Coeur D'alene, ID

Advanced Health Care Of Coeur D'alene

5-star overall rating with 4-star inspections with 4 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

1578 W Riverstone Drive, Coeur D'alene, ID

(208) 769-0400

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

34

Certified beds

Average residents

32

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Advanced Health Care

Operator or chain grouping

Approved since

2017-02-10

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

26 facilities

Chain averages 5 overall / 4 health / 4 staffing / 5 quality stars

Changed ownership

No

Within the last 12 months

Family council

No

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.94

Registered nurse staffing · state 0.83 · national 0.68

LPN hours / resident day

1.22

Licensed practical nurse staffing · state 0.77 · national 0.87

Aide hours / resident day

2.91

Nurse aide staffing · state 2.47 · national 2.35

Total nurse hours

5.08

All reported nurse hours · state 4.07 · national 3.89

Licensed hours

2.16

RN + LPN hours · state 1.60 · national 1.54

Weekend hours

3.98

Weekend nurse staffing · state 3.47 · national 3.43

Weekend RN hours

0.72

Weekend registered nurse coverage · state 0.53 · national 0.47

Physical therapist

0.45

Reported PT staffing · state 0.11 · national 0.07

Adjusted RN hours

0.77

CMS adjusted RN staffing hours

Adjusted total hours

4.16

CMS adjusted total nurse staffing hours

Case-mix index

1.67

Higher values indicate more complex resident acuity

RN turnover

67%

Annual RN turnover · state 42% · national 45%

Total nurse turnover

36%

Annual nurse turnover · state 49% · national 46%

SNF VBP

Value-based purchasing

Program rank

362

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

72.06

Composite VBP score used to determine payment impact.

Payment multiplier

1.0233

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

7.07

Baseline 14.12% · Performance 18.15% · Measure score 7.07 · Achievement 7.07 · Improvement 0

Healthcare-associated infections

8.84

Baseline 4.09% · Performance 5.19% · Measure score 8.84 · Achievement 8.84 · Improvement 0

Total nurse turnover

9.46

Baseline 53.57% · Performance 25.00% · Measure score 9.46 · Achievement 9.46 · Improvement 9

Adjusted total nurse staffing

3.45

Baseline 4.73 hours · Performance 4.06 hours · Measure score 3.45 · Achievement 3.45 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	7.39%	10.72% 3.3 pts better	Better than the National Rate · Eligible stays 623 · Observed rate 5.3% · Lower 95% interval 5.85%
Discharge to community	78.5%	50.57% 27.9 pts better	Better than the National Rate · Eligible stays 630 · Observed rate 77.78% · Lower 95% interval 74.16%
Medicare spending per beneficiary	0.88	1.02 0.1 pts better
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 386 · Denominator 386
Falls with major injury	1.3%	0.77% 0.5 pts worse	Numerator 5 · Denominator 386
Discharge self-care score	70.71%	53.69% 17 pts better	Numerator 210 · Denominator 297
Discharge mobility score	79.46%	50.94% 28.5 pts better	Numerator 236 · Denominator 297
Pressure ulcers or injuries, new or worsened	0.52%	2.29% 1.8 pts better	Numerator 2 · Denominator 385 · Adjusted rate 0.75%
Healthcare-associated infections requiring hospitalization	5.19%	7.12% 1.9 pts better	No Different than the National Rate · Eligible stays 352 · Observed rate 3.41% · Lower 95% interval 3.51%
Staff COVID-19 vaccination coverage	5.17%	8.2% 3 pts worse	Numerator 3 · Denominator 58
Staff flu vaccination coverage	44.44%	42% 2.4 pts better	Numerator 36 · Denominator 81
Discharge function score	77.78%	56.45% 21.3 pts better	Numerator 231 · Denominator 297
Transfer of health information to provider	98.49%	95.95% 2.5 pts better	Numerator 327 · Denominator 332
Transfer of health information to patient	90.57%	96.28% 5.7 pts worse	Numerator 48 · Denominator 53
Resident COVID-19 vaccinations up to date	11.94%	25.2% 13.3 pts worse	Numerator 24 · Denominator 201

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	98.7%	90.2% 8.5 pts better	81.7% 17 pts better	Short Stay · 2024Q4-2025Q3 · Q1 98.9% · Q2 98.9% · Q3 98.4% · Q4 98.8% · 4Q avg 98.7%
Percentage of short-stay residents who had an outpatient emergency department visit	8.4%	11.6% 3.2 pts better	12.0% 3.6 pts better	Short Stay · 20240701-20250630 · Adjusted 8.4% · Observed 7.8% · Expected 10.3% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.3%	1.5% 1.2 pts better	1.6% 1.3 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.5% · Q2 0.5% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	96.6%	86.5% 10.1 pts better	79.7% 16.9 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 96.6%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	20.1%	17.5% 2.6 pts worse	23.9% 3.8 pts better	Short Stay · 20240701-20250630 · Adjusted 20.1% · Observed 17.2% · Expected 20.4% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-03-20 · Fire 2025-03-20

4 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

4 fire-safety deficiencies

Top issue: Emergency Preparedness (2 deficiencies)

Cycle 2 Health 2021-08-23 · Fire 2021-08-23

11 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

1 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 3 Health 2019-09-20 · Fire 2019-09-20

2 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-03-20

E24 · Emergency Preparedness Deficiencies

Fire Safety

Establish policies and procedures for volunteers.

Corrected 2025-03-13

F · Potential for more than minimal harm 2025-03-20

E25 · Emergency Preparedness Deficiencies

Fire Safety

Create arrangements with other facilities to receive patients.

Corrected 2025-03-13

D · Potential for more than minimal harm 2025-03-20

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-03-13

D · Potential for more than minimal harm 2025-03-20

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-03-13

E · Potential for more than minimal harm 2021-08-23

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2021-03-03

D · Potential for more than minimal harm 2019-09-20

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2019-07-30

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-03-20

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-04-17

D · Potential for more than minimal harm 2025-03-20

F625 · Resident Rights Deficiencies

Health

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Corrected 2025-04-17

D · Potential for more than minimal harm 2025-03-20

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2025-04-17

D · Potential for more than minimal harm 2025-03-20

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2025-02-28

F · Potential for more than minimal harm 2021-08-23

F680 · Quality of Life and Care Deficiencies

Health

Ensure the activities program is directed by a qualified professional.

Corrected 2021-10-22

E · Potential for more than minimal harm 2021-08-23

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2021-10-22

E · Potential for more than minimal harm 2021-08-23

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2021-10-22

E · Potential for more than minimal harm 2021-08-23

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2021-10-22

E · Potential for more than minimal harm 2021-08-23

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2021-10-22

D · Potential for more than minimal harm 2021-08-23

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2021-10-22

D · Potential for more than minimal harm 2021-08-23

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2021-10-22

D · Potential for more than minimal harm 2021-08-23

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2021-10-22

D · Potential for more than minimal harm 2021-08-23

F730 · Nursing and Physician Services Deficiencies

Health

Observe each nurse aide's job performance and give regular training.

Corrected 2021-10-22

D · Potential for more than minimal harm 2021-08-23

F742 · Quality of Life and Care Deficiencies

Health

Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

Corrected 2021-10-22

D · Potential for more than minimal harm 2021-08-23

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2021-10-22

F · Potential for more than minimal harm 2019-09-20

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2019-10-18

D · Potential for more than minimal harm 2019-09-20

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2019-10-18

Penalties and ownership

What sits behind the stars

Ownership

New Ahc Holdings, LLC

5% Or Greater Direct Ownership Interest · Organization

100% 26 facilities 2021-01-01

Advanced Health Care - Larry H Miller Corporation