Federal inspection record · CMS data as of October 1, 2026
Advanced Health Care of Coeur d'Alene
1578 W Riverstone Drive, Coeur d'Alene, ID · (208) 769-0400
- CMS high-performer trophy
- Certified beds
- 34
- Residents per day
- 29
- Ownership
- For-Profit
- Chain
- Advanced Health Care
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- February 10, 2017
1
How this home got 5 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Idaho.
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Staffing
★★★★★no change (already 5)
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change (already 5)
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Idaho homes
Advanced Health Care of Coeur d'Alene carries 25 inspection points. That is fewer than 92% of Idaho's 79 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Idaho: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–30.5 pts
- 4★ 30.5–46 pts
- 3★ 46–63 pts
- 2★ 63–85 pts
- 1★ over 85 pts
Bars show every rated home in Idaho by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
18 health citations on record since 2021. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Quality of Life and Care5F
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F
Ensure the activities program is directed by a qualified professional.
- D
Provide activities to meet all resident's needs.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
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.
Resident Assessment and Care Planning4E
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- E
Ensure each resident receives an accurate assessment.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Nutrition and Dietary2F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights2E
- D
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.
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Pharmacy Service2D
- D
Ensure that residents are free from significant medication errors.
- D
Ensure that residents are free from significant medication errors.
Nursing and Physician Services2E
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- D
Observe each nurse aide's job performance and give regular training.
Infection Control1E
- E
Provide and implement an infection prevention and control program.
Inspection history
2026-05-21
3 health deficiencies · 7 fire-safety deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
2025-03-20
4 health deficiencies · 4 fire-safety deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
2021-08-23
11 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 5 h 38 min of nursing staff time a day, 1 h 17 min of it from a registered nurse.
This home
5 h 38 min
Idaho average
3 h 59 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 42% of nursing staff and 33% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine7.7 pts better | 99.5% | 91.8% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1 pts better | 10.9% | 11.9% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.7 pts better | 0.0% | 1.7% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine6.4 pts better | 91.8% | 85.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission3.8 pts better | 13.5% | 17.3% | 23.4% |
·
Who owns and runs it
10 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| New Ahc Holdings, LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 26 facilities |
| The Gail Miller Gst Trust | 5% Or Greater Indirect Ownership Interest · Organization | 72% | 26 facilities |
| Fisher, Curtis | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Fisher, Curtis | Adp Of The SNF · Individual | 0% | 1 facilities |
| Lhmsh LLC | Adp Of The SNF · Organization | 0% | 24 facilities |
| Meza, Michael | Adp Of The SNF · Individual | 0% | 8 facilities |
| New Ahc Holdings, LLC | Adp Of The SNF · Organization | 0% | 26 facilities |
| Oxnam, Nathan | Corporate Officer · Individual | 0% | 26 facilities |
| The Bryan Miller Utah Dynasty Trust Dated April 22, 2014 | Indirect Ownership Interest · Organization | 0% | 24 facilities |
| The G&H Miller Utah Trust Dated February 26, 2019 | Indirect Ownership Interest · Organization | 0% | 23 facilities |
·
Fire safety
12 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness5F
- F
Establish emergency prep training and testing.
- F
Establish staff and initial training requirements.
- F
Conduct testing and exercise requirements.
- F
Establish policies and procedures for volunteers.
- F
Create arrangements with other facilities to receive patients.
Smoke3F
- F
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- D
Provide properly protected cooking facilities.
- D
Have approved installation, maintenance and testing program for fire alarm systems.
Gas, Vacuum, and Electrical Systems3F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Have proper medical gas storage and administration areas.
- E
Have proper medical gas storage and administration areas.
Egress1D
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
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Other homes nearby
-
Ironwood Rehabilitation and Care Center
Coeur d'Alene, ID · The Ensign Group
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 39 min
- Fines
- $0
-
Lakeside Rehabilitation and Care Center
Coeur d'Alene, ID · The Ensign Group
★★★★★- Worst citation, 3 yrs
- H
- Nursing / resident / day
- 3 h 39 min
- Fines
- $220,832
-
Coeur d Alene Health of Cascadia
Coeur d'Alene, ID · Cascadia Healthcare
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 40 min
- Fines
- $33,815