Silverton Health and Rehabilitation of Cascadia

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interview, the facility failed to ensure resident records were maintained accurately and completely. This was true for 2 of 15 residents (#2 and #3) whose records were reviewed for accuracy. This failure created the potential for miscommunication and delayed treatment when documentation was missing or inaccurate. Findings include:1. Resident #2 was admitted to the facility on [DATE] with multiple diagnoses including muscle weakness, dementia, and a history of falls.Review of Resident #2's record documented an unwitnessed fall on 12/9/25 at 5:50 PM.Resident #2's record included an INTERACT Hospital Transfer Form dated 12/9/25, intended to document the resident's most recent condition prior to transfer. The vital signs listed on the form were dated 12/3/25, which was six days prior to the transfer.On 1/7/26, the ADON confirmed the INTERACT Hospital Transfer Form contained inaccurate information, as the vital signs did not reflect Resident #2's condition at the time of transfer.2.…

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.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and staff interview it was determined the facility failed to provide sanitary storage of PPE, and to perform appropriate hand hygiene. This was true for 2 of 15 residents (#6 and #33) whose staff infection control interactions were observed. This deficient practice created the potential for harm to residents if staff failed to provide appropriate infection control practices during wound care, medication administration, and PPE storage. Findings include: 1. Resident #6 was admitted to the facility on [DATE] with multiple diagnoses including stage 4 pressure ulcer of the right buttock (the most severe type of pressure damage, characterized by full-thickness skin and tissue loss), and paraplegia (paralysis from the waist down). Resident #6's care plan, dated 7/4/24, directed staff to use EBP to reduce the risk of MDRO transmission related to a suprapubic catheter and chronic wounds when providing direct care. The care plan further documented EBP should be used to prevent…

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.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, staff interview, review of the State Agency's Long-Term Care Reporting Portal, and review of I&As, it was determined the facility failed to ensure residents are free from abuse. This was true for 3 of 3 residents (Resident #9, #30, #51) whose records were reviewed for abuse. This created the potential for harm when Residents #9, #30, and #51 were struck by Resident #8. Findings include: The facility's Abuse policy revised 10/15/22, documented residents will remain free from abuse, neglect, misappropriation of resident property, and exploitation. Including but not limited to corporal punishment. Resident #8 was admitted to the facility on [DATE], with multiple diagnoses including dementia with psychotic disturbances and major depressive disorder. 1. Physical abuse directed by Resident #8 to Resident #30. Resident #30 was admitted to the facility on [DATE], with multiple diagnoses including muscle weakness, pain, and dementia. On review of the State Agency's Long-Term Care Reporting Portal…

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.

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 professional standards of practice were followed for 5 of 5 residents (#4, #7, #26, #40, and #41) reviewed for bowel and bladder care. This failed practice created the potential for each of these residents to experience discomfort when their medications were not administered according to the physician's order. Findings include: 1.) Resident #4 was admitted to the facility on [DATE], with multiple diagnoses including dementia, muscle weakness, and constipation. An Annual MDS assessment dated [DATE], documented Resident #4's decision making was poor, and she needed cues and/or supervision. A physician's order documented Resident #4 was to receive the following medications: -Milk of Magnesia (MOM) suspension 1200 milligram (mg) /15 milliliters (ml), give 30 ml orally as needed for no bowel movement (BM) for two days. Give 1 dose. If no results within 24 hours, see Dulcolax suppository order. -Dulcolax suppository 10 mg,…

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.

Based on observation and staff interview, it was determined the facility failed to ensure (a) food was stored in a safe and sanitary manner and (b) drink wear was maintained in sanitary conditions. This deficient practice created the potential to affect 49 of 49 residents who consumed food and drinks prepared by the facility. This placed residents at risk for adverse outcomes, including food-borne illness. Findings include: a. On 6/23/25 at 10:10 AM, during a initial kitchen inspection a large brown box was observed in the dry goods pantry. The box contained large yellow onions noted with a green fuzzy substance on the surface of multiple onions. On 6/23/25 at 10:11 AM, when asked if the onions were in a safe condition to serve the Dietitian stated obviously we would not serve them to anyone. b. On 6/24/25 at 2:15 PM, during a in-depth kitchen inspection a bread toaster was identified sitting on a counter. The toaster was observed to contained a thick layer of black encrusted particles. Also, during the inspection multiple purple coffee cups were identified in a clean storage…

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.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observation, and staff interview, it was determined the facility failed to ensure Residents were monitored adequately to ensure residents were free from chemical restraints. This was true for 1 of 5 residents (Resident #23) whose records were reviewed for unnecessary medication. This failure caused the potential for more than minimal harm when Resident #23 was not able to participate in activities of daily living. Findings include:Resident #23 was admitted to the facility on [DATE], with multiple diagnoses including bipolar disorder, dementia, and insomnia.Resident #23's care plan revised 4/28/23, directed staff to monitor, document, and report to the MD changes in cognitive function such as difficulty expressing herself, level of consciousness, and mental status.A physician order dated 3/17/24, directed staff to monitor for the following side effects:1. Over-sedation / Lethargy2. Restless agitation3. Increased confusion/ poor concentration4. Mental status change5. Visual disturbances6.…

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.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of the Resident Assessment Instrument (RAI) Manual, record review, and staff interview, it was determined the facility failed to ensure residents' Minimum Data Set (MDS) Assessments included correct assessment information. This was true for 1 of 3 residents (Resident #39) whose MDS records were reviewed for accuracy. This deficient practice had the potential for negative outcomes if residents were not assessed and/or monitored due to inaccurate assessments. Findings include: The RAI Manual, revised 10/1/2024, documented section A1500, PASRR (Preadmission Screening and Resident Review), was to be coded yes when a PASRR Level II screening determines a resident had a serious mental illness and/or intellectual disability, or related condition. Resident #39 was admitted to the facility on [DATE], with multiple diagnoses including post-traumatic stress disorder (PTSD, a mental health condition triggered by experiencing or witnessing a traumatic event), stimulant abuse and panic disorder. Resident #39's…

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.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interview it was determined the facility failed to ensure residents' care plans were revised according to their needs. This was true for 1 of 13 residents (Resident #8) whose records were reviewed for care plan timing and revisions. This failure created the potential for harm when residents' needs were not identified and or met. Findings include: Resident #8 was admitted to the facility on [DATE], with multiple diagnoses including dementia with psychotic disturbances and major depressive disorder. Resident #8's care plan revised on 11/14/24, directed staff to investigate and identify potential triggers of target behaviors. The care plan also directed staff to use non-pharmacological interventions to reduce target behavior. Resident #8's care plan also directed staff to keep her within line of sight due to aggressive behaviors. The care plan did not include documentation of what triggered Resident #8 to become aggressive with others around her. On 6/26/25 at 3:21 PM, the DON…

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.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of incident and accidents (I&A), staff interview, and The State Operation Manual, it was determined the facility failed to ensure adequate supervision was provided to prevent falls. This was true for 1 of 1 resident, (Resident #8) whose record was reviewed for falls. This had the potential to cause more than minimal harm to resident #8. Findings include:The State Operation Manual, Appendix PP, defined Avoidable Accident as an accident occurred because the facility failed to: Identify environmental hazards and/or assess individual resident risk of an accident, including the need for supervision and/or assistive devices.Resident #8 was admitted to the facility on [DATE], with multiple diagnoses including muscle weakness, difficulty in walking, and history of falls.Resident #8's care plan revised on 8/27/23, directed staff to place personal items and assistive devises within reach.An I&A report dated 4/11/25 at 4:00 PM, documented a CNA assisted Resident #8 to transfer to the couch in the common…

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.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observation,resident and staff interview, it was determined the facility failed to ensure respiratory services were provided. This was true for 1 of 1 resident (Resident #14) whose record was reviewed for respiratory services. This failure created the potential for harm when Resident #14's continuous positive airway pressure (CPAP) machine (a non-invasive ventilation machine) was not applied at bedtime. Findings include: Resident #14 was admitted to the facility on [DATE], with multiple diagnoses including obstructive sleep apnea and muscle weakness. Resident #14's care plan revised 7/4/24, directed staff to see the administration record for the application schedule. A physician order dated 3/30/25, directed staff to apply the CPAP machine at bedtime and remove in the morning. On 6/24/25 at 1:53 PM, Resident #14's CPAP machine was observed on a night stand next to her bed with no water in it. The mask was located directly on the floor near Resident #14's bed. On 6/25/25 at 9:39 AM,…

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.

Based on record review and staff interview, it was determined the facility failed to ensure nursing staff were educated on identifying mood, behaviors, and side effects. This failure created the potential for adverse outcomes when residents' records were not accurately reflecting residents' current condition. Findings include: On 6/26/25 at 1:45 PM, during a record review with the DON, she stated the facility had identified some concerns with resident documentation for mood, behavior, and side effects and had provided several opportunities for education with the staff. On 6/26/25 at 1:47 PM, a request for staff education was made and the following was provided: -On 3/26/24, the agenda listed CNA's were to be educated on notifying the nurse of behaviors for proper documentation however, no proof of education was provided. - On 6/5/25, the agenda listed documenting behaviors but no proof of education was provided. -On 11/7/24, the agenda listed documentation for behavior charting but no proof of education was provided. On review of the staff education provided no specific mood,…

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.

Based on record review and staff interview it was determined the facility failed to ensure a registered nurse (RN) was on-site for 8 consecutive hours a day, for 7 days a week, to provide care to the residents. This was true for 3 of 21 days reviewed for sufficient staffing. This failure placed all residents at risk for harm if their routine and/ or emergency needs could not be met without the care of a registered nurse. Findings include: On review of the nursing staff hours worked, dated 6/1/25 through 6/21/25 the facility did not provide 8 consecutive hours of registered nurse coverage on 6/1/25, 6/14/25, and 6/15/25 (3 of 21 days). On 6/24/25 at 10:02 AM, the Administrator stated the facility did not have an RN for 8 consecutive hours on 6/1/25, 6/14/25 and 6/15/25.

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 Resident records contained accurate documentation. This was true for 2 of 2 residents (Resident #8 and #14) whose records were reviewed for accuracy. This failure had the potential for adverse outcomes and harm when Resident #8's record documents an inaccurate weight and when Resident #14's record documented inaccuracy of administration of continuous positive airway pressure (CPAP) machine (a non-invasive ventilation machine) use. Findings include: 1. Resident #8 was admitted to the facility on [DATE], with multiple diagnoses including dysphagia, lactose intolerance, and vitamin D deficiency. Resident #8's record documented the following weights: - On 1/7/25 her weight was 145 lbs. - On 2/12/25 her weight was 147 lbs. - On 3/4/25 her weight was 133 lbs. - On 4/25/25 her weight was 130.5 lbs. - On 5/13/25 her weight was 140 lbs. - On 6/ 3/25 her weight was 127 lbs. A Quarterly Nutritional assessment dated [DATE],…

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.

Based on record review and staff interview it was determined the facility failed to ensure the Quality Assessment and Performance Improvement (QAPI) committee took action to identify and resolve systemic problems. This failure affected 49 of 49 residents residing in the facility. The deficient practice resulted in failure to identify resident mood, behaviors, and side effects for adverse outcomes when residents' record were not accurately documenting the residents current condition. Findings include: The facility's QAPI plan revised on 06/04/24, directed the QAPI committee to perform the following: - Meet at a minimum on a quarterly basis - Coordinating and evaluating QAPI program activities - Developing and implementing appropriate plan of action to correct identified deficiencies - Regularly review and analyze data collected under QAPI program and data resulting from drug regimen review and acting on available data to make improvements. - Determine areas for Performance Improvement Plans (PIP) for rapid improvement projects. On 6/26/25 at 2:05 PM, the DON stated she has been…

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.

Based on observation, CDC recommendation review, and staff interview, it was determined the facility failed to ensure infection control and prevention practices were maintained. This failure had the potential to impact all residents in the facility by placing them at risk for cross contamination and transmission of infection. Findings include: The Centers for Disease Control and Prevention (CDC) web page titled, Clinical Safety: Hand Hygiene for Healthcare Workers, updated 2/27/24, documented hand hygiene should be performed: -Immediately before touching a patient. -Before performing an aseptic task such as placing an indwelling device or handling invasive medical devices. -Before moving from work on a soiled body site to a clean body site on the same patient. -After touching a patient or patient's surroundings. -After contact with blood, body fluids, or contaminated surfaces. -Immediately after glove removal. The following was observed for hand hygiene and Personal Protective equipment (PPE): On 6/24/25 at 2:50 PM, CNA #1 and CNA #2 were observed entering Resident #6's room to…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on staff interview, personnel record review, and administrative record review, it was determined the facility failed to ensure nurse aides and licensed nurses had completed competencies necessary to care for resident's needs. This was true for 16 of 19 CNAs (#1-#16) and 8 out of 9 licensed nurses (RN#1-#5) and (LPN#1-#3) whose training information was reviewed. This failure had the potential to affect all residents in the facility and increased the risk of harm to residents if CNAs and licensed nurses were not determined competent to provide care and services to residents. Findings include: The facility's CNA Clinical Competencies and Licensed Nurse Clinical Competencies forms, both undated, documented the competencies were to be completed by each employee upon hire and at least annually, signed and dated by the employee and instructor, and placed in the employee's education file. This procedure was not followed. On 10/3/23, surveyors requested the completed clinical competencies forms for all CNAs and licensed nurses. A printed list of completed trainings was provided on…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

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 resident's representative was immediately notified when the resident had changes in condition. This was true for 2 of 2 residents (Resident #1 and #8) whose records were reviewed for changes of condition. This deficient practice placed residents at risk of harm due to lack of advocacy and support from their representatives. Findings include: The facility's Resident Change of Condition policy, dated 11/28/17, documented the facility was to immediately inform the resident and to consult with the resident's physician and notify, consistent with his or her authority, the resident representative when there was a significant change in the resident's physical, mental or psychological status, and need to alter significant treatment. This policy was not followed. 1. Resident #1 was admitted to the facility on [DATE], with multiple diagnoses including ulcerative pancolitis (inflammation affecting the entire…

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.

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 resident care plans were revised to reflect current needs and interventions. This was true for 1 of 7 residents (Resident #2) whose care plans were reviewed. This placed Resident #2 at risk for adverse outcomes when his care plan was not revised to meet his needs. Findings include: The facility's Care Plan policy, revised on 10/15/22, documented a qualified person would monitor the resident's condition and effectiveness of the care plan interventions and revise the care plan quarterly, annually, and with a significant change in condition. This policy was not followed. Resident #2 was admitted to the facility on [DATE], with multiple diagnoses including chronic obstructive pulmonary disease (a group of diseases that cause airflow blockage and breathing-related problems), respiratory failure, and chronic pain syndrome. An MDS significant change in condition assessment, dated 9/22/23, documented…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

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 accuracy of narcotic counts. This was true of 2 of 8 residents (#1 and #2) whose narcotic logs were reviewed. This failure created the potential for undetected misuse and/or diversion of controlled medications. Findings include: The facility's Pharmacy Services policy, dated 11/28/17, documented the facility provided pharmaceutical services (including procedures that assure the accurate acquiring, receiving, dispensing, and administering of drugs and biologicals) to meet the needs of each resident. Periodic reconciliation of records of receipts, disposition, usage, and inventory for all controlled medications were conducted. The reconciliation identified loss or potential diversion of controlled medications. This policy was not followed. a. Resident #1 was admitted to the facility on [DATE], with multiple diagnoses including ulcerative pancolitis (inflammation affecting the entire colon), and pain.…

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.

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 were monitored appropriately and offered non-pharmacological interventions while receiving opioid pain medications. This was true for 2 of 3 residents (#1 and #2) reviewed for unnecessary medications. This failure created the potential for residents to experience adverse reactions due to a lack of appropriate monitoring or increased pain due to not offering non-pharmacological interventions. Findings include: The facility's Unnecessary Medications and Psychotropic Drugs/Antipsychotic Medication policy, dated 11/28/17, documented a resident's medication regime was free of any medication used in excessive dose, excessive duration, without adequate monitoring, without adequate indications for use, in the presence of adverse consequences or any combination of these reasons. This policy was not followed. 1. Resident #1 was admitted to the facility on [DATE], with multiple diagnoses including…

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.

Based on record review and staff interview, it was determined the facility failed to safeguard medical records from unauthorized use. This was true for all residents whose records were accessed by a facility MA (MA #1) for the purpose of medication administration on 10/2/23 and 10/3/23. This deficient practice resulted in MA #1 accessing medical records, using an individualized login identifier which belonged to a facility RN (RN #2), and created the potential for harm when the access was documented incorrectly, and confidentiality of the records was not maintained. Findings include: The facility's policy Medication Aide-Certified in Skilled Nursing Facility, released 11/28/17, and revised on 8/1/23, documented, Medication and acts completed by the certified medication aide are accurately documented on the medication/treatment administration record. According to the Idaho Administrative Procedure Act (IDAPA), 24.34.01, Idaho Administrative Code, Division of Occupational & Professional Licenses, Rules of the Idaho Board of Nursing, updated 3/28/23 Section 200 - Practice Standards:…

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.