, documented all alleged violations involving abuse, neglect, exploitation or mistreatment, including injuries of unknown source and misappropriation of resident property, are reported immediately, but not later than 2 hours after the allegation is made, if the events that cause the allegation involve abuse or result in serious bodily injury, or not later than 24 hours if the events…
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 · D2019-08-09 · tag F0610 — failed to investigate and act on abuse reports — isolatedRespond appropriately to all alleged violations.
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 bruises of unknown origin in suspicious areas of a resident's body were investigated. This was true for 1 of 1 resident (Resident #31) reviewed for injuries of unknown origin. This failure created the potential for Resident #31 to experience undetected abuse. Findings include: The facility's policy titled Freedom from Abuse, Neglect, and Exploitation, undated, documented injuries of unknown origin included injuries that were not observed by any person, or the source of the injury could not be explained. The injuries included severe bruising on the head, neck, or trunk, fingerprint bruises anywhere on the body, lacerations, sprains, or fractures, and were considered a crime. Minor bruising was not considered a crime and did not have to be reported. The policy documented all violations involving injuries of unknown source were reported immediately. The policy documented an incident was an unexpected,…
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 · D2019-08-09 · 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 record review, policy review, and staff interview, it was determined the facility failed to ensure residents' care plans were updated to accurately reflect their code status. This was true for 1 of 15 residents (Resident #37) whose care plans were reviewed. This failure created the potential for life sustaining treatment to be administer or withheld, contrary to residents wishes should they become incapacitated. Findings include: The facility's policy for Resident Care Planning, undated, documented the folllowing: * Each resident had a care plan that was current, individualized, and consistent with the medical regimen. * The interdisciplinary team reviewed and updated the care plan as necessary. * The licensed nurse updated the care plan as new physician orders were received and when new problems were identified. Resident #37 was readmitted to the facility on [DATE], with multiple diagnoses including COPD (a progressive lung disease that results in shortness of breath), heart failure, dementia, 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.
- Potential for harm · D2019-08-09 · tag F0661 — isolatedEnsure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
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 discharge summary included a reconciliation of residents' medications. This was true for 1 of 1 resident (Resident #61) reviewed for discharge from the facility. This failure created the potential for harm and inappropriate care due to incomplete documentation. Findings include: Resident #61 was readmitted to the facility on [DATE] with multiple diagnoses, including syncope (lightheadedness) and collapse. Resident #61's physician orders documented may discharge to home today 5/9/19 with home health [and] PT (physical therapy), ordered on 5/9/19. Resident #61's Physician Discharge Summary note, dated 5/9/19 at 3:50 PM, did not document a reconciliation of his medications. A Recapitulation of Resident's Stay, dated 5/9/19 did not document a reconciliation of Resident #61's medications. Resident #61's Discharge Checklist, undated, documented has all meds needed. On 8/9/19 at 9:27 AM, the DNS said the facility obtained…
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 before2019-08-09 · 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 policy review, record review, and staff interview, it was determined the facility failed to ensure professional standards of practice were maintained related to neurological assessments being completed following unwitnessed falls. This was true for 1 of 15 residents (Resident #44) reviewed for falls. These failures created the potential for harm if changes in residents' neurological status went undetected and untreated after falls. Findings include. The facility's Neurological Assessments policy and procedure, revised 5/2018, documented: * Residents that have a fall with a suspected head injury such as: Bruise, scrape, lying in suspected position suggestive of hitting head, or any other condition which warrants neurological assessments will have neurological assessment completed. * Each resident that has a suspected head injury following a suspected fall or any condition that warrants neurological assessments will have a neurological assessment completed immediately following initial nursing assessment…
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 · D2019-08-09 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, review of Incident Reports, and staff interviews, it was determined the facility failed to ensure interventions were developed and implemented, and sufficient supervision was provided, to prevent resident falls. This was true for 1 of 2 residents (Resident #44) reviewed for falls. This failure placed Resident #44 at risk of bone fractures, brain damage, and other life changing injuries when she experienced a total of 7 unwitnessed falls in the facility in 42 days, 6 occurring within 15 days. Findings include: Resident #44 was readmitted to the facility on [DATE], with multiple diagnoses including a stroke affecting her right side and dementia. Resident #44's quarterly MDS assessment, dated 6/21/19, documented Resident #44 was severely cognitively impaired, required extensive assistance of two staff members for transfers due, and was always incontinent of bladder and bowel. Resident #44's care plan directed staff to implement the following interventions: * Initiated 6/22/17, the bed placed…
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 · D2019-08-09 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolatedProvide 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 ensure the administration of oxygen consistent with the physician's order, and to ensure the tubing for respiratory equipment included the date it was last changed. This was true for 3 of 5 residents (Resident #24, #31, and #37) reviewed who received oxygen. This placed residents at risk of adverse effects from insufficient blood oxygen levels and respiratory infections due to the growth of pathogens (organisms that cause illness) in the tubing of respiratory equipment. Findings include: The facility's policy for Oxygen Therapy - Respiratory Care, revised January 2016, documented oxygen was administered to residents to improve oxygenation. The policy documented oxygen flow rates were set and administered by licensed staff only, and staff could be delegated to apply the cannula and turn on the concentrator. Oxygen administration required a physician's order and the bottle and tubing should be dated…
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 before2019-08-09 · 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, record review, policy review, and staff interview, it was determined the facility failed to ensure appropriate infection control measures were maintained. This was true for 2 of 15 residents (Resident #31 and #43) reviewed for infection control. This deficient practice placed residents at risk for infection due to cross contamination. Findings include: The facility's policy for Medication Administration and Medication Order, undated, directed staff to not touch any medications. The facility's policy for Hand Hygiene, revised February 2015, directed staff to perform hand hygiene prior to and following administering medication and other nursing interventions. On 8/7/19 at 9:00 AM, during observation of medication administration, LPN #1 popped a pill out of the medication card, put it into her bare hands, and then placed the medication into a medication cup for Resident #43. LPN #1 continued to pop out 13 medications from their medication cards, put them in her bare hands, and then placed them into the medication cup. LPN #1 went into Resident #43's room 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.
“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
No federal fines in the current CMS record.
Who owns this facility
| Owner / manager | Type | Role | Share | Since |
|---|---|---|---|---|
| DIVISION OF VETERANS SERVICES | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL | 100% | since 03/26/2007 |
| DAHLSTROM, JOSIAH | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | since 07/17/2014 |
CMS files one row per role, so the 3 rows in the source record cover these 2 parties — each is shown once here with every role it holds. Nothing is omitted.
1 organizational owner 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.
Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2024. 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, FY2024). 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
This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Idaho Medicaid page.
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 135132. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-08-07, 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.