Federal inspection record · CMS data as of October 1, 2026
Ashton Memorial Living Center
700 North Second Street, Ashton, ID · (208) 652-7461
- CMS high-performer trophy
- Certified beds
- 38
- Residents per day
- 25
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- June 19, 1985
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
★★★★★+1 star
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
Ashton Memorial Living Center carries 33 inspection points. That is fewer than 85% 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
24 health citations on record since 2019. 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
Resident Rights4D
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- D
Honor 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.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Quality of Life and Care4E
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
Pharmacy Service4D
- D
Ensure 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.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
Ensure 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.
- D
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Nursing and Physician Services3E
- D
Observe each nurse aide's job performance and give regular training.
- E
Observe each nurse aide's job performance and give regular training.
- D
Post nurse staffing information every day.
Infection Control3E
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Resident Assessment and Care Planning3D
- D
Ensure each resident receives an accurate assessment.
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Nutrition and Dietary2F
- D
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.
Freedom from Abuse, Neglect, and Exploitation1E
- E
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Inspection history
2025-12-10
6 health deficiencies · 3 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2024-11-08
10 health deficiencies · 2 fire-safety deficiencies
Top issue: Nursing and Physician Services (2 deficiencies)
2019-11-01
8 health deficiencies · 4 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 43 min of nursing staff time a day, 1 h 12 min of it from a registered nurse.
This home
4 h 43 min
Idaho average
3 h 59 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 41% of nursing staff and 14% of registered nurses left in the past year.
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 long-stay residents assessed and appropriately given the pneumococcal vaccine2.2 pts better | 100.0% | 97.8% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.8 pts better | 100.0% | 96.2% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury3.1 pts better | 0.0% | 3.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms6.8 pts better | 8.9% | 15.7% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.1 pts worse | 8.2% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication1.6 pts worse | 18.0% | 16.4% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication3.4 pts better | 16.9% | 20.3% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened8.4 pts better | 7.4% | 15.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased4.8 pts better | 10.6% | 15.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.1 pts worse | 1.1% | 1.0% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1 pts better | 1.0% | 2.0% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.7 pts worse | 22.9% | 21.2% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.1 pts worse | 3.5% | 3.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine8.2 pts better | 100.0% | 91.8% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.9 pts worse | 2.6% | 1.7% | 1.5% |
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Who owns and runs it
8 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 |
|---|---|---|---|
| Blanchard, Garth | Corporate Director · Individual | 0% | 1 facilities |
| Davidson, Michael | Corporate Director · Individual | 0% | 1 facilities |
| Nielsen, Suzanne | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Nielsen, Suzanne | Adp Of The SNF · Individual | 0% | 1 facilities |
| Packer, Michael | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Packer, Michael | Adp Of The SNF · Individual | 0% | 2 facilities |
| Shuldberg, Shon | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Shuldberg, Shon | Adp Of The SNF · Individual | 0% | 1 facilities |
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Fire safety
9 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke3F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Provide properly protected cooking facilities.
- F
Install corridor and hallway doors that block smoke.
Miscellaneous2F
- F
Have simulated fire drills held at unexpected times.
- D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Gas, Vacuum, and Electrical Systems2F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure equipment listed for use in oxygen-enriched atmospheres are correctly labeled.
Emergency Preparedness1F
- F
Create arrangements with other facilities to receive patients.
Services1D
- D
Have properly installed electrical wiring and gas equipment.
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Other homes nearby
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★★★★★- Worst citation, 3 yrs
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- Nursing / resident / day
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Temple View Transitional Care Center
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Eagle Rock Health and Rehabilitation of Cascadia
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★★★★★- Worst citation, 3 yrs
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