12 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Coeur D'alene, ID
1-star overall rating with 1-star inspections with abuse icon flag with 12 recent health deficiencies
2200 Ironwood Place, Coeur D'alene, ID
(208) 667-6486
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
80
Certified beds
Average residents
62
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
The Ensign Group
Operator or chain grouping
Approved since
1973-06-15
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
329 facilities
Chain averages 3 overall / 3 health / 3 staffing / 4 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.74
Registered nurse staffing · state 0.83 · national 0.68
LPN hours / resident day
0.99
Licensed practical nurse staffing · state 0.77 · national 0.87
Aide hours / resident day
2.31
Nurse aide staffing · state 2.47 · national 2.35
Total nurse hours
4.03
All reported nurse hours · state 4.07 · national 3.89
Licensed hours
1.72
RN + LPN hours · state 1.60 · national 1.54
Weekend hours
3.33
Weekend nurse staffing · state 3.47 · national 3.43
Weekend RN hours
0.40
Weekend registered nurse coverage · state 0.53 · national 0.47
Physical therapist
0.05
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.73
CMS adjusted RN staffing hours
Adjusted total hours
3.97
CMS adjusted total nurse staffing hours
Case-mix index
1.39
Higher values indicate more complex resident acuity
RN turnover
67%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
62%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Program rank
8,159
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
27.64
Composite VBP score used to determine payment impact.
Payment multiplier
0.9846
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 18.16% · Performance 22.43% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
6.14
Baseline 5.96% · Performance 6.00% · Measure score 6.14 · Achievement 6.14 · Improvement 0
Total nurse turnover
3.06
Baseline 52.63% · Performance 51.16% · Measure score 3.06 · Achievement 3.06 · Improvement 0.03
Adjusted total nurse staffing
1.85
Baseline 3.21 hours · Performance 3.60 hours · Measure score 1.85 · Achievement 1.85 · Improvement 1.03
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.7% |
10.72%
1 pts better
|
No Different than the National Rate · Eligible stays 164 · Observed rate 7.93% · Lower 95% interval 7.11% |
| Discharge to community | 47.82% |
50.57%
2.8 pts worse
|
No Different than the National Rate · Eligible stays 136 · Observed rate 44.12% · Lower 95% interval 39.57% |
| Medicare spending per beneficiary | 0.89 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 76 · Denominator 76 |
| Falls with major injury | 1.32% |
0.77%
0.6 pts worse
|
Numerator 1 · Denominator 76 |
| Discharge self-care score | 65.91% |
53.69%
12.2 pts better
|
Numerator 29 · Denominator 44 |
| Discharge mobility score | 52.27% |
50.94%
1.3 pts better
|
Numerator 23 · Denominator 44 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 76 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 6% |
7.12%
1.1 pts better
|
No Different than the National Rate · Eligible stays 64 · Observed rate 3.13% · Lower 95% interval 3.59% |
| Staff COVID-19 vaccination coverage | 11.19% |
8.2%
3 pts better
|
Numerator 16 · Denominator 143 |
| Staff flu vaccination coverage | 25.33% |
42%
16.7 pts worse
|
Numerator 38 · Denominator 150 |
| Discharge function score | 56.82% |
56.45%
0.4 pts better
|
Numerator 25 · Denominator 44 |
| Transfer of health information to provider | 95.83% |
95.95%
0.1 pts worse
|
Numerator 23 · Denominator 24 |
| Transfer of health information to patient | 96.67% |
96.28%
0.4 pts better
|
Numerator 29 · Denominator 30 |
| Resident COVID-19 vaccinations up to date | 30.77% |
25.2%
5.6 pts better
|
Numerator 12 · Denominator 39 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.5 |
1.1
0.4 pts worse
|
1.9
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 2.3 · Expected 2.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.4 |
1.6
0.2 pts better
|
1.8
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.7 · Expected 2.1 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.5% |
96.8%
0.7 pts better
|
93.4%
4.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 95.0% · Q3 98.4% · Q4 96.5% · 4Q avg 97.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
96.2%
3.8 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.2% |
2.7%
1.5 pts worse
|
3.3%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 5.0% · Q3 4.8% · Q4 3.5% · 4Q avg 4.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 35.7% |
13.6%
22.1 pts worse
|
11.4%
24.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 56.6% · Q2 42.9% · Q3 25.0% · Q4 17.3% · 4Q avg 35.7% |
| Percentage of long-stay residents who lose too much weight | 4.1% |
5.4%
1.3 pts better
|
5.4%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 3.6% · Q3 0.0% · Q4 5.7% · 4Q avg 4.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 20.8% |
16.2%
4.6 pts worse
|
19.6%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.0% · Q2 25.5% · Q3 18.6% · Q4 14.3% · 4Q avg 20.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 20.0% |
20.5%
0.5 pts better
|
16.7%
3.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.4% · Q2 16.7% · Q3 17.8% · Q4 20.9% · 4Q avg 20.0% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.1%
0.1 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 13.9% |
17.9%
4 pts better
|
16.3%
2.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.6% · Q2 0.0% · Q3 15.7% · Q4 32.6% · 4Q avg 13.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 8.1% |
16.7%
8.6 pts better
|
14.9%
6.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 1.9% · Q3 8.9% · Q4 17.6% · 4Q avg 8.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
1.5%
1.5 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.6% |
1.9%
0.7 pts worse
|
1.7%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 1.7% · Q3 3.3% · Q4 1.8% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 19.9% |
22.6%
2.7 pts better
|
19.8%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.7% · Q2 25.7% · Q3 19.1% · Q4 17.1% · 4Q avg 19.9% |
| Percentage of long-stay residents with pressure ulcers | 5.9% |
3.4%
2.5 pts worse
|
5.1%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.0% · Q2 6.7% · Q3 4.8% · Q4 5.2% · 4Q avg 5.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 88.9% |
90.2%
1.3 pts worse
|
81.7%
7.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 89.2% · Q2 92.9% · Q3 84.3% · Q4 89.0% · 4Q avg 88.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 15.2% |
11.6%
3.6 pts worse
|
12.0%
3.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 15.2% · Observed 15.6% · Expected 11.5% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 4.8% |
1.5%
3.3 pts worse
|
1.6%
3.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 6.4% · Q3 7.1% · Q4 3.1% · 4Q avg 4.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 82.4% |
86.5%
4.1 pts worse
|
79.7%
2.7 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 82.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 33.0% |
17.5%
15.5 pts worse
|
23.9%
9.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 33.0% · Observed 32.8% · Expected 23.7% · Used in QM five-star |
Survey summary
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Quality of Life and Care (5 deficiencies)
14 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Quality of Life and Care (6 deficiencies)
9 fire-safety deficiencies
Top issue: Emergency Preparedness (3 deficiencies)
Fire safety
Fire Safety
Conduct testing and exercise requirements.
Corrected 2021-08-16
Fire Safety
Implement emergency and standby power systems.
Corrected 2021-08-16
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2021-08-16
Fire Safety
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Corrected 2021-08-16
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2021-08-16
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2021-08-16
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2021-08-16
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2021-08-16
Fire Safety
Provide properly sized and located linen or trash receptacles.
Corrected 2021-08-16
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2021-08-16
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2021-08-16
Fire Safety
Use approved construction type or materials.
Corrected 2021-08-16
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2021-08-16
Fire Safety
Provide properly protected cooking facilities.
Corrected 2021-08-16
Fire Safety
Establish procedures for tracking staff and patients during an emergency.
Corrected 2020-04-23
Fire Safety
Establish emergency prep training and testing.
Corrected 2020-04-23
Fire Safety
Address patient/client population and determine types of services needed.
Corrected 2020-04-23
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2020-03-22
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2020-03-04
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2020-02-27
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2020-03-12
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2020-03-10
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2020-03-16
Inspection history
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-04-30
Health
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected 2024-10-31
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-10-31
Health
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected 2024-10-31
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-10-31
Health
Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture.
Corrected 2024-10-31
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-10-31
Health
Respond appropriately to all alleged violations.
Corrected 2024-10-31
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-10-31
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-10-31
Health
Provide appropriate foot care.
Corrected 2024-10-31
Health
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.
Corrected 2024-10-31
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-01-17
Health
Provide and implement an infection prevention and control program.
Corrected 2022-01-17
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2022-01-17
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2022-01-17
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2022-01-17
Health
Respond appropriately to all alleged violations.
Corrected 2022-01-17
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2022-01-17
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-01-17
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2022-01-17
Health
Try 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.
Corrected 2022-01-17
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2022-01-17
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2020-04-29
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2020-04-29
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2020-04-29
Health
Ensure that residents are free from significant medication errors.
Corrected 2020-04-29
Health
Provide and implement an infection prevention and control program.
Corrected 2020-04-29
Health
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected 2020-04-29
Health
Keep residents' personal and medical records private and confidential.
Corrected 2020-04-29
Health
Respond appropriately to all alleged violations.
Corrected 2020-04-29
Health
Ensure each resident receives an accurate assessment.
Corrected 2020-04-29
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2020-04-29
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2020-04-29
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2020-04-29
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2020-04-29
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2020-04-29
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2020-04-29
Health
Provide routine and 24-hour emergency dental care for each resident.
Corrected 2020-04-29
Health
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Corrected 2020-04-29
Health
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected 2020-04-29
Health
Post nurse staffing information every day.
Corrected 2020-04-29
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Nearby options
Coeur D'alene, ID
5-star overall rating with 4-star inspections with 4 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
Coeur D'alene, ID
1-star overall rating with 1-star inspections with $220,832 in total fines with 2 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
Coeur D'alene, ID
1-star overall rating with 1-star inspections with $33,815 in total fines with 14 recent health deficiencies with 13 fire-safety deficiencies in the latest cycle
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